Ruminative Responses Scale

The Ruminative Responses Scale (RRS) is a validated 22-item instrument designed to measure how individuals respond to sadness and depressive symptoms.

Ruminative Responses Scale
Questions
22
Duration
8 min
Original title
RRS-22 — Ruminative Responses Scale
Adaptation
Ruminative Responses Scale
Authors
Nolen-Hoeksema, S. & Morrow, J. ; Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S.
Created
1991 ; 2003

The Ruminative Responses Scale (RRS) is a validated 22-item instrument designed to measure how individuals respond to sadness and depressive symptoms. It captures the tendency to engage in repetitive, self-focused thinking about one's distress, its causes, and its consequences. By providing a reliable metric of rumination, it serves as a valuable tool for clinicians introducing the CBT overview to patients and mapping unhelpful cognitive habits.

Unlike brief symptom checklists, the RRS distinguishes between different facets of rumination. It separates maladaptive brooding, which often exacerbates distress, from more adaptive self-reflection. Routine administration provides a repeatable baseline for a longitudinal case formulation, helping clinicians monitor cognitive flexibility over time and evaluate treatment efficacy.

Example result

Fictitious result, computed from a sample set of answers.

Overall score
53/ 88
A 22-item self-report questionnaire assessing the dispositional tendency to ruminate in response to a sad, depressed, or discouraged mood. It measures the tendency to think repetitively and passively about one's negative emotions and distress symptoms, considered a self-focused coping mechanism associated with higher depressive symptoms. The 22 items are divided into three subscales: Brooding (5 items), Reflection (5 items), and Depression (12 items). Intended for adults, it is used as an indicator of vulnerability to mood disorders.
22–40
Low ruminator
41–51
Intermediate rumination
52–88
High ruminator
53
Stratification into the upper tertile of trait rumination (65th percentile rank in the study). Published thresholds as item mean (1–4 scale): ≤ 1.82 and ≥ 2.36. Conversion to our 22-item sum: 1.82 × 22 = 40.04 → ≤ 40; 2.36 × 22 = 51.92 → ≥ 52.
Scoring
Sum (total score + sum per subscale), total score from 22 to 88, each item is rated on a 4-point scale (from 1 to 4).
Brooding
11/ 20
Passive rumination, consisting of gloomy comparisons between one's situation and an unachieved ideal.
items 5, 10, 13, 15, 16
généralemixed · community sample · United States · n = 1130 · 2003 · Treynor et al. (2003)
520
11
M = 9.4 ± 2.96
généralefemales · community sample · females · United States · n = 604 · 2003 · Treynor et al. (2003)
520
11
M = 9.66 ± 3.09
généralemales · community sample · males · United States · n = 526 · 2003 · Treynor et al. (2003)
520
11
M = 9.11 ± 2.78
Depression
27/ 48
Ruminative thoughts whose content overlaps with depressive symptoms themselves.
items 1, 2, 3, 4, 6, 8, 9, 14, 17, 18, 19, 22
27
1248
Reflection
15/ 20
Intentional turning toward the analysis of one's thoughts and difficulties in order to resolve them.
items 7, 11, 12, 20, 21
généralemixed · community sample · United States · n = 1130 · 2003 · Treynor et al. (2003)
520
15
M = 9.83 ± 3.11
généralefemales · community sample · females · United States · n = 604 · 2003 · Treynor et al. (2003)
520
15
M = 10 ± 3.19
généralemales · community sample · males · United States · n = 526 · 2003 · Treynor et al. (2003)
520
15
M = 9.64 ± 3.01

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What the test measures

The RRS measures an individual's ruminative response style to dysphoric mood, assessing three distinct cognitive and behavioral facets.

  • Brooding: The maladaptive tendency to passively compare one's current situation with unachieved standards.
  • Reflection: A more neutral attempt to turn inward to understand feelings, which can be distinguished from unhelpful loops when discussing constructive vs harmful rumination.
  • Depression-related responses: Thoughts and behaviors directly focused on the somatic and emotional symptoms of sadness, often overlapping with automatic thoughts about fatigue and lack of motivation.

The scale is designed for adults and adolescents capable of reflecting on their cognitive habits during periods of low mood.

When and why to use it

Clinicians use the RRS during intake and throughout therapy to evaluate cognitive maintaining processes and guide interventions.

  • Formulating maintenance cycles: To map CBT maintaining processes and show how repetitive thinking prolongs depressive episodes.
  • Monitoring treatment progress: To track whether behavioral activation and defusion interventions successfully reduce maladaptive brooding over time.
  • Targeting specific interventions: To determine when challenging negative thoughts is necessary versus when acceptance strategies are needed.
  • Evaluating skill acquisition: To assess coping strategy effectiveness as the client learns to shift away from symptom-focused rumination.

