1. How does rumination influence the relationship between socioeconomic environment
and mental health?
Study Lead: Katerina Panagaki
Academic Supervisors: Prof. Steven Jones
Prof. Fiona Lobban
Dr. Guillermo Perez Algorta
This is a summary of independent research funded by the National Institute for Health Research (NIHR)’s CLAHRC NWC Programme. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care

2. Experience tells us that even under the same socioeconomic conditions only some of the people will fall in the river and develop mental health problems. What is it that triggers some and protects others?
Upstream
approaches like those often employed by public health focus on the wider determinants that underlie the occurrence of disease. We make policy & tackle social inequalities to prevent an event from occurring
Clinical diagnoses/ illness
Healthy/non clinical

3. Health Determinants

4. Coping

5. Rumination
“responding to distress that involves repetitively and passively focusing on symptoms of distress and on the possible causes and consequences of these symptoms [but] does not lead to active problem solving”
Nolen-Hoeksema, S., Wisco, B. E. & Lyubomirsky, S., Rethinking Rumination. Perspectives on psychological science, 3(5), pp

6. Socioeconomic Status
Mental
Health
Rumination
Covariates:
age, ethnicity, gender

7. Rumination Study
Systematic Review
Secondary Analysis
Primary Analysis

8. Rumination Study
Systematic Review
Secondary Analysis
Primary Analysis

9. What is the relationship of rumination to
positive affect, auditory hallucinations and the socioeconomic status
in healthy adults, adults with bipolar disorder or psychosis?

10. Rumination Study
Systematic Review
Secondary Analysis
Primary Analysis

12. The CLAHRC NWC Household Health Survey
Rumination Measures
SES Measures
Psychopathology Measures
Rumination (brooding scale, 5 items)
Economic status: Housing status
Occupational Status
Educational status
Social capital
Depression (PHQ9)
Anxiety (GAD 7)
Auditory hallucinatory experiences (LSHS, 2 items)

13. Household Health Survey – Mental Health
minimal
mild
moderate
moderately severe
severe
Depression
65%
18% 8% 5% 3%
72%
16% 7% 6%
Anxiety
No aud. Hallucinations
Aud. Hallucinations
95% 4%
Auditory Hallucinations

14. Mediation Model

15. Depression Housing status
Direct Relationship
Depression
Housing status
-0.146

16. Mediated relationship
Rumination
-0.08
Depression
Housing status
-0.07

17. Mediation Model

18. Rumination Study
Systematic Review
Secondary Analysis
Primary Analysis

20. Rumination Study – Primary Data Collection Mental Health Outcomes
SES
Mental Health Outcomes
Revised Ruminative Response Scale
Response to positive affect questionnaire
Mini-CERTS
Economic status
Occupational Status
Educational status
Social capital
MacArthur Scale of Subjective Social Status
PHQ9
Altman self-rating mania scale
Launay-Slade hallucination scale

21. Mediation Model

22. Rumination Study – Mental Health
minimal
mild
moderate
moderately severe
severe
Depression
46%
23%
11% 9%
75%
25%
Hypomania/Mania
Whole sample
Range 0-46
M(SD) 13.0 (11.5)
Healthy subgroup
Range 0-10
M(SD) 2.8 (2.9)
Clinical subgroup
M(SD) 17.7 (10.9)
Auditory Hallucinations

23. Rumination Study Systematic Review Secondary Analysis Primary Analysis
Cognitive experiences
Behaviour

24. Mediation Model

25. Thank you  Please follow us: @Kat_Pan_ @SpectrumCentre @clahrc_nwc
#RuminationStudy
This is a summary of independent research funded by the National Institute for Health Research (NIHR)’s CLAHRC NWC Programme. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care