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Journal of Health Psychology
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The role of rumination in affective distress in people with a chronic physical illness

A review of the literature and theoretical formulation

Heather Soo

Monash University, Australia, hsoo{at}bigpond.net.au

Sue Burney

Monash University, Australia

Christopher Basten

Westmead Hospital, Australia

The role of maladaptive cognitive content among individuals with chronic physical illness has been acknowledged in cognitive models. Rumination has been documented as a key predictor of depression, and to a lesser extent of anxiety, in non-clinical samples. This paper provides a preliminary discussion of the potential role of rumination as a causal and maintaining factor for emotional distress in the setting of chronic physical illness. Although a number of methodological limitations exist, the current research on rumination may provide a useful framework for the extension of existing cognitive models in chronic illness.

Key Words: anxiety • chronic illness • depression • rumination

Journal of Health Psychology, Vol. 14, No. 7, 956-966 (2009)
DOI: 10.1177/1359105309341204
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