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Evaluation ViewAttendees 4

Treatment - CBT
Symposia

Symposium 133 - The Multi-modal Mechanism of Rumination: Intervention Targets from the Brain to the Family

Sunday, November 17, 2024
10:30 AM – 12:00 PM EST
Location: 309/310, Level 3, Downtown Marriott
CE: 1.5

Keywords: Rumination, Translational Research, Treatment
Level of Familiarity: All
Recommended Readings: Langenecker, S.A. et al (2024). Rumination-focused cognitive behavioral therapy reduces rumination and targeted crossnetwork connectivity in youth with a history of depression: replication in a pre-registered randomized clinical trial. Biological Psychiatry: Global Open Science, 1, 1-10.,  

Nolen-Hoeksema, S., & Watkins, E. R. (2011). A heuristic for developing transdiagnostic models of psychopathology explaining multifinality and divergent trajectories. Perspectives on Psychological Science, 6(6), 589-609.

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Watkins, E.R. (2016). Rumination-focused cognitive-behavioural therapy for depression. Guilford Press.

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This symposium brings together novel research exploring the mechanisms of how rumination is related to internalizing disorders; from developmental, neuropsychological, neuroimaging, and familial perspectives. Rumination, characterized by persistent and repetitive negative thinking, has been consistently linked to a variety of detrimental outcomes, including the emergence, intensity, persistence, and relapse of internalizing symptoms such as depression and anxiety (e.g., Nolen-Hoeksema & Watkins, 2011). This symposium will highlight the multifaceted nature of rumination by presenting research findings from multiple domains.

A comprehensive overview of rumination will be discussed, encompassing prenatal brooding and its repercussions on mental health during the critical transition to postpartum parenting. Furthermore, we will explore co-rumination within the family unit, specifically between parents and adolescents, as well as investigate effect of therapeutic intervention on rumination.

The developmental trajectory of rumination during adolescence, a critical period for emotional and cognitive development, will be discussed through neuroimaging studies. functional Magnetic Resonance Imaging (fMRI) results will be shared to highlight neural alterations before and after Rumination-focused Cognitive Behavior Therapy (RF-CBT), offering insights into the neural correlates of rumination change.

The treatment developer, Edward Watkins Ph.D., will enrich our discussion by highlighting current research directions designed to identify the most effective components of rumination interventions. He will also present advancements in making these interventions more accessible, including the development of a self-guided application, marking strides towards scalable mental health solutions.

Overall, this symposium emphasizes a multi-modal, life-span approaching to understanding and intervening in the process of rumination.

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Evaluate rumination as a mechanism in internalizing psychopathology
  2. Explain how Rumination-focused Cognitive Behavior Therapy targets mechanistic change
  3. Describe fMRI findings associated with changing rumination in the adolescent brain
  4. Discuss how to further scale and personalize rumination interventions
  5. Apply techniques to conceptualize rumination in clinical practice

Presentations:

  • 10:30 AM – 12:00 PM EST
    (SYM 133) Brooding in Pregnancy Predicts Higher Maternal Internalizing Symptoms in Pregnancy and Postpartum: Implications for Treatment and Prevention of Intergenerational Risk Transmission

    Speaker: Sheila Crowell, Ph.D. (she/her/hers) – University of Oregon

    Co-author: Nicolette Molina, M.S. – University of Oregon

    Co-author: Marilynn Lape Santana, B.S. – University of Utah

    Co-author: Kira Wright, B.S. – University of Utah

    Co-author: Elizabeth Conradt, PhD – Duke University

  • 10:30 AM – 12:00 PM EST
    (SYM 133) Parent-child Co-rumination and Treatment Outcomes in a Randomized Clinical Trial of Rumination-focused Cognitive-behavioral Therapy

    Speaker: Erin A. Kaufman, Ph.D. (she/her/hers) – University of Utah

    Co-author: Yizhe Xu, PhD – University of Utah

    Co-author: Mindy Westlund Schreiner, Ph.D. (she/her/hers) – Nationwide Children's Hospital

    Co-author: Brian Farstead, B.S. – University of Utah

    Co-author: Edward Watkins, Ph.D. (he/him/his) – University of Exeter

    Co-author: Amanda Bakian, Ph.D. – University of Utah

    Co-author: Scott A. Langenecker, Ph.D. (he/him/his) – The Ohio State University

  • 10:30 AM – 12:00 PM EST
    (SYM 133) Brain Changes During Rumination Fmri Task in Youth: Comparing Rumination Focused Cognitive Behavioral Therapy versus Treatment as Usual

    Speaker: Mindy Westlund Schreiner, Ph.D. (she/her/hers) – Nationwide Children's Hospital

    Co-author: Anna Jacobsen, M.S. – University of Utah

    Co-author: Brian Farstead, B.S. – University of Utah

    Co-author: Rachel H. Jacobs, Ph.D. (she/her/hers) – Northwestern University Feinberg School of Medicine

    Co-author: Leah Thomas, B.S. – University of Utah

    Co-author: Myah Pazdera, M.S. – University of Utah

    Co-author: Katie Bessette, Ph.D. – University of California Los Angeles

    Co-author: Robert Welsh, Ph.D. – University of California

    Co-author: Erin A. Kaufman, Ph.D. (she/her/hers) – University of Utah

    Co-author: Sheila Crowell, Ph.D. (she/her/hers) – University of Oregon

    Co-author: Edward Watkins, Ph.D. (he/him/his) – University of Exeter

    Co-author: Scott A. Langenecker, Ph.D. (he/him/his) – The Ohio State University

  • 10:30 AM – 12:00 PM EST
    (SYM 133) Innovative Approaches to Scaling and Enhancing CBT That Targets Rumination

    Speaker: Edward Watkins, Ph.D. (he/him/his) – University of Exeter