Maladaptive repetitive thought as a transdiagnostic phenomenon and treatment target: An integrative review

Deanna M. Kaplan, Roman Palitsky, Angela L. Carey, Tracy E. Crane, Cody M. Havens, Michael R. Medrano, Samantha J. Reznik, David A Sbarra, Mary-Frances O'Connor

Research output: Contribution to journalReview article

7 Scopus citations

Abstract

Objective: Maladaptive repetitive thought (RT), the frequent and repetitive revisiting of thoughts or internal experiences, is associated with a range of psychopathological processes and disorders. We present a synthesis of prior research on maladaptive RT and develop a framework for elucidating and distinguishing between five forms of maladaptive RT. Method: In addition to the previously studied maladaptive RT (worry, rumination, and obsession), this framework is used to identify two additional forms of maladaptive RT (yearning and interoceptive RT). We then present a review of extant psychotherapy intervention research targeting maladaptive RT, focusing both on specific empirically based treatment strategies, and also constructs within treatments that impact maladaptive RT. Conclusion: The paper concludes with recommendations for future basic and intervention research on maladaptive RT and related psychopathologies.

Original languageEnglish (US)
Pages (from-to)1126-1136
Number of pages11
JournalJournal of Clinical Psychology
Volume74
Issue number7
DOIs
StatePublished - Jul 1 2018

Keywords

  • anxiety
  • depression
  • psychotherapy
  • repetitive thought
  • rumination

ASJC Scopus subject areas

  • Clinical Psychology
  • Arts and Humanities (miscellaneous)

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