Rumination as a Transdiagnostic Notion

Abstract

Transdiagnostic, in other words ‘beyond diagnosis’ is a term that which is generated as an alternative to some negative situations which are caused by diagnostic approach. Transdiagnostic approach is a comprehensive perspective which adopts diagnosis as a tool and crossover rather than the main purpose. Rumination means that repetitive and compulsory thoughts which provokes a lot of negative cicumstances. Runimation is seen in many psychopathologic diagnosis as symptom even it is not mentioned as an exact diagnosis in the literature. Some notions like rumination which are not described as exact diagnosis but provide some criterias which are seen as general psychopathologic symptoms qualified as transdiagnostic. The aim of this study is evaluating rumination in the concept of transdiagnostic view by reviewing literature and discussing its advantages. Studies show that ruminations effects on many diagnoses persistence, occurance and relapse like depression, anxiety, stress, alcohol addiction and substance addiction helps to understand transdiagnostic feature of itself. At the same time, factors like adding a meaning to evaluation of the relationship between diagnoses, occuring important effects on consistence of diagnosis as being mediator role and implicit role provide a view to understand transdiagnostic charasteristic of rumination. To sum up, by handling rumination as a transdiagnostic notion some criterias are aimed such as influencing to symptoms and diagnosis which are caused and continued by rumination.

Keywords

• rumination
• transdiagnostic
• repetitive thinking
• ruminative thinking

References

1. Aldao, A., & Nolen-Hoeksema, S. (2010). Specificity of cognitive emotion regulation strategies: a transdiagnostic examination. Behaviour research and therapy, 48(10), 974–983. https://doi.org/10.1016/j.brat.2010.06.002
2. Bugay, A., & Erdur-Baker, Ö. (2011). Ruminasyon düzeyinin toplumsal cinsiyet ve yaşa göre incelenmesi. Türk Psikolojik Danışma ve Rehberlik Dergisi, 4(36), 191-201.
3. Caselli, G., Ferretti, C., Leoni, M., Rebecchi, D., Rovetto, F., & Spada, M. M. (2010). Rumination as a predictor of drinking behaviour in alcohol abusers: a prospective study. Addiction (Abingdon, England), 105(6), 1041–1048. https://doi.org/10.1111/j.1360-0443.2010.02912.x
4. Chen, J., & Li, X. (2013). Genetic and environmental influences on adolescent rumination and its association with depressive symptoms. Journal of abnormal child psychology, 41(8), 1289–1298. https://doi.org/10.1007/s10802-013-9757-5
5. Dalgleish, T., Black, M., Johnston, D., & Bevan, A. (2020). Transdiagnostic approaches to mental health problems: Current status and future directions. Journal of consulting and clinical psychology, 88(3), 179–195. https://doi.org/10.1037/ccp0000482
6. Eckern, M., Stevens, W., & Mitchell, J. (1999). The relationship between rumination and eating disorders. The International journal of eating disorders, 26(4), 414–419. https://doi.org/10.1002/(sici)1098-108x(199912)26:4<414::aid-eat7>3.0.co;2-8
7. Ehring, T., & Watkins, E. (2008). Repetitive negative thinking as a transdiagnostic process. International Journal of Cognitive Psycgology, 1(3), 192-205.
8. Ehring, T., Zetsche, U., Weidacker, K., Wahl, K., Schönfeld, S., & Ehlers, A. (2011). The Perseverative Thinking Questionnaire (PTQ): validation of a content-independent measure of repetitive negative thinking. Journal of behavior therapy and experimental psychiatry, 42(2), 225–232. https://doi.org/10.1016/j.jbtep.2010.12.003

