Cited by 187Cardiac Health and Mental HealthOptimism, Hope, and Well-beingPsychological Well-being and Life Satisfaction

Relationships between positive psychological constructs and health outcomes in patients with cardiovascular disease: A systematic review

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DuBois, Christina M., Lopez, Oriana Vesga, Beale, Eleanor E., Healy, Brian C., Boehm, Julia K., Huffman, Jeff C.·2015·International Journal of Cardiology

Abstract

Depression and anxiety are well-known to be associated with adverse health outcomes in cardiac patients. However, there has been less work synthesizing the effects of positive psychological constructs (e.g., optimism) on health-related outcomes in cardiac patients. We completed a systematic review of prospective observational studies using established guidelines. A search of PubMed and PsycINFO databases from inception to January 2014 was used to identify articles. To be eligible, studies were required to assess effects of a positive psychological construct on subsequent health-related outcomes (including mortality, rehospitalizations, self-reported health status) in patients with established heart disease. Exploratory random effects' meta-analyses were performed on the subset of studies examining mortality or rehospitalizations. Seventy-seven analyses from 30 eligible studies (N=14,624) were identified. Among studies with 100 or more participants, 65.0% of all analyses and 64.7% of analyses adjusting for one or more covariates reported a significant (p<.05) association between positive psychological constructs and subsequent health outcomes. An exploratory meta-analysis of 11 studies showed that positive constructs were associated with reduced rates of rehospitalization or mortality in unadjusted (odds ratio=.87; 95% confidence interval [.83, .92]; p<.001) and adjusted analyses (odds ratio=.89; 95% confidence interval [.84, .91]; p<.001); there was little suggestion of publication bias. Among cardiac patients, positive psychological constructs appear to be prospectively associated with health outcomes in most but not all studies. Additional work is needed to identify which constructs are most important to cardiac health, and whether interventions can cultivate positive attributes and improve clinical outcomes.

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Crossref · 10.1016/j.ijcard.2015.05.121

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  • Cardiovascular researchers have identified that optimism, positive psychological constructs, and subjective well-being are linked to significantly better cardiovascular outcomes, decreased rehospitalization and reduced risk of mortality.

    “Cardiovascular researchers have identified that optimism, positive psychological constructs, and subjective well‐being are linked to significantly better cardiovascular outcomes, decreased rehospitalization and reduced risk of mortality. 19 , 21 , 64 , 65 , 66”

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  1. [72]Rasmussen H Scheier M Greenhouse J Optimism and physical health: a meta-analytic review Ann Behav Med 2009 37 239 56 19711142 PMC2941870

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Authors
DuBois, C. M., Lopez, O. V., Beale, E. E., Healy, B. C., Boehm, J. K., & Huffman, J. C.
Affiliations
  • Massachusetts General Hospital (US)
  • Harvard University (US)
  • Chapman University (US)
Corresponding author
Huffman, Jeff C.
Venue
International Journal of Cardiology
Publisher
Elsevier BV
Published
2015-09
Volume
195
Pages
265-280
ISSN
0167-5273 (ISSN-L)
OpenAlex
W1552694281
Cited by
187
References
83
Citations by year
2026: 7 · 2025: 18 · 2024: 15 · 2023: 15 · 2022: 17 · 2021: 15 · 2020: 23 · 2019: 20 · 2018: 23 · 2017: 17 · 2016: 13 · 2015: 3
FWCI
3.22
Type
journal article
Language
en
Open access
Locations
  • International Journal of Cardiology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • Chapman University Digital Commons (Chapman University) (submittedVersion, cc-by-nc-nd)
Funders
  • National Institutes of Health
  • National Heart, Lung, and Blood Institute (R01HL113272)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
  • Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
Keywords
cardiovascular disease, optimism, health outcomes, mortality, hospital readmission, self-rated health, cardiac patients, positive psychology interventions
MeSH terms
Optimism, Attitude to Health, Cardiovascular Diseases, Humans, Treatment Outcome, Sickness Impact Profile

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