Feasibility and effectiveness of Rumination Focused Cognitive Behaviour Therapy (RFCBT) in patients with depression and anxiety disorders- a preliminary investigation

Rumination focused CBT

Authors

  • Petwal Pratistha Department of Clinical Psychology, NIMHANS, Bengaluru
  • Paulomi Sudhir National Institute of Mental Health and Neuroscience, Bangalore
  • Arumugham S S Department of Psychiatry, NIMHANS, Bengaluru

Keywords:

rumination focused cognitive behaviour therapy, repetitive negative thinking, rumination, worry, mindfulness

Abstract

Objective: The current study is a preliminary trial examining the effectiveness of Rumination-focused cognitive behaviour therapy (RFCBT) in patients with depression and anxiety disorders. Method: A two-group intervention design was adopted. The control group received Mindfulness Meditation (MM). Four patients with a diagnosis of depression, generalized anxiety, or social anxiety disorder received either RFCBT or MM. Participants completed measures of symptom severity, repetitive negative thinking (RNT), and work and social adjustment at baseline and post-intervention. Results: Overall RFCBT was more effective than MM in reducing symptoms and in reducing RNT. Conclusions: RFCBT is a promising intervention for emotional disorders and mindfulness at RFCBT share common mechanisms

Author Biographies

  • Petwal Pratistha, Department of Clinical Psychology, NIMHANS, Bengaluru

    Ms. Pratishtha Petwal is a PhD Scholar at the Department of Clinical Psychology, NIMHANS, Bangalore and the author of the paper.

  • Arumugham S S, Department of Psychiatry, NIMHANS, Bengaluru

    Dr. Shyam Sundar A., is a Professor at the Department of Psychiatry, at NIMHANS, Bengluru. He is a consultant at the OCD Clinic of NIMHANS.

References

Blanchard, E. B., & Schwarz, S. P. (1988). Clinically significant changes in behavioral medicine. Behavioral Assessment.

Cook, L., Mostazir, M., & Watkins, E (2019). Reducing stress and preventing depression (RESPOND): randomized controlled trial of web-based rumination-focused cognitive behavioral therapy for high-Ruminating University students. Journal of Medical Internet Research, 21(5):e11349.

First, M. B., Williams, J. B., Benjamin, L. S., Spitzer, R. L. (2016). SCID-5-PD: Structured clinical interview for DSM-5® personality disorders. American Psychiatric Association Publishing.

Gautham, M. S., Gururaj, G., Varghese, M., Benegal, V., Rao, G. N., Kokane, A., ... & Shibukumar, T. M. (2020). The National Mental Health Survey of India (2016): Prevalence, socio-demographic correlates and treatment gap of mental morbidity. International Journal of Social Psychiatry, 66(4), 361-372.

Guy, W. (1976). ECDEU assessment manual for psychopharmacology. US Department of Health, Education, and Welfare, Public Health Service, Alcohol, Drug Abuse, and Mental Health Administration, National Institute of Mental Health, Psychopharmacology Research Branch, Division of Extramural Research Programs.

Heeren, A., & Philippot, P. (2011). Changes in ruminative thinking mediate the clinical benefits of mindfulness: Preliminary findings. Mindfulness, 2(1), 8-13.

Hvenegaard, M., Moeller, S. B., Poulsen, S., Gondan, M., Grafton, B., Austin, S. F., ... & Watkins, E. R. (2020). Group rumination-focused cognitive-behavioural therapy (CBT) v. group CBT for depression: phase II trial. Psychological Medicine, 50(1), 11-19.

Lovibond, S.H. & Lovibond, P.F. (1995). Manual for the Depression Anxiety Stress Scales. (2nd. Ed.) Sydney: Psychology Foundation. ISBN 7334-1423-0.

Majgi, P., Sharma, M. P., & Sudhir, P. (2006). Mindfulness based stress reduction program for paramilitary personnel. Recent Developments in Psychology. India: Defence Institute of Psychological Research, 115-25.

Mcevoy, P. M., Watson, H., Watkins, E. R., & Nathan, P. (2013). The relationship between worry, rumination, and comorbidity : Evidence for repetitive negative thinking as a transdiagnostic construct. Journal of Affective Disorders, 151(1), 313–320.

Meyer, T.J. & Miller, M.L. & Metzger, Richard & Borkovec, Thomas. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour research and therapy. 28. 487-95. 10.1016/0005-7967(90)90135-6.

Mundt, J., Marks, I., Shear, M., & Greist, J. (2002). The Work and Social Adjustment Scale: A simple measure of impairment in functioning. British Journal of Psychiatry, 180(5), 461-464. doi:10.1192/bjp.180.5.461

Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61(1), 115-121. http://dx.doi.org/10.1037/0022-3514.61.1.115

Sauer-zavala, S., Boettcher, H. T., Bullis, J. R., & Barlow, D. H. (2018). Current Definitions of “Transdiagnostic ” in Treatment Development : A Search for Consensus. Behavior Therapy, 48(1), 128–138. https://doi.org/10.1016/j.beth.2016.09.004

Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., . . . Dunbar, G. C. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. The Journal of Clinical Psychiatry, 59(Suppl 20), 22-33.

Watkins, E. R. (2016). Rumination-Focused Cognitive-Behavioral Therapy for Depression. The Guilford Press.

Published

17-11-2022

How to Cite

Feasibility and effectiveness of Rumination Focused Cognitive Behaviour Therapy (RFCBT) in patients with depression and anxiety disorders- a preliminary investigation: Rumination focused CBT. (2022). Indian Journal of Clinical Psychology, 49(01). https://ojs.ijcp.co.in/index.php/ijcp/article/view/108

Similar Articles

1-10 of 70

You may also start an advanced similarity search for this article.