9. Fusar-Poli, P., Solmi, M., Brondino, N., Davies, C., Chae, C., Politi, P., Borgwardt, S., Lawrie, S. M., Parnas, J., & McGuire, P. (2019). Transdiagnostic psychiatry: a systematic review. World psychiatry : official journal of the World Psychiatric Association (WPA), 18(2), 192–207. https://doi.org/10.1002/wps.20631
10. Grierson, A. B., Hickie, I. B., Naismith, S. L., & Scott, J. (2016). The role of rumination in illness trajectories in youth: linking trans-diagnostic processes with clinical staging models. Psychological medicine, 46(12), 2467–2484. https://doi.org/10.1017/S0033291716001392
11. Guastella, A., & Moulds, M. (2007). The impact of rumination on sleep quality following a stressful life event. Personality and Individual Differences, 4(6), 1151-1162.
12. Hall, K., Shaw, A., & Timpano, K. (2015). Repetitive negative thinking: a transdiagnostic correlate of affective disorders. Journal of Social and Clinical Psychology, 35(3), 181-201.
13. Harvey, A., Watkins, E., Mansell, W., & Shafran, R. (2004). Cognitive behavioural processes across psychological disorders: a transdiagnostic approach to research and Treatment. Oxford: Oxford University Press.
14. Johnson, D. P., & Whisman, M. A. (2013). Gender differences in rumination: A meta-analysis. Personality and individual differences, 55(4), 367–374. https://doi.org/10.1016/j.paid.2013.03.019
15. Johnson, D. P., Rhee, S. H., Friedman, N. P., Corley, R. P., Munn-Chernoff, M. A., Hewitt, J. K., & Whisman, M. A. (2016). A Twin Study Examining Rumination as a Transdiagnostic Correlate of Psychopathology. Clinical psychological science : a journal of the Association for Psychological Science, 4(6), 971–987. https://doi.org/10.1177/2167702616638825
16. Kashdan, T. B., & Roberts, J. E. (2007). Social anxiety, depressive symptoms, and post-event rumination: affective consequences and social contextual influences. Journal of anxiety disorders, 21(3), 284–301. https://doi.org/10.1016/j.janxdis.2006.05.009
17. Kessler, R. C., Chiu, W. T., Demler, O., Merikangas, K. R., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of general psychiatry, 62(6), 617–627. https://doi.org/10.1001/archpsyc.62.6.617
18. Linton S. J. (2013). A Transdiagnostic Approach to Pain and Emotion. Journal of applied biobehavioral research, 18(2), 82–103. https://doi.org/10.1111/jabr.12007
19. Lyubomirsky, S., & Tkach, C. (2004). The consequences of dysphoric rumination. C. Papageorgiou ve A. Wells (Ed.), Rumination: Nature, theory, and treatment of negative thinking in depression. Chichester: John Wiley & Sons.
20. Mansel, W., Harvey, A., Watkins, E., & Shafran, R. (2009). Conceptual findings of transdiagnostic approach to CBT. Journal Of Cognitive Psychotherapy, 23(1), 6-19.
21. Martin, L., & Tesser, A. (2006). Extending the Goal Progress Theory of Rumination: Goal Reevaluation and Growth. In L. J. Sannave E. C. Chang (Ed.), Judgments over time: The interplay of thoughts, feelings, and behaviors. Oxford University Press.
22. McEvoy, P. M., Mahoney, A. E. J., Moulds, & M. L. (2010). Are worry, rumination, and post-event processing one and the same? Development of the repetitive thinking questionnaire. Journal of Anxiety Disorders, 24(5), 509-519.
23. McLaughlin, K., & Nolen-Hoeksema, S. (2011). Rumination as a transdiagnostic factor in depression and anxiety. Behavior research and Therapy, 49(3), 186-193.
24. Micheal, T., Halligan, S., Clark, D.M., & Ehlers, A. (2006). Rumination in Posttraumatic Stress Disorder. Depression and Anxiety, 24(5), 307-317.
25. Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100, 569–582.
26. Nolen-Hoeksema, S. (2004). The response styles theory. C. Papageorgiou ve A. Wells (Ed.), Rumination: Nature, theory, and treatment of negative thinking in depression. Chichester: John Wiley & Sons.
27. Nolen-Hoeksema, S., & Watkins, E. R. (2011). A heuristic for developing transdiagnostic models of psychopathology explaining multifinality and divergent trajectories. Perspectives on Psychological Science, 6, 589- 609.
28. Nolen-Hoeksema, S., & Watkins, E. R. (2011). A Heuristic for Developing Transdiagnostic Models of Psychopathology: Explaining Multifinality and Divergent Trajectories. Perspectives on psychological science : a journal of the Association for Psychological Science, 6(6), 589–609. https://doi.org/10.1177/1745691611419672
29. Nolen-Hoeksema, S., Stice, E., Wade, E., & Bohon, C. (2007). Reciprocal relations between rumination and bulimic, substance abuse, and depressive symptoms in female adolescents. Journal of Abnormal Psychology, 116, 198–207.
30. Nolen-Hoeksma, S., Wisco, B., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3(5), 400-424.
31. Oğuz, G., & Batmaz, S. (2020). Transdiyagnostik bilişsel davranışçı yaklaşıma göre psikopatolojik süreçlerin değerlendirilmesi: bilişsel ve davranışçı süreçler ölçeği’nin türkçe sürümünün geçerliliği ve güvenilirligi. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi, 9(3), 173-186.
32. Papageorgiou, C., Wells, A. (2004). Nature, Functions, and Beliefs about Depressive Rumination. . C. Papageorgiou ve A. Wells (Ed.), Rumination: Nature, theory, and treatment of negative thinking in depression. Chichester: John Wiley & Sons.
33. Radstaak, M., Geurts, S. A., Brosschot, J. F., Cillessen, A. H., & Kompier, M. A. (2011). The role of affect and rumination in cardiovascular recovery from stress. International journal of psychophysiology : official journal of the International Organization of Psychophysiology, 81(3), 237–244. https://doi.org/10.1016/j.ijpsycho.2011.06.017
34. Samtani, S., & Moulds, M. L. (2017). Assessing maladaptive repetitive thought in clinical disorders: A critical review of existing measures. Clinical psychology review, 53, 14–28. https://doi.org/10.1016/j.cpr.2017.01.007
35. Shors, T. J., Millon, E. M., Chang, H. Y., Olson, R. L., & Alderman, B. L. (2017). Do sex differences in rumination explain sex differences in depression? Journal of neuroscience research, 95(1-2), 711–718. https://doi.org/10.1002/jnr.23976
36. Trapnell, P., & Campbell, J. (1999). Private self-consciousness and the five-factor model of personality: distinguishing rumination from reflection. Journal of Personality and Social Psychology, 76(2), 384-204.
37. Watkins, E. (2015). Psychological treatment of depressive rumination. Current Opinion in Psychology, 4, 32-36.
38. Yılmaz, E. (2014). Endişe ve ruminasyonun kaygı ve depresyon belirtileri üzerindeki rolü. Türk Psikiyatri Dergisi, 25, 1-9.