Positive Affect and Health Behaviors Across 5 Years in Patients With Coronary Heart Disease: The Heart and Soul Study
Open accessAbstract
OBJECTIVES: Positive psychological states are linked to superior health and longevity, possibly due to behavioral factors. We evaluated cross-sectional and 5-year associations between positive affect and health behaviors in patients with coronary heart disease (CHD). METHODS: Outpatients with CHD reported positive affect, physical activity, sleep quality, medication adherence, cigarette smoking, and alcohol use at baseline (n = 1022) and 5 years later (n = 662). Covariates in regression analyses included demographics, cardiac disease severity, and depressive symptoms. RESULTS: At baseline, higher positive affect (per 1 standard deviation) was associated with better health behaviors: physical activity (odds ratio [OR] = 1.52, 95% 95% confidence interval [CI] = 1.30-1.77, p < .001), sleep quality (OR = 1.24, 95% CI = 1.04-1.48, p = .015), medication adherence (OR = 1.46, 95% CI = 1.12-1.90, p = .005), and nonsmoking (OR = 1.29, 95% CI = 1.06-1.57, p = .012), but was unrelated to alcohol use. Baseline positive affect did not predict health behaviors at follow-up, accounting for baseline behaviors. However, increases in positive affect across 5 years co-occurred with improvements in physical activity (B = 0.023, standard error [SE] = 0.008, p = .002), sleep quality (B = 0.011, SE = 0.005, p = .039), and medication adherence (B = 0.014, SE = 0.004, p < .001), but not smoking status (OR = 1.07, 95% CI = 0.73-1.55, p = .74). CONCLUSIONS: Positive affect was associated with health behaviors among patients with CHD. Efforts to sustain or enhance positive affect may be promising for promoting better health behaviors.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In one study of 662 patients with coronary heart disease, those initially with higher versus lower levels of positive affect and those who reported increases in positive affect during 5-year follow-up demonstrated greater medication adherence.
“In 1 study of 662 patients with CHD, those initially with higher versus lower levels of positive affect and those who reported increases in positive affect during 5 year follow-up demonstrated greater medication adherence. 158”
From Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association (2021) · cites this paper as [158]
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
The PHQ-9: Validity of a brief depression severity measure
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009606.x · Cited by 44,910 · see citing works
The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research
Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989) · Psychiatry Research · doi:10.1016/0165-1781(89)90047-4 · Cited by 35,234 · see citing works
Development and validation of brief measures of positive and negative affect: The PANAS scales.
Watson, D., Clark, L. A., & Tellegen, A. (1988) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.54.6.1063 · Cited by 32,433 · see citing works
Bush, K. (1998) · Archives of Internal Medicine · doi:10.1001/archinte.158.16.1789 · Cited by 6,196 · see citing works
Cytokines sing the blues: inflammation and the pathogenesis of depression
Raison, C. L., Capuron, L., & Miller, A. H. (2006) · Trends in Immunology · doi:10.1016/j.it.2005.11.006 · Cited by 3,009 · see citing works
Sin, N. L., & Lyubomirsky, S. (2009) · Journal of Clinical Psychology · doi:10.1002/jclp.20593 · Cited by 2,955 · cited 1× · see citing works
“Interventions that aim to improve psychological well-being, rather than solely addressing maladaptive thoughts or behaviors, are effective for enhancing positive states and alleviating depressive symptoms (51,52); such interventions have been adapted for patients experiencing health-related stress (53).”
Self-citationPositive 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 · see citing works
Self-citationSocial support and patient adherence to medical treatment: a meta-analysis.
DiMatteo, M. R. (2004) · Health Psychology · doi:10.1037/0278-6133.23.2.207 · Cited by 2,107 · cited 1× · see citing works
“Alternatively, positive affect may serve as a marker for other characteristics that are predictive of health behaviors, including self-efficacy (12) or social support (47,48).”
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 · see citing works
Positive psychology interventions: a meta-analysis of randomized controlled studies
Bolier, L., Haverman, M., Westerhof, G. J., Riper, H., Smit, F., & Bohlmeijer, E. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-119 · Cited by 1,996 · cited 1× · see citing works
“Interventions that aim to improve psychological well-being, rather than solely addressing maladaptive thoughts or behaviors, are effective for enhancing positive states and alleviating depressive symptoms (51,52); such interventions have been adapted for patients experiencing healthrelated stress (53).”
