2018
DOI: 10.1371/journal.pone.0204389
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Modeling and estimating the feedback mechanisms among depression, rumination, and stressors in adolescents

Abstract: The systemic interactions among depressive symptoms, rumination, and stress are important to understanding depression but have not yet been quantified. In this article, we present a system dynamics simulation model of depression that captures the reciprocal relationships among stressors, rumination, and depression. Building on the response styles theory, this model formalizes three interdependent mechanisms: 1) Rumination contributes to ‘keeping stressors alive’; 2) Rumination has a direct impact on depressive… Show more

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Cited by 32 publications
(20 citation statements)
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References 48 publications
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“…It will thus be important to develop computational models in which the assumptions embodied in the model better align with how specific disorders are thought to operate (e.g. see Hosseinichimeh, Wittenborn, Rick, Jalali, & Rahmandad, 2018). This work can (indeed, must) be directly informed by each of the areas of work that have already contributed to network theory.…”
Section: Network Theorymentioning
confidence: 99%
“…It will thus be important to develop computational models in which the assumptions embodied in the model better align with how specific disorders are thought to operate (e.g. see Hosseinichimeh, Wittenborn, Rick, Jalali, & Rahmandad, 2018). This work can (indeed, must) be directly informed by each of the areas of work that have already contributed to network theory.…”
Section: Network Theorymentioning
confidence: 99%
“…The thought-emotion-action-physiological patterns that make up the maladaptive attractor can be dense and strongly interconnected, especially with more recurrent and chronic disorders such as depression, bipolar disorder, and substance use disorders. Maintaining processes (e.g., rumination, avoidance, and other maladaptive emotion regulation strategies) can interfere with the processing of new information, creating feedback loops that perpetuate the pathological patterns and symptoms and make them difficult to destabilize [17,48,49]. In contrast, the components of more healthy functioning (left side) are sparse, weakly connected, and not likely to sustain if activated.…”
Section: Application To Psychotherapy: Network Destabilization and Trmentioning
confidence: 99%
“…The computational model proposed here can also serve as a resource for developing theories. We suspect that many emotional disorders arise from the same dynamical system motifs we used to construct this model, including positive feedback loops (e.g., between rumination and depressed mood; Hosseinichimeh, Wittenborn, Rick, Jalali, & Rahmandad, 2018), negative feedback loops (e.g., between social anxiety and avoidance of social situations), and an interaction between fast-changing variables and the slow-changing variables that guide their behavior. Indeed, the similarity of system motifs across emotional disorders is implicitly posited and exploited to greater effect in recent transdiagnostic approaches to treatment, which argue that there is a similar structure in the causal relationships among cognitions, emotions, and behavior across emotional disorders (Barlow, 2011;Barlow et al, 2017).…”
Section: Developing Theories For Other Mental Disordersmentioning
confidence: 99%