{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T01:05:27Z","timestamp":1776387927556,"version":"3.51.2"},"reference-count":47,"publisher":"Public Library of Science (PLoS)","issue":"11","license":[{"start":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T00:00:00Z","timestamp":1669680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:p>\n                    Brooding rumination is positively associated with symptoms of both depression and posttraumatic stress disorder (PTSD). However, non-clinical cross-cultural research indicates that culture may influence these associations. This study aimed to examine the moderating effect of cultural group (Australian versus Malaysian) on the associations between brooding rumination and symptoms of depression and PTSD. European Australians (\n                    <jats:italic>n<\/jats:italic>\n                    = 109) and Malaysians of varying Asian heritages (\n                    <jats:italic>n<\/jats:italic>\n                    = 144) completed an online questionnaire containing the Hospital Anxiety and Depression Scale, PTSD checklist for DSM-5 and the Ruminative Response Scale-Short Form. First, Malaysian participants had higher brooding rumination than Australian participants. Second, higher levels of brooding rumination were positively associated with depression and PTSD symptom severity. Third, contrary to our expectations, cultural group did not moderate the relationships between brooding rumination and symptoms of depression and PTSD. If replicable, these results suggest that existing assessment and treatment approaches that target brooding rumination may apply to Malaysian individuals with depression and PTSD.\n                  <\/jats:p>","DOI":"10.1371\/journal.pone.0278328","type":"journal-article","created":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T13:29:22Z","timestamp":1669728562000},"page":"e0278328","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":8,"title":["Does culture moderate the relationships between rumination and symptoms of posttraumatic stress disorder and depression?"],"prefix":"10.1371","volume":"17","author":[{"given":"James Haoxiang","family":"Li","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0957-314X","authenticated-orcid":true,"given":"Bryan","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamsyn","family":"Reyneke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shamsul","family":"Haque","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siti Zainab","family":"Abdullah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Britney Kerr Wen","family":"Tan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Belinda","family":"Liddell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Jobson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2022,11,29]]},"reference":[{"issue":"6","key":"pone.0278328.ref001","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1177\/2167702616638825","article-title":"A twin study examining rumination as a transdiagnostic correlate of psychopathology","volume":"4","author":"DP Johnson","year":"2016","journal-title":"Clinical Psychological Science"},{"key":"pone.0278328.ref002","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association. 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Dalgleish","year":"2004","journal-title":"Psychological Bulletin"},{"issue":"4","key":"pone.0278328.ref011","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/S0005-7967(99)00123-0","article-title":"A cognitive model of posttraumatic stress disorder","volume":"38","author":"A Ehlers","year":"2000","journal-title":"Behaviour Research and Therapy"},{"issue":"1","key":"pone.0278328.ref012","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1037\/0033-2909.133.1.122","article-title":"Autobiographical memory specificity and emotional disorder","volume":"133","author":"JMG Williams","year":"2007","journal-title":"Psychol Bull"},{"key":"pone.0278328.ref013","unstructured":"Effective treatments for PTSD: practice guidelines from the International Society for Traumatic Stress Studies \/ edited by Edna B. Foa\u2026 [and others] [Internet]. Guilford Press; 2009 [cited 2022 Jun 22]. https:\/\/discovery.ebsco.com\/linkprocessor\/plink?id=d01f4aab-768b-3ba1-aebc-0706acd571ba"},{"issue":"2","key":"pone.0278328.ref014","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1002\/jcop.20096","article-title":"Culturally centered psychosocial interventions","volume":"34","author":"G Bernal","year":"2006","journal-title":"Journal of Community Psychology"},{"issue":"11","key":"pone.0278328.ref015","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1037\/ccp0000346","article-title":"Effects of mental health interventions with Asian Americans: a review and meta-analysis","volume":"86","author":"SJ Huey","year":"2018","journal-title":"Journal of Consulting & Clinical Psychology"},{"issue":"3","key":"pone.0278328.ref016","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1177\/1088868317736222","article-title":"Exploring the East-West divide in prevalence of affective disorder: a case for cultural differences in coping with negative emotion","volume":"22","author":"J De Vaus","year":"2018","journal-title":"Personality and social psychology review"},{"issue":"1","key":"pone.0278328.ref017","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1037\/0022-006X.73.1.86","article-title":"Grief processing and deliberate grief avoidance: a prospective comparison of bereaved spouses and parents in the United States and the People\u2019s Republic of China","volume":"73","author":"GA Bonanno","year":"2005","journal-title":"Journal of Consulting & Clinical