Authors: Judith E. Appel; Janna N. Vrijsen; Igor Marchetti; Eni S. Becker; Rose M. Collard; Philip van Eijndhoven; Aart H. Schene; Indira Tendolkar · Research

How Does Repetitive Negative Thinking Impact Mental Health and Physical Illness?

Research explores how repetitive negative thinking patterns affect both mental health conditions and physical illnesses in psychiatric patients

Source: Appel, J. E., Vrijsen, J. N., Marchetti, I., Becker, E. S., Collard, R. M., van Eijndhoven, P., Schene, A. H., & Tendolkar, I. (2021). The Role of Perseverative Cognition for Both Mental and Somatic Disorders in a Naturalistic Psychiatric Patient Sample. Psychosomatic Medicine, 83(9), 1058-1066.

What you need to know

  • Perseverative cognition (repetitive negative thinking) is strongly linked to mood disorders and addiction
  • The relationship between repetitive thinking and anxiety disorders varies depending on the specific condition
  • Surprisingly, repetitive negative thinking was not strongly connected to physical health conditions in this study

The Trouble with Getting Stuck in Our Thoughts

Have you ever found yourself caught in a loop of worried thoughts, replaying the same concerns over and over? This pattern of repetitive negative thinking, which psychologists call “perseverative cognition,” is something many people experience. While some amount of worry is normal, getting stuck in these thought patterns can impact both our mental and physical wellbeing.

Understanding Perseverative Cognition

Perseverative cognition refers to repeatedly activating thoughts about stressful situations or concerns. It includes processes like worry and rumination - the tendency to dwell on problems or negative experiences. These thought patterns are typically:

  • Repetitive and intrusive
  • Difficult to disengage from
  • Perceived as unproductive
  • Mentally draining

Think of it like a broken record that keeps replaying the same troubling track in your mind, making it hard to focus on anything else.

The Mind-Body Connection

Previous research suggested that being stuck in negative thought patterns could affect both mental and physical health by prolonging the body’s stress response. When we worry or ruminate, our bodies maintain a state of physiological arousal - keeping stress hormones elevated and potentially impacting various body systems over time.

What the Research Found

This study examined 260 psychiatric outpatients to better understand how perseverative cognition relates to different mental and physical health conditions. The key findings were:

  1. Strong connections to mood disorders like depression and anxiety
  2. Significant relationship with addiction
  3. Unexpected lack of strong associations with physical health conditions
  4. Varying relationships with different types of anxiety disorders
  5. Limited connections to developmental conditions like autism and ADHD

What This Means for You

If you struggle with repetitive negative thinking:

  1. Recognize that these thought patterns may be maintaining or worsening mood-related conditions
  2. Consider seeking treatment that specifically targets repetitive thinking patterns
  3. Know that cognitive behavioral therapy and other approaches can help break these cycles
  4. Remember that while these thoughts feel compelling, they aren’t necessarily productive
  5. Practice mindfulness and other techniques to help disengage from repetitive thoughts

Conclusions

  • Repetitive negative thinking appears most strongly linked to mood disorders and addiction
  • Different types of anxiety disorders may be affected differently by perseverative cognition
  • While physical health wasn’t strongly connected to repetitive thinking in this study, more research is needed to understand potential long-term impacts
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