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Don't worry, be happy: positive affect and reduced 10-year incident coronary heart disease: The Canadian Nova Scotia Health Survey
Open accessAbstract
AIMS: Positive affect is believed to predict cardiovascular health independent of negative affect. We examined whether higher levels of positive affect are associated with a lower risk of coronary heart disease (CHD) in a large prospective study with 10 years of follow-up. METHODS AND RESULTS: We examined the association between positive affect and cardiovascular events in 1739 adults (862 men and 877 women) in the 1995 Nova Scotia Health Survey. Trained nurses conducted Type A Structured Interviews, and coders rated the degree of outwardly displayed positive affect on a five-point scale. To test that positive affect predicts incident CHD when controlling for depressive symptoms and other negative affects, we used as covariates: Center for Epidemiological Studies Depressive symptoms Scale, the Cook Medley Hostility scale, and the Spielberger Trait Anxiety Inventory. There were 145 (8.3%) acute non-fatal or fatal ischaemic heart disease events during the 14 916 person-years of observation. In a proportional hazards model controlling for age, sex, and cardiovascular risk factors, positive affect predicted CHD (adjusted HR, 0.78; 95% CI 0.63-0.96 per point; P = 0.02), the covariate depressive symptoms continued to predict CHD as had been published previously in the same patients (HR, 1.04; 95% CI 1.01-1.07 per point; P = 0.004) and hostility and anxiety did not (both P > 0.05). CONCLUSION: In this large, population-based study, increased positive affect was protective against 10-year incident CHD, suggesting that preventive strategies may be enhanced not only by reducing depressive symptoms but also by increasing positive affect.
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“Happiness/more positive affect* | Incident CHD | HR, 0.78 (0.63-0.96) 93”
From Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association (2021) · cites this paper as [93]
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“these constructs have been prospectively and independently linked to improvements in health behaviors.”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [36]
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“Furthermore, the effects of positive states on health behaviors and outcomes in medical illnesses persist even after accounting for negative affect/depression [25, 28, 29, 36].”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [36]
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Citations
Cites
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
Radloff, L. S. (1977) · Applied Psychological Measurement · doi:10.1177/014662167700100306 · Cited by 53,267
Friedewald, W. T., Levy, R. I., & Fredrickson, D. S. (1972) · Clinical Chemistry · doi:10.1093/clinchem/18.6.499 · Cited by 32,423
(1970) · Cited by 24,983
Prediction of coronary heart disease using risk factor categories
Wilson, P. W. F., D’Agostino, R. B., Levy, D., Belanger, A. M., Silbershatz, H., & Kannel, W. B. (1998) · Circulation · doi:10.1161/01.cir.97.18.1837 · Cited by 9,581
What good are positive emotions?
Fredrickson, B. L. (1998) · Review of General Psychology · doi:10.1037/1089-2680.2.3.300 · Cited by 6,066
Analysis of Incomplete Multivariate Data
Booth, D. E., & Schafer, J. L. (2000) · Technometrics · doi:10.2307/1271466 · Cited by 5,627
The independence of positive and negative affect.
Diener, E., & Emmons, R. A. (1984) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.47.5.1105 · Cited by 2,414
Does positive affect influence health?
Pressman, S. D., & Cohen, S. (2005) · Psychological Bulletin · doi:10.1037/0033-2909.131.6.925 · Cited by 2,087
The independence of positive and negative affect.
Diener, E., & Emmons, R. A. (1984) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.47.5.1105 · Cited by 1,766
Proposed hostility and Pharisaic-virtue scales for the MMPI.
Cook, W. W., & Medley, D. M. (1954) · Journal of Applied Psychology · doi:10.1037/h0060667 · Cited by 1,483
Checking the Cox model with cumulative sums of martingale-based residuals
LIN, D. Y., WEI, L. J., & YING, Z. (1993) · Biometrika · doi:10.1093/biomet/80.3.557 · Cited by 1,432
Nicholson, A., Kuper, H., & Hemingway, H. (2006) · European Heart Journal · doi:10.1093/eurheartj/ehl338 · Cited by 1,353
The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice
Rozanski, A., Blumenthal, J. A., Davidson, K. W., Saab, P. G., & Kubzansky, L. (2005) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2004.12.005 · Cited by 1,238 · cited 7×
“3 However, there has been little research to address the question of whether positive affect protects against CHD.(2,4,10) We therefore examined whether clini-”
BackgroundInfluentialSelf-citationBehavioral activation treatments of depression: a meta-analysis.
