The DOI matches its Crossref record; 84 of the 84 references it cites were found in a registry or an index.
Positive affect uniquely predicts lower risk of mortality in people with diabetes.
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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In the citing paper
“sub-analyses from this study indicated that enjoyment of life (a component of positive affect) reduced the risk of mortality in people with diabetes mellitus.”
From Type 2 diabetes mellitus and psychological stress — a modifiable risk factor (2017) · cites this paper as [134]
In the citing paper
“NHEFS cohort n = 3,388 ( n = 715 with diabetes mellitus); 10 year follow-up | Positive affect sub-scale of the CES-D (assessed by four components: self- esteem; hopeful; happy; and life enjoyment) | ‡ Positive affect reduced risk of mortality HR 0.87 (95% CI 0.76- 0.99). Not robust to adjustment for covariates.”
From Type 2 diabetes mellitus and psychological stress — a modifiable risk factor (2017) · cites this paper as Moskowitz (2008) 128
In the citing paper
“This work is built upon the importance of positive emotion in the maintenance of psychological and physical well-being [11] and evidence that positive emotion is uniquely associated with a lower risk of morbidity and mortality in healthy and chronically ill samples, independent of the effects of negative emotion [12-15].”
In the citing paper
“In T2D, positive psychological states (e.g., positive affect, well-being) are prospectively associated with lower HbA1c, fewer diabetes complications, and lower rates of cardiac events/mortality [26–28]”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [26]
In the citing paper
“Finally, as opposed to a focus on mindfulness, PP specifically targets behaviors (e.g., leveraging past success) and positive attributes (e.g., positive affect and optimism) that have been associated with increased participation in health behaviors and superior medical outcomes [26, 28, 29].”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [26]
In the citing paper
“In patients with diabetes, psychological well-being constructs (e.g., optimism, positive affect) have been associated with superior medical outcomes, including better glucose control and lower mortality rates.”
From Well-being interventions for individuals with diabetes: A systematic review (2019) · cites this paper as [24]
Citations
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ФАКТОРЫ ПСИХОЛОГИЧЕСКОГО БЛАГОПОЛУЧИЯ ЛЮДЕЙ ПОЖИЛОГО ВОЗРАСТА
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What good are positive emotions?
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Positive Emotions Trigger Upward Spirals Toward Emotional Well-Being
Fredrickson, B. L., & Joiner, T. (2002) · Psychological Science · doi:10.1111/1467-9280.00431 · Cited by 2,655
Positive affect and the other side of coping.
Folkman, S., & Moskowitz, J. T. (2000) · American Psychologist · doi:10.1037/0003-066x.55.6.647 · Cited by 2,471
Self-citationAppraisal Processes in Emotion: Theory, Methods, Research
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Cited by
Sorted by citations
Happy People Live Longer: Subjective Well‐Being Contributes to Health and Longevity
Diener, E., & Chan, M. Y. (2011) · Applied Psychology: Health and Well-Being · doi:10.1111/j.1758-0854.2010.01045.x · Cited by 2,260
Happy People Live Longer: Subjective Well-Being Contributes to Health and Longevity
Diener, E., & Chan, M. Y. (2010) · PsycEXTRA Dataset · doi:10.1037/e675972011-001 · Cited by 727
Purpose in life is associated with mortality among community-dwelling older persons
Boyle, P. A., Barnes, L. L., Buchman, A. S., & Bennett, D. A. (2009) · Psychosomatic Medicine · doi:10.1097/psy.0b013e3181a5a7c0 · Cited by 526
A functional genomic perspective on human well-being
Fredrickson, B. L., Grewen, K. M., Coffey, K. A., Algoe, S. B., Firestine, A. M., Arevalo, J. M. G., Ma, J., & Cole, S. W. (2013) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1305419110 · Cited by 512
Type 2 diabetes mellitus and psychological stress — a modifiable risk factor
Hackett, R. A., & Steptoe, A. (2017) · Nature Reviews Endocrinology · doi:10.1038/nrendo.2017.64 · Cited by 480
Metadata
- Authors
- Moskowitz, J. T., Epel, E. S., & Acree, M.
- Affiliations
- University of California, San Francisco (US)
- Venue
- Health Psychology
- Published
- 2008-01
- Volume
- 27
- Issue
- 1, Suppl
- Pages
- S73-S82
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- 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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