Optimism During Hospitalization for First Acute Myocardial Infarction and Long-Term Mortality Risk
Abstract
Objective To assess the association between dispositional optimism, defined as generalized positive expectations about the future, and long-term mortality in young survivors of myocardial infarction (MI). Patients and methods A subcohort of 664 patients 65 years and younger, drawn from the longitudinal Israel Study of First Acute Myocardial Infarction, completed an adapted Life Orientation Test (LOT) questionnaire during their index hospitalization between February 15, 1992, and February 15, 1993. Additional sociodemographic, clinical, and psychosocial variables were assessed at baseline; mortality follow-up lasted through December 31, 2015. Cox proportional hazards regression models were fit to assess the hazard ratios for mortality associated with LOT-derived optimism. Results The mean age of the participants was 52.4±8.6 years; 98 (15%) were women. The median follow-up period was 22.4 years (25th-75th percentiles, 16.1-22.8 years), during which 284 patients (43%) had died. The mean LOT score was 16.5±4.1. Incidence density rates for mortality in increasing optimism tertiles were 25.4, 25.8, and 16.0 per 1000 person-years, respectively (P Conclusion Higher levels of optimism during hospitalization for MI were associated with reduced mortality over a 2-decade follow-up period. Optimism training and positive psychology should be examined as part of psychosocial interventions and rehabilitation after MI.
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In individuals with established CVD, optimism is linked to more favorable cardiovascular outcomes.
“In individuals with established CVD, optimism has similarly been linked to more favorable cardiovascular outcomes. 68,69”
From Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association (2021) · cites this paper as [69]
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- Authors
- Weiss-Faratci, N., Lurie, I., Benyamini, Y., Cohen, G., Goldbourt, U., & Gerber, Y.
- Affiliations
- Hebrew University of Jerusalem (IL)
- Tel Aviv University (IL)
- Corresponding author
- Gerber, Yariv
- Venue
- Mayo Clinic Proceedings
- Publisher
- Elsevier BV
- Published
- 2017-01
- Volume
- 92
- Issue
- 1
- Pages
- 49-56
- ISSN
- 0025-6196 (ISSN-L)
- OpenAlex
- W2551159504
- Cited by
- 21
- References
- 9
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 6 · 2020: 3 · 2019: 2 · 2018: 1 · 2017: 3
- FWCI
- 3.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Mayo Clinic Proceedings (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Acute Myocardial Infarction Research
- Keywords
- dispositional optimism, acute myocardial infarction, long-term mortality, Life Orientation Test, psychosocial factors, optimism training, positive psychology, psychosocial rehabilitation
- MeSH terms
- Optimism, Female, Humans, Inpatients, Israel, Longitudinal Studies, Male, Middle Aged, Myocardial Infarction, Proportional Hazards Models, Survivors
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