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dc.contributor.authorWatkins, E.R
dc.date.accessioned2014-02-03T10:46:47Z
dc.date.issued2009-09-23
dc.description.abstractRumination has been identified as a core process in the development and maintenance of depression. Treatments targeting ruminative processes may, therefore, be particularly helpful for treating chronic and recurrent depression. The development of such treatments requires translational research that marries clinical trials, process-outcome research, and basic experimental research that investigates the mechanisms underpinning pathological rumination. For example, a program of experimental research has demonstrated that there are distinct processing modes during rumination that have distinct functional effects for the consequences of rumination on a range of clinically relevant cognitive and emotional processes: an adaptive style characterized by more concrete, specific processing and a maladaptive style characterized by abstract, overgeneral processing. Based on this experimental work, two new treatments for depression have been developed and evaluated: (a) rumination-focused cognitive therapy, an individual-based face-to-face therapy, which has encouraging results in the treatment of residual depression in an extended case series and a pilot randomized controlled trial; and (b) concreteness training, a facilitated self-help intervention intended to increase specificity of processing in patients with depression, which has beneficial findings in a proof-of-principle study in a dysphoric population. These findings indicate the potential value of process-outcome research (a) explicitly targeting identified vulnerability processes and (b) developing interventions informed by research into basic mechanisms.en_GB
dc.identifier.citationVol. 38 Suppl 1, pp. 8 - 14en_GB
dc.identifier.doi10.1080/16506070902980695
dc.identifier.urihttp://hdl.handle.net/10871/14489
dc.language.isoenen_GB
dc.publisherTaylor & Francisen_GB
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/19697180en_GB
dc.subjectruminationen_GB
dc.subjecttranslationalen_GB
dc.subjectconcreteen_GB
dc.subjectspecificityen_GB
dc.subjectmediatoren_GB
dc.titleDepressive rumination: investigating mechanisms to improve cognitive behavioural treatmentsen_GB
dc.typeArticleen_GB
dc.date.available2014-02-03T10:46:47Z
exeter.place-of-publicationEngland
dc.descriptionThis is an open access article that is freely available in ORE or from the publisher's web site. Please cite the published version.en_GB
dc.descriptionCopyright © 2009 Taylor and Francis Group, LLCen_GB
dc.identifier.journalCognitive Behaviour Therapyen_GB


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