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Rumination and “hot” executive function of middle school students during the COVID-19 pandemic: A moderated mediation model of depression and mindfulness

Ying Li, Gui-Ping Qu, Huiyan Kong, X. Ma, Lei Cao, Tiantian Li, Yue Wang

Frontiers in Psychiatry November 14, 2022 DOI: 10.3389/fpsyt.2022.989904 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Cross-sectional study Peer reviewed
Sample size 650
Population Chinese middle school students recruited from a province in central China during the COVID-19 pandemic
Measures Rumination Responses Scales, Self-rating Depression Scale, Mindful Attention Awareness Scale, emotional conflict experiment (reaction time and accuracy)
Topics Depression Meditation
Key findings Rumination positively predicted depression in Chinese middle school students (β = 0.26), and depression partially mediated the relationship between rumination and 'hot' executive function on an emotional conflict task (β = −0.09 congruent, β = −0.07 incongruent). Mindfulness buffered the rumination-depression association (β = −0.11), with the relationship substantially stronger at low levels of mindfulness.

Abstract

Background: The outbreak of COVID-19 had a widely negative effect on adolescents’ academics, stress, and mental health. At a critical period of cortical development, adolescents’ cognition levels are highly developed, while the ability of emotion control is not developed at the same pace. Faced with negative emotions such as stress and social loneliness caused by COVID-19, adolescents’ “hot” executive function encounters severer emotional regulation challenges than ever before.

Objective: The present study established a moderated mediation model to investigate the impact of rumination on “hot” execution function among Chinese middle school students during the COVID-19 pandemic, and the specific role of depression and mindfulness in the association. Materials and methods This cross-sectional study was conducted on 650 students recruited from a province in central China. The participants completed questionnaires and experiment between July 2021 and August 2021. Rumination Responses Scales, Self-rating Depression Scale, and Mindful Attention Awareness Scale were used to measure the level of rumination, depression, and mindfulness. The reaction time and accuracy of the emotional conflict experiment were recorded to reflect the “hot” executive function.

Results: The results of the moderated mediation model indicated that rumination of middle school students significantly and positively predicted depression in adolescents (β = 0.26, p < 0.001). Meanwhile, the indirect effect of depression on the relationship between rumination and “hot” executive function was significant; depression partially mediated this relationship (word-face congruent condition: β = −0.09, p < 0.01; word-face incongruent condition: β = −0.07, p < 0.05). Furthermore, mindfulness buffered the association between rumination and depression, according to moderated mediation analysis (β = −0.11, p < 0.001). For adolescents with low levels of mindfulness, the relationship was substantially stronger.

Conclusion: In the context of the COVID-19 pandemic, middle school students’ rumination would lead to depression, which can negatively impact their “hot” executive function. Besides, mindfulness could resist the adverse effect of rumination on depression. The educators should pay more attention to students’ mental health, provide targeted strategies that boost mindfulness to promote their cognitive flexibility, and thus protect the normal development of their executive function during crisis events.

Comparable studies

Other cross-sectional and survey studies on depression, most cited first.

Study Year Design Participants
Psychological flexibility mediates the relations between acute psychedelic effects and subjective decreases in depression and anxiety. International sample of people who reported having used a psychedelic 2020 Cross-sectional survey n = 985
5-methoxy-N,N-dimethyltryptamine (5-MeO-DMT) used in a naturalistic group setting is associated with unintended improvements in depression and anxiety. Adults who used 5-MeO-DMT in a group setting with structured procedures 2019 Cross-sectional survey n = 362
Psychological and neuropsychological assessment of regular hoasca users. Regular hoasca users from a U.S. branch of União do Vegetal and matched non-user controls 2016 Cross-sectional study n = 57
Adults who microdose psychedelics report health related motivations and lower levels of anxiety and depression compared to non-microdosers Self-selected microdosers and non-microdosers recruited via a mobile application 2021 Cross-sectional survey n = 8,703
Effects of Naturalistic Psychedelic Use on Depression, Anxiety, and Well-Being: Associations With Patterns of Use, Reported Harms, and Transformative Mental States. Adults with at least one lifetime psychedelic experience 2022 Cross-sectional survey n = 2,510

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