Advertisement

Neuroscience and Behavioral Physiology

, Volume 50, Issue 1, pp 51–56 | Cite as

Cognitive Therapy of Depressive Ruminations

  • N. A. SirotaEmail author
  • D. V. Moskovchenko
  • V. M. Yaltonsky
  • I. A. Makarova
  • A. V. Yaltonskaya
Article
  • 9 Downloads

This article reviews contemporary approaches to the understanding and psychotherapy of depressive ruminations – the constant repetition of fixated thoughts (usually of negative content) which can be the basis for the formation and maintenance of depression. Different types of rumination are presented and depressive ruminations and the role of childhood experience in their development are analyzed, along with approaches to cognitive behavioral therapy used for their correction.

Keywords

depression rumination fixated thoughts cognitive therapy mental processes resistant depression 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    M. E. Addis and C. R. Martell, Overcoming Depression One Step at a Time: The New Behavioral Activation Approach to Getting Your Life Back, New Harbinger Press, New York (2004),  https://doi.org/10.1093/sw/29.4.406.CrossRefGoogle Scholar
  2. 2.
    J. E. Roberts, E. Gilboa, and I. H. Gotlib, “Ruminative response style and vulnerability to episodes of dysphoria: Gender, neuroticism, and episode duration,” Cogn. Ther. Res., 22, 401–423 (1998),  https://doi.org/10.1023/a:1018713313894.CrossRefGoogle Scholar
  3. 3.
    S. Nolen-Hoeksema, “The role of rumination in depressive disorders and mixed anxiety/depressive symptoms,” J. Abnorm. Psychol., 109, 504–511 (2000),  https://doi.org/10.1037//0021-843x.109.3.504.CrossRefPubMedGoogle Scholar
  4. 4.
    J. Spasojevic and L. B. Alloy, “Rumination as a common mechanism relating depressive risk factors to depression,” Emotion, 1, 25–37 (2001),  https://doi.org/10.1037//1528-3542.1.1.25.CrossRefPubMedGoogle Scholar
  5. 5.
    S. Dimidjian, S. D. Hollon, K. S. Dobson, et al., “Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression,” J. Consult. Clin. Psychol., 74, 658–670 (2006),  https://doi.org/10.1037/0022-006x.74.4.658.CrossRefPubMedGoogle Scholar
  6. 6.
    K. B. Schmaling, S. Dimidjian, W. Katon, and M. Sullivan, “Response styles among patients with minor depression and dysthymia in primary care,” J. Abnorm. Psychol., 111, 350–356 (2002),  https://doi.org/10.1037//0021-843x.111.2.350.CrossRefPubMedGoogle Scholar
  7. 7.
    S. Nolen-Hoeksema, “Responses to depression and their effects on the duration of depressive episodes,” J. Abnorm. Psychol., 100, 569–582 (1991),  https://doi.org/10.1037//0021-843x.100.4.569.CrossRefPubMedGoogle Scholar
  8. 8.
    L. L. Martin and A. Tesser, “Ruminative thoughts,” Adv. Soc. Cogn., 9, 1–47 (1996).Google Scholar
  9. 9.
    J. Kabat-Zinn, Full Catastrophe Living: How to Cope with Stress, Pain and Illness Using Mindfulness Meditation, Delacorte, New York (1990),  https://doi.org/10.1037//0022-006x.64.2.295.CrossRefGoogle Scholar
  10. 10.
    E. Watkins and S. Baracaia, “Rumination and social problem-solving in depression,” Behav. Res. Ther., 40, 1179–1189 (2002),  https://doi.org/10.1016/s0005-7967(01)00098-5.CrossRefPubMedGoogle Scholar
  11. 11.
    E. Watkins and M. Moulds, “Distinct modes of ruminative self-focus: Impact of abstract versus concrete rumination on problem solving in depression,” Emotion, 5, 319–328 (2005).CrossRefGoogle Scholar
  12. 12.
    E. Watkins and M. Moulds, “Positive beliefs about rumination in depression – a replication and extension,” Personal. Individ. Differ., 39, 73–82 (2005).CrossRefGoogle Scholar
  13. 13.
    E. Watkins and J. D. Teasdale, “Rumination and overgeneral memory in depression: Effects of self-focus and analytic thinking,” J. Abnorm. Psychol., 110, 53–357 (2001).CrossRefGoogle Scholar
  14. 14.
    E. Watkins and J. D. Teasdale, “Adaptive and maladaptive self-focus in depression,” J. Affect. Disord., 82, 1–8 (2004),  https://doi.org/10.1016/j.jad.2003.10.006.CrossRefPubMedGoogle Scholar
  15. 15.
