Perseverative thinking is associated with features of spoken language. (June 2023)

• Record Type: Journal Article
• Authors: Stade, Elizabeth C.; Ungar, Lyle; Havaldar, Shreya; Ruscio, Ayelet Meron
• Is Part Of: Behaviour research and therapy. Volume 165(2023)
• Publication Date: 2023-06
• Subjects: Worry -- Rumination (cognitive process) -- Major depression -- Generalized anxiety disorder -- Natural language processing -- Machine learning; Cognitive therapy -- Periodicals; Psychotherapy -- Periodicals; 616.891
• DOI: 10.1016/j.brat.2023.104307
• Languages: English
• ISSNs: 0005-7967

Abstract

Abstract: Perseverative thinking (PT), such as rumination or worry, is a transdiagnostic process implicated in the onset and maintenance of emotional disorders. Existing measures of PT are limited by demand and expectancy effects, cognitive biases, and reflexivity, leading to calls for unobtrusive, behavioral measures. In response, we developed a behavioral measure of PT based on language. A mixed sample of 188 participants with major depressive disorder, generalized anxiety disorder, or no psychopathology completed self-report PT measures. Participants were also interviewed, providing a natural language sample. We examined language features associated with PT, then built a language-based PT model and examined its predictive power. PT was associated with multiple language features, most notably I-usage (e.g., "I", "me"; β = 0.25) and negative emotion language (e.g., "anxiety", "difficult"; β = 0.19). In machine learning analyses, language features accounted for 14% of the variance in self-reported PT. Language-based PT predicted the presence and severity of depression and anxiety, psychiatric comorbidity, and treatment seeking, with effects in the r = 0.15–0.41 range. PT has face-valid linguistic correlates and our language-based measure holds promise for assessing PT unobtrusively. With further development, this measure could be used to passively detect PT for deployment of "just-in-time" interventions. Highlights: Repetitive negative thinking manifests in individuals' spoken interview responses. High perseverators make more self-references ( I, me ) in clinical interviews. High perseverators make more references to emotions, especially negative emotions. Worriers and ruminators do not differ in the temporal orientation of their language. Perseverative thinking, measured behaviorally in language, predicts clinical outcomes.