The Role of Self-Efficacy in Achieving Health Behavior Change
Strecher, V. J., DeVellis, B. M., Becker, M. H., & Rosenstock, I. M. (1986) · Health Education Quarterly · doi:10.1177/109019818601300108 · Cited by 1,621 · see citing works
Chida, Y., & Steptoe, A. (2008) · Psychosomatic Medicine · doi:10.1097/psy.0b013e31818105ba · Cited by 1,592 · see citing works
Depression as a risk factor for mortality in patients with coronary heart disease: a meta-analysis
Barth, J., Schumacher, M., & Herrmann-Lingen, C. (2004) · Psychosomatic Medicine · doi:10.1097/01.psy.0000146332.53619.b2 · Cited by 1,358 · see citing works
Overnight therapy? The role of sleep in emotional brain processing
Walker, M. P., & van der Helm, E. (2009) · Psychological Bulletin · doi:10.1037/a0016570 · Cited by 1,087 · see citing works
Boehm, J. K., & Kubzansky, L. D. (2012) · Psychological Bulletin · doi:10.1037/a0027448 · Cited by 909 · see citing works
Whooley, M. A. (2008) · JAMA · doi:10.1001/jama.2008.711 · Cited by 887 · see citing works
Self-citationDepression as a Risk Factor for Coronary Artery Disease: Evidence, Mechanisms, and Treatment
Lett, H. S., Blumenthal, J. A., Babyak, M. A., Sherwood, A., Strauman, T., Robins, C., & Newman, M. F. (2004) · Psychosomatic Medicine · doi:10.1097/01.psy.0000126207.43307.c0 · Cited by 849 · see citing works
The effect of acute aerobic exercise on positive activated affect: A meta-analysis
Reed, J., & Ones, D. S. (2006) · Psychology of Sport and Exercise · doi:10.1016/j.psychsport.2005.11.003 · Cited by 622 · see citing works
Rethinking the Role of Positive Affect in Self-Regulation
Aspinwall, L. G. (1998) · Motivation and Emotion · doi:10.1023/a:1023080224401 · Cited by 601 · see citing works
Strine, T. W., Chapman, D. P., Balluz, L. S., Moriarty, D. G., & Mokdad, A. H. (2007) · Journal of Community Health · doi:10.1007/s10900-007-9066-4 · Cited by 496 · see citing works
Grant, N., Wardle, J., & Steptoe, A. (2009) · International Journal of Behavioral Medicine · doi:10.1007/s12529-009-9032-x · Cited by 486 · see citing works
Steptoe, A., Wardle, J., Pollard, T. M., Canaan, L., & Davies, G. J. (1996) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(96)00095-5 · Cited by 382 · see citing works
Self‐Regulation Processes and Health: The Importance of Optimism and Goal Adjustment
Rasmussen, H. N., Wrosch, C., Scheier, M. F., & Carver, C. S. (2006) · Journal of Personality · doi:10.1111/j.1467-6494.2006.00426.x · Cited by 365 · see citing works
Gehi, A. K. (2007) · Archives of Internal Medicine · doi:10.1001/archinte.167.16.1798 · Cited by 339 · see citing works
Davidson, K. W., Mostofsky, E., & Whang, W. (2010) · European Heart Journal · doi:10.1093/eurheartj/ehp603 · Cited by 334 · see citing works
Kurtze, N., Rangul, V., Hustvedt, B., & Flanders, W. D. (2008) · Scandinavian Journal of Public Health · doi:10.1177/1403494807085373 · Cited by 330 · see citing works
Bradley, K. A., Bush, K. R., McDonell, M. B., Malone, T., & Fihn, S. D. (1998) · PubMed · Cited by 268 · see citing works
Kubzansky, L. D., & Thurston, R. C. (2007) · Archives of General Psychiatry · doi:10.1001/archpsyc.64.12.1393 · Cited by 252 · see citing works
Positive expectations predict health after heart transplantation.
Leedham, B., Meyerowitz, B. E., Muirhead, J., & Frist, W. H. (1995) · Health Psychology · doi:10.1037/0278-6133.14.1.74 · Cited by 249 · see citing works
Ogedegbe, G. O. (2012) · Archives of Internal Medicine · doi:10.1001/archinternmed.2011.1307 · Cited by 230 · see citing works
Screening for problem drinking
the Ambulatory Care Quality Improvement Project (ACQUIP), Bradley, K. A., Bush, K. R., McDonell, M. B., Malone, T., & Fihn, S. D. (1998) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.1998.00118.x · Cited by 211 · see citing works
Steptoe, A., Wright, C., Kunz‐Ebrecht, S. R., & Iliffe, S. (2006) · British Journal of Health Psychology · doi:10.1348/135910705x42850 · Cited by 211 · see citing works
Dimensions of depressive symptoms and smoking cessation
Leventhal, A., Ramsey, S., Brown, R., LaChance, H., & Kahler, C. (2008) · Nicotine & Tobacco Research · doi:10.1080/14622200801901971 · Cited by 210 · see citing works
A prospective study of positive psychological well-being and coronary heart disease.
Boehm, J. K., Peterson, C., Mika Kivimaki, B., & Kubzansky, L. D. (2011) · Health Psychology · doi:10.1037/a0023124 · Cited by 203 · see citing works
A time-lagged momentary assessment study on daily life physical activity and affect.
