COVID-19 Pandemisi Sürecinde Ruminasyon ve Ruh Sağlığına Etkileri

Tüm dünyayı hızla etkisi altına alan COVID-19 pandemisi, yüksek bulaşıcılık ve ölüm oranları, asemptomatik belirtilerle başlaması, ön görülmez geleceği ve henüz bir tedavisinin bulunamaması sebebiyle insanları fiziksel, bilişsel, ruhsal ve sosyal olarak etkilemektedir. Bu etkiler, bireylerin sürece yönelik çeşitli düşüncelere karşı yoğun uğraş vermesi ile sonuçlanabilmektedir. Ruminasyon adı verilen, bireylerde stres yaratan durumlarda ortaya çıkabilen bu yineleyici ve rahatsız edi ci düşünce tarzı, bireylerin ruh sağlıklarını olumsuz etkileyebilmekte dir. Öte yandan, ruminatif düşünceler uygun işlendiklerinde bireylerin süreçten güçlenerek çıkmalarına neden olabilmekte ve olumlu düşün celerle yer değiştirebilmektedir. Dolayısıyla COVID-19 pandemisinde bireylerin sürece ilişkin ruminatif düşünce sistemlerinin anlaşılması önem arz etmektedir. Bu derlemede, COVID-19 pandemisi sürecinde ruminasyon kavramı ve bu kavramın ruh sağlığı üzerine olası etkileri nin açıklanması amaçlanmıştır.

Rumination and Its Impact on Mental Health during the COVID-19 Pandemic

The COVID-19 pandemic, which has been rapidly affecting the entire world, affects people physically, cognitively, spiritually, and socially due to its high contagiousness and mortality rates, its onset with asymptomatic symptoms, its unpredictable future, and the lack of a cure. These effects may result in individuals struggling intensely against various thoughts about the process. This repetitive and disturbing way of thinking, called rumination, which can occur in individuals’ stressful situations, can adversely affect their mental health. On the other hand, when ruminative thoughts are managed appropriately, they can empower individuals to exit the process and be replaced by positive thoughts. Therefore, during the COVID-19 pandemic, it is important to understand individuals’ ruminative thinking systems regarding the process. This review aimed to explain the concept of rumination during the COVID-19 pandemic and its possible effects on mental health.

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1. World Health Organization. COVID-19 Weekly Epidemiological Update. 2020. Available from: https://www.who.int/publications/m/ item/weekly-epidemiological-update---17-november-2020
2. Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020;382(18):1708-20. doi: 10.1056/NEJMoa2002032.
3. Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019-nCoV epidemic: Address mental health care to empower society. Lancet. 2020;395(10224):e37-8. doi: 10.1016/S0140-6736(20)30309-3.
4. Kwok KO, Li KK, Chan HH, Yi YY, Tang A, Wei WI, et al. Community responses during the early phase of the COVID-19 epidemic in Hong Kong: Risk perception, information exposure and preventive measures. Emerg Infect Dis. 2020;26(7):1575-9. doi: 10.3201/eid2607.200500.
5. Parmet WE, Sinha MS. Covid-19-the law and limits of quarantine. N Engl J Med. 2020;382(15):e28. doi: 10.1056/NEJMp2004211.
6. While A, Nightingale F. The COVID-19 challenge. Br J Community Nurs. 2020;25(5):258. doi: 10.12968/bjcn.2020.25.5.258.
7. Gao J, Zheng P, Jia Y, Chen H, Mao Y, Chen S, et al. Mental health problems and social media exposure during COVID-19 outbreak. PloS One. 2020;15(4):e0231924. doi: 10.1371/journal.pone.0231924.
8. Tull MT, Edmonds KA, Scamaldo K, Richmond JR, Rose JP, Gratz KL. Psychological outcomes associated with stay-at-home orders and the perceived impact of COVID-19 on daily life. Psychiatry Res. 2020;289:113098. doi: 10.1016/j.psychres.2020.113098.
