The lifeworld of people who ruminate: a qualitative phenomenological study - Report - MDSpire

The lifeworld of people who ruminate: a qualitative phenomenological study

  • By

  • Aleš Oblak

  • Sara Rigler

  • Nika Kovačič

  • Liam Korošec Hudnik

  • Urban Kordeš

  • Jurij Bon

  • Borut Škodlar

  • June 10, 2026

  • 0 min

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Clinical Report: Exploring the Experiences of Individuals Who Engage in Rumination

Overview

Revise to emphasize both the complexity of rumination and its potential maladaptive consequences.

Background

Ruminations are a significant cognitive process linked to the onset and persistence of psychiatric disorders, particularly depression and anxiety. Understanding the phenomenology of rumination can enhance clinical approaches to treatment and intervention. This study aims to fill the gap in the literature regarding the lived experiences of individuals who ruminate.

Data Highlights

No numerical data presented in the article.

Key Findings

  • Ruminations are characterized by persistent, distressing thoughts about negative events and emotions.
  • They are often triggered by a collapse of commonsense understanding, leading to detachment from intuitive responses.
  • Ruminative episodes are associated with feelings of paralysis, emptiness, and problematic relationships with knowledge.
  • Rather than being purely maladaptive, ruminating constitutes a complex lifeworld with interrelated experiences.
  • Ruminations are linked to increased risks of depression, anxiety, and suicidality.

Clinical Implications

Clinicians should recognize the multifaceted nature of rumination in their patients, considering it as a complex experience rather than solely a cognitive deficit. This understanding may inform the development of targeted interventions that address the underlying emotional and relational aspects of ruminative thinking.

Conclusion

Highlight the need for further research on the implications of rumination in clinical settings.

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  3. BMC Psychiatry (Springer), 2026 -- Experiencing Psychosis and Cognitive Dysfunction: Insights from a Qualitative Analysis
  4. Mental Health Clinical Practice Guidelines, 2023 -- VA/DOD Clinical Practice Guidelines
  5. ScienceDirect, 2024 -- An Internet-Delivered Rumination-Focused CBT Intervention for Adults With Depression and Anxiety: A Randomized Controlled Trial
  6. Frontiers in Psychiatry — Identity Rupture and Reconstruction in Post-Stroke PTSD: A Patient Journey Map
  7. Mental Health Clinical Practice Guidelines - VA/DOD Clinical Practice Guidelines
  8. An Internet-Delivered Rumination-Focused CBT Intervention for Adults With Depression and Anxiety: A Randomized Controlled Trial - ScienceDirect

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