The DOI matches its Crossref record; 36 of the 37 references it cites were found in a registry or an index.
Expanding stress theory: Prolonged activation and perseverative cognition
Abstract
Several theories of the stress-disease link have now incorporated prolonged activation. This article argues that these theories still lack an important element, that is, the cognitive nature of the mechanism that causes stress responses to be sustained. The perception of stress and the initial response to it do not automatically lead to prolonged activation. The active cognitive representations of stressors need to be prolonged in order to extend their physiological concomitants. We call this mediating process perseverative cognition, and it is manifested in phenomena such as worry, rumination, and anticipatory stress. We summarize evidence suggesting that these phenomena are indeed associated with physiological activation, including cardiovascular, endocrinological and immunological parameters. This evidence is still far from sufficient, due to the many methodological insufficiencies in the studies involved. Nevertheless, it makes clear that cognitive phenomena characterized by perseverative cognition may be likely candidates to mediate the effects of stress sources on somatic disease. We also argue that there is a dearth of evidence supporting the role of prolonged activation. There are a limited number of studies demonstrating prolonged activity related to stressors and emotional episodes, and their methodologies often do not allow unambiguous conclusions. Even more important, the crucial assumption that prolonged activation actually leads to pathogenic states and disease has received hardly any attention yet and therefore is still largely unsupported. There are only a few studies that showed that anticipatory responses and slow recovery from stress predicted disease states.
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“Rumination, in particular, has been implicated in poor post-stress recovery (Brosschot et al., 2005).”
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Metadata
- Authors
- Brosschot, J. F., Pieper, S., & Thayer, J. F.
- Affiliations
- Leiden University (NL)
- National Institute on Aging (US)
- Corresponding author
- Brosschot, Jos F.
- Venue
- Psychoneuroendocrinology
- Publisher
- Elsevier BV
- Published
- 2005-11
- Volume
- 30
- Issue
- 10
- Pages
- 1043-1049
- ISSN
- 0306-4530 (ISSN-L)
- OpenAlex
- W2132541524
- Cited by
- 532
- References
- 37
- Citations by year
- 2026: 16 · 2025: 28 · 2024: 20 · 2023: 40 · 2022: 28 · 2021: 35 · 2020: 29 · 2019: 29 · 2018: 31 · 2017: 32 · 2016: 35 · 2015: 23 · 2014: 23 · 2013: 22 · 2012: 23
- FWCI
- 6.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychoneuroendocrinology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- perseverative cognition, worry, rumination, anticipatory stress, immune activation, stress recovery
- MeSH terms
- Cognition, Humans, Risk Factors, Stress, Psychological
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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