Psychological Interventions in Chronic Kidney Disease: A Comprehensive A Comprehensive Review of Evidence-based Approaches in Clinical Practice

Psychological distress can contribute to maladaptive emotional regulation patterns, including repetitive listening to heartbreak music as a form of self-soothing that may unintentionally reinforce emotional self-harm cycles. This study aimed to examine the psychological predictors of emotional self-harm and evaluate the mediating role of repetitive exposure to heartbreak-related music. The research draws on existing literature in clinical psychology, emotion regulation, and cognitive-behavioral mechanisms. Findings suggest that individuals with higher levels of emotional vulnerability, rumination, and low self-efficacy are more likely to engage in repetitive listening to emotionally painful music, which may maintain or intensify cycles of emotional self-harm. The study highlights the need for clinical attention to music-related coping behaviors, especially in individuals prone to anxiety, depressive tendencies, or maladaptive emotional regulation. Implications for clinical practice and psychological interventions are discussed.