Transdiagnostic
James E. Barnett, M.A. (he/him/his)
Clinical Psychology Doctoral Candidate
Texas Tech University
Lubbock, Texas
Tirza J. Alcala, None
Undergraduate Student
Texas Tech University
Lubbock, Texas
Adam T. Schmidt, Ph.D.
Associate Professor
Texas Tech University
Lubbock, Texas
Background: Emotion-regulation (ER) problems are one of the most widely studied transdiagnostic constructs. Much of the existing literature includes rumination as a subcomponent of ER problems; however, other researchers suggest rumination is better conceptualized under the broader transdiagnostic construct of repetitive negative thinking (RNT). Individuals who experience ER problems may also experience greater RNT problems; however, it is unclear whether these constructs moderate diverse psychopathology symptom outcomes.
Method: This study utilized undergraduate students (n = 101) from a large university in the Southwestern U.S. as part of an ongoing online study. Participants completed the Difficulties in Emotion Regulation Scale, Repetitive Thinking Questionnaire – 10, and SPECTRA: Indices of Psychopathology. Moderation analyses were conducted predicting internalizing (i.e., depressive, anxious, socially anxious, and posttraumatic stress), externalizing (i.e., alcohol problems, severe aggression, antisocial problems, and drug problem), and reality-impairing (i.e., psychosis, paranoia, grandiose, and mania) symptoms.
Results: There was a significant main effect for ER (b = .49, p < .001) and RNT problems (b= .323, p < .001), but not their interaction (b = -0.02, p = .796), when predicting internalizing symptoms (R2 = .50, F (3,96) = 32.37, p < .001). There was a significant main effect for ER problems (b = .57, p < .001), but not RNT problems (b = .04, p = .657) or their interaction (b = -0.01, p =.939) when predicting externalizing symptoms (R2 = .35, F (3,98) = 17.66, p < .001). There was a significant main effect for ER problems (b = .35, p < .001), but not RNT problems (b = .07, p = .499) or their interaction (b = .18, p = .062) when predicting reality-impairing symptoms (R2 = .19, F (3,96) = 7.29, p < .001).
Discussion: Significant main effects of ER problems across models support the transdiagnostic properties of ER problems within the literature. RNT only predicted internalizing symptoms. Therefore, ER problems may be a more influential predictor across domains of psychopathology, while RNT problems remain consequential for internalizing symptoms. Although ER and RNT problems often co-occur, insignificant interactions across models suggest these constructs’ transdiagnostic properties may be independent. However, the interaction between ER and RNT problems predicting reality-impairing symptoms approached significance with a small effect. Further data collection in this ongoing study may result in significant follow-up analyses.