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INDONESIA
Psychosocia : Journal of Applied Psychology and Social Psychology
Published by PT Penerbit Ilmiah Indonesia
ISSN : -     EISSN : 30312442     DOI : https://doi.org/10.61978/psychosocia
Core Subject : Health, Social,
Health Professions Medicine & Pharmacology Social Sciences
Psychosocia : Journal of Applied Psychology and Social Psychology with ISSN Number 3031-2442 (Online) published by Indonesian Scientific Publication, is a leading peer-reviewed and open-access scientific journal. Since its inception, Psychosocia has been dedicated to publishing high-quality research papers, technical reports, conceptual articles, and case studies that undergo a rigorous peer-review process, ensuring the highest standards of academic integrity.
Arjuna Subject : Psikologi - Psikologi (Lain-Lain)
Articles 51 Documents
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The Role of Rumination as a Maladaptive Coping Mechanism in Cases of Comprehensive Anxiety Disorder Firlani, Osya Azifa; Algristian, Hafid; Cahyono, Budi
Psychosocia : Journal of Applied Psychology and Social Psychology Vol. 4 No. 2 (2026): April 2026
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/psychosocia.v4i2.1376

Abstract

Generalized Anxiety Disorder (GAD) is characterized by excessive and persistent worry accompanied by somatic and cognitive symptoms that impair daily functioning. Although rumination has been widely discussed as a form of repetitive negative thinking, its role as a maladaptive coping mechanism sustaining GAD relapse in the context of occupational stress and shift work remains underexplored. This study presents an analytical descriptive case study integrated with a narrative literature review to examine how rumination contributes to symptom maintenance and relapse in GAD. The case involves a 43-year-old female outpatient evaluated at a psychiatric clinic in Surabaya in 2025. The recurrence of anxiety symptoms was precipitated by an early-retirement offer and rotating shift work, which triggered persistent rumination about financial uncertainty. This cognitive process led to insomnia, concentration difficulties, and inconsistent medication adherence, ultimately resulting in symptom relapse. Literature-based interpretation suggests that intolerance of uncertainty (IU) increases vulnerability to rumination, which sustains autonomic hyperarousal and sleep disturbance, while shift work disrupts circadian rhythms and contributes to inconsistent dosing and fluctuating plasma levels of pharmacotherapy. This case highlights a clinically relevant pathway linking occupational uncertainty, rumination, insomnia, and nonadherence in GAD relapse. Comprehensive management should integrate pharmacotherapy, rumination-focused psychotherapy (e.g., CBT or MCT), adherence education, and consideration of workplace-related stressors to reduce recurrence risk.

Page 6 of 6 | Total Record : 51

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