When thinking gets stuck: rumination and cognitive disengagement in depression – Nature Mental Health

when-thinking-gets-stuck:-rumination-and-cognitive-disengagement-in-depression-–-nature-mental-health

⏱ 3 min read

  • Comment
  • Published:

Nature Mental Health (2026) Cite this article

Subjects

Depression can leave people feeling mentally ‘stuck’ in recurring negative thoughts, even when structured tests do not fully capture the problem. Using Munch’s Melancholy as a visual entry point, we argue that difficulty disengaging and working-memory discarding may sustain rumination, and that assessment should better capture these processes.

This is a preview of subscription content, access via your institution

Access options

Subscribe to this journal

Receive 12 digital issues and online access to articles

79,00 € per year

only 6,58 € per issue

Buy this article

  • Purchase on SpringerLink
  • Instant access to the full article PDF.

39,95 €

Prices may be subject to local taxes which are calculated during checkout

Fig. 1: Cognitive ‘stuckness’ in Munch’s Melancholy.

References

  1. Semkovska, M. et al. Lancet Psychiatry 6, 851–861 (2019).

    Article  PubMed  Google Scholar 

  2. Koster, E. H., De Lissnyder, E., Derakshan, N. & De Raedt, R. Clin. Psychol. Rev. 31, 138–145 (2011).

    Article  PubMed  Google Scholar 

  3. Gotlib, I. H. & Joormann, J. Annu. Rev. Clin. Psychol. 6, 285–312 (2010).

    Article  PubMed  PubMed Central  Google Scholar 

  4. Watkins, E. R. & Roberts, H. Behav. Res. Ther. 127, 103573 (2020).

    Article  PubMed  Google Scholar 

  5. Fusar-Poli, P. et al. World Psychiatry 22, 352–365 (2023).

    Article  PubMed  PubMed Central  Google Scholar 

  6. Mokhtari, S., Mokhtari, A., Bakizadeh, F., Moradi, A. & Shalbafan, M. BMC Psychiatry 23, 77 (2023).

    Article  PubMed  PubMed Central  Google Scholar 

  7. Nolen-Hoeksema, S., Wisco, B. E. & Lyubomirsky, S. Perspect. Psychol. Sci. 3, 400–424 (2008).

    Article  PubMed  Google Scholar 

  8. Kucyi, A., Kam, J. W. Y., Andrews-Hanna, J. R., Christoff, K. & Whitfield-Gabrieli, S. Nat. Mental Health 1, 827–840 (2023).

    Article  PubMed  PubMed Central  Google Scholar 

  9. Christoff, K., Irving, Z. C., Fox, K. C., Spreng, R. N. & Andrews-Hanna, J. R. Nat. Rev. Neurosci. 17, 718–731 (2016).

    Article  PubMed  Google Scholar 

  10. Tamm, G., Koster, E. H. W., Henry, T. & Hoorelbeke, K. Behav. Res. Ther. 192, 104788 (2025).

    Article  PubMed  Google Scholar 

  11. Semkovska, M., Nikolic, J., Dolven, S. & Roth, H. N. Biol. Psychiatry Cogn. Neurosci. Neuroimaging 11, 171–179 (2026).

    PubMed  Google Scholar 

  12. Zetsche, U., Bürkner, P. C. & Schulze, L. Clin. Psychol. Rev. 63, 56–65 (2018).

    Article  PubMed  Google Scholar 

  13. Snyder, H. R., Friedman, N. P. & Hankin, B. L. Assessment 28, 1080–1096 (2021).

    Article  PubMed  Google Scholar 

  14. Stubberud, J., Huster, R., Hoorelbeke, K., Hammar, A. & Hagen, B. I. Behav. Res. Ther. 147, 103991 (2021).

    Article  PubMed  Google Scholar 

  15. Vander Zwalmen, Y. et al. Neuropsychol. Rev. 34, 232–249 (2024).

    Article  Google Scholar 

Download references

Acknowledgements

We thank the MUNCH museum for guidance on image reproduction.

Funding

K.H. is funded by a research grant of the Research Foundation Flanders (FWO, grant number G0A2425N).

Author information

Authors and Affiliations

  1. The Depression Research Initiative (DRIVE), Department of Psychology, University of Oslo, Oslo, Norway

    Jan Stubberud

  2. Department of Research, Lovisenberg Diaconal Hospital, Oslo, Norway

    Jan Stubberud

  3. Department of Experimental, Clinical and Health Psychology, Ghent University, Ghent, Belgium

    Kristof Hoorelbeke

Authors

  1. Jan Stubberud
  2. Kristof Hoorelbeke

Corresponding author

Correspondence to Jan Stubberud.

Ethics declarations

Competing interests

The authors declare no competing interests.

Peer review

Peer review information

Nature Mental Health thanks Aaron K. Kucyi and the other, anonymous, reviewer(s) for their contribution to the peer review of this work.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Stubberud, J., Hoorelbeke, K. When thinking gets stuck: rumination and cognitive disengagement in depression. Nat. Mental Health (2026). https://doi.org/10.1038/s44220-026-00699-1

Download citation

  • Published:

  • Version of record:

  • DOI: https://doi.org/10.1038/s44220-026-00699-1

Comments

Leave a Reply

Your email address will not be published. Required fields are marked *