Co-rumination has maladaptive (repetitive, unproductive discussion of problems) components, but also shows an association with friendship satisfaction. The current review found that co-rumination has small-moderate association with depression and anxiety. Practitioners should be aware of the way in which people discuss affective distress with others.
The findings suggest that attitudes to obsessive-compulsive problems are likely to be complex and that help-seeking influences may vary across the different subtypes of this disorder. The implications for people seeking help for obsessive-compulsive problems are pointed out.
Social recovery has become a prominent aspect of mental health service design and delivery in the past decade. Much of the literature on social recovery is derived from first-person accounts or primary research with adult service users experiencing severe mental illness. There is a lack of both theoretical and empirical work which could inform consideration of how the concept of social recovery might apply to adolescents experiencing common (non-psychotic) mental health problems such as anxiety and depression. The current study was conducted to understand the process of experiencing anxiety and depression in young people. Semi-structured interviews were conducted with nine adolescents with anxiety and depression (seven girls and two boys aged 14 to 16) and twelve mothers who were recruited from a specialist Child and Adolescent Mental Health Service in the South of England. Thematic analysis indicated that young people do experience a process of 'recovery'; the processes participants described have some congruence with the earlier stages of adult recovery models involving biographical disruption and the development of new meanings, in this case of anxiety or depression, and changes in sense of identity. The accounts diverge with regard to later stages of adult models involving the development of hope and responsibility. The findings suggest that services should attend to social isolation and emphasise support for positive aspirations for future selves whilst also attending to young people's and parents' expectations about change. Methodological challenges face enquiry about 'recovery' given its connotations with cure in everyday language.
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