Positive Affect and Health: What Do We Know and Where Next Should We Go?
Open accessAbstract
Positive affect (PA) is associated with better health across a wide range of physical health outcomes. This review reflects on why the study of PA is an essential component of our understanding of physical health and expands on pathways that connect these two variables. To encourage forward movement in this burgeoning research area, measurement and design issues in the study of PA and health are discussed, as are the connections between PA and a range of different health outcomes. Plausible biological, social, and behavioral pathways that allow for positive feelings to get under the skin and influence physical wellness are detailed and framed in the context of several theoretical models. Finally, new directions for the field and important methodological and interpretative considerations that are essential to moving this important research area forward are explored.
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Positive affect protects against disease progression in the context of diabetes and other cardiometabolic conditions.
“Other work has found that positive affect protects against disease progression in the context of diabetes and other cardiometabolic conditions. 77,78”
From Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association (2021) · cites this paper as [78]
The Diabetes and Cardiovascular disease passages (page unavailable) link positive affect with better survival and glycemic control in diabetes, and with lower cardiovascular disease severity and fewer cardiac events. They report associations and predictions, however, rather than establishing that positive affect causally protects against disease progression. (LLM, conf=0.85)
Experimental — accuracy not yet measuredPositive emotionality is a core element of mental health and shows beneficial, generalized effects on health and functioning.
“positive emotionality is considered a core element of mental health, showing beneficial, generalized effects on health and functioning [34-37].”
From Negative and positive affect regulation in a transdiagnostic internet-based protocol for emotional disorders: Randomized controlled trial (2021) · cites this paper as [37]
The Review of Positive Affect and Health section reports associations between positive affect and health outcomes, and the Social, Psychological/Intellectual, and Physical Resources section links it to coping and other aspects of functioning. The copy does not describe positive emotionality as a core element of mental health; its Conclusions also characterize the health evidence as promising but note important gaps, rather than establishing generalized beneficial effects. (LLM, conf=0.85)
Experimental — accuracy not yet measured
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Social integration and pulmonary function in the elderly.
Crittenden, C. N., Pressman, S. D., Cohen, S., Janicki‐Deverts, D., Smith, B. W., & Seeman, T. E. (2014) · Health Psychology · doi:10.1037/hea0000029 · Cited by 37 · see citing works
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Evidence for the Upward Spiral Stands Steady: A Response to Nickerson (2018)
Fredrickson, B. L., & Kok, B. E. (2018) · Psychological Science · doi:10.1177/0956797617707319 · Cited by 34 · see citing works
Overstating the Effects of Loving-Kindness Meditation: Comment on Kok et al. (2013)
Nickerson, C. A. E. (2018) · Psychological Science · doi:10.1177/0956797616682946 · Cited by 34 · see citing works
Freak‐Poli, R., Mirza, S. S., Franco, O. H., Ikram, M. A., Albert Hofman, D., & Tiemeier, H. W. (2015) · Preventive Medicine · doi:10.1016/j.ypmed.2015.01.032 · Cited by 32 · see citing works
Moving Beyond a One-Size-Fits-All View of Positive Affect in Health Research
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Health behaviors in older adults: Considering age, affect, and attitudes
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Positive affect and pain ratings in persons with stroke.
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Positive affect skills may improve pain management in people with HIV
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Multiple time courses of salivary alpha-amylase and dimensions of affect in adolescence
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Aroused versus calm positive affects as predictors of lipids.
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“In addition to being involved in the symptomatology of EDs, positive emotionality is considered a core element of mental health, showing beneficial, generalized effects on health and functioning [34-37].”
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Hooker, A. R., Sagui-Henson, S. J., Daubenmier, J., Moran, P. J., Hartogensis, W., Acree, M., Kristeller, J., Epel, E. S., Mason, A. E., & Hecht, F. M. (2022) · Mindfulness · doi:10.1007/s12671-022-01951-2 · Cited by 6 · see citing works
- Authors
- Pressman, S. D., Jenkins, B. N., & Moskowitz, J. T.
- Affiliations
- University of California, Irvine (US)
- Chapman University (US)
- Northwestern University (US)
- Venue
- Annual Review of Psychology
- Publisher
- Annual Reviews
- Published
- 2019-01-04
- Volume
- 70
- Issue
- 1
- Pages
- 627-650
- ISSN
- 0066-4308 (ISSN-L)
- 1545-2085
- OpenAlex
- W2892394368
- Cited by
- 452
- References
- 128
- Citations by year
- 2026: 39 · 2025: 63 · 2024: 71 · 2023: 58 · 2022: 57 · 2021: 65 · 2020: 76 · 2019: 23
- FWCI
- 6.39
- Type
- journal article
- Language
- en
- Open access
- Locations
- Annual Review of Psychology (publishedVersion)
- PubMed (publishedVersion)
- Chapman University Digital Commons (Chapman University) (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- Funders
- AXA Research Fund
- 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 › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
- Keywords
- positive affect, physical health, health outcomes, biological pathways, theoretical model
- MeSH terms
- Chronic Disease, Emotions, Health Status, Humans, Psychotherapy, Stress, Psychological
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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.
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