Wichers, M., Peeters, F., Rutten, B. P. F., Jacobs, N., Derom, C., Thiery, E., Delespaul, P., & van Os, J. (2012) · Health Psychology · doi:10.1037/a0025688 · Cited by 199 · see citing works
Sleep and affect in older adults: using multilevel modeling to examine daily associations
McCrae, C. S., McNamara, J. P. H., Rowe, M. A., Dzierzewski, J. M., Dirk, J., Marsiske, M., & Craggs, J. G. (2008) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2008.00621.x · Cited by 185 · see citing works
Peterson, J. C. (2012) · Archives of Internal Medicine · doi:10.1001/archinternmed.2011.1311 · Cited by 178 · see citing works
Behaviour change for better health: nutrition, hygiene and sustainability
Newson, R. S., Lion, R., Crawford, R. J., Curtis, V. A., Elmadfa, I., Feunekes, G. I. J., Hicks, C., van Liere, M. J., Lowe, C. F., Meijer, G. W., et al. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-s1-s1 · Cited by 164 · see citing works
Positive psychological attributes and cardiac outcomes: associations, mechanisms, and interventions
DuBois, C. M., Beach, S. R., Kashdan, T. B., Nyer, M. B., Park, E. R., Celano, C. M., & Huffman, J. C. (2012) · Psychosomatics · doi:10.1016/j.psym.2012.04.004 · Cited by 152 · see citing works
Self-reported physical activity compared with maximal oxygen uptake in adults
Aadahl, M., Kjær, M., Kristensen, J. H., Mollerup, B., & Jørgensen, T. (2007) · European Journal of Cardiovascular Prevention & Rehabilitation · doi:10.1097/hjr.0b013e3280128d00 · Cited by 132 · see citing works
Moskowitz, J. T., Hult, J. R., Duncan, L. G., Cohn, M. A., Maurer, S., Bussolari, C., & Acree, M. (2012) · Journal of Health Psychology · doi:10.1177/1359105311425275 · Cited by 125 · cited 1× · see citing works
“Interventions that aim to improve psychological well-being, rather than solely addressing maladaptive thoughts or behaviors, are effective for enhancing positive states and alleviating depressive symptoms (51,52); such interventions have been adapted for patients experiencing healthrelated stress (53).”
Self-citationDenollet, J., & Brutsaert, D. L. (2001) · Circulation · doi:10.1161/hc4201.097940 · Cited by 121 · see citing works
Effects of Happiness on All-Cause Mortality During 15 Years of Follow-Up: The Arnhem Elderly Study
Koopmans, T. A., Geleijnse, J. M., Zitman, F. G., & Giltay, E. J. (2008) · Journal of Happiness Studies · doi:10.1007/s10902-008-9127-0 · Cited by 110 · see citing works
Construct Validity of Self-reported Historical Physical Activity
Bowles, H. R. (2004) · American Journal of Epidemiology · doi:10.1093/aje/kwh209 · Cited by 96 · see citing works
Ren, X., Ristow, B., Na, B., Ali, S., Schiller, N. B., & Whooley, M. A. (2007) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2007.01.041 · Cited by 91 · see citing works
Self-citationThe Promise of Well-Being Interventions for Improving Health Risk Behaviors
Boehm, J. K., Vie, L. L., & Kubzansky, L. (2012) · Current Cardiovascular Risk Reports · doi:10.1007/s12170-012-0273-x · Cited by 74 · see citing works
Jackson, A. W., Morrow, J. R., Bowles, H. R., FitzGerald, S. J., & Blair, S. N. (2007) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.2007.10599400 · Cited by 72 · see citing works
Emotional Outlook on Life Predicts Increases in Physical Activity Among Initially Inactive Men
Baruth, M., Lee, D.-C., Sui, X., Church, T. S., Marcus, B. H., Wilcox, S., & Blair, S. N. (2011) · Health Education & Behavior · doi:10.1177/1090198110376352 · Cited by 65 · see citing works
Psychosocial predictors of changing sleep patterns in aging women: A multiple pathway approach.
Phelan, C. H., Love, G. D., Ryff, C. D., Brown, R., & Heidrich, S. M. (2010) · Psychology and Aging · doi:10.1037/a0019622 · Cited by 65 · see citing works
Caska, C. M., Hendrickson, B. E., Wong, M. H., Ali, S., Neylan, T. C., & Whooley, M. A. (2009) · Psychosomatic Medicine · doi:10.1097/psy.0b013e31819b6a08 · Cited by 64 · see citing works
Self-citationPositive affect promotes engagement in care after HIV diagnosis.
Carrico, A. W., & Moskowitz, J. T. (2013) · Health Psychology · doi:10.1037/hea0000011 · Cited by 64 · see citing works
Self-citationRatings of positive and depressive emotion as predictors of mortality in coronary patients
Brummett, B. H., Boyle, S. H., Siegler, I. C., Williams, R. B., Mark, D. B., & Barefoot, J. C. (2005) · International Journal of Cardiology · doi:10.1016/j.ijcard.2004.06.016 · Cited by 60 · see citing works
Niemiec, C. P., Ryan, R. M., Patrick, H., Deci, E. L., & Williams, G. C. (2010) · The Journal of Positive Psychology · doi:10.1080/17439760903569162 · Cited by 48 · see citing works
Huffman, J. C., DuBois, C. M., Mastromauro, C. A., Moore, S. V., Suarez, L., & Park, E. R. (2016) · Journal of Health Psychology · doi:10.1177/1359105314544135 · Cited by 48 · see citing works
Hoogwegt, M., Versteeg, H., Hansen, T., Thygesen, L., Pedersen, S., & Zwisler, A. (2013) · Circulation. Cardiovascular Quality and Outcomes · doi:10.1161/circoutcomes.113.000158 · Cited by 46 · see citing works
Positive Affect and Survival in Patients With Stable Coronary Heart Disease
Hoen, P. W., Denollet, J., de Jonge, P., & Whooley, M. A. (2013) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.12m08022 · Cited by 45 · see citing works
Self-citationDas, E. H. H. J., Vonkeman, C., & Hartmann, T. (2011) · Psychology and Health · doi:10.1080/08870446.2011.569888 · Cited by 39 · see citing works
Flagged first, then by citations
1 of the 58 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
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 · see citing works
Steptoe, A. (2019) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-040218-044150 · Cited by 474 · see citing works
Psychological Well-Being and Physical Health: Associations, Mechanisms, and Future Directions
Hernandez, R., Bassett, S. M., Boughton, S. W., Schuette, S. A., Shiu, E. W., & Moskowitz, J. T. (2018) · Emotion Review · doi:10.1177/1754073917697824 · Cited by 259 · see citing works
Self-citationPositive affect and sleep: A systematic review
Ong, A. D., Kim, S. Y., Young, S., & Steptoe, A. (2016) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2016.07.006 · Cited by 176 · see citing works
Maintaining Healthy Behavior: a Prospective Study of Psychological Well-Being and Physical Activity
Kim, E. S., Kubzansky, L. D., Soo, J., & Boehm, J. K. (2016) · Annals of Behavioral Medicine · doi:10.1007/s12160-016-9856-y · Cited by 173 · see citing works
Sin, N. L., Almeida, D. M., Crain, T. L., Kossek, E. E., Berkman, L. F., & Buxton, O. M. (2017) · Annals of Behavioral Medicine · doi:10.1007/s12160-016-9864-y · Cited by 140 · see citing works
Self-citationSin, N. L. (2016) · Current Cardiology Reports · doi:10.1007/s11886-016-0792-z · Cited by 126 · see citing works
Self-citationDevelopment of Subjective Well-Being in Adolescence
Steinmayr, R., Wirthwein, L., Modler, L., & Barry, M. M. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16193690 · Cited by 118 · see citing works
Physical activity counseling in primary care: Insights from public health and behavioral economics
Shuval, K., Leonard, T., Drope, J., Katz, D. L., Patel, A. V., Maitin‐Shepard, M., Amir, O., & Grinstein, A. (2017) · CA: A Cancer Journal for Clinicians · doi:10.3322/caac.21394 · Cited by 91 · see citing works
Martín‐María, N., Caballero, F. F., Moreno‐Agostino, D., Olaya, B., Haro, J. M., Ayuso‐Mateos, J. L., & Miret, M. (2018) · Aging & Mental Health · doi:10.1080/13607863.2018.1548567 · Cited by 88 · see citing works
Huffman, J. C., Feig, E. H., Millstein, R. A., Freedman, M., Healy, B. C., Chung, W.-J., Amonoo, H. L., Malloy, L., Slawsby, E., Januzzi, J. L., et al. (2019) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2019.03.023 · Cited by 70 · see citing works
Celano, C. M., Albanese, A. M., Millstein, R. A., Mastromauro, C. A., Chung, W.-J., Campbell, K. A., Legler, S. R., Park, E. R., Healy, B. C., Collins, L. M., et al. (2018) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000584 · Cited by 78 · see citing works
Prospective associations of happiness and optimism with lifestyle over up to two decades
Trudel‐Fitzgerald, C., James, P., Kim, E. S., Zevon, E. S., Grodstein, F., & Kubzansky, L. D. (2019) · Preventive Medicine · doi:10.1016/j.ypmed.2019.105754 · Cited by 65 · see citing works
Sleep duration and affective reactivity to stressors and positive events in daily life.
Sin, N. L., Wen, J., Klaiber, P., Buxton, O. M., & Almeida, D. M. (2020) · Health Psychology · doi:10.1037/hea0001033 · Cited by 64 · see citing works
Self-citationWade, A. T., Davis, C. R., Dyer, K. A., Hodgson, J. M., Woodman, R. J., Keage, H. A. D., & Murphy, K. J. (2018) · Nutritional Neuroscience · doi:10.1080/1028415x.2018.1543148 · Cited by 57 · see citing works
Retrospective memories of parental care and health from mid- to late life.
Chopik, W. J., & Edelstein, R. S. (2018) · Health Psychology · doi:10.1037/hea0000694 · Cited by 52 · see citing works
Positive Affect Is Associated With Less Memory Decline: Evidence From a 9-Year Longitudinal Study
Hittner, E. F., Stephens, J. E., Turiano, N. A., Gerstorf, D., Lachman, M. E., & Haase, C. M. (2020) · Psychological Science · doi:10.1177/0956797620953883 · Cited by 51 · see citing works
Zhang, L., Bi, X., & Ding, Z. (2021) · BMC Geriatrics · doi:10.1186/s12877-021-02121-0 · Cited by 48 · see citing works
Improving Medication Adherence in Coronary Heart Disease
Zullig, L. L., Ramos, K., & Bosworth, H. B. (2017) · Current Cardiology Reports · doi:10.1007/s11886-017-0918-y · Cited by 47 · see citing works
Positive Affect and its Association with Viral Control among Women with HIV Infection
Wilson, T., Weedon, J., Cohen, M. H., Golub, E., Milam, J., Young, M., Adedimeji, A., Cohen, J., & Fredrickson, B. (2016) · Health Psychology · doi:10.1037/hea0000382 · Cited by 43 · see citing works
Positive affect and medication adherence in chronic conditions: A systematic review.
Bassett, S. M., Schuette, S. A., O'Dwyer, L. C., & Moskowitz, J. T. (2019) · Health Psychology · doi:10.1037/hea0000778 · Cited by 40 · see citing works
Self-citationHernandez, R., González, H. M., Tarraf, W., Moskowitz, J. T., Carnethon, M. R., Gallo, L. C., Penedo, F. J., Isasi, C. R., Ruiz, J. M., Arguelles, W., et al. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-019434 · Cited by 34 · see citing works
Self-citationCelano, C. M., Freedman, M. E., Harnedy, L. E., Park, E. R., Januzzi, J. L., Healy, B. C., & Huffman, J. C. (2020) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2020.110285 · Cited by 36 · see citing works
A review of the literature on wellbeing and modifiable dementia risk factors
Willroth, E. C., Pfund, G. N., Rule, P. D., Hill, P. L., John, A., Kyle, K., Hassenstab, J. J., & James, B. D. (2024) · Ageing Research Reviews · doi:10.1016/j.arr.2024.102380 · Cited by 31 · see citing works
Changed health behavior improves subjective well-being and vice versa in a follow-up of 9 years
Stenlund, S., Koivumaa-Honkanen, H. T., Sillanmäki, L. H., Lagström, H., Rautava, P. T., & Suominen, S. (2022) · Health and Quality of Life Outcomes · doi:10.1186/s12955-022-01972-4 · Cited by 31 · see citing works
on behalf of the Seniors USP team, Okely, J. A., Čukić, I., Shaw, R. J., CHASTIN, S. F. M., Dall, P., Deary, I. J., Der, G., Dontje, M. L., Skelton, D. A., et al. (2019) · BMC Geriatrics · doi:10.1186/s12877-019-1026-1 · Cited by 28 · see citing works
Stenlund, S., Koivumaa-Honkanen, H. T., Sillanmäki, L. H., Lagström, H., Rautava, P. T., & Suominen, S. (2021) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2021.101635 · Cited by 28 · see citing works
Fan, Y., Shen, B., & Tay, H. Y. (2020) · British Journal of Health Psychology · doi:10.1111/bjhp.12496 · Cited by 29 · see citing works
Cardiovascular disease and meaning in life: A systematic literature review and conceptual model
Vos, J. (2021) · Palliative & Supportive Care · doi:10.1017/s1478951520001261 · Cited by 24 · see citing works
Douma, E. R., Kop, W. J., & Kupper, N. H. M. (2024) · Annals of Behavioral Medicine · doi:10.1093/abm/kaae008 · Cited by 23 · see citing works
Positive Psychological well-being and Health in Patients With Heart Disease: A Brief Review
Huffman, J. C., Legler, S. R., & Boehm, J. K. (2017) · Future Cardiology · doi:10.2217/fca-2017-0016 · Cited by 23 · see citing works
Psychological well-being and restorative biological processes: HDL-C in older English adults
Soo, J., Kubzansky, L. D., Chen, Y., Zevon, E. S., & Boehm, J. K. (2018) · Social Science & Medicine · doi:10.1016/j.socscimed.2018.05.025 · Cited by 21 · see citing works
Symons, M., Cunha, C. M., Poels, K., Vandebosch, H., Dens, N., & Cutello, C. A. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18115555 · Cited by 20 · see citing works
Risk in childhood family environments and loneliness in college students: Implications for health
Counts, C. J., & John‐Henderson, N. A. (2019) · Journal of American College Health · doi:10.1080/07448481.2018.1557198 · Cited by 19 · see citing works
Duque, L., Brown, L., Celano, C. M., Healy, B. C., & Huffman, J. C. (2019) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2019.06.001 · Cited by 17 · see citing works
Ding, R., & He, P. (2022) · BMC Geriatrics · doi:10.1186/s12877-022-03157-6 · Cited by 16 · see citing works
Positive Health Beliefs and Blood Pressure Reduction in the DESERVE Study
Goldmann, E., Jacoby, R., Finfer, E., Appleton, N., Parikh, N. S., Roberts, E. T., & Boden-Albala, B. M. (2020) · Journal of the American Heart Association · doi:10.1161/jaha.119.014782 · Cited by 16 · see citing works
Madva, E. N., Gomez-Bernal, F., Millstein, R. A., Celano, C. M., Park, E. R., Mastromauro, C. A., Albanese, A. M., Beale, E. E., & Huffman, J. C. (2017) · Psychology Health & Medicine · doi:10.1080/13548506.2017.1384554 · Cited by 16 · see citing works
Singh, A., Riaz, R., Verma, A., Irfan, H., Shaukat, A. F., Nadeem, A., Goyal, P., Habib, A., & Satapathy, P. (2025) · Annals of Medicine and Surgery · doi:10.1097/ms9.0000000000003391 · Cited by 15 · see citing works
Zuccarella‐Hackl, C., Princip, M., Auschra, B., Meister‐Langraf, R. E., Barth, J., & von Känel, R. (2023) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2023.105186 · Cited by 15 · see citing works
Feig, E. H., Golden, J., & Huffman, J. C. (2019) · Obesity Surgery · doi:10.1007/s11695-019-03833-4 · Cited by 15 · see citing works
Gouin, J.-P., Wrosch, C., McGrath, J. J., & Booij, L. (2019) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2019.104509 · Cited by 14 · see citing works
Ageism and the Pandemic: Risk and Protective Factors of Well-Being in Older People
Donizzetti, A. R., & Capone, V. (2023) · Geriatrics · doi:10.3390/geriatrics8010014 · Cited by 15 · see citing works
Prophetis, E. D., Goel, V., Watson, T., & Rosella, L. C. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-032837 · Cited by 15 · see citing works
Chen, M., Wang, M., Qiao, M., Huang, X., Li, D., Yu, L., Gan, L., Chen, W., Weng, Y., Zhang, J., et al. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1323277 · Cited by 14 · see citing works
Luque, B., Castillo‐Mayén, R., Cuadrado, E., Gutiérrez‐Domingo, T., Rubio, S. J., Arenas, A., Delgado‐Lista, J., Pérez‐Martínez, P., & Tabernero, C. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9103165 · Cited by 14 · see citing works
DuPont, C. M., Pressman, S. D., Reed, R. G., Manuck, S. B., Marsland, A. L., & Gianaros, P. J. (2023) · Affective Science · doi:10.1007/s42761-022-00148-z · Cited by 13 · see citing works
Influence of Affect on Physical Activity: An Integrative Review
Förster, A., Richards, E. A., Foli, K. J., McGowan, B. S., Hass, Z., Becker, M., & Miller, A. (2020) · Clinical Nursing Research · doi:10.1177/1054773820968039 · Cited by 13 · see citing works
Hernández, R., Cheung, E. O., Carnethon, M. R., Penedo, F. J., Moskowitz, J. T., Martinez, L., & Schueller, S. M. (2018) · Translational Behavioral Medicine · doi:10.1093/tbm/iby045 · Cited by 13 · see citing works
Self-citationImprovements in Depressive Symptoms and Affect During Cardiac Rehabilitation
Gathright, E. C., Busch, A. M., Buckley, M. L., Stabile, L. M., DeAngelis, J., Whited, M. C., & Wu, W. (2018) · Journal of Cardiopulmonary Rehabilitation and Prevention · doi:10.1097/hcr.0000000000000346 · Cited by 10 · see citing works
Psychosocial and behavioral correlates of weight loss 12 to 15 years after bariatric surgery
Martin‐Fernandez, K. W., Creel, D. B., & Schuh, L. M. (2021) · Journal of Behavioral Medicine · doi:10.1007/s10865-021-00263-5 · Cited by 11 · see citing works
Bekendam, M. T., Kop, W. J., Vermeltfoort, I. A. C., Widdershoven, J. W. M. G., & Mommersteeg, P. M. C. (2021) · International Journal of Behavioral Medicine · doi:10.1007/s12529-021-09963-3 · Cited by 9 · see citing works
Castillo‐Mayén, R., Luque, B., Gutiérrez‐Domingo, T., Cuadrado, E., Arenas, A., García, S. R., Quintana‐Navarro, G. M., Delgado‐Lista, J., & Tabernero, C. (2020) · Anxiety Stress & Coping · doi:10.1080/10615806.2020.1866173 · Cited by 9 · see citing works
A scoping review of factors associated with self-management in young adults with stroke
Zhou, Z., Fang, X., Huang, Y., Hu, J., Zhang, K., & Jia, S. (2024) · Patient Education and Counseling · doi:10.1016/j.pec.2024.108308 · Cited by 8 · see citing works
Jolink, T. A., West, T. N., Alvarez, G., Cardenas, M. N., Feldman, M. J., Algoe, S. B., & Muscatell, K. A. (2024) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2024.107020 · Cited by 8 · see citing works
Al-Zaru, I. M., Shahrour, G., Masha’al, D., & Hayajneh, A. A. (2022) · Heliyon · doi:10.1016/j.heliyon.2022.e09752 · Cited by 8 · see citing works
Hernández, R., Daviglus, M. L., Martinez, L., Durazo-Arvizú, R., Huffman, J. C., Ramirez, F., Tito, L. G., & Moskowitz, J. T. (2019) · Contemporary Clinical Trials Communications · doi:10.1016/j.conctc.2019.100348 · Cited by 8 · see citing works
Self-citationAssociations of positive and negative affect on health risk behaviors among Latinos.
Moore, J. R., Guerra, Z. C., Heydarian, N. M., Londoño, T., & Castro, Y. (2022) · Health Psychology · doi:10.1037/hea0001165 · Cited by 7 · see citing works
Leong, C. A., Summers, A., Grote, V. E., Jackson, K., Dowling, G. A., Snowberg, K., Cotten, P. D., Cheung, E. O., Yang, D., Addington, E. L., et al. (2024) · BMC Geriatrics · doi:10.1186/s12877-024-04817-5 · Cited by 7 · see citing works
Self-citationLindauer, C., Speroni, K. G., Godinez, K., Lurz, T., Oakley, R., & Zakes, A. (2021) · JONA The Journal of Nursing Administration · doi:10.1097/nna.0000000000000997 · Cited by 7 · see citing works
Occasions for laughter and dementia risk: Findings from a six‐year cohort study
Wang, Y., Shirai, K., Ohira, T., Hirosaki, M., Kondo, N., Takeuchi, K., Yamaguchi, C., Tamada, Y., Kondo, K., Cadar, D., et al. (2022) · Geriatrics and gerontology international/Geriatrics & gerontology international · doi:10.1111/ggi.14371 · Cited by 8 · see citing works
University Students’ Well-Being and Engagement in Activities in the Early Days of Covid-19
Cunha, C. M., Dens, N., & Granic, G. D. (2022) · Applied Research in Quality of Life · doi:10.1007/s11482-022-10119-y · Cited by 7 · see citing works
Changes in childhood caregiving impressions among middle‐aged and older adults
Chopik, W. J., Oh, J., Challa, S., Hua, H. L., Maahs, J. M., & Smith, J. (2023) · Personal Relationships · doi:10.1111/pere.12499 · Cited by 6 · see citing works
Zuccarella-Hackl, C., Jiménez-Gonzalo, L., von Känel, R., Princip, M., Jellestad, L., Langraf-Meister, R. E., Znoj, H., Schmid, J.-P., Barth, J., Schnyder, U., et al. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1302699 · Cited by 4 · see citing works
Explanatory Style in Patients with Rheumatoid Arthritis: An Unrecognized Predictor of Mortality
Crowson, A. D., Colligan, R. C., Matteson, E. L., Davis, J. M., & Crowson, C. S. (2016) · The Journal of Rheumatology · doi:10.3899/jrheum.160026 · Cited by 4 · see citing works
Psychotherapy and Psychological Support for Severe Heart Conditions
Sommaruga, M., & Pierobon, A. (2020) · Springer eBooks · doi:10.1007/978-3-030-28008-6_26 · Cited by 3 · see citing works
Jiang, F., Lin, Y., Li, S., Peng, Y., Huang, X., & Chen, L. (2022) · International Journal of General Medicine · doi:10.2147/ijgm.s353977 · Cited by 3 · see citing works
A Triadic Pathway Model of Self-Compassion and Health
Sirois, F. M. (2023) · Mindfulness in behavioral health · doi:10.1007/978-3-031-22348-8_18 · Cited by 3 · see citing works
Butler, M. J., Romain, A.-M. N., Augustin, R., Robles, P. L., Friel, C. P., Vicari, F. A., Chandereng, T., Alfano, C. M., Cheung, Y.-K. K., & Davidson, K. W. (2023) · Contemporary Clinical Trials · doi:10.1016/j.cct.2023.107205 · Cited by 3 · see citing works
Adu, P., Popoola, T., Iqbal, N., Roemer, A., Collings, S. C., Aspin, C., Medvedev, O. N., & Simpson, C. R. (2024) · Journal of Health Psychology · doi:10.1177/13591053241266592 · Cited by 3 · see citing works
Goodwin, A. M., Friel, C. P., Miller, D., Vicari, F. A., Duer-Hefele, J., Chandereng, T., Davidson, K. W., Alfano, C. M., Cheung, Y. K., & Butler, M. J. (2025) · BMJ Open · doi:10.1136/bmjopen-2024-090789 · Cited by 2 · see citing works
van der Wall, E. E. (2015) · Netherlands Heart Journal · doi:10.1007/s12471-015-0764-8 · Cited by 2 · see citing works
Modifying the Trier Social Stress Test to Induce Positive Affect
Urban-Wojcik, E. J., Charles, S. T., & Levine, L. J. (2021) · Affective Science · doi:10.1007/s42761-021-00074-6 · Cited by 2 · see citing works
Psychological Well-Being of Students in Higher Education Institutions
Hako, A. N., & Mbongo, E. N. (2023) · Advances in higher education and professional development book series · doi:10.4018/979-8-3693-2833-0.ch013 · Cited by 2 · see citing works
