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{{independent sources|date=April 2015}}
'''Perseverative cognition'''<ref name="BPT2005">{{cite journal | last1 = Brosschot | first1 = J.F. | last2 = Pieper | first2 = S. | last3 = Thayer | first3 = J.F. | year = 2005 | title = Expanding Stress Theory: Prolonged Activation And Perseverative Cognition | journal = Psychoneuroendocrinology | volume = 30 | issue = 10| pages = 1043–9 | doi = 10.1016/j.psyneuen.2005.04.008 | pmid=15939546| s2cid = 21406930 }}</ref><ref name="BGT2006">{{cite journal |
It has been shown to have [[physiological]] effects, such as increased heart rate, blood pressure and cortisol, in daily life as well as under controlled laboratory conditions.<ref name="ZD2011">{{cite journal | last1 = Zoccola | first1 = P.M. | last2 = Dickerson | first2 = S.D. | last3 = Yim | first3 = I. S. | year = 2011 | title = Trait and state perseverative cognition and the cortisol awakening response | journal = Psychoneuroendocrinology | volume = 36 | issue = 4| pages = 592–595 | doi = 10.1016/j.psyneuen.2010.10.004 | pmid=21050668| s2cid = 23748341 }}</ref><ref name="OLMCTVB2015">{{cite journal | last1 = Ottaviani | first1 = C. | last2 = Lonigro | first2 = A. | last3 = Medea | first3 = B. | last4 = Couyoumdjian | first4 = A. | last5 = Thayer | first5 = J.F. | last6 = Verkuil | first6 = B. | last7 = Brosschot | first7 = J.F. | year = 2015 | title = Physiological Concomitants of Perseverative Cognition: A Systematic Review and Meta-Analysis | journal = Psychological Bulletin | volume = 142| issue = 3| pages = 231–259| doi = 10.1037/bul0000036 | pmid = 26689087 }}</ref> Because of these physiological effects, the psychological concept of perseverative cognition helps to explain how [[psychological stress]], such as [[work stress]] and marital stress, leads to disease, such as [[cardiovascular disease]].
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