A validated RRS score provides an objective measure of ruminative severity, offering concrete data to complement clinical impression rather than relying on unstructured self-report alone.

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The questions

  1. People think and do many different things when they feel depressed. Please read each of the items below and indicate whether you almost never, sometimes, often, or almost always think or do each one when you feel down, sad, or depressed. Please indicate what you generally do, not what you think you should do.
    1. I think about how lonely I feel.
    Assesses the tendency to focus on feelings of social isolation during depressive episodes.
    • Almost never
    • Sometimes
    • Often
    • Almost always
  2. 2. I think, 'I won't be able to do my work if I can't pull myself together.'
    Probes catastrophic thinking regarding the functional consequences of negative mood.
    • Almost never
    • Sometimes
    • Often
    • Almost always
  3. 3. I think about my feelings of fatigue and pain.
    Evaluates somatic fixation and the degree to which physical lethargy occupies attention.
    • Almost never
    • Sometimes
    • Often
    • Almost always
  4. 4. I think about how hard it is for me to concentrate.
    Measures the awareness of and dwelling on cognitive impairment associated with dysphoria.
    • Almost never
    • Sometimes
    • Often
    • Almost always
  5. 5. I think, 'What have I done to deserve this?'
    Captures self-blaming rumination and the search for personal fault in distress.
    • Almost never
    • Sometimes
    • Often
    • Almost always
  6. 6. I think about how passive and unmotivated I feel.
    Assesses the repetitive focus on behavioral inhibition and lack of drive.
    • Almost never
    • Sometimes
    • Often
    • Almost always
  7. 7. I analyze recent events to try to understand why I'm depressed.
    Probes the analytic, backward-looking attempt to find a situational cause for low mood.
    • Almost never
    • Sometimes
    • Often
    • Almost always
  8. 8. I think about the fact that I don't seem to feel anything anymore.
    Evaluates the cognitive focus on anhedonia and emotional numbness.
    • Almost never
    • Sometimes
    • Often
    • Almost always
  9. 9. I think, 'Why can't I get started?'
    Measures frustration with psychomotor retardation or difficulty initiating action.
    • Almost never
    • Sometimes
    • Often
    • Almost always
  10. 10. I think, 'Why do I always react this way?'
    Captures self-critical generalization and frustration with internal coping mechanisms.
    • Almost never
    • Sometimes
    • Often
    • Almost always
  11. 11. I isolate myself and think about the reasons why I feel this way.
    Assesses the behavioral response of social withdrawal to facilitate emotional analysis.
    • Almost never
    • Sometimes
    • Often
    • Almost always
  12. 12. I write down what I'm thinking and analyze it.
    Probes the use of journaling or externalized reflection to dissect negative affect.
    • Almost never
    • Sometimes
    • Often
    • Almost always
  13. 13. I think about a recent situation, wishing it had gone better.
    Evaluates counterfactual thinking and regret regarding past interpersonal or situational events.
    • Almost never
    • Sometimes
    • Often
    • Almost always
  14. 14. I think, 'I won't be able to concentrate if I keep feeling like this.'
    Measures future-oriented anxiety about ongoing cognitive deficits due to mood.
    • Almost never
    • Sometimes
    • Often
    • Almost always
  15. 15. I think, 'Why do I have problems that other people don't have?'
    Captures the comparative aspect of brooding, highlighting feelings of uniquely unfair burden.
    • Almost never
    • Sometimes
    • Often
    • Almost always
  16. 16. I think, 'Why can't I handle things better?'
    Assesses perceived deficits in personal resilience and coping efficacy.
    • Almost never
    • Sometimes
    • Often
    • Almost always
  17. 17. I think about how sad I feel.
    Evaluates direct, unmediated attention to the primary emotion of sadness.
    • Almost never
    • Sometimes
    • Often
    • Almost always
  18. 18. I think about all my shortcomings, failures, faults, and mistakes.
    Probes global self-devaluation and the retrieval of negative autobiographical memories.
    • Almost never
    • Sometimes
    • Often
    • Almost always
  19. 19. I think about the fact that I don't feel capable of doing anything.
    Measures the cognitive reinforcement of behavioral paralysis and perceived inability.
    • Almost never
    • Sometimes
    • Often
    • Almost always
  20. 20. I analyze my personality to try to understand why I'm depressed.
    Assesses the tendency to attribute low mood to stable character traits rather than states.
    • Almost never
    • Sometimes
    • Often
    • Almost always
  21. 21. I go somewhere alone to think about my feelings.
    Evaluates intentional isolation used as a strategy for inward emotional focus.
    • Almost never
    • Sometimes
    • Often
    • Almost always
  22. 22. I think about how angry I am at myself.
    Probes the presence of self-directed hostility and anger secondary to depressed mood.
    • Almost never
    • Sometimes
    • Often
    • Almost always
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