A qualitative examination of the relationship between rumination, distress, and dysregulated behaviours in vulnerable young people Sloan, Elise, Moulding, Richard, Weiner, Carlye, Dowling, Rose-Mary and Hall, Kate 2020, A qualitative examination of the relationship between rumination, distress, and dysregulated behaviours in vulnerable young people, Psychology and Psychotherapy: Theory, Research and Practice, pp. 1-19, doi: 10.1111/papt.12297. Attached Files Name Description MIMEType Size Downloads Title A qualitative examination of the relationship between rumination, distress, and dysregulated behaviours in vulnerable young people Author(s) Sloan, Elise orcid.org/0000-0002-2384-2310 Moulding, Richard orcid.org/0000-0001-7779-3166 Weiner, Carlye Dowling, Rose-Mary Hall, Kate orcid.org/0000-0001-8648-0313 Journal name Psychology and Psychotherapy: Theory, Research and Practice Start page 1 End page 19 Total pages 19 Publisher Wiley Place of publication Hoboken, NJ Publication date 2020-07-27 ISSN 1476-0835 2044-8341 Keyword(s) rumination distress dysregulated behaviours binge and purge substance misuse young people Social Sciences Science & Technology Life Sciences & Biomedicine Psychology, Clinical Psychiatry Psychology SELF-INJURIOUS THOUGHTS YOUTH MENTAL-HEALTH EMOTION REGULATION NEGATIVE THINKING DEPRESSION PSYCHOPATHOLOGY ADOLESCENTS DISORDERS TOLERANCE INTERACT Summary Objectives: Young people accessing mental health treatment in Australia frequently engage in dysregulated behaviours, such as substance misuse, deliberate self-harm (DSH), and binge eating and purging. Rumination has been identified as a correlate of behavioural dysregulation; however, a qualitative examination of the functional relationship between ruminative processes and distress and subsequent engagement in dysregulated behaviours has not yet been conducted. This study aimed to explore the characteristics of rumination in young people and examine how this process relates to engagement in DSH, binge eating and purging, and substance misuse in a sample of treatment-seeking young people. Design: A qualitative research methodology was used gain an in-depth understanding of participants’ experience of rumination as it relates to their engagement in dysregulated behaviours. Methods: Twelve treatment-seeking young people were interviewed about their experience of rumination in the context of a recently recalled situation where they engaged in a dysregulated behaviour. Interview data were analysed using thematic analysis. Results: Themes included the following: (1) triggers to behavioural dysregulation; (2) characteristics and content of rumination; (3) key precipitants to dysregulated behaviours (rumination, distress, and prior ineffective were at managing rumination); and (4) distraction from rumination and regulation of distress as short term, positively reinforcing consequences of dysregulated behaviours, while ongoing cycles of rumination and psychological distress were identified as long-term consequences. Conclusions: DSH, binge/purge behaviours, and substance misuse represent maladaptive ways to distract from intense and pervasive rumination in this cohort of young people. Theoretical and treatment implications pertaining to these findings are discussed. Practitioner points: Rumination is a common experience in young people who engage in dysregulated behaviours including deliberate self-harm, binging and purging, and substance misuse Engagement in behavioural dysregulation functions to distract from rumination, which negatively reinforces further engagement in dysregulated behaviours. Interventions in this population should focus on the development of adaptive skills that provide the same level of distraction provided by the physical sensations associated with engaging in a dysregulated behaviour. Notes In Press Language eng DOI 10.1111/papt.12297 Indigenous content off Field of Research 1701 Psychology 1702 Cognitive Sciences HERDC Research category C1 Refereed article in a scholarly journal Copyright notice ©2020, The British Psychological Society Persistent URL http://hdl.handle.net/10536/DRO/DU:30141715 Document type: Journal Article Collections: Faculty of Health School of Psychology Related Links Link Description Connect to published version (restricted access) Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Fri, 11 Sep 2020, 14:52:48 EST Sat, 12 Sep 2020, 05:01:45 EST Tue, 12 Jan 2021, 05:06:38 EST Tue, 09 Feb 2021, 14:09:32 EST Tue, 09 Feb 2021, 14:10:47 EST Tue, 09 Feb 2021, 14:18:27 EST Tue, 09 Feb 2021, 14:22:01 EST Filtered Full Citation counts:   Cited 0 times in TR Web of Science Cited 1 times in Scopus Search Google Scholar Access Statistics: 100 Abstract Views, 3 File Downloads  -  Detailed Statistics Created: Fri, 11 Sep 2020, 14:52:48 EST

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