Treatment experiences during a cognitive behaviour therapy group intervention targeting repetitive negative thinking: A qualitative study

Rogiers, Roland; Parys, Hanna Van; Baeken, Chris; Abbeele, Dirk Van den; Remue, Jonathan; Raedt, Rudi De; Lemmens, Gilbert

doi:10.1111/papt.12378

Cited by 3 publications

(2 citation statements)

References 49 publications

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“…In the case of university students needing treatment, targeting RNT becomes a necessary element. A qualitative study ( Rogiers et al, 2022 ) of participants in group interventions aimed at managing repetitive negative thinking (PNR) identified several mechanisms perceived as effective: increasing awareness of PNR, experimenting with exposure rather than avoiding stressful situations, living in the “here and now,” thinking in concrete terms and moving from a “mode of thought” to a “mode of action.” Participants reported that these strategies were helpful tools, suggesting that they should be integral components of treatment approaches to coping with RNT. In this sense, there are new brief online interventions (with and without therapist guidance) to reduce RNT and symptoms of anxiety and depression that are achieving promising results ( Joubert et al, 2023 ) and may be helpful for this group.…”

Section: Discussionmentioning

confidence: 99%

Stress, repetitive negative thinking, and mental health in Chilean university students: an ecological momentary assessment study

Inostroza,

Bustos,

Bühring

et al. 2024

Front. Psychol.

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BackgroundMental disorders in university students are a growing attention problem in the international community due to their high prevalence and serious consequences. One possible reason is university students’ difficulties in coping with stress. Repetitive negative thinking (RNT) is a transdiagnostic process that, when combined with stress, can lead to the development of various disorders. We aim to determine the effect of stress and RNT on predicting various mental health syndromes in university students across 7 days.MethodProspective observational study using Momentary Ecological Assessment (EMA) with the OURMIND Mobile App. On day one, 238 university students responded to the SCL-90R questionnaire for symptoms of depression, anxiety, hostility, obsession, psychoticism, paranoia, somatization, and interpersonal sensitivity; RNT styles questionnaires, RRS for rumination and negative reflection, PSWQ for worry; SISCO-II for term academic stress, and sociodemographic. EMA consisted of five assessments a day for 6 days; each time, the students answered items about academic and non-academic stress (EMA-stress), reactive RNT duration and intrusiveness (EMA-RNT process), and reactive RNT rumination, reflection, and worry (EMA-RNT content). On day eight, symptoms were re-assessed. Seven hierarchical stepwise linear regression models were used to test the predictive power of the study variables in the development of SCL-90R symptoms.ResultsWhen comparing models, adding baseline symptoms increased the models’ predictive power in all symptom groups. In most cases, including EMA-stress generated greater predictive power, except for paranoia and interpersonal sensitivity. Adding the EMA-RNT process increased the prediction of paranoia and obsessive symptoms; for hostility symptoms, RNT styles increased predictive power. For the final regression models, considering the initial symptoms, the EMA-RNT process predicted the progression of symptoms in six out of eight groups, while EMA-non-academic stress predicted the remaining two. Additionally, living with other relatives or friends was a predictor of depressive symptoms.DiscussionThe stress of university life impacts the development of psychiatric symptoms in university students. These results provide evidence of RNT as a transdiagnostic process in several syndromic groups. Universal preventive programs should consider the impact of academic and non-academic stress on university students’ mental health. Targeting RNT would also benefit selective preventive interventions.

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Section: Discussionmentioning

confidence: 99%

Stress, repetitive negative thinking, and mental health in Chilean university students: an ecological momentary assessment study

Inostroza,

Bustos,

Bühring

et al. 2024

Front. Psychol.

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“…Eighteen participants (88% females), divided into two groups of nine participants each, participated in this study ( M age = 44.8; SD = 8.9), however 17 were included in the final analysis as one participant was absent during more than two sessions ( n active = 9). One of the inclusion criteria for participation in the study was that participants were already in mental health care treatment (psychiatrist, psychologist or general practitioner), seeking treatment for rumination - whether or not as part of a MDD or GAD diagnosis - and were referred by their treatment provider to “Drop It” ( 13 , 35 ) – a psychoeducational CBT-based group intervention for RNT - at the Ghent University Hospital. As compensation for their participation in the study, participants were not charged for the “Drop It” intervention.…”

Section: Methodsmentioning

confidence: 99%

Combining transcranial direct current stimulation with group cognitive behavioral therapy developed to treat rumination: a clinical pilot study

et al. 2023

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BackgroundAs part of repetitive negative thinking (RNT), rumination is a maladaptive cognitive response style to stress or negative mood which can increase the risk of depression and may prohibit complete recovery. Cognitive behavioral therapy (CBT) and transcranial direct current stimulation (tDCS) both proved to be effective in decreasing rumination. However, the combined effects of tDCS and CBT interventions on rumination have not yet been explored. The first aim of this pilot study is to investigate whether the combination of tDCS and CBT has an accumulating positive effect on modulating state rumination. The second aim is to assess the feasibility and safety profile of the proposed combined approach.MethodSeventeen adults aged 32–60 years, suffering from RNT, were referred by their primary care professional to participate in an 8-week group intervention for RNT (“Drop It”) comprising 8 sessions of CBT. Before each CBT session, patients underwent one double-blinded prefrontal active (2 mA for 20 min) or sham tDCS (anode over F3, cathode over the right supraorbital region) combined with an internal cognitive attention task focused on individual RNT, i.e., online tDCS priming. During each session, the Brief State Rumination Inventory was used to assess state rumination.ResultsA mixed effects model analysis revealed no significant differences between the stimulation conditions, weekly sessions, or their interaction in terms of state rumination scores.ConclusionOverall, the combination of online tDCS priming followed by group CBT was found to be safe and feasible. On the other hand, no significant additional effects of this combined approach on state rumination were established. Although our pilot study may have been too small to find significant clinical effects, future larger RCT studies on combined tDCS-CBT treatment protocols may reevaluate the selection of internal cognitive attention tasks and more objective neurophysiological measurements, consider the optimal timing of the combination (concurrently or sequentially), or may add additional tDCS sessions when following CBT.

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A Psychoeducational CBT-based Group Intervention (“Drop It”) for Repetitive Negative Thinking: Theoretical Concepts and Treatment Processes

Rogiers¹,

Baeken²,

Watkins³

et al. 2022

International Journal of Group Psychotherapy

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Treatment experiences during a cognitive behaviour therapy group intervention targeting repetitive negative thinking: A qualitative study

Cited by 3 publications

References 49 publications

Stress, repetitive negative thinking, and mental health in Chilean university students: an ecological momentary assessment study

Stress, repetitive negative thinking, and mental health in Chilean university students: an ecological momentary assessment study

Combining transcranial direct current stimulation with group cognitive behavioral therapy developed to treat rumination: a clinical pilot study

A Psychoeducational CBT-based Group Intervention (“Drop It”) for Repetitive Negative Thinking: Theoretical Concepts and Treatment Processes

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