Influence of Rumination and Distraction on the Therapeutic Process in Cognitive-Behavioral Therapy for Depression

Teismann, Tobias; Michalak, Johannes; Willutzki, Ulrike; Schulte, Dietmar
February 2012
Cognitive Therapy & Research;Feb2012, Vol. 36 Issue 1, p15
Academic Journal
The response styles theory by Nolen-Hoeksema (J Abnorm Psychol 100:569-582, ) suggests that rumination in response to depressed mood exacerbates and prolongs depression, while distraction ameliorates it. In addition, research has shown that rumination is associated with several undesirable interpersonal outcomes, including greater interpersonal problems and less satisfying social support. In a sample of depressed patients ( n = 67) receiving cognitive-behavioral therapy, the current study investigated whether patients' use of ruminative and distractive responses to depressed mood influences the therapeutic alliance and the patients' receptivity to therapeutic interventions. Ruminative responses were neither predictive of the therapeutic alliance nor of patients' receptivity. However, the more the patients reported distractive responses to depressed mood, the better therapists judged their receptivity in therapy and the better they evaluated the therapeutic alliance. In the course of therapy, distractive responses were also associated with patients' ratings of the alliance. Implications for future research and psychotherapeutic practice are discussed.


Related Articles

  • Rumination-focused cognitive behaviour therapy vs. cognitive behaviour therapy for depression: study protocol for a randomised controlled superiority trial. Hvenegaard, Morten; Watkins, Ed R.; Poulsen, Stig; Rosenberg, Nicole K.; Gondan, Matthias; Grafton, Ben; Austin, Stephen F.; Howard, Henriette; Moeller, Stine B. // Trials;Aug2015, Vol. 16 Issue 1, p1 

    Background: Cognitive behavioural therapy is an effective treatment for depression. However, one third of the patients do not respond satisfactorily, and relapse rates of around 30 % within the first post-treatment year were reported in a recent meta-analysis. In total, 30-50 % of remitted...

  • Cognitive Therapy of Obsessive Compulsive Disorder with Chronic Tic Disorder. Hebbar, Sudhir // Indian Journal of Psychological Medicine;Jan-Mar2013, Vol. 35 Issue 1, p93 

    The gold standard of therapy for obsessive compulsive disorder, exposure with response prevention, may not be suitable to obsessional sub-type. Live exposure is not possible and response prevention is difficult. These obsessions (sexual, religious or aggressive) are repugnant and resisted....

  • The Effects of Treatments for Depression on Perceived Failure in Self-Regulation. Strauman, Timothy J.; Kolden, Gregory G.; Stromquist, Valerie; Davis, Nancy; Kwapil, Lori; Heerey, Erin; Schneider, Kristin // Cognitive Therapy & Research;Dec2001, Vol. 25 Issue 6, p693 

    Two studies examined the effect of treatments for depression on perceived failure in self-regulation, operationalized as within-self discrepancy. In Study 1, patients received group cognitive–behavioral therapy (CBT); in Study 2, patients received either individual CBT, interpersonal...

  • Working together on depression. Hayman, Penny; Allen, Fiona; Rose, Chris // Therapy Today;Apr2006, Vol. 17 Issue 3, p45 

    The article describes how the Healing Depression Group, a combined cognitive-behavioral and group therapy approach to healing depression, has been developed at the Cambridge University Counselling Service. Group members were asked to fill in a standard questionnaire that is used to measure level...

  • Preventing Perinatal Depression Through Home Visiting. PERRY, DEBORAH F.; TANDON, S. DARIUS; EDWARDS, KAREN; MENDELSON, TAMAR // Zero to Three;May2014, Vol. 34 Issue 5, p45 

    Home visiting (HV) programs serve women at high risk for developing postpartum depression because of factors such as poverty and low social support. Depression poses serious threats not only to mother- child attachment and healthy infant development but also to women's ability to engage with HV...

  • The Therapist-Client Relationship in Cognitive Behavior Therapy: Implications for Treating Depression. Jacobson, Neil S. // Journal of Cognitive Psychotherapy;Summer1989, Vol. 3 Issue 2, p85 

    The relationship between therapist and client is discussed with regard to how the partnership may be used to promote positive therapeutic changes with a depressed client. A case illustration with a client receiving a cognitive-behavioral intervention is offered. It is concluded that the...

  • Psychotherapy longer lasting alternative to medication.  // Healthcare Counselling & Psychotherapy Journal;Jul2008, Vol. 8 Issue 3, p2 

    The article focuses on the findings of various studies related to psychotherapy. According to the results of a new U.S.-based randomised controlled trial, cognitive therapy and behavioral activation are significantly more effective than antidepressant medication in preventing relapse and...

  • Treatment and Relapse Prevention of Depression Using Mindfulness-Based Cognitive Therapy and Adlerian Concepts. Waller, Byron; Carlson, Jon; Englar-Carlson, Matt // Journal of Individual Psychology;Winter2006, Vol. 62 Issue 4, p443 

    Depression prevention and treatment continue to be a growing and prevalent topic for counselors and therapists in training and in practice (Paradise & Kirby, 2005). Identifying and using approaches that are effective in the prevention of depression is significant. The authors examine the use of...

  • Resultados de 6 años de terapia cognitivo-conductual para la prevención de la depresión recurrente. Fava, Giovanni A.; Ruini, Chiara; Rafanelli, Chiara; Finos, Livio; Conti, Sandra; Grandi, Silvana // American Journal of Psychiatry - Edición Española;Jan2005, Vol. 8 Issue 1, p31 

    No abstract available.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics