Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/2237-6089-2014-0025
Trends in Psychiatry and Psychotherapy
Review Article

Phenomenological aspects of the cognitive rumination construct

Aspectos fenomenológicos relacionados ao construto de ruminação cognitiva

Leonardo Fernandez Meyer; José Geraldo Vernet Taborda; Fábio Antônio da Costa; Ana Luiza Alfaya Galego Soares; Kátia Mecler; Alexandre Martins Valença

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Abstract

Objective: To evaluate the importance of phenomenological aspects of the cognitive rumination (CR) construct in current empirical psychiatric research.Method: We searched SciELO, Scopus, ScienceDirect, MEDLINE, OneFile (GALE), SpringerLink, Cambridge Journals and Web of Science between February and March of 2014 for studies whose title and topic included the following keywords: cognitive rumination; rumination response scale; and self-reflection. The inclusion criteria were: empirical clinical study; CR as the main object of investigation; and study that included a conceptual definition of CR. The studies selected were published in English in biomedical journals in the last 10 years. Our phenomenological analysis was based on Karl Jaspers' General Psychopathology.Results: Most current empirical studies adopt phenomenological cognitive elements in conceptual definitions. However, these elements do not seem to be carefully examined and are indistinctly understood as objective empirical factors that may be measured, which may contribute to misunderstandings about CR, erroneous interpretations of results and problematic theoretical models.Conclusion: Empirical studies fail when evaluating phenomenological aspects of the cognitive elements of the CR construct. Psychopathology and phenomenology may help define the characteristics of CR elements and may contribute to their understanding and hierarchical organization as a construct. A review of the psychopathology principles established by Jasper may clarify some of these issues.

Keywords

Psychopathology, phenomenology, cognitive rumination

Resumo

Objetivo: Verificar a importância de aspectos fenomenológicos relacionados ao construto de ruminação cognitiva (RC) nas pesquisas empíricas psiquiátricas atuais.Método: Foram pesquisadas as bases de dados SciELO, Scopus, ScienceDirect, MEDLINE, OneFile (GALE), SpringerLink, Cambridge Journals e Web of Science, entre fevereiro e março de 2014, buscando artigos cujo tópico ou título contivessem os seguintes termos-chave: ruminação cognitiva; escala de resposta ruminativa; e autorreflexão. Os critérios de inclusão foram: estudos clínicos empíricos; RC como principal objeto de pesquisa; e estudos que incluíssem uma definição conceitual de RC. Foram considerados apenas artigos em inglês publicados em periódicos biomédicos nos últimos 10 anos. Nossa análise fenomenológica se fundamentou na Psicopatologia Geral de Jaspers.Resultados: Os conceitos de RC atualmente encontrados nas pesquisas empíricas utilizam majoritariamente elementos fenomenológicos em suas definições. Entretanto, esses elementos cognitivos são indistintamente entendidos como elementos objetivos (empíricos), passíveis de mensuração, e não parecem ser cuidadosamente examinados. Este fato pode contribuir para uma compreensão enganosa sobre RC, além de favorecer a interpretação errônea de resultados e a elaboração de paradoxos teóricos problemáticos.Conclusão: As pesquisas empíricas atuais sobre RC falham ao avaliar os aspectos fenomenológicos inerentes ao construto de RC. A psicopatologia e o método fenomenológico podem ajudar a definir características relacionadas aos elementos da RC, bem como contribuir para a sua compreensão e organização hierárquica enquanto construto. Um retorno aos princípios da psicopatologia, nos moldes de Jaspers, poderia trazer esclarecimentos ao tema.

Palavras-chave

Psicopatologia, fenomenologia, ruminação cognitiva

References

Nolen-Hoeksema S, Wisco BE, Lyubomirsky S. Rethinking rumination. Perspect Psychol Sci. 2008;3:400-24.

Joormann J, Dkane M, Gotlib IH. Adaptive and maladaptative components of rumination. Diagnostic specificity and relation to depressive bias. Behav Ther. 2006;37:269-80.

Muris P, Roelofs J, Rassin E, Franken I, Mayer B. Mediating effects of rumination and worry on the links between neuroticism, anxiety and depression. Pers Individ Dif. 2005;39:1105-11.

