The perseverative cognition hypothesis: A review of worry, prolonged stress-related physiological activation, and health

Brosschot, J. F.; Gerin, William; Thayer, Julian F.

doi:10.1016/j.jpsychores.2005.06.074

Cited by 1,342 publications

(1,396 citation statements)

References 71 publications

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“…Future research exploring the relationship between affective rumination and problem-solving pondering would be interesting. Finally, much research in the clinical and health literature shows that perserverative cognition (e.g., rumination, worry) is associated with physiological activation (e.g., increased HR, low HRV, and compromised immune function) which may interfere with recovery processes (Brosschot et al, 2006); therefore, including physiological measures of stress and compromised recovery would strengthen the design of this study considerably. However, their inclusion would also increase study complexity and burden on participants.…”

Section: Future Researchmentioning

confidence: 99%

“…While this is the first study to consider the impact of a mindfulness intervention on work-related rumination, previous studies reported in the clinical literature have concluded that mindfulness is effective for the reduction of depressive rumination and worry (for review, see Querstret & Cropley, 2013); and as work-related rumination may share a similar cognitive process with these other forms of perseverative cognition (Brosschot et al, 2006), it would seem logical that a mindfulness intervention may be effective. In addition, previous research has shown that mindfulness interventions may also reduce occupational fatigue in the form of emotional exhaustion (Hulsheger et al, 2013) and burnout (Geller et al, 2010); and there is evidence from empirical studies (e.g., Wolever et al, 2012;Hulsheger et al, 2014;Hulsheger et al, 2015), and systematic reviews of the literature (for review, see Winbush, Gross, & Jreitzer, 2007) to suggest that mindfulness may positively affect sleep.…”

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confidence: 91%

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Internet-based instructor-led mindfulness for work-related rumination, fatigue, and sleep: Assessing facets of mindfulness as mechanisms of change. A randomized waitlist control trial.

Querstret

Cropley

Fife‐Schaw

2017

Journal of Occupational Health Psychology

122

138

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Title. Internet-based instructor-led mindfulness for work-related rumination, fatigue and sleep: assessing facets of mindfulness as mechanisms of change. A randomised waitlist control trial.Abstract. This study aimed to extend our theoretical understanding of how mindfulnessbased interventions exert their positive influence on measures of occupational health.Employing a randomised waitlist control study design, we sought to: (1) assess an Internetbased instructor-led mindfulness intervention for its effect on key factors associated with 'recovery from work', specifically, work-related rumination, fatigue and sleep quality; (2) assess different facets of mindfulness (acting with awareness, describing, non-judging, and non-reacting) as mechanisms of change; and (3) assess whether the effect of the intervention was maintained over time by following up our participants after three and six months.Participants who completed the mindfulness intervention (N=60) reported significantly lower levels of work-related rumination and fatigue, and significantly higher levels of sleep quality, when compared with waitlist control participants (N=58). Effects of the intervention were maintained at three and six month follow-up with medium to large effect sizes. The effect of the intervention was primarily explained by increased levels of only one facet of mindfulness (acting with awareness). This study provides support for online mindfulness interventions to aid recovery from work and furthers our understanding with regards to how mindfulness interventions exert their positive effects.

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Section: Future Researchmentioning

confidence: 99%

mentioning

confidence: 91%

Internet-based instructor-led mindfulness for work-related rumination, fatigue, and sleep: Assessing facets of mindfulness as mechanisms of change. A randomized waitlist control trial.

Querstret

Cropley

Fife‐Schaw

2017

Journal of Occupational Health Psychology

122

138

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“…44 The links between perception, negative affect, and parasympathetic inhibition of subcortical threat circuits now appear to influence physical and psychological illness or health. 45,46 These relationships speak to the plausibility of experimental evidence that interventions that weaken illness perceptions can improve health states, for example quickening a return to work. 47 The clinician has reason therefore to explore and construct with patients the significance of their intuitions, whenever not doing so can compromise patient health; when little or nothing is lost by taking the intuitions seriously; and when it is important to demonstrate responsiveness to what is subjectively important to the patient, such as by providing reassurance or empathy.…”

Section: Significancementioning

confidence: 99%

When Should Patient Intuition be Taken Seriously?

Buetow

Mintoft

2010

J GEN INTERN MED

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As a style of information processing, intuition involves implicit perceptual and cognitive processes that can be quickly and automatically executed without conscious mental will, such that people know more than they can describe. Patient intuition can influence patient and clinician decision-making and behavior. However, physicians may not always see patient intuition as credible or important, and its management in the clinical setting is poorly understood. This paper takes a step toward suggesting conditions under which patient intuition should be taken seriously. These conditions relate to the credibility or accuracy of the intuitive beliefs held by the patient, and their significance to the patient. Credibility may be increased when the intuitions of patients (1) reflect their individualized knowledge, (2) can complement the common absence of scientific evidence in managing health problems, and (3) can quickly and effectively process key information in complex cognitive tasks. Even intuitions that lack credibility can be subjectively rational and meaningful to patients, and help to shape the decisions they and clinicians make.

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“…Besides having an adverse impact on affective states (McLaughlin, Borkovec, Sibrava, 2007, Nolen-Hoeksema, 2000Purdon & Harrington, 2006), persistent negative thought has physiological implications such as increased cardio-vascular, endocrinological, immunological, and neurovisceral activity (Brosschot, Gerin, & Thayer, 2006). However, despite the clinical significance of persistent negative thought, its underlying mechanisms remain poorly understood.…”

Section: Introductionmentioning

confidence: 99%

Worrying and rumination are both associated with reduced cognitive control

Beckwé

Deroost

Koster

et al. 2013

Psychological Research

117

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Persistent negative thought is a hallmark feature of both major depressive disorder and generalized anxiety disorder. Despite its clinical significance, little is known about the underlying mechanisms of persistent negative thought. Recent studies suggest that reduced cognitive control might be an explanatory factor. We investigated the association between persistent negative thought and switching between internal representations in working memory, using the Internal Shift Task (IST). The IST was administered to a group of undergraduates, classified as high-ruminators versus low-ruminators, or highworriers versus low-worriers. Results showed that high-ruminators and high-worriers have more difficulties to switch between internal representations in working memory as opposed to low-ruminators and low-worriers. Importantly, results were only significant when the negative stimuli used in the IST reflected personally relevant worry-themes for the participants. The results of this study indicate that rumination and worrying are both associated with reduced cognitive control for verbal information that is personally relevant.

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The perseverative cognition hypothesis: A review of worry, prolonged stress-related physiological activation, and health

Cited by 1,342 publications

References 71 publications

Internet-based instructor-led mindfulness for work-related rumination, fatigue, and sleep: Assessing facets of mindfulness as mechanisms of change. A randomized waitlist control trial.

Internet-based instructor-led mindfulness for work-related rumination, fatigue, and sleep: Assessing facets of mindfulness as mechanisms of change. A randomized waitlist control trial.

When Should Patient Intuition be Taken Seriously?

Worrying and rumination are both associated with reduced cognitive control

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