Past Issues

Mediation Effects of Daily Activity Participation between Rumination and Subjective Quality of Life in Persons with Depression

Lin-Jye Huang, Chinyu Wu, Hsin-Hsiu Yeh, Pei-Shan Huang, Yi-Hong Yang, Yung-Chun Fang

Objectives: In this study, we intended to examine whether rumination negatively affects the subjective feelings while the depressed persons participating
their important daily activities, and to explore the mediation effects of daily activity participation between rumination and subjective quality of life. Methods: We
recruited study participants from day care centers or clinics of several hospitals in
Taiwan. Study instruments included the Ruminative Response Scale-Chinese version, Beck Depression Inventory-II, Activity Participation and Restriction Questionnaire, as well as Brief World Health Organization Quality of Life AssessmentTaiwan version. We analyzed the study data for mediating correlations between
study groups. Results: We enrolled 143 participants in this study and found that all
the inappropriate rumination indicators significantly affected daily activity participation by decreasing the sense of involvement in engaging daily activities and
worsening the severity of depression, then impacted the subjective QoL of the
depressed individuals (p < 0.05). Conclusion: This study achieved a mediation
model in which the severity of depression and the activity participation have mediation effects between rumination and subjective QoL in depressed people. Interventions may be developed to specifically target on improving daily activity participation in reducing negative effects of rumination in depressed patients.
Key Word depression, activity participation, rumination, mediation effect
Editorial Committe, Taiwanese Journal of Psychiatry
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