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A prospective study of positive psychological well-being and coronary heart disease.

Open access
Boehm, Julia K., Peterson, Christopher, Kivimaki, Mika, Kubzansky, Laura·2011·Health Psychology

Abstract

OBJECTIVE: Research suggests that positive psychological well-being is associated with cardiovascular health. However, much of this research uses elderly samples and has not determined the pathways by which psychological well-being influences cardiovascular disease or whether effects are similar for men and women. This study investigates the association between two aspects of well-being (emotional vitality and optimism) and coronary heart disease (CHD) in a sample of middle-aged men and women, and considers potential mediating factors. METHOD: Between 1991 and 1994, well-being and coronary risk factors were assessed among 7,942 individuals without a prior cardiovascular event from the Whitehall II cohort. Incident CHD (fatal CHD, first nonfatal myocardial infarction, or first definite angina) was tracked during 5 person-years of follow-up. RESULTS: Positive psychological well-being was associated with reduced risk of CHD with an apparent threshold effect. Relative to people with the lowest levels of well-being, those with the highest levels had minimally adjusted hazard ratios of 0.74, 95% confidence interval [0.55, 0.98] for emotional vitality and 0.73, 95% confidence interval [0.54, 0.99] for optimism. Moreover, the association was strong for both genders and was only weakly attenuated when accounting for ill-being. Neither health-related behaviors nor biological factors explained these associations. CONCLUSIONS: Positive psychological well-being was associated with a modest, but consistent reduced risk of incident CHD. The relationship was comparable for men and women, and was maintained after controlling for cardiovascular risk factors and ill-being. Additional research is needed to identify underlying mechanisms and investigate whether interventions to increase well-being may enhance cardiovascular health.

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Metadata

Authors
Boehm, J. K., Peterson, C., Kivimaki, M., & Kubzansky, L.
Venue
Health Psychology
Published
2011-05
Volume
30
Issue
3
Pages
259-267
ISSN
  • 0278-6133 (ISSN-L)
  • 1930-7810
OpenAlex
W2100895414
Cited by
203
References
19
FWCI
7.59
Type
journal article
Language
en
Open access
green
Funders
  • Robert Wood Johnson Foundation (63597)
  • National Institute on Aging (AG13196)
  • National Heart, Lung, and Blood Institute (HL36310)
  • British Heart Foundation

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CoChat. (2026). Citation check: A prospective study of positive psychological well-being and coronary heart disease. https://app.cochat.ai/papers/10.1037/a0023124
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Boehm, J. K., Peterson, C., Kivimaki, M., & Kubzansky, L. (2011). A prospective study of positive psychological well-being and coronary heart disease. Health Psychology. https://doi.org/10.1037/a0023124

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