Mastery, sense of coherence, and mortality: Evidence of independent associations from the epic-norfolk prospective cohort study.
Abstract
This study investigated the association between 2 distinct personal coping resources (mastery and sense of coherence) and all-cause, cardiovascular, and cancer mortality. During follow-up (up to 6 years), 994 deaths were recorded among 20,323 participants, ages 41 to 80 years, in the European Prospective Investigation into Cancer Study in the United Kingdom. A strong sense of mastery was associated with lower rates of mortality from all causes, cardiovascular disease, and cancer, after adjusting for age, sex, and prevalent chronic physical disease. The association with all-cause mortality was observed for both men and women and remained following further adjustment for cigarette smoking, social class, hostility, neuroticism, and extroversion. Analysis of the joint association between mastery and sense of coherence revealed both personal coping dispositions to be independently associated with lower rates of all-cause mortality. In addition, these data suggested that the association for mastery was specific to cardiovascular mortality, whereas the association for sense of coherence was specific to cancer mortality. These results may aid future study of coping resources as determinants of persistent well-being.
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In a large British national cohort, lower mastery was a risk factor for all-cause, CVD, and cancer death over 6 years.
“In a large British national cohort, lower mastery was a risk factor for all-cause, CVD, and cancer death over 6 years [126]”
From Personality and Longevity: Knowns, Unknowns, and Implications for Public Health and Personalized Medicine (2011) · cites this paper as [126]
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- Authors
- Surtees, P. G., Wainwright, N. W. J., Luben, R., Khaw, K.-T., & Day, N. E.
- Affiliations
- University of Cambridge (GB)
- Venue
- Health Psychology
- Published
- 2006
- Volume
- 25
- Issue
- 1
- Pages
- 102-110
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W2058312082
- Cited by
- 115
- References
- 90
- Citations by year
- 2025: 1 · 2024: 6 · 2023: 1 · 2022: 3 · 2021: 6 · 2020: 6 · 2019: 7 · 2018: 8 · 2017: 10 · 2016: 7 · 2015: 5 · 2014: 8 · 2013: 4 · 2012: 8
- FWCI
- 11.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Wellcome Trust
- Topics
- Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Keywords
- mastery, sense of coherence, mortality, all-cause mortality, cardiovascular mortality, cancer mortality, coping resources, personality traits, EPIC-Norfolk cohort, well-being
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Cardiovascular Diseases, England, Female, Humans, Male, Middle Aged, Mortality, Neoplasms, Prospective Studies, Cohort Studies
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