Cognitive behaviour therapy for depressive rumination has been identified as a core process in the onset and maintenance of depression rumination is elevated in both currently and formerly . Negative rumination plays a key role in the onset and maintenance of depression and anxiety and targeting this persistent mental habit in treatment can lead to better client outcomes and reduced residual symptoms rumination focused cognitive behavioral therapy rfcbt for depression combines carefully adapted elements of cbt with imagery visualization and compassion based techniques. Rumination has been demonstrated as a major factor in vulnerability to depression predicting the onset severity and duration of future depression rumination focused cognitive behavioural therapy is a psychotherapeutic treatment targeting rumination. Rumination focused cognitive behaviour therapy for residual depression a case series kb schmaling rj kohlenberg me addis et alrandomized trial of behavioral activation cognitive therapy and antidepressant medication in the acute treatment of adults with major depression journal of consulting and clinical psychology 74 . Method design this study is a two arm pragmatic randomised controlled superiority trial comparing the effectiveness of group based rumination focused cognitive behaviour therapy with the effectiveness of group based cognitive behavioural therapy for treatment of depression
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