Cited by 192Psychological Well-being and Life SatisfactionOptimism, Hope, and Well-beingAging and Gerontology Research

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Positive affect uniquely predicts lower risk of mortality in people with diabetes.

Moskowitz, Judith Tedlie, Epel, Elissa S., Acree, Michael·2008·Health Psychology

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Abstract

OBJECTIVE: To determine whether positive affect predicts mortality among people with diabetes and among a comparison group of people with no chronic health conditions. DESIGN: Longitudinal cohort study. MAIN OUTCOME MEASURE: Mortality. RESULTS: Positive affect was significantly associated with lower risk of all-cause mortality in people with diabetes (N = 715). Enjoyed life was associated with lower risk of mortality over and above the effects of negative affect or other significant predictors of mortality. In a comparison sample without chronic illness (N = 2,673), positive affect was not associated with mortality. However, when the analysis was restricted to those over the age of 65, specific positive affects, in particular hopeful and enjoyed life were significantly associated with lower risk of mortality, again independent of negative affect. Enjoyed life remained significantly predictive of lower risk of mortality in the older sample when other predictors of mortality were statistically controlled. Positive affect was particularly protective among those over the age of 65 who reported higher levels of stress. CONCLUSION: These findings are discussed in light of possible stress-buffering functions of positive affect.

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Foreword
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Change that Lasts
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Effect or Function?
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List of Tables
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Follow the Data
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Feeling as One
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Do or Undo?
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Dedication
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Psychological Resilience Profiles and Their Association with Socioemotional Health and HbA1c Among African American Adults with Type 2 Diabetes: A Latent Profile Analysis
Montero‐Zamora, P., Lehrer, H. M., Welsh, A. M., Wang, T., McLaurin, N., Dubois, S. K., Tanaka, H., & Steinhardt, M. A. (2026) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-026-03056-1

Authors: Moskowitz, J. T., Epel, E. S., & Acree, M.
Affiliations: University of California, San Francisco (US)
ORCID: Moskowitz, Judith Tedlie
Epel, Elissa S.
Acree, Michael
Venue: Health Psychology
Publisher: American Psychological Association (APA)
Published: 2008-01
Volume: 27
Issue: 1, Suppl
Pages: S73-S82
ISSN: 0278-6133 (ISSN-L)
1930-7810
DOI: 10.1037/0278-6133.27.1.s73
OpenAlex: W2050445010
Cited by: 191
References: 83
Citations by year: 2026: 4 · 2025: 15 · 2024: 6 · 2023: 12 · 2022: 9 · 2021: 5 · 2020: 20 · 2019: 15 · 2018: 14 · 2017: 8 · 2016: 9 · 2015: 9 · 2014: 6 · 2013: 14 · 2012: 16
FWCI: 12.90
Type: journal article
Language: en
Open access: closed
Locations: Health Psychology (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
Social Sciences › Psychology › Developmental and Educational Psychology › Aging and Gerontology Research
Keywords: positive affect, negative affect, diabetes mellitus, mortality, all-cause mortality, hope, stress buffering, older adults, chronic disease, emotional well-being
MeSH terms: Adult, Aged, Attitude, Diabetes Mellitus, Emotions, Humans, Interviews as Topic, Longitudinal Studies, Male, Middle Aged, Surveys and Questionnaires, United States, Health Behavior, Case-Control Studies

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Positive affect uniquely predicts lower risk of mortality in people with diabetes.

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