Putting the negative repetitive thinking of an outbreak has the potential to avoid numerous mental health disorders.
Think of Eeyore and Piglet. The cheerful pig is a chronic worrying, dealing with anxiety; Glum eeyore reflects everything that could go wrong, sinking into depression. But both fight with repetitive negative thoughts.
People who think in this way often have trouble maintaining their own well -being and relationships with others, says Thomas Ehring, a psychologist at Ludwig Maximilian University in Munich. “They repeatedly still think of [something] without being constructive. “
Doctors generally address negative thoughts, such as concern and rummy, as part of a treatment plan for many diagnosed disorders, such as depression, anxiety, obsessive compulsive disorder, insomnia, suicidal ideation and other ailments. But formal diagnoses are not necessary to help people overcome this distressing way of thinking, experts argue.
The details of the stressful factor are less than the tendency of people to get stuck in endless fatality loops, says psychologist Michelle Molds of the University of Nueva Wales del Sur in Sydney. In fact, given their prevalence between disorders, doctors should consider Go to negative thought directlyWrite Moldes and Peter Mcevoy, a psychologist at the University of Curtin in Perth, Australia, in February in Nature Reviews Psychology.
“We can look beyond the diagnoses,” says Molds, and asking “what is for this particular person that keeps them stuck?”
Obtain a diagnosis
Formal diagnoses for mental health disorders were rare until about half a century ago. But in 1980, the third edition of the Manuel Diagnosis and Statistical, or DSM-III, established exhaustive diagnostic criteria for a wide range of mental health disorders. The last iteration has more than 900 pages and covers more than 500 diagnostic categories.
“This has become the main way of dealing with poor mental health. Look at disorders such as our main analysis unit, ”says Ehring.
The current system is based on the idea that most patients will present a single disorder. That diagnosis must then guide the treatment. Actually, most people fighting with mental health problems meet the diagnostic criteria for multiple disorders. And even when two people receive the same diagnosis, they can experience surprisingly different symptoms.
Shared symptoms
These deficiencies have led many researchers to focus their attention on what are called transdiagnostic factors, or symptoms that seem to transcend diagnostic limits. These factors may include avoidance trends, interpersonal challenges, attention biases and repetitive negative thinking.
Researchers in this emerging field remain divided: should conventional and transdiagnostic approaches combine? Or completely eliminate conventional diagnoses and simply treat those general transdiagnostic symptoms?
Regardless of where one lands in that debate, the recent advances in the understanding and measurement of repetitive negative thinking make the factor an ideal case study on how a transdiagnostic treatment approach in the future could be, they say molds and others.
Identify repetitive negative thinking
To identify people prone to repetitive negative thinking, some experts are beginning to use scales that focus not on the content of persistent thoughts but on their underlying patterns. He Persevening Thought QuestionnaireFor example, ask people to qualify statements, such as, “the same thoughts continue to go through my mind again and again” or “I still ask me questions without finding an answer”, on a scale of 0 by never to 4 for almost almost . always.
With tandem with these efforts, several therapies have emerged in recent years that are directed directly to repetitive negative thinking. These therapies change the trajectory of a conversation session, says psychologist Edward Watkins from Exeter University in England. Watkins helped develop a therapy, known as cognitive behavioral therapy focused on rummy, or RFCBT.
For example, imagine two patients. One has been diagnosed with depression and looks at how desperate they feel. The other has been diagnosed with an obsessive compulsive disorder and cannot stop worrying about how germs in their hands can get sick. A trained doctor in traditional cognitive behavioral therapy will often help patients understand their specific mental health diagnosis by working through the unique content of their thoughts.
A trained doctor at the RFCBT, meanwhile, does not need a formal diagnosis to provide care. Instead of exploring why something could have happened, or the deepest importance of the event, therapies that go to negative thinking help patients change to more processable questions, such as how they can do something about it, says Watkins. In other words, transdiagnostic approaches seek to modify how people think, regardless of what they are thinking.
Mental health problems disappearing
Long -term hope is that identifying and treating prone to repetitive negative thinking could protect such individuals from developing more serious mental health challenges in the future, molds and Mcevoy write. This research is nascent but promising. For example, in a study of approximately 250 adolescents and young adults who obtained a high level in exams for repetitive negative thinking, half of the group received training to restructure such thinking patterns, while the other half did not. Those who received training showed Lower levels of autin -formed anxiety and depression Symptoms a year after the intervention, researchers reported in March 2017 in Research and behavior therapy.
Transdiagnostic approaches for care recognize that people do not conform to discrete diagnostic categories for mental health, says Watkins. Nor should such approaches to mental health disorders be limited. With the growing research that shows how stress affects the body, such as increasing inflammation or blood pressure, doctors could consider the common factors of physical and mental health in tandem. “It is emerging … what [long-term health] It is not only the transdiagnosis between mental health disorders, but the transdiagnosis between mental and physical health, ”he says.
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