    C. Papageorgiou and A. Wells, “Positive beliefs about depressive rumination: Development and preliminary validation of a self-report scale,” Behav. Ther., 32, 13–26 (2001),  https://doi.org/10.1016/s0005-7894(01)80041-1.CrossRefGoogle Scholar
  16. 16.
    J. Spasojevic and L. B. Alloy, “Who becomes a depressive ruminator? Developmental antecedents of ruminative response style,” J. Cogn. Psychother., 16, 405–419 (2002).CrossRefGoogle Scholar
  17. 17.
    M. Conway, M. Mendelson, C. Giannopoulos, et al., “Childhood and adult sexual abuse, rumination on sadness, and dysphoria,” Child Abuse Negl., 28, 393–410 (2004),  https://doi.org/10.1016/j.chiabu.2003.05.004.CrossRefPubMedGoogle Scholar
  18. 18.
    A. T. Beck, A. J. Rush, B. F. Shaw, and G. Emery, Cognitive Therapy of Depression, Guilford Press, (1979).Google Scholar
  19. 19.
    J. A. Ciesla and J. E. Roberts, “Self-directed thought and response to treatment for depression: A preliminary investigation,” J. Cogn. Psychother., 16, 435–453 (2002),  https://doi.org/10.1891/jcop.16.4.435.52528.CrossRefGoogle Scholar
  20. 20.
    E. T. Gortner, J. K. Gollan, K. S. Dobson, and N. S. Jacobson, “Cognitive behavioral treatment for depression: Relapse prevention,” J. Consult. Clin. Psychol., 66, 377–384 (1998),  https://doi.org/10.1037//0022-006x.66.2.377.CrossRefPubMedGoogle Scholar
  21. 21.
    N. S. Jacobson, K. S. Dobson, P. A. Truax, et al., “A component analysis of cognitive-behavioral treatment for depression,” J. Consult. Clin. Psychol., 64, 295–304 (1996),  https://doi.org/10.1037//0022-006x.64.2.295.CrossRefPubMedGoogle Scholar
  22. 22.
    C. R. Martell, M. E. Addis, and N. S. Jacobson, Depression in Context: Strategies for Guided Action, Norton, New York (2001).Google Scholar
  23. 23.
    E. R. Watkins, J. Scott, J. Wingrove, et al., “Rumination-focused cognitive-behaviour therapy for residual depression: a case series,” Behav. Res. Ther., 45, 2144–2154 (2007),  https://doi.org/10.1016/j.brat.2006.09.018.CrossRefPubMedGoogle Scholar
  24. 24.
    S. H. Ma and J. D. Teasdale, “Mindfulness-based cognitive therapy for depression: Replication and exploration of differential relapse prevention effects,” J. Consult. Clin. Psychol., 72, 31–40 (2004),  https://doi.org/10.1037/0022-006x.72.1.31.CrossRefPubMedGoogle Scholar
  25. 25.
    J. D. Teasdale, Z. V. Segal, J. M. G. Williams, et al., “Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy,” J. Consult. Clin. Psychol., 68, 615–623 (2000),  https://doi.org/10.1037//0022-006x.68.4.615.CrossRefPubMedGoogle Scholar
  26. 26.
    W. Ramel, P. R. Goldin, P. E. Carmona, and J. R. McQuaid, “The effects of mindfulness meditation on cognitive processes and affect in patients with past depression,” Cogn. Ther. Res., 28, 433–455 (2004),  https://doi.org/10.1023/b:cotr.0000045557.15923.96.CrossRefGoogle Scholar
  27. 27.
    E. Watkins and S. Baracaia, “Why do people ruminate in dysphoric moods,” Personal. Individ. Differ., 30, 723–734 (2001),  https://doi.org/10.1016/s0191-8869(00)00053-2.CrossRefGoogle Scholar
  28. 28.
    P. Gilbert and C. Irons, “A pilot exploration of the use of compassionate images in a group of self-critical people,” Memory, 12, 507–516 (2004),  https://doi.org/10.1080/09658210444000115.CrossRefPubMedGoogle Scholar
  29. 29.
    Z. V. Segal, J. M. G. Williams, and J. D. Teasdale, Mindfulness-Based Cognitive Therapy for Depression: A New Approach to Preventing Relapse, Guilford Press, New York (2002).Google Scholar
  30. 30.
    J. D. Teasdale, Z. Segal, and J. M. G. Williams, “How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help,” Behav. Res. Ther., 33, 25–39 (1995),  https://doi.org/10.1016/0005-7967(94)e0011-7.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • N. A. Sirota
    • 1
    Email author
  • D. V. Moskovchenko
    • 1
  • V. M. Yaltonsky
    • 1
  • I. A. Makarova
    • 1
  • A. V. Yaltonskaya
    • 2
  1. 1.Evdokimov Moscow State Medical Dental UniversityRussian Ministry of HealthMoscowRussia
  2. 2.Serbskii National Medical Research Center for Psychiatry and NarcologyMoscowRussia

Personalised recommendations