Successfully reported this slideshow.

Gabriele Caselli: Rumination As A Predictor Of Problem Drinking


Published on

Presentazione Congresso Europeo Terapia Cognitivo Comportamentale, Helsinki, 2008

Published in: Health & Medicine
  • Be the first to comment

Gabriele Caselli: Rumination As A Predictor Of Problem Drinking

  1. 1. Ruminationas a predictorofproblemdrinking<br />Gabriele Caselli1,2, Chiara Bortolai3,Mauro Leoni1,4, Francesco Rovetto1, Marcantonio Spada5<br />1 Università degli studi di Parma, Parma, Italy<br />2 Studi Cognitivi, Scuola di Psicoterapia Cognitiva, Modena, Italy<br />3 Ospedale Privato Accreditato Villa Rosa, Modena, Italy<br />4 Fondazione Sospiro, Cremona, Italy<br />5Roehampton University, London, United Kingdom<br />
  2. 2. Introduction<br />Ruminationisa coping strategy for controlling negative affect that is characterisedby heightened self-focused attention involving persistent, recyclic, and depressive thinking(Lyubomirsky and Nolen-Hoeksema 1993)<br />Ruminationisanimportantfactorin the vulnerability processes leading to the occurrence of, and relapse into, dysphoriaand major depressive disorder (Nolen-Hoeksema and Morrow 1991; Lyubomirskyand Nolen-Hoeksema 1993)<br />The co-occurrence of alcohol use disorders and depressive symptoms has frequently been reported in problem drinking and psychiatric samples (Helzer and Pryzbeck1988; Petty 1992; Grant and Harford 1995)<br />
  3. 3. Rumination and alcoholuse<br />Rumination has been shown to increase the risk for depressive symptoms (Nolen-Hoeksema 1991)<br />Alcohol use has been conceptualised as a cognitive self-regulatory strategy (Spada and Wells 2005; Spada et al. 2007)<br />So...<br />Ruminationmayincrease the risk of alcohol use as a means of attempting to control the ruminative process in itself (Nolen-Hoeksema et al. 2007) and its negative consequences like depressive symptoms<br />
  4. 4. Aims<br />(1) Examine the presence of rumination in individuals with problem-drinking relative to a community sample of social drinkers <br />(2) Examine whether rumination would predict alcohol use independently of depression in a mixed clinical and community sample<br />
  5. 5. Method<br />Participants<br />36 patients (8 females) seeking treatment for problem drinking (47.4 years; SD=8.8; range=31-64)<br />37 social drinkers (9 females; 45.6 years; SD=10.0; range=28–60)<br />Materials<br />Depression (BDI), Rumination (RRS), Alcohol Use (QFS)<br />Statistics<br />Mann Whitney U-Tests, logistic regression analysis, hierarchical regression analysis<br />
  6. 6. Results (1)<br />Descriptive statistics and t tests <br />Note: <br />PD=Problem Drinkers<br />CP=Community Participants<br />** = p &lt; 0.001<br />
  7. 7. Results (2)<br />Logistic regression equation predicting problem drinking category membership<br />The grouping variable was taken to be problem-drinking caseness<br />Depression and rumination were entered as a block and were found to be significant predictors of problem drinking <br />
  8. 8. Results (3)<br />Hierarchical regression statistics <br />
  9. 9. Discussion<br />Problem drinkers and community participants were significantly different in rumination, depression and alcohol use<br />Rumination and depression are significant predictors of category membership (with 75.3% of cases correctly classified)<br />Rumination was found to account for a significant 4.0% (p&lt; 0.05) of variance in problem drinking, in addition to the variance accounted for by depression<br />Only rumination was found to be a significant predictor of alcohol use therefore mediating the relation between depression and alcohol use<br />
  10. 10. Limitations<br />Lackofneurological demonstration of ruminative tendencies to corroborate self-reported tendencies<br />Social desirability, self-report biases, context effects and poor recall may have contributed to errors in self-report measurements<br />The sample in this study was mainly male and was taken from one geographic region<br />
  11. 11. Preliminaryconclusions<br />General tendency to ruminate predicts category membership as a problem drinker and general alcohol use independently of depression<br />These findings highlight a possible cognitive regulatory function of alcohol use aimed at controlling perseverative thinking patterns (such as rumination)<br />The facilitation of skills that promote a direct change in rumination may be helpful in the treatment of depression in problem drinking<br />
  12. 12. Whatnext…<br />Employ longitudinal designs to assess the contribution of rumination to problem drinking (and relapse more specifically) using larger and more representative samples<br />Investigate the nature of the focus of rumination to identify which typology of rumination contributes to problem-drinking behaviour<br />Investigate the possible mechanisms linking rumination to problemdrinking, in particularwhether alcohol use does provide an escape from ruminative self-awareness<br />Investigate whether duration of alcohol related problems has a mediating role on the tendency to ruminate<br />