The role of self-rumination and self-reflection in depressive symptoms among individuals with attention-deficit/hyperactivity disorder traits

Abstract While some types of rumination have been reported as exacerbating factors in depressive symptoms related to attention-deficit/hyperactivity disorder (ADHD) traits, the role of self-rumination remains underexplored. Additionally, self-reflection—a similar form of private self-consciousness w...

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Main Authors: Takehiro Tamura, Shunsuke Takagi, Hidehiko Takahashi, Genichi Sugihara
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-88303-x
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author Takehiro Tamura
Shunsuke Takagi
Hidehiko Takahashi
Genichi Sugihara
author_facet Takehiro Tamura
Shunsuke Takagi
Hidehiko Takahashi
Genichi Sugihara
author_sort Takehiro Tamura
collection DOAJ
description Abstract While some types of rumination have been reported as exacerbating factors in depressive symptoms related to attention-deficit/hyperactivity disorder (ADHD) traits, the role of self-rumination remains underexplored. Additionally, self-reflection—a similar form of private self-consciousness which may have protective effects—has been even less examined. This study of 3,000 Japanese adults (aged 18–50 years) investigates self-rumination and self-reflection in depressive symptoms related to ADHD, using the Adult ADHD Self-Report Scale, Rumination–Reflection Questionnaire, and Beck Depression Inventory-II. Statistical analyses included Pearson’s correlation and linear regression for mediation/moderation. ADHD traits were correlated with depressive symptoms (r = 0.413, p < 0.001), mediated by self-rumination (indirect effect = 0.21, 95% confidence interval [0.17, 0.26]). Self-reflection was positively correlated with depressive symptoms (r = 0.193, p < 0.001) but had a protective effect when controlling for self-rumination (β = −0.75, p < 0.001). Moderated mediation analysis showed self-reflection reduced depressive symptoms related to ADHD traits by moderating both the impact of ADHD traits on self-rumination and the influence of self-rumination on depressive symptoms. These effects were particularly significant for inattention traits. Our findings suggest that self-reflection, by mitigating self-rumination, may serve as a therapeutic target for depressive symptoms in adults with ADHD traits.
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spelling doaj-art-4a47330b857649cb817d97ce0a65a71e2025-02-02T12:24:04ZengNature PortfolioScientific Reports2045-23222025-01-0115111010.1038/s41598-025-88303-xThe role of self-rumination and self-reflection in depressive symptoms among individuals with attention-deficit/hyperactivity disorder traitsTakehiro Tamura0Shunsuke Takagi1Hidehiko Takahashi2Genichi Sugihara3Department of Psychiatry and Behavioral Sciences, Graduate School of Medical and Dental Sciences, Institute of Science TokyoDepartment of Psychiatry and Behavioral Sciences, Graduate School of Medical and Dental Sciences, Institute of Science TokyoDepartment of Psychiatry and Behavioral Sciences, Graduate School of Medical and Dental Sciences, Institute of Science TokyoDepartment of Psychiatry and Behavioral Sciences, Graduate School of Medical and Dental Sciences, Institute of Science TokyoAbstract While some types of rumination have been reported as exacerbating factors in depressive symptoms related to attention-deficit/hyperactivity disorder (ADHD) traits, the role of self-rumination remains underexplored. Additionally, self-reflection—a similar form of private self-consciousness which may have protective effects—has been even less examined. This study of 3,000 Japanese adults (aged 18–50 years) investigates self-rumination and self-reflection in depressive symptoms related to ADHD, using the Adult ADHD Self-Report Scale, Rumination–Reflection Questionnaire, and Beck Depression Inventory-II. Statistical analyses included Pearson’s correlation and linear regression for mediation/moderation. ADHD traits were correlated with depressive symptoms (r = 0.413, p < 0.001), mediated by self-rumination (indirect effect = 0.21, 95% confidence interval [0.17, 0.26]). Self-reflection was positively correlated with depressive symptoms (r = 0.193, p < 0.001) but had a protective effect when controlling for self-rumination (β = −0.75, p < 0.001). Moderated mediation analysis showed self-reflection reduced depressive symptoms related to ADHD traits by moderating both the impact of ADHD traits on self-rumination and the influence of self-rumination on depressive symptoms. These effects were particularly significant for inattention traits. Our findings suggest that self-reflection, by mitigating self-rumination, may serve as a therapeutic target for depressive symptoms in adults with ADHD traits.https://doi.org/10.1038/s41598-025-88303-xAttention-deficit/Hyperactivity disorder (ADHD)Adult ADHDDepressionSelf-ruminationSelf-reflectionMental health
spellingShingle Takehiro Tamura
Shunsuke Takagi
Hidehiko Takahashi
Genichi Sugihara
The role of self-rumination and self-reflection in depressive symptoms among individuals with attention-deficit/hyperactivity disorder traits
Scientific Reports
Attention-deficit/Hyperactivity disorder (ADHD)
Adult ADHD
Depression
Self-rumination
Self-reflection
Mental health
title The role of self-rumination and self-reflection in depressive symptoms among individuals with attention-deficit/hyperactivity disorder traits
title_full The role of self-rumination and self-reflection in depressive symptoms among individuals with attention-deficit/hyperactivity disorder traits
title_fullStr The role of self-rumination and self-reflection in depressive symptoms among individuals with attention-deficit/hyperactivity disorder traits
title_full_unstemmed The role of self-rumination and self-reflection in depressive symptoms among individuals with attention-deficit/hyperactivity disorder traits
title_short The role of self-rumination and self-reflection in depressive symptoms among individuals with attention-deficit/hyperactivity disorder traits
title_sort role of self rumination and self reflection in depressive symptoms among individuals with attention deficit hyperactivity disorder traits
topic Attention-deficit/Hyperactivity disorder (ADHD)
Adult ADHD
Depression
Self-rumination
Self-reflection
Mental health
url https://doi.org/10.1038/s41598-025-88303-x
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