The perseverative cognition hypothesis: a review of worry, prolonged stress-related physiological activation, and health
Brosschot JF · Gerin W · Thayer JF
Journal of psychosomatic research · 2006
What the research tells us
The perseverative-cognition hypothesis proposes that worry, rumination, anticipation and post-event processing can extend physiological activation beyond a stressor. It motivates measuring the event, repetitive thought and subsequent physiology together. The paper also notes that direct evidence for objective disease outcomes was limited.
Scope & interpretation
State and trait measures differ across this narrative review, which provides no single pooled effect. Perseverative cognition, general negative affect and causal pathways to chronic disease require separate tests.
Study at a glance
- POPULATION & SAMPLE
- Literature on worry, rumination and anticipatory stress; no new trial sample.
- EXPOSURE / INTERVENTION / SUBJECT
- Repetitive cognition before and after stressors and prolonged autonomic or endocrine activation.
- OUTCOMES
- Physiological activation and possible health consequences, with disease evidence considered separately.
- TIME FRAME
- Anticipatory, post-event and longer-term processes; no uniform observation window.
Cited on this site
Editorial & review record
Record for v0.3 · Updated
Editorial responsibility: TAP Editorial Team
Editorial note
Under the editorial responsibility of the TAP Editorial Team, this publication used AI assistance for content organization and editing.
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How responsibilities and review are recorded ↗Scope of this reading note
Author-uploaded web full text: definition, central argument, disease evidence and conclusion. Tables, all references and separate disclosures have not been fully checked.
- Funding & competing interests
- Funding and competing-interest details have not been verified against the full text. Consult the original publication’s declarations.
Project support
Founded and supported by Resilio.
Revision history
- · v0.3
Added the author-text definition of perseverative cognition and limitations of the disease evidence.