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'''The 'perseverative cognition hypothesis{{'}}'''<ref name="BGT2006" /> holds that stressful events cannot affect people's health, unless they think repetitively or continuously (that is, 'perseverate cognitively') about these stressful events. Stressful events themselves are often too short, as are the physiological responses to them. Therefore the physiological responses during these stressors are unlikely to cause bodily harm. More importantly, many stressful events are merely worried about, or feared in the future, while they often do not happen or do not have the feared consequences. Nevertheless, the body reacts with prolonged physiological responses to continuous thoughts (perseverative cognition) about these stressors. Therefore it is the perseverative cognition, and not the stressors that can eventually lead to disease. In scientific terms, it is said that perseverative cognition is a [[wikt:Special:Search/mediator|mediator]] of the detrimental effects of [[stress (psychological)|stress]] on one's health. Since its publication scientific evidence for this hypothesis has been accumulating.<ref name="VBGT2010"/><ref name = "GS2006">{{cite journal | last1 = Geurts | first1 = S.A. | last2 = Sonnentag | first2 = S. | year = 2006 | title = Recovery as an explanatory mechanism in the relation between acute stress reactions and chronic health impairment | url = | journal = Scandinavian Journal of Work and Environtal Health | volume = 32 | issue = 6| pages = 482–92 | doi = 10.5271/sjweh.1053 }}</ref><ref name = "LC2009">{{cite journal | last1 = Larsen | first1 = B.A | last2 = Christenfeld | first2 = N.J.S. | year = 2009 | title = Cardiovascular Disease and Psychiatric Comorbidity: The Potential Role of Perseverative Cognition | url = | journal = Cardiovascular Psychiatry and Neurology | volume = 2009| issue = | pages = 1–8| doi = 10.1155/2009/791017 | pmid = 20029626 | pmc = 2790803 }}</ref><ref name = "FMBK2012">{{cite journal | last1 = Flaxman | first1 = P. E. | last2 = Ménard | first2 = J. | last3 = Bond | first3 = F. W. | last4 = Kinman | first4 = G. | year = 2012 | title = Academics' experiences of a respite from work: Effects of self-critical perfectionism and perseverative cognition on postrespite well-being | url = | journal = Journal of Applied Psychology | volume = 97 | issue = 4| pages = 854–865 | doi = 10.1037/a0028055 | pmid=22545621}}</ref>
▲Wikipedia page). Further, it is the thought about the stress, or rather the obsessing over it, that causes stress and disease to be linked to it. Perseverative cognition also focuses on the effects that worry over things that will occur in the future have on the physical body and mind (Footnote 2 on Wikipedia). This could suggest that obsessive worrying over past events or the future could lead to physical issues.
In another article, it is discussed that perseverative cognition increases heart rate, and also impacts parts of the brain, notably in the prefrontal and amygdala areas (Footnote 16). There is a connection between the brain and the heart when it comes to perseverative cognition. When present, it impacts not only mental facilities, but also physical components (Footnote 16). One article describes the physical components as a response to the thoughts, “as if the individual were facing an external stressor” (Footnote 18). The article also talks about how obsessive thoughts of worry lead to greater depression. Cognitive perseverance leads to multiple issues, ranging from mood to heart rate. ▼
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In addition, perseverative cognition has potential to make other mental illnesses worse. In another article, its effect on Posttraumatic Stress Disorder (Footnote 20). They found that with severe PTSD and the perseverative cognition, it correlated with less recovery regarding cardiovascular disease.▼
Cognitive perseverance not only impacts mental and physical processing, but it also has the possibility of impacting sleep, as explored in one article<ref name=":2">{{Cite journal|last=Makovac|first=Elena|last2=Fagioli|first2=Sabrina|last3=Rae|first3=Charlotte L.|last4=Critchley|first4=Hugo D.|last5=Ottaviani|first5=Cristina|date=2020-01|title=Can't get it off my brain: Meta-analysis of neuroimaging studies on perseverative cognition|url=http://dx.doi.org/10.1016/j.pscychresns.2019.111020|journal=Psychiatry Research: Neuroimaging|volume=295|pages=111020|doi=10.1016/j.pscychresns.2019.111020|issn=0925-4927}}</ref>. In this article, the impact of obsessive worrying regarding jobs, therefore creating perseverative cognition, on sleep was explored. They found that there was a correlation between excessive job centered perseverative cognition and a lack of good sleep. Perseverative cognition impacts several parts of life. Another article<ref name=":3">{{Cite journal|last=Ottaviani|first=Cristina|last2=Medea|first2=Barbara|last3=Lonigro|first3=Antonia|last4=Tarvainen|first4=Mika|last5=Couyoumdjian|first5=Alessandro|date=2015-04|title=Cognitive rigidity is mirrored by autonomic inflexibility in daily life perseverative cognition|url=http://dx.doi.org/10.1016/j.biopsycho.2015.02.011|journal=Biological Psychology|volume=107|pages=24–30|doi=10.1016/j.biopsycho.2015.02.011|issn=0301-0511}}</ref> talks about how poor sleep could happen when one had perseverative cognition. The article uses the term mind wandering to talk about “persistent and repetitive” thoughts<ref name=":4">{{Cite journal|last=Kibler|first=Jeffrey L.|date=2018-02|title=An Extension of the Perseverative Cognition Hypothesis to Posttraumatic Stress Disorder Symptomatology: Cardiovascular Recovery in Relation to Posttraumatic Stress Disorder Severity and Cognitive Appraisals of Stress|url=http://dx.doi.org/10.1002/jts.22252|journal=Journal of Traumatic Stress|volume=31|issue=1|pages=25–34|doi=10.1002/jts.22252|issn=0894-9867}}</ref> and correlates with other mental disorders. Perseverative cognition can affect more than physical components, as stated earlier. The same article<ref name=":5">{{Cite journal|last=Ottaviani|first=Cristina|date=2018-04-01|title=Brain-heart interaction in perseverative cognition|url=http://dx.doi.org/10.1111/psyp.13082|journal=Psychophysiology|volume=55|issue=7|pages=e13082|doi=10.1111/psyp.13082|issn=0048-5772}}</ref> also talked about how mental rigidity ties in with perseverative cognition and impacts individuals in multiple ways.
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==References==
<references/><ref name=":5" /><ref name=":0" /><ref name=":2" /><ref name=":1" /><ref name=":4" /><ref name=":3" />
[[Category:Cognitive psychology]]
[[Category:Stress]]
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