Bagby RM, Rector NA, Bacchiochi JR, McBride C. The stability of the response styles questionnaire rumination scale in a sample of patients with major depression. Cognit Ther Res. 2004;28:527-38.

Nolen-Hoeksema S, Morrow J. A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta Earthquake. J Pers Soc Psychol. 1991;61:115-21.

Moberly N, Watkins ER. Ruminative self-focus and negative affect: an experience sampling study. J Abnorm Psychol. 2008;117:314-23.

Nolen-Hoeksema S. The role of rumination in depressive disorders and mixed anxiety/ depressive symptoms. J Abnorm Psychol. 2000;109:504-11.

Armey MF, Fresco DM, Moore MT, Mennin DS, Turk CL, Heimberg RG. Brooding and pondering: isolating the active ingredients of depressive rumination with exploratory factor analysis and structural equation modeling. Assessment. 2009;16:315-27.

Miranda R, Nolen-Hoeksema S. Brooding and reflection: rumination predicts suicidal ideation at 1-year follow-up in a community sample. Behav Res Ther. 2007;45:3088-95.

Jaspers K. Allgemeine psychopathologie. 2011.

Jaspers K. Psicopatologia geral. 2005.

Jaspers K. General psychopathology. 1997.

Fuchs T, Breyer T, Mundt C. Karl Jaspers's philosophy and psychopathology. 2014.

Stanghellini G, Fuchs T. One century of Karl Jaspers's general psychopathology. 2013.

Jaspers K. The phenomenological approach in psychopathology. Br J Psychiatry. 1968;114:1313-23.

Kumazaki T. The theoretical root of Karl Jaspers' General Psychopathology. Part 1: Reconsidering the influence of phenomenological and hermeneutics. Hist Psychiatry. 2013;24:212-26.

Andersen SB, Moore RA, Venables L, Corr PJ. Electrophysiological correlates of anxious rumination. Int J Psychophysiol. 2009;71:159-69.

Brinker JK, Dozois DJ. Ruminative thought style and depressed mood. J Clin Psychol. 2009;65:1-19.

Hasegawa A, Koda M, Hattori Y, Kondo T, Kawaguchi J. Depressive rumination and past depression in Japanese university students: comparison of brooding and reflection. Psychol Rep. 2014;114:653-74.

Johnson MK, Nolen-Hoeksema S, Mitchell KJ, Levin Y. Medial cortex activity, self-reflection and depression. Soc Cogn Affect Neurosci. 2009;4:313-27.

Kocovski NL, Rector NA. Predictors of post-event rumination related to social anxiety. Cogn Behav Ther. 2007;36:112-22.

Kuehner C, Hujjziger S, Liebsch K. Rumination, distraction and mindful self-focus: effects on mood, dysfunctional attitudes and cortisol stress response. Psychol Med. 2009;39:219-28.

McLaughlin KA, Nolen-Hoeksema S. Rumination as a transdiagnostic factor in depression and anxiety. Behav Res Ther. 2011;49:186-93.

Schoofs H, Hermans D, Raes F. Brooding and reflection as subtypes of rumination: evidence from confirmatory factor analysis in nonclinical samples using the Dutch Ruminative Response Scale. J Psychopathol Behav Assess. 2010;32:609-17.

Thomsen DK, Tonnesvang J, Schnieber A, Olesen MH. Do people ruminate because they haven't digested their goals? The relations of ruminations and reflection to goal internalization and ambivalence. Motiv Emot. 2011;35:105-17.

Trapnell PD, Campbell JD. Private self-consciousness and the five factor model of personality: distinguishing rumination from reflection. J Pers Soc Psychol. 1999;76:284-304.

Joireman JA, Parrott L III, Hammersla J. Empathy and the self-absorption paradox: support for the distinction between self-rumination and self-reflection. Self Identity. 2002;1:53-65.

Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). 2013.

International statistical classification of diseases and related health problems, 10th revision (ICD-10). 2004.

Spiegelberg H. Phenomenology in psychology and psychiatry. 1972.

Spiegelberg H. Phenomenological movement, a historical introduction. 1994.

Thome J. Centenary of Karl Jaspers' general psychopathology: implications for molecular psychiatry. J Mol Psychiatry. 2014;2:3.

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