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Cardiovascular Disease and Psychiatric Comorbidity: The Potential Role of Perseverative Cognition

The high comorbidity between psychiatric disorders and cardiovascular disease has received increasing attention, yet little is known about the processes linking the two. One plausible contributing mechanism is the tendency of those with psychiatric disorders to ruminate on stressful events. This phe...

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Detalles Bibliográficos
Autores principales: Larsen, Britta A., Christenfeld, Nicholas J. S.
Formato: Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2790803/
https://www.ncbi.nlm.nih.gov/pubmed/20029626
http://dx.doi.org/10.1155/2009/791017
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author Larsen, Britta A.
Christenfeld, Nicholas J. S.
author_facet Larsen, Britta A.
Christenfeld, Nicholas J. S.
author_sort Larsen, Britta A.
collection PubMed
description The high comorbidity between psychiatric disorders and cardiovascular disease has received increasing attention, yet little is known about the processes linking the two. One plausible contributing mechanism is the tendency of those with psychiatric disorders to ruminate on stressful events. This phenomenon, sometimes called perseverative cognition, can extend the psychological and physiological effects of stress, which could contribute to cardiovascular disease etiology. In this paper, we discuss the potential role of perseverative cognition in mediating the relationship between psychiatric illness and cardiovascular disease. Rumination can delay physiological recovery from acute stress, which in turn has been found to predict future cardiovascular health. This delayed recovery could act as a mechanism in the longitudinal link between worry and cardiovascular health. The cognitive inflexibility that characterizes mood and anxiety disorders may then contribute to disease not by producing greater reactivity, but instead through extending activation, increasing the risks for cardiovascular damage.
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spelling pubmed-27908032009-12-22 Cardiovascular Disease and Psychiatric Comorbidity: The Potential Role of Perseverative Cognition Larsen, Britta A. Christenfeld, Nicholas J. S. Cardiovasc Psychiatry Neurol Hypothesis The high comorbidity between psychiatric disorders and cardiovascular disease has received increasing attention, yet little is known about the processes linking the two. One plausible contributing mechanism is the tendency of those with psychiatric disorders to ruminate on stressful events. This phenomenon, sometimes called perseverative cognition, can extend the psychological and physiological effects of stress, which could contribute to cardiovascular disease etiology. In this paper, we discuss the potential role of perseverative cognition in mediating the relationship between psychiatric illness and cardiovascular disease. Rumination can delay physiological recovery from acute stress, which in turn has been found to predict future cardiovascular health. This delayed recovery could act as a mechanism in the longitudinal link between worry and cardiovascular health. The cognitive inflexibility that characterizes mood and anxiety disorders may then contribute to disease not by producing greater reactivity, but instead through extending activation, increasing the risks for cardiovascular damage. Hindawi Publishing Corporation 2009 2009-07-22 /pmc/articles/PMC2790803/ /pubmed/20029626 http://dx.doi.org/10.1155/2009/791017 Text en Copyright © 2009 B. A. Larsen and N. J. S. Christenfeld. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Hypothesis
Larsen, Britta A.
Christenfeld, Nicholas J. S.
Cardiovascular Disease and Psychiatric Comorbidity: The Potential Role of Perseverative Cognition
title Cardiovascular Disease and Psychiatric Comorbidity: The Potential Role of Perseverative Cognition
title_full Cardiovascular Disease and Psychiatric Comorbidity: The Potential Role of Perseverative Cognition
title_fullStr Cardiovascular Disease and Psychiatric Comorbidity: The Potential Role of Perseverative Cognition
title_full_unstemmed Cardiovascular Disease and Psychiatric Comorbidity: The Potential Role of Perseverative Cognition
title_short Cardiovascular Disease and Psychiatric Comorbidity: The Potential Role of Perseverative Cognition
title_sort cardiovascular disease and psychiatric comorbidity: the potential role of perseverative cognition
topic Hypothesis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2790803/
https://www.ncbi.nlm.nih.gov/pubmed/20029626
http://dx.doi.org/10.1155/2009/791017
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