title: [Rumination and cognitive fusion in dementia family caregivers].
abstract: BACKGROUND
  Rumination has been described as a dysfunctional coping strategy related to emotional distress. Recently, it has been highlighted from the Acceptance and Commitment Therapy therapeutic approach, the negative role that cognitive fusion (the extent to which we are psychologically tangled with and dominated by the form or content of our thoughts) has on the explanation of distress. The aim of this study is to simultaneously analyze the role of rumination and cognitive fusion in the caregiving stress process.
  
  
  METHODS
  The sample of 176 dementia caregivers was divided in four groups, taking into account their levels of rumination and cognitive fusion: HRHF=high rumination+high cognitive fusion; HRLF=high rumination+low cognitive fusion; LRHF= low rumination+high cognitive fusion; and LRLC=low rumination and low cognitive fusion. Caregiver stress factors, frequency of pleasant events, experiential avoidance, coherence and satisfaction with personal values, depression, anxiety and satisfaction with life, were measured.
  
  
  RESULTS
  The HRHF group showed higher levels of depression, anxiety, experiential avoidance and lower levels of satisfaction with life, frequency of pleasant events, coherence and satisfaction with personal values, than the other three groups.
  
  
  CONCLUSIONS
  Considering simultaneously rumination and cognitive fusion may contribute to a better understanding of caregiver coping and distress.
authors.affiliation: Departamento de Psicología, Universidad Rey Juan Carlos, Madrid, España. Electronic address: rosa.romero@urjc.es.
authors.forename: Rosa
authors.initials: R
authors.lastname: Romero-Moreno
authors.affiliation: Departamento de Psicología Biológica y de la Salud, Universidad Autónoma de Madrid, Campus de Cantoblanco, Madrid, España.
authors.forename: María
authors.initials: M
authors.lastname: Márquez-González
authors.affiliation: Departamento de Psicología, Universidad Rey Juan Carlos, Madrid, España.
authors.forename: Andrés
authors.initials: A
authors.lastname: Losada
authors.affiliation: Departamento de Psicología, Universidad Rey Juan Carlos, Madrid, España.
authors.forename: Virginia
authors.initials: V
authors.lastname: Fernández-Fernández
authors.affiliation: Departamento de Psicología, Universidad Rey Juan Carlos, Madrid, España.
authors.forename: Celia
authors.initials: C
authors.lastname: Nogales-González
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology*; D003071:Cognition; D003430:Cross-Sectional Studies; D003704:Dementia; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013315:Stress, Psychological / Q000523:psychology*; D055815:Young Adult
keywords: Acceptance and Commitment Therapy; Cognitive defusion; Cuidadores familiares; Defusión cognitiva; Demencia; Dementia; Evitación experiencial; Experiential avoidance; Family caregivers; Terapia de Aceptación y Compromiso