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Cited by 400Optimism, Hope, and Well-beingCardiac Health and Mental HealthHealth, psychology, and well-being

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Is the Glass Half Empty or Half Full? A Prospective Study of Optimism and Coronary Heart Disease in the Normative Aging Study

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Kubzansky, Laura D., Sparrow, David, Vokonas, Pantel, Kawachi, Ichiro·2001·Psychosomatic Medicine
DOI 10.1097/00006842-200111000-00009
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Abstract

OBJECTIVE: A sense of optimism, which derives from the ways individuals explain causes of daily events, has been shown to protect health, whereas pessimism has been linked to poor physical health. We examined prospectively the relationship of an optimistic or pessimistic explanatory style with coronary heart disease incidence in the Veterans Affairs Normative Aging Study, an ongoing cohort of older men. METHODS AND RESULTS: In 1986, 1306 men completed the revised Minnesota Multiphasic Personality Inventory, from which we derived the bipolar revised Optimism-Pessimism Scale. During an average of 10 years of follow-up, 162 cases of incident coronary heart disease occurred: 71 cases of incident nonfatal myocardial infarction, 31 cases of fatal coronary heart disease, and 60 cases of angina pectoris. Compared with men with high levels of pessimism, those reporting high levels of optimism had multivariate-adjusted relative risks of 0.44 (95% confidence interval = 0.26-0.74) for combined nonfatal myocardial infarction and coronary heart disease death and 0.45 (95% confidence interval = 0.29-0.68) for combined angina pectoris, nonfatal myocardial infarction, and coronary heart disease death. A dose-response relation was found between levels of optimism and each outcome (p value for trend,.002 and.0004, respectively). CONCLUSIONS: These results suggest that an optimistic explanatory style may protect against risk of coronary heart disease in older men.

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Metadata

Authors
Kubzansky, L. D., Sparrow, D., Vokonas, P., & Kawachi, I.
Affiliations
Boston University (US)
ORCID
Venue
Psychosomatic Medicine
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2001-11
Volume
63
Issue
6
Pages
910-916
ISSN
0033-3174 (ISSN-L)
DOI
10.1097/00006842-200111000-00009
OpenAlex
W2045797182
Cited by
400
References
7
Citations by year
2026: 2 · 2025: 16 · 2024: 14 · 2023: 8 · 2022: 13 · 2021: 12 · 2020: 18 · 2019: 19 · 2018: 12 · 2017: 11 · 2016: 16 · 2015: 19 · 2014: 20 · 2013: 20 · 2012: 26
FWCI
21.70
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Psychosomatic Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
Funders
  • National Institutes of Health (5r01hl045089-03, 2r01ag002287-08a1)
  • National Institute on Aging (AG 02287)
  • National Heart, Lung, and Blood Institute (HL45089)
Topics
  • Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
Keywords
optimism, pessimism, attributional style, coronary artery disease, myocardial infarction, angina pectoris, coronary heart disease mortality, older men, personality traits, dose-response relationship, Normative Aging Study
MeSH terms
Adult, Affect, Aged, Aged, 80 and over, Aging, Coronary Disease, Follow-Up Studies, Humans, Male, Middle Aged, MMPI, Personality, Prospective Studies, Risk Factors

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