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The lifeworld of people who ruminate: a qualitative phenomenological study.

Aleš Oblak, Sara Rigler, Nika Kovačič, Liam Korošec Hudnik, Urban Kordeš, Jurij Bon, Borut Škodlar

Frontiers in Psychiatry 2026 DOI: 10.3389/fpsyt.2026.1649971 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative phenomenological study Peer reviewed
Sample size 51
Population Normative and clinical samples
Topics Depression
Keywords Lifeworld analysis Micro-phenomenology Phenomenological psychopathology Qualitative phenomenology Ruminating
Key findings Ruminating is an epistemic practice driven by a need to resolve uncertainty, triggered by a collapse of commonsense understanding, and constitutes a complex lifeworld rather than a maladaptive pattern of thinking.

Abstract

Ruminations are persistent, repetitive, and often distressing thoughts centered on negative events, mood states, and psychiatric symptoms. Recognized as a maladaptive cognitive process, ruminating contributes to the onset and persistence of psychiatric disorders and is strongly linked to negative emotional states, self-criticism, and suicidality. Despite its clinical significance, a comprehensive, phenomenological understanding of ruminations remains lacking. This study aims to provide a detailed, descriptive account of ruminations from the perspective of lifeworld analysis, focusing on embodiment, space, time, emotions, social relationships, and values. The goal is to enhance clinical understanding of the lived experience of ruminating and generate hypotheses for future research. A qualitative phenomenological approach was employed, combining micro-phenomenological interviews and lifeworld analysis. Data were collected from 51 participants, including both normative and clinical samples. A total of 107 interviews were conducted, focusing on 79 experiential episodes. Ruminating is an epistemic practice, driven by a need to resolve uncertainty and create meaning. Ruminations are triggered by a collapse of commonsense understanding, leading to intellectualization of daily life and detachment from intuitive or embodied responses. Ruminative episodes are characterized by feelings of paralysis, emptiness, and problematic relationships with knowledge. Rather than being a maladaptive pattern of thinking, ruminating appears to constitute a complex lifeworld. This observation calls for reconceptualization of ruminations from a unified symptom towards a system of interrelated and extended altered experiences.

Comparable studies

Other qualitative studies on depression, most cited first.

Study Year Design Participants
Patients’ Accounts of Increased “Connectedness” and “Acceptance” After Psilocybin for Treatment-Resistant Depression Patients with treatment-resistant depression enrolled in an open-label trial of psilocybin 2017 Qualitative study n = 20
An exploratory mixed methods study of the acceptability and effectiveness of mindfulness -based cognitive therapy for patients with active depression and anxiety in primary care Primary care patients with recurrent depression or recurrent depression and anxiety 2006 Exploratory mixed methods study n = 13
A qualitative study of mindfulness‐based cognitive therapy for depression Participants in mindfulness-based cognitive therapy in a mental-health context 2001 Qualitative study n = 7
Ketamine for Depression, 4: In What Dose, at What Rate, by What Route, for How Long, and at What Frequency? 2017 Qualitative review
Abnormal Time Experiences in Major Depression: An Empirical Qualitative Study Patients affected by affective and schizophrenic disorders 2016 Qualitative study n = 550

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