Cardiovascular Disease and Psychiatric Comorbidity The Potential Role of Perseverative Cognition英文文献资料.docVIP

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Cardiovascular Disease and Psychiatric Comorbidity The Potential Role of Perseverative Cognition英文文献资料.doc

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Cardiovascular Disease and Psychiatric Comorbidity The Potential Role of Perseverative Cognition英文文献资料

HindawiPublishingCorporation CardiovascularPsychiatryandNeurology Volume2009,ArticleID791017,8pages doi:10.1155/2009/791017 Hypothesis CardiovascularDiseaseandPsychiatricComorbidity:The PotentialRoleofPerseverativeCognition BrittaA.LarsenandNicholasJ.S.Christenfeld DepartmentofPsychology,UniversityofCalifornia,SanDiego,9500GilmanDrive,LaJolla,CA92093-0109,USA CorrespondenceshouldbeaddressedtoBrittaA.Larsen,blarsen@ Received16March2009;Accepted1June2009 RecommendedbyHariManev Thehighcomorbiditybetweenpsychiatricdisordersandcardiovasculardiseasehasreceivedincreasingattention,yetlittleisknown abouttheprocesseslinkingthetwo.Oneplausiblecontributingmechanismisthetendencyofthosewithpsychiatricdisorders toruminateonstressfulevents.Thisphenomenon,sometimescalledperseverativecognition,canextendthepsychologicaland physiologicale?ectsofstress,whichcouldcontributetocardiovasculardiseaseetiology.Inthispaper,wediscussthepotentialrole ofperseverativecognitioninmediatingtherelationshipbetweenpsychiatricillnessandcardiovasculardisease.Ruminationcan delayphysiologicalrecoveryfromacutestress,whichinturnhasbeenfoundtopredictfuturecardiovascularhealth.Thisdelayed recoverycouldactasamechanisminthelongitudinallinkbetweenworryandcardiovascularhealth.Thecognitivein?exibility thatcharacterizesmoodandanxietydisordersmaythencontributetodiseasenotbyproducinggreaterreactivity,butinstead throughextendingactivation,increasingtherisksforcardiovasculardamage. Copyright?2009B.A.LarsenandN.J.S.Christenfeld.ThisisanopenaccessarticledistributedundertheCreativeCommons AttributionLicense,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkis properlycited. 1.Introduction presentingcardiacsymptoms(see[9]),suggestingapossible bidirectionalmodelofcomorbidity.Anotherpossibilityisa behavioral link, as behaviors associated with development of CVD, such as smoking, a sedentary lifestyle, and social isolation,arealsoassociatedwithmoodandanxietydisor- ders [4]. That there i