Cuijpers, P., van Straten, A., & Warmerdam, L. (2007) · Clinical Psychology Review · doi:10.1016/j.cpr.2006.11.001 · Cited by 1,144
Depression as a predictor for coronary heart disease
Rugulies, R. (2002) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(02)00439-7 · Cited by 1,110
International Classification of Diseases, Ninth Revision
National Cancer Institute (2020) · Definitions · doi:10.32388/bd1nux · Cited by 891
Suls, J., & Bunde, J. (2005) · Psychological Bulletin · doi:10.1037/0033-2909.131.2.260 · Cited by 878
Contemporary behavioral activation treatments for depression: Procedures, principles, and progress
Hopko, D. R., Lejuez, C. W., Ruggiero, K. J., & Eifert, G. H. (2003) · Clinical Psychology Review · doi:10.1016/s0272-7358(03)00070-9 · Cited by 634
Positive affect, psychological well-being, and good sleep
Steptoe, A., O’Donnell, K., Marmot, M. G., & Wardle, J. (2008) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2007.11.008 · Cited by 516
The Interview Method of Assessment of the Coronary-Prone Behavior Pattern
Rosenman, R. H. (1978) · Springer eBooks · doi:10.1007/978-3-642-86007-2_4 · Cited by 483
The Association Between Emotional Well-Being and the Incidence of Stroke in Older Adults
Ostir, G. V., Markides, K. S., Peek, M. K., & Goodwin, J. S. (2001) · Psychosomatic Medicine · doi:10.1097/00006842-200103000-00003 · Cited by 395
Positive Emotion and Health: Going Beyond the Negative.
Richman, L. S., Kubzansky, L. D., Maselko, J., Kawachi, I. I., Choo, P. W., & Bauer, M. (2005) · Health Psychology · doi:10.1037/0278-6133.24.4.422 · Cited by 392
Psychosocial Factors and Risk of Hypertension
Yan, L. L., Liu, K., Matthews, K. A., Daviglus, M. L., Ferguson, T. F., & Kiefe, C. I. (2003) · JAMA · doi:10.1001/jama.290.16.2138 · Cited by 385
Emotional side-effects of selective serotonin reuptake inhibitors: qualitative study
Price, J., Cole, V., & Goodwin, G. M. (2009) · British Journal of Psychiatry · doi:10.1192/bjp.bp.108.051110 · Cited by 362
Affect, Imagery, Consciousness: The Positive Affects.
Swanson, G. E., Tomkins, S. S., & Karon, B. P. (1963) · American Sociological Review · doi:10.2307/2090105 · Cited by 287
Longitudinal stability of personality traits: A multitrait–multimethod–multioccasion analysis.
Conley, J. J. (1985) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.49.5.1266 · Cited by 259
Longitudinal stability of personality traits: A multitrait-multimethod-multioccasion analysis.
Conley, J. J. (1985) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.49.5.1266 · Cited by 247
Psychologic Functioning and Physical Health: A Paradigm of Flexibility
Rozanski, A., & Kubzansky, L. D. (2005) · Psychosomatic Medicine · doi:10.1097/01.psy.0000164253.69550.49 · Cited by 233
Positive affect and biological function in everyday life
Steptoe, A., & Wardle, J. (2005) · Neurobiology of Aging · doi:10.1016/j.neurobiolaging.2005.08.016 · Cited by 229
Association of Hostility With Coronary Artery Calcification in Young Adults
Iribarren, C., Sidney, S., Bild, D. E., Liu, K., Markovitz, J. H., Roseman, J. M., & Matthews, K. A. (2000) · JAMA · doi:10.1001/jama.283.19.2546 · Cited by 225
Comparing smoothing techniques in Cox models for exposure–response relationships
Govindarajulu, U. S., Spiegelman, D. L., Thurston, S. W., Ganguli, B., & Eisen, E. A. (2007) · Statistics in Medicine · doi:10.1002/sim.2848 · Cited by 221
Positive affect uniquely predicts lower risk of mortality in people with diabetes.
Moskowitz, J. T., Epel, E. S., & Acree, M. (2008) · Health Psychology · doi:10.1037/0278-6133.27.1.s73 · Cited by 191
Brummett, B. H., Boyle, S. H., Kuhn, C. M., Siegler, I. C., & Williams, R. B. (2009) · Psychophysiology · doi:10.1111/j.1469-8986.2009.00829.x · Cited by 134
Nabi, H., Mika Kivimaki, B., Vogli, R. D., Marmot, M. G., & Singh‐Manoux, A. (2008) · BMJ · doi:10.1136/bmj.a118 · Cited by 128
Bhattacharyya, M. R., Whitehead, D. L., Rakhit, R. D., & Steptoe, A. (2008) · Psychosomatic Medicine · doi:10.1097/psy.0b013e318189afcc · Cited by 102
Denollet, J., Pedersen, S. S., Daemen, J., de Jaegere, P. P. T., Serruys, P. W. J. C., & van Domburg, R. T. (2007) · Journal of Internal Medicine · doi:10.1111/j.1365-2796.2007.01870.x · Cited by 89
Davidson, K. W., Schwartz, J. E., Kirkland, S., Mostofsky, E., Fink, D. L., Guernsey, D. L., & Shimbo, D. (2009) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2008.11.035 · Cited by 80
Self-citationRowan, P. J., Haas, D. C., Campbell, J. A., MacLean, D. R., & Davidson, K. W. (2004) · Annals of Epidemiology · doi:10.1016/j.annepidem.2004.08.006 · Cited by 78
Self-citationCharlson, M. E., Boutin‐Foster, C., Mancuso, C. A., Peterson, J. C., Ogedegbe, G. G., Briggs, W. M., Robbins, L. P., Isen, A. M., & Allegrante, J. P. (2007) · Contemporary Clinical Trials · doi:10.1016/j.cct.2007.03.002 · Cited by 78
Connelly, P. W., MacLean, D. R., Horlick, L., O'Connor, B., Petrasovits, A., & Little, J. A. (1992) · Europe PMC (PubMed Central) · Cited by 76
Constructive anger verbal behavior predicts blood pressure in a population-based sample.