Dartey, A. F., Konlan, K. D., Sagbo, F. M., & Adoboe, P. S. A. (2026) · BMC Pediatrics · doi:10.1186/s12887-026-06854-y · Cited by 1 · see citing works
Comment: Homing in on a Balanced Psychology
Larsen, J. T. (2018) · Emotion Review · doi:10.1177/1754073917719326 · Cited by 1 · see citing works
Kim, M., Xu, M., Yang, J., Talley, S., & Wong, J. D. (2021) · The International Journal of Aging & Human Development · doi:10.1177/00914150211066552 · Cited by 1 · see citing works
Psychotherapy and Psychological Support for Severe Heart Conditions
Sommaruga, M., & Pierobon, A. (2020) · Springer eBooks · doi:10.1007/978-3-319-90305-7_26-2 · Cited by 1 · see citing works
Aditia, G. R., Dahlan, T. H., & Ilfiandra, I. (2021) · International Journal of Research in Counseling and Education · doi:10.24036/00449za0002 · Cited by 5 · see citing works
Psychotherapy and Psychological Support for Severe Heart Conditions
Sommaruga, M., & Pierobon, A. (2020) · Springer eBooks · doi:10.1007/978-3-319-90305-7_26-1 · Cited by 1 · see citing works
Franklin, D. (2018) · UWSpace (University of Waterloo)
Kong, H. M. (2019) · Queensland University of Technology · doi:10.5204/thesis.eprints.125532
Depression and Adherence to Healthy Lifestyle Among Patients with Coronary Artery DiseasesPreprint
Al-Zaru, I. M., Masha’al, D., Shahrour, G., & Hayajneh, A. A. (2020) · Research Square · doi:10.21203/rs.3.rs-125483/v1
Speck, L., Brace, N., & Byrne, M. (2020) · Wiley eBooks · doi:10.1002/9781119071006.ch6
Positive psychology's role in the training of health professionals: Looking into the future
Marujo, H. Á. (2023) · Elsevier eBooks · doi:10.1016/b978-0-443-15248-1.00011-4
Li, J., Wu, H., Ma, J., Li, G., He, J., Cheng, C., Yu, H., Liu, J., Lin, Z., & Wang, W. (2025) · Current Psychology · doi:10.1007/s12144-025-08427-1
Stenlund, S., Koivumaa-Honkanen, H. T., Sillanmäki, L., Lagström, H., Rautava, P., & Suominen, S. (2022) · Figshare · doi:10.6084/m9.figshare.19634782
Zhang, L., Bi, X., & Ding, Z. (2021) · Figshare · doi:10.6084/m9.figshare.14299293
Charles, S. T., Brown, C. J., & Kircher, J. A. (2025) · Springer eBooks · doi:10.1007/978-3-031-89095-6_2
Self-Compassion and Health Behaviours
Biskas, M., Sirois, F. M., & Webb, T. L. (2025) · Springer eBooks · doi:10.1007/978-3-031-89095-6_19
Massey, C. N., Millstein, R. A., Feig, E. H., Chung, W., Huffman, J. C., Henneman, I., Bidgood, M., Cors, X., Sarma, A. A., Amonoo, H. L., et al. (2026) · doi:10.2196/preprints.107722
- Authors
- Sin, N. L., Moskowitz, J. T., & Whooley, M. A.
- Affiliations
- Northwestern University (US)
- Corresponding author
- Sin, Nancy L.
- Venue
- Psychosomatic Medicine
- Published
- 2015-11
- Volume
- 77
- Issue
- 9
- Pages
- 1058-1066
- ISSN
- 0033-3174 (ISSN-L)
- PMC
- PMC4643380
- OpenAlex
- W1874575458
- Cited by
- 94
- References
- 58
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 7 · 2023: 9 · 2022: 11 · 2021: 12 · 2020: 14 · 2019: 12 · 2018: 10 · 2017: 6 · 2016: 5 · 2015: 1
- FWCI
- 5.34
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychosomatic Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (F32AG048698, T32AG000212)
- National Heart, Lung, and Blood Institute (R01HL079235)
- National Institute of Mental Health (K24MH093225)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Keywords
- positive affect, coronary artery disease, health behavior, physical activity, sleep quality, medication adherence, cigarette smoking, alcohol consumption, longitudinal change, depressive symptoms, cardiology outpatients
- MeSH terms
- Affect, Aged, Alcohol Drinking, Coronary Disease, Cross-Sectional Studies, Depression, Female, Follow-Up Studies, Humans, Male, Middle Aged, Motor Activity, Prospective Studies, Sleep, Smoking, United States, Health Behavior, Comorbidity, Logistic Models, Medication Adherence
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
