反芻思考概念分析

Rumination Thought: Concept Analysis

目前臨床醫護人員對反芻思考概念缺乏系統性的了解與認識。因此本文以Walker和Avant（2019）的概念分析步驟，深入探討反芻思考，以確立定義性特徵、概念成分，並提供實證性測量工具及臨床應用的指導。結果指出反芻思考的定義性特徵為：（1）反覆獨自思考；（2）思考與個人負面情緒的原因或影響相關；（3）想法關注於自身的感受而非問題解決。反芻思考的前置因子涵蓋個人因素（如性別與年齡）以及情境因素（可能引發個人負向情緒的威脅或危險事件）。其後果可能包括負向情緒、行為問題、症狀加重，但也有可能促使積極思考，有助於問題解決和自我成長。透過此概念分析，期望有助於醫護人員更加了解理解並加以運用於實務中，從而開發適切的介入措施，幫助受到負面反芻思考困擾的人，促進心理健康領域的研究和實務進一步發展，為個體提供更全面的心理健康支持。

'Rumination thinking'' has emerged as an extensively studied psychological process concept in recent decades. It refers to an individual's repetitive contemplation of issues related to negative emotions, often without a primary focus on problem-solving. This thinking pattern has been associated with emotional distress, including conditions such as depression and anxiety, and has been linked to various health problems. Despite its significance, clinical healthcare professionals require a more systematic understanding and awareness of rumination thinking. To address this gap, this paper employs Walker & Avant's (2019) concept analysis approach to conduct an in-depth exploration of rumination thinking. The goal is to establish its defining characteristics and essential components while offering insights into empirical measurement tools and clinical applications. The analysis reveals that the defining characteristics of rumination thinking encompass: (1) repetitive solitary contemplation; (2) thoughts related to the causes or influences of personal negative emotions; and (3) a focus on one's feelings rather than problemsolving. Precursors to rumination thinking involve individual factors, such as gender and age, as well as situational factors, encompassing events that may trigger personal negative emotions. Consequences of rumination thinking may manifest as negative emotions, behavioral problems, and exacerbated symptoms. However, it can also stimulate positive thinking that facilitates problem-solving and personal growth. This concept analysis is anticipated to aid healthcare professionals in gaining a more profound understanding of rumination thinking and applying this knowledge in practical settings. By doing so, it can pave the way for the development of appropriate interventions to assist individuals grappling with negative rumination thinking. Furthermore, it holds the potential to contribute to the advancement of mental health research and practice, offering more comprehensive support for individuals' psychological well-being.