Davidson, K. W., MacGregor, M. W., Stuhr, J., Dixon, K. E., & MacLean, D. R. (2000) · Health Psychology · doi:10.1037//0278-6133.19.1.55 · Cited by 75
Self-citationStrong, D. R., Kahler, C. W., Leventhal, A. M., Abrantes, A. M., Lloyd‐Richardson, E. E., NIAURA, R. S., & Brown, R. A. (2009) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntp111 · Cited by 75
The Determinants of Hospital Utilization Under a Universal Public Insurance Program in Canada
Manga, P., Broyles, R. W., & Angus, D. E. (1987) · Medical Care · doi:10.1097/00005650-198707000-00009 · Cited by 57
Constructive anger verbal behavior predicts blood pressure in a population-based sample.
Davidson, K. W., MacGregor, M. W., Stuhr, J., et al. (2000) · Health Psychology · doi:10.1037/0278-6133.19.1.55 · Cited by 51
Self-citationObserver ratings of personality
McCrae, R. R., & Weiß, A. (2007) · Cited by 37
Single item on positive affect is associated with 1-year survival in consecutive medical inpatients
Scherer, M., & Herrmann‐Lingen, C. (2008) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2008.09.020 · Cited by 19
Chang, V. W. (2008) · BMJ · doi:10.1136/bmj.a177 · Cited by 7
Research works printed but not linked: 1
- Connelly, 1992, Canadian Medical Association Journal, 146, 1977
Cited by
Sorted by citations
Subjective wellbeing, health, and ageing
Steptoe, A., Deaton, A., & Stone, A. A. (2014) · The Lancet · doi:10.1016/s0140-6736(13)61489-0 · Cited by 2,538
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
Boehm, J. K., & Kubzansky, L. D. (2012) · Psychological Bulletin · doi:10.1037/a0027448 · Cited by 909
Levine, G. N., Cohen, B. E., Commodore-Mensah, Y., Fleury, J., Huffman, J. C., Khalid, U., Labarthe, D. R., Lavretsky, H., Michos, E. D., Spatz, E. S., et al. (2021) · Circulation · doi:10.1161/cir.0000000000000947 · Cited by 865
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
Metadata
- Authors
- Davidson, K. W., Mostofsky, E., & Whang, W.
- Affiliations
- Columbia University Irving Medical Center (US)
- Corresponding author
- Davidson, K. W.
- Venue
- European Heart Journal
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-02-17
- Volume
- 31
- Issue
- 9
- Pages
- 1065-1070
- ISSN
- 0195-668X (ISSN-L)
- 1522-9645
- PMC
- PMC2862179
- OpenAlex
- W2168019533
- Cited by
- 334
- References
- 44
- Citations by year
- 2026: 8 · 2025: 15 · 2024: 11 · 2023: 15 · 2022: 22 · 2021: 18 · 2020: 19 · 2019: 24 · 2018: 23 · 2017: 27 · 2016: 31 · 2015: 21 · 2014: 20 · 2013: 21 · 2012: 28
- FWCI
- 17.78
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Heart Journal (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Columbia Academic Commons (Columbia University)
- Funders
- Heart and Stroke Foundation of Canada
- National Institutes of Health (n01hc25197-0-0-0, RR024156)
- National Heart, Lung, and Blood Institute (HC25197, R24HL076857, K24HL084034, R01HL080665, K23HL004458, HL088117, HL04458, HL-084034, HL-076857, N01 HC025197, HL-080665, P01HL088117)
- National Center for Research Resources (UL1RR024156)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Keywords
- positive affect, coronary artery disease, depressive symptoms, hostility, trait anxiety, cardiovascular risk, ischemic heart disease, emotional well-being, cardiovascular disease prevention
- MeSH terms
- Adult, Aged, Antidepressive Agents, Anxiety, Coronary Disease, Depressive Disorder, Female, Hostility, Humans, Male, Middle Aged, Nova Scotia, Risk Factors, Incidence, Young Adult
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