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It is also discussed in another article<ref name="BVT2010" /> that these worries create psychological issues that in turn create physical negative outcomes. It is not, as the article claims, the events themselves that create the physical issues, but rather the consistent worrying about them that causes the 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.<ref name=":0" /> 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.<ref name=":0" /> One article describes the physical components as a response to the thoughts, “as if the individual were facing an external stressor”.<ref name=":1">{{Cite journal|last=Van Laethem|first=Michelle|last2=Beckers|first2=Debby G. J.|last3=Geurts|first3=Sabine A. E.|last4=Garefelt|first4=Johanna|last5=Magnusson Hanson|first5=Linda L.|last6=Leineweber|first6=Constanze|date=2017-09-12|title=Perseverative Cognition as an Explanatory Mechanism in the Relation Between Job Demands and Sleep Quality|journal=International Journal of Behavioral Medicine|volume=25|issue=2|pages=231–242|doi=10.1007/s12529-017-9683-y|pmid=28900837|issn=1070-5503|pmc=5852204}}</ref> 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.
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=January 2020|title=Can't get it off my brain: Meta-analysis of neuroimaging studies on perseverative cognition|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=April 2015|title=Cognitive rigidity is mirrored by autonomic inflexibility in daily life perseverative cognition|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=February 2018|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|journal=Journal of Traumatic Stress|volume=31|issue=1|pages=25–34|doi=10.1002/jts.22252|pmc=6190589|issn=0894-9867|pmid=29388694}}</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|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.
In addition, perseverative cognition has potential to make other mental illnesses worse. In another article, its effect on Posttraumatic Stress Disorder.<ref name=":4" /> They found that with severe PTSD and the perseverative cognition, it correlated with less recovery regarding cardiovascular disease.
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