9. Ozamiz-Etxebarria N, Dosil-Santamaria M, Picaza-Gorrochategui M, Idoiaga-Mondragon N. Stress, anxiety, and depression levels in the initial stage of the COVID-19 outbreak in a population sample in the northern Spain. Cad Saude Publica. 2020;36(4):e00054020. doi: 10.1590/0102-311X00054020.
10. Cava MA, Fay KE, Beanlands HJ, McCay EA, Wignall R. The experience of quarantine for individuals affected by SARS in Toronto. Public Health Nurs. 2005;22(5):398-406. Available from: https://onlinelibrary.wiley. com/doi/full/10.1111/j.0737-1209.2005.220504.x
11. Hawryluck L, Gold WL, Robinson S, Pogorski S, Galea S, Styra R. SARS control and psychological effects of quarantine, Toronto, Canada. Emerg Infect Dis. 2004;10(7):1206-12. Available from: https://www.ncbi.nlm. nih.gov/pmc/articles/PMC3323345/
12. Wallace CL, Wladkowski SP, Gibson A, White P. Grief during the COVID-19 pandemic: considerations for palliative care providers. J Pain Symptom Manage. 2020;60(1):e70-6. doi: 10.1016/j. jpainsymman.2020.04.012.
13. World Health Organization. Mental health and psychosocial considerations during the COVID-19 outbreak. Geneva, Switzerland: World Health Organization; 2020. Available from: https://apps.who.int/ iris/bitstream/handle/10665/331490/WHO-2019-nCoV-MentalHealth2020.1-eng.pdf
14. Kadam AB, Atre SR. Negative impact of social media panic during the COVID-19 outbreak in India. J Travel Med. 2020;27(3):1-2. doi: 10.1093/jtm/taaa057.
15. Lee SA. How much “Thinking” about COVID-19 is clinically dysfunctional? Brain Behav Immun. 2020;87:97-8. doi: 10.1016/j. bbi.2020.04.067.
16. Taylor S. The Psychology of Pandemics: Preparing for the Next Global Outbreak of Infectious Disease. Cambridge Scholars Publishing; 2019. Available from: https://www.cambridgescholars.com/download/ sample/65716
17. Martin LL, Tesser A. Some ruminative thoughts. In: Wyer RS, editor. Advances in social cognition, Volume IX: Ruminative Thoughts. New Jersey, USA: Lawrence Erlbaum Associates; 1996. p. 1-47. Available from: https://books.google.com.tr/books?hl=tr&lr=&id=695lA7TatIAC &oi=fnd&pg=PA1&dq=Some+ruminative+thoughts&ots=42fTxqK5O W&sig=D2Hy-VQxAlYrhivkMvNKeu6z_Pg&redir_ esc=y#v=onepage&q=Some%20ruminative%20thoughts&f=false
18. Watkins ER. Constructive and unconstructive repetitive thought. Psychological bulletin. 2008;134(2):163-206. doi: 10.1037/0033- 2909.134.2.163.
19. Cann A, Calhoun LG, Tedeschi RG, Triplett KN, Vishnevsky T, Lindstrom CM. Assessing posttraumatic cognitive processes: The event related rumination inventory. Anxiety Stress Coping. 2011;24(2):137- 56. doi: 10.1080/10615806.2010.529901.
20. García FE, Duque A, Cova F. The four faces of rumination to stressful events: A psychometric analysis. Psychol Trauma. 2017;9(6):758-65. doi: 10.1037/tra0000289.
21. Nolen-Hoeksema S, Wisco BE, Lyubomirsky S. Rethinking rumination. P e r s p e c t P s y c h o l S c i . 2 0 0 8 ; 3 ( 5 ) : 4 0 0 - 2 4 . d o i : 10.1111/j.1745-6924.2008.00088.x.