Psychology"},{"issue":"1","key":"pone.0278328.ref018","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1037\/a0018821","article-title":"Examining the relations between rumination and adjustment: do ethnic differences exist between Asian and European Americans","volume":"1","author":"EC Chang","year":"2010","journal-title":"Asian American Journal of 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Church","year":"2012","journal-title":"Journal of Research in Personality"},{"issue":"4","key":"pone.0278328.ref025","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1177\/0022022112466590","article-title":"Need satisfaction and well-being: testing self-determination theory in eight cultures","volume":"44","author":"T Church","year":"2013","journal-title":"Journal of Cross Cultural Psychology"},{"issue":"4","key":"pone.0278328.ref026","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1080\/1070289X.2000.9962652","article-title":"Ethnic identities and national identities: some examples from Malaysia","volume":"6","author":"CB Tan","year":"2000","journal-title":"Identities"},{"issue":"2","key":"pone.0278328.ref027","doi-asserted-by":"crossref","first-page":"63","DOI":"10.4236\/psych.2011.22011","article-title":"Self-construal and subjective well-being in two ethnic communities in Singapore","volume":"2","author":"WC Chang","year":"2011","journal-title":"Psychology"},{"issue":"2","key":"pone.0278328.ref028","doi-asserted-by":"crossref","first-page":"175","DOI":"10.3758\/BF03193146","article-title":"G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences","volume":"39","author":"F Faul","year":"2007","journal-title":"Behav Res Methods"},{"issue":"8","key":"pone.0278328.ref029","doi-asserted-by":"crossref","first-page":"1150","DOI":"10.1177\/0956797610376655","article-title":"The impact of culture on adaptive versus maladaptive self-reflection","volume":"21","author":"I Grossmann","year":"2010","journal-title":"Psychological Science"},{"issue":"6","key":"pone.0278328.ref030","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1002\/jts.22059","article-title":"The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): development and initial psychometric evaluation","volume":"28","author":"CA Blevins","year":"2015","journal-title":"J 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Introduction to mediation, moderation, and conditional process analysis: a regression-based approach \/ Andrew F. Hayes [Internet]. The Guilford Press; 2013 [cited 2022 Jun 22]. https:\/\/discovery.ebsco.com\/linkprocessor\/plink?id=553e185b-1b86-3781-a932-e5ae8f393391"},{"issue":"5","key":"pone.0278328.ref040","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1080\/02699931.2013.792244","article-title":"Cultural and gender differences in emotion regulation: relation to depression","volume":"27","author":"H Kwon","year":"2013","journal-title":"Cognition & Emotion"},{"issue":"3","key":"pone.0278328.ref041","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/j.brat.2010.12.006","article-title":"Rumination as a transdiagnostic factor in depression and anxiety","volume":"49","author":"KA McLaughlin","year":"2011","journal-title":"Behav Res Ther"},{"issue":"1","key":"pone.0278328.ref042","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1080\/14737167.2018.1407245","article-title":"Clinical efficacy and economic evaluation of online cognitive behavioral therapy for major depressive disorder: a systematic review and meta-analysis","volume":"18","author":"E Ahern","year":"2018","journal-title":"Expert review of pharmacoeconomics & outcomes research"},{"issue":"8","key":"pone.0278328.ref043","doi-asserted-by":"crossref","first-page":"996","DOI":"10.1016\/j.cpr.2013.08.004","article-title":"Assessing treatments used to reduce rumination and\/or worry: a systematic review","volume":"33","author":"D Querstret","year":"2013","journal-title":"Clin Psychol Rev"},{"issue":"1","key":"pone.0278328.ref044","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1111\/bjc.12232","article-title":"The impact of depression and culture on responses to intrusive autobiographical memories: cognitive appraisals, cognitive avoidance, and brooding rumination","volume":"59","author":"S Mihailova","year":"2020","journal-title":"Br J Clin Psychol"},{"issue":"1","key":"pone.0278328.ref045","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1037\/0033-2909.128.1.3","article-title":"Rethinking individualism and collectivism: evaluation of theoretical assumptions and meta-analyses","volume":"128","author":"D Oyserman","year":"2002","journal-title":"Psychol Bull"},{"issue":"6","key":"pone.0278328.ref046","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1016\/j.paid.2011.06.012","article-title":"Gender and age differences in emotion regulation strategies and their relationship to depressive symptoms","volume":"51","author":"S Nolen-Hoeksema","year":"2011","journal-title":"Pers Individ Dif"},{"issue":"8","key":"pone.0278328.ref047","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1037\/bul0000102","article-title":"Gender differences in depression in representative national samples: meta-analyses of diagnoses and symptoms","volume":"143","author":"RH Salk","year":"2017","journal-title":"Psychol Bull"}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0278328","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T00:43:13Z","timestamp":1764808993000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0278328"}},"subtitle":[],"editor":[{"given":"Rogis","family":"Baker","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2022,11,29]]},"references-count":47,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2022,11,29]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0278328","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,29]]}}}