Associations between rejection sensitivity and mental health outcomes: A meta-analytic review.

Clin Psychol Rev

Department of Affective Disorders, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou Huiai Hospital, Guangzhou, China; Laboratory of Emotion and Cognition, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou Huiai Hospital, Guangzhou, China. Electronic add

Published: November 2017


Article Synopsis

  • Rejection sensitivity is a personality trait where individuals are overly sensitive to feelings of social rejection.
  • A meta-analysis of 75 studies revealed strong links between rejection sensitivity and various mental health issues, including depression, anxiety, loneliness, borderline personality disorder, and body dysmorphic disorder.
  • The findings suggest that while the connection between rejection sensitivity and mental health can differ based on sample types, they remain consistent over time and highlight the need for targeted mental health interventions.

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Article Abstract

Rejection sensitivity is a personality disposition characterized by oversensitivity to social rejection. Using a three-level meta-analytic model, 75 studies were reviewed that examined associations between rejection sensitivity and five mental health outcomes: depression, anxiety, loneliness, borderline personality disorder, and body dysmorphic disorder. The results showed significant and moderate associations between rejection sensitivity and depression (pooled r=0.332; p<0.001), anxiety (pooled r=0.407; p<0.001), loneliness (pooled r=0.386; p<0.001), borderline personality disorder (pooled r=0.413; p<0.001), and body dysmorphic disorder (pooled r=0.428; p<0.001). The associations between rejection sensitivity and depression, anxiety, and borderline personality disorder varied by type of sample, but the associations were similar for clinical and non-clinical (i.e., community) samples. The association between rejection sensitivity and anxiety was negatively moderated by percentage of females in samples. The association between rejection sensitivity and depression was negatively moderated by length of follow-up. The longitudinal associations between rejection sensitivity and depression, anxiety, and loneliness were stable over time. Implications of the findings for both risk assessment and prevention and intervention strategies in mental health practice are discussed.

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http://dx.doi.org/10.1016/j.cpr.2017.08.007DOI Listing

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