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Relations between trait anxiety and depression: A mediated moderation model.

Tao Wang1, Min Li1, Song Xu1

  • 1Department of Military Psychology, School of Psychology, Army Medical University, Chongqing, 400038, China.

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Summary

Trait anxiety increases depression risk, but cognitive flexibility can buffer this effect. Rumination mediates this interaction, highlighting targets for depression prevention.

Keywords:
Cognitive flexibilityDepressionRuminationTrait anxiety

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Mental Health

Background:

  • Depression is a significant public health concern.
  • Trait anxiety is a known risk factor for depression.
  • Understanding the interplay between anxiety, cognitive processes, and depression is crucial for effective interventions.

Purpose of the Study:

  • To investigate the moderating role of cognitive flexibility in the trait anxiety-depression relationship.
  • To examine the mediating role of rumination in the interactive effect of trait anxiety and cognitive flexibility on depression.
  • To test a mediated moderation model grounded in cognitive and susceptibility phenotype theories of depression.

Main Methods:

  • A cross-sectional survey was conducted with 1619 Chinese adults.
  • Participants completed self-report measures for trait anxiety, rumination, cognitive flexibility, and depression.
  • Statistical analyses included correlation, multiple linear regression, and mediated moderation tests.

Main Results:

  • Trait anxiety positively correlated with rumination and depression.
  • Cognitive flexibility negatively correlated with trait anxiety, rumination, and depression.
  • Rumination mediated the moderating effect of cognitive flexibility on the trait anxiety-depression link, explaining 79.25% of the variance.

Conclusions:

  • Cognitive flexibility acts as a protective factor, moderating the impact of trait anxiety on depression.
  • Rumination plays a key mediating role in how cognitive flexibility influences depression risk.
  • Findings support interventions aimed at enhancing cognitive flexibility and reducing rumination for depression prevention and management.