22. Yilmaz AE. The role of worry and rumination in the symptoms of anxiety and depression. Turk Psikiyatri Derg. 2015;26(2):107-15. Available from: http://www.turkpsikiyatri.com/Data/UnpublishedArticles/h5ae5y. pdf
23. Thorsteinsson EB, Brown RF, Owens MT. Modeling the effects of stress, anxiety, and depression on rumination, sleep, and fatigue in a nonclinical sample. J Nerv Ment Dis. 2019;207(5):355-9. doi: 10.1097/ NMD.0000000000000973.
24. Thomsen DK, Mehlsen MY, Christensen S, Zachariae R. Ruminationrelationship with negative mood and sleep quality. Pers Individ Dif. 2003;34(7):1293-301. doi: 10.1016/S0191-8869(02)00120-4.
25. Zawadzki MJ, Graham JE, Gerin W. Rumination and anxiety mediate the effect of loneliness on depressed mood and sleep quality in college students. Health Psychol. 2013;32(2):212-22. doi: 10.1037/a0029007.
26. Langlois F, Freeston MH, Ladouceur R. Differences and similarities between obsessive intrusive thoughts and worry in a non-clinical population: Study 1. Behav Res Ther. 2000;38(2):157-73. doi: 10.1016/ s0005-7967(99)00027-3.
27. Lee SA, Jobe MC, Mathis AA. Mental health characteristics associated with dysfunctional coronavirus anxiety. Psychol Med. 2020:1-2. doi: 10.1017/S003329172000121X.
28. Skalski S, Uram P, Dobrakowski P, Kwiatkowska A. The link between ego-resiliency, social support, SARS-CoV-2 anxiety and trauma effects. Polish Adaptation of the Coronavirus Anxiety Scale. 2020. doi: 10.31234/osf.io/28tnw.
29. Thakur V, Jain A. COVID 2019-suicides: A global psychological pandemic. Brain Behav Immun. 2020;88:952-3. doi: 10.1016/j. bbi.2020.04.062.
30. Nolen-Hoeksema S, Morrow J. A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta Earthquake. J Pers Soc Psychol. 1991;61(1):115-21. doi: 10.1037//0022-3514.61.1.115.
31. Birrer E, Michael T. Rumination in PTSD as well as in traumatized and non-traumatized depressed patients: A cross-sectional clinical study. Behav Cogn Psychother. 2011;39(4):381-97. doi: 10.1017/ S1352465811000087.
32. Coimbra R, Edwards S, Kurihara H, Bass GA, Balogh ZJ, Tilsed J, et al. European Society of Trauma and Emergency Surgery (ESTES) recommendations for trauma and emergency surgery preparation during times of COVID-19 infection. Eur J Trauma Emerg Surg. 2020;46(3):505-10. doi: 10.1007/s00068-020-01364-7.
33. Liu N, Zhang F, Wei C, Jia Y, Shang Z, Sun L, et al. Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter. Psychiatry Res. 2020;287:112921. doi: 10.1016/j.psychres.2020.112921.
34. Horesh D, Brown AD. Traumatic stress in the age of COVID-19: A call to close critical gaps and adapt to new realities. Psychol Trauma. 2020;12(4):331-5. doi: 10.1037/tra0000592.
35. Cao J, Wei J, Zhu H, Duan Y, Geng W, Hong X, et al. A study of basic needs and psychological wellbeing of medical workers in the fever clinic of a tertiary general hospital in Beijing during the COVID-19 outbreak. Psychother Psychosom. 2020;89:252-4. doi: 10.1159/000507453.
36. Chung JP, Yeung W-s. Staff mental health self-assessment during the COVID-19 outbreak. East Asian Arch Psychiatry. 2020;30(1):34. doi: 10.12809/eaap2014.
