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Cracking the Repetitive Negative Thinking Code: Keys to Understanding Anxiety and Depression.
Ryan Aberback1, Andrea R Ashbaugh2
1School of Psychology, University of Ottawa, Ottawa, ON, Canada.
Journal of Cognitive Psychotherapy
|May 21, 2026
Summary
Repetitive negative thinking (RNT), encompassing worry and rumination, is a transdiagnostic construct. Both the process and content of RNT significantly predict psychological symptom severity in anxiety and depression.
Area of Science:
- Psychology
- Clinical Psychology
- Cognitive Behavioral Therapy
Background:
- Cognitive components of anxiety and depression, such as worry, postevent processing (PEP), and rumination, are debated as either symptom-specific or transdiagnostic constructs.
- Repetitive negative thinking (RNT) is a proposed transdiagnostic construct.
- The relevance of RNT's process versus content to symptom severity requires further investigation.
Purpose of the Study:
- To investigate if transdiagnostic RNT explains additional variance in symptom severity compared to symptom-specific constructs (PEP, worry, rumination).
- To explore whether the content or process of RNT is more strongly associated with psychological symptom severity.
- To examine the relationship between RNT, PEP, worry, rumination, and overall symptom severity.
Main Methods:
- A study involving 646 undergraduates.
- Participants completed self-report measures assessing RNT, PEP, worry, rumination, and psychological symptom severity.
- Statistical analyses were used to determine the unique variance explained by RNT and its components.
Main Results:
- Transdiagnostic RNT explained additional variance in symptom severity beyond PEP, worry, or rumination, and vice versa.
- Both the content and process of RNT were significant predictors of greater psychological symptom severity.
- Both general and symptom-specific RNT content and process were associated with depression and anxiety symptom severity.
Conclusions:
- RNT is a valuable transdiagnostic construct in understanding anxiety and depression.
- Both the content and process of repetitive negative thinking contribute to psychological symptom severity.
- Interventions targeting both the content and process of RNT may be beneficial for reducing symptoms of anxiety and depression.
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