37. Wu Y, Wang J, Luo C, Hu S, Lin X, Anderson AE, et al. A comparison of burnout frequency among oncology physicians and nurses working on the front lines and usual wards during the COVID-19 epidemic in Wuhan, China. J Pain Symptom Manage. 2020;60(1):e60-5. doi: 10.1016/j.jpainsymman.2020.04.008.
38. World Health Organization. Mental health and psychosocial considerations during the COVID-19 outbreak. Geneva, Switzerland: World Health Organization; 2020. Available from: https://apps.who.int/ iris/bitstream/handle/10665/331490/WHO-2019-nCoV-MentalHealth2020.1-eng.pdf
39. Zhong BL, Luo W, Li HM, Zhang QQ, Liu XG, Li W, et al. Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: A quick online cross-sectional survey. Int J Biol Sci. 2020;16(10):1745-52. doi: 10.7150/ijbs.45221.
40. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17(5):1729. doi: 10.3390/ijerph17051729.
41. Cook L, Mostazir M, Watkins E. Reducing stress and preventing depression (RESPOND): Randomized controlled trial of web-based rumination-focused cognitive behavioral therapy for high-ruminating university students. J Med Internet Res. 2019;21(5):e11349. doi: 10.2196/11349.
42. Labelle LE, Campbell TS, Faris P, Carlson LE. Mediators of Mindfulness‐ Based Stress Reduction (MBSR): Assessing the timing and sequence of change in cancer patients. J Clin Psychol. 2015;71(1):21-40. Available from: https://onlinelibrary.wiley.com/doi/full/10.1002/jclp.22117
43. Guo Q, Zheng Y, Shi J, Wang J, Li G, Li C, et al. Immediate psychological distress in quarantined patients with COVID-19 and its association with peripheral inflammation: A mixed-method study. Brain Behav Immun. 2020;88:17-27. doi: 10.1016/j.bbi.2020.05.038.
44. Li W, Yang Y, Liu ZH, Zhao YJ, Zhang Q, Zhang L, et al. Progression of mental health services during the COVID-19 outbreak in China. Int J Biol Sci. 2020;16(10):1732-8. doi: 10.7150/ijbs.45120.
45. Liu S, Yang L, Zhang C, Xiang YT, Liu Z, Hu S, et al. Online mental health services in China during the COVID-19 outbreak. Lancet Psychiatry. 2020;7(4):e17-8. doi: 10.1016/S2215-0366(20)30077-8.
46. Watkins E. Cognitive-behaviour therapy for depressive rumination. Exeter: University of Exeter; 2010. Available from: https://www. psychologytoday.com/files/attachments/84564/ cbtfordepressiveruminationpaperscientistpractitioner.pdf (Unpublished manuscript)
47. Watkins ER, Mullan E, Wingrove J, Rimes K, Steiner H, Bathurst N, et al. Rumination-focused cognitive–behavioural therapy for residual depression: Phase II randomised controlled trial. The British Journal of Psychiatry. 2011;199(4):317-22. doi: 10.1192/bjp.bp.110.090282.
48. Solomon EP, Solomon RM, Heide KM. EMDR: An evidence-based treatment for victims of trauma. Victims and Offenders. 2009;4(4):391- 7. doi: 10.1080/15564880903227495.
49. Shapiro F. EMDR: Göz Hareketleriyle Duyarsızlaştırma ve Yeniden İşleme: Temel Prensipler, Protokoller ve Prosedürler. 1. Baskı. Yurtsever A, editör. İstanbul: Okuyan Us; 2016.
50. Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry. 2020;7(3):228-9. doi: 10.1016/S2215- 0366(20)30046-8

Koç Üniversitesi Hemşirelikte Eğitim ve Araştırma Dergisi-Cover

ISSN: 2618-5741
Yayın Aralığı: Yılda 4 Sayı
Başlangıç: 2004
Yayıncı: Koç Üniversitesi HYO Semahat Arsel Hemşirelik Eğitim ve Araştırma Merkezi (SANERC)