The DOI matches its Crossref record; 49 of the 49 references it cites were found in a registry or an index.
Happiness and Health
Abstract
Research into the relationship between happiness and health is developing rapidly, exploring the possibility that impaired happiness is not only a consequence of ill-health but also a potential contributor to disease risk. Happiness encompasses several constructs, including affective well-being (feelings of joy and pleasure), eudaimonic well-being (sense of meaning and purpose in life), and evaluative well-being (life satisfaction). Happiness is generally associated with reduced mortality in prospective observational studies, albeit with several discrepant results. Confounding and reverse causation are major concerns. Associations with morbidity and disease prognosis have also been identified for a limited range of health conditions. The mechanisms potentially linking happiness with health include lifestyle factors, such as physical activity and dietary choice, and biological processes, involving neuroendocrine, inflammatory, and metabolic pathways. Interventions have yet to demonstrate substantial, sustained improvements in subjective well-being or direct impact on physical health outcomes. Nevertheless, this field shows great potential, with the promise of establishing a favorable effect on population health.
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In the citing paper
“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 [77]
In the citing paper
“Happy individuals tend to sleep better, exercise more, eat better, and not smoke. 77”
From Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association (2021) · cites this paper as [77]
In the citing paper
“Although some pathways are shared across negative and positive psychological factors, 11,53,77,94,95 specific manifestations of psychological health may also have distinct biobehavioral effects. 96”
From Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association (2021) · cites this paper as [77]
Citations
Cites
1 retracted
Gotink, R. A., Chu, P., Busschbach, J. J. V., Benson, H., Fricchione, G. L., & Hunink, M. G. M. (2015) · PLOS ONE · doi:10.1371/journal.pone.0124344 · Cited by 539
RetractedThe satisfaction with life scale
Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985) · Journal of Personality Assessment · doi:10.1207/s15327752jpa4901_13 · Cited by 31,768
On Happiness and Human Potentials: A Review of Research on Hedonic and Eudaimonic Well-Being
Ryan, R. M., & Deci, E. L. (2001) · Annual Review of Psychology · doi:10.1146/annurev.psych.52.1.141 · Cited by 11,567
The structure of psychological well-being revisited.
Ryff, C. D., & Keyes, C. L. M. (1995) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.69.4.719 · Cited by 10,285
The role of inflammation in depression: from evolutionary imperative to modern treatment target
Miller, A. H., & Raison, C. L. (2016) · Nature Reviews Immunology · doi:10.1038/nri.2015.5 · Cited by 3,942
High income improves evaluation of life but not emotional well-being
Kahneman, D., & Deaton, A. (2010) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1011492107 · Cited by 3,162 · cited 1×
“For example, income and socioeconomic resources are strongly linked with evaluative well-being, but less so with affective well-being (60, 61).”
Background(2000) · doi:10.1017/cbo9780511803475 · Cited by 2,987
Sin, N. L., & Lyubomirsky, S. (2009) · Journal of Clinical Psychology · doi:10.1002/jclp.20593 · Cited by 2,955 · cited 1×
“These include programs involving mindfulness, counting one’s blessings, focusing on signature strengths, positive psychotherapy, savoring positive experiences, and other procedures (18, 122).”
BackgroundPositive Emotions Trigger Upward Spirals Toward Emotional Well-Being
Fredrickson, B. L., & Joiner, T. (2002) · Psychological Science · doi:10.1111/1467-9280.00431 · Cited by 2,655
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
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 2×
“A meta-analysis in 2013 of 39 trials in which subjective well-being was monitored up to 6 months following intervention showed small but significant mean differences between individuals randomized to PPI and comparison conditions (18).”
BackgroundMethodChida, Y., & Steptoe, A. (2008) · Psychosomatic Medicine · doi:10.1097/psy.0b013e31818105ba · Cited by 1,592
Self-citationDepression and cancer mortality: a meta-analysis
Pinquart, M., & Duberstein, P. R. (2010) · Psychological Medicine · doi:10.1017/s0033291709992285 · Cited by 1,083 · cited 2×
“A substantial literature has related depression with poor prognosis for a number of serious illnesses (3, 5, 89, 106, 109), but evidence for the protective effect of subjective well-being is less clear.”
BackgroundReconsidering happiness: The costs of distinguishing between hedonics and eudaimonia
Kashdan, T. B., Biswas-Diener, R., & King, L. A. (2008) · The Journal of Positive Psychology · doi:10.1080/17439760802303044 · Cited by 1,027
Boehm, J. K., & Kubzansky, L. D. (2012) · Psychological Bulletin · doi:10.1037/a0027448 · Cited by 909
Adam, E. K., Quinn, M. E., Tavernier, R., McQuillan, M. T., Dahlke, K. A., & Gilbert, K. E. (2017) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2017.05.018 · Cited by 905
Domain-Specific Physical Activity and Mental Health: A Meta-analysis
White, R. L., Babic, M. J., Parker, P. D., Lubans, D. R., Astell-Burt, T., & Lonsdale, C. (2017) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2016.12.008 · Cited by 715
Depression and coronary heart disease
Carney, R. M., & Freedland, K. E. (2017) · Nature Reviews Cardiology · doi:10.1038/nrcardio.2016.181 · Cited by 705
Psychological well-being and ill-Being: do they have distinct or mirrored biological correlates?
Ryff, C. D., Dienberg Love, G., Urry, H. L., Muller, D., Rosenkranz, M. A., Friedman, E. M., Davidson, R. J., & Singer, B. (2006) · Psychotherapy and Psychosomatics · doi:10.1159/000090892 · Cited by 672
Boyle, P. A., Buchman, A. S., Barnes, L. L., & Bennett, D. A. (2010) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2009.208 · Cited by 580
Yoga, mindfulness-based stress reduction and stress-related physiological measures: A meta-analysis.
Pascoe, M. C., Thompson, D. R., & Ski, C. F. (2017) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2017.08.008 · Cited by 570
Purpose in life as a predictor of mortality across adulthood
Hill, P. L., & Turiano, N. A. (2014) · Psychological Science · doi:10.1177/0956797614531799 · Cited by 516
Type 2 diabetes mellitus and psychological stress — a modifiable risk factor
Hackett, R. A., & Steptoe, A. (2017) · Nature Reviews Endocrinology · doi:10.1038/nrendo.2017.64 · Cited by 480
Self-citationCohen, R., Bavishi, C., & Rozanski, A. (2016) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000274 · Cited by 447
To Flourish or Not: Positive Mental Health and All-Cause Mortality
Keyes, C. L. M., & Simoes, E. J. (2012) · American Journal of Public Health · doi:10.2105/ajph.2012.300918 · Cited by 397
Depression and risk of mortality in individuals with diabetes: a meta-analysis and systematic review
Park, M., Katon, W. J., & Wolf, F. M. (2013) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2013.01.006 · Cited by 355
Bidirectional Associations Between Clinically Relevant Depression or Anxiety and COPD
Atlantis, E., Fahey, P., Cochrane, B., & Smith, S. (2013) · Chest · doi:10.1378/chest.12-1911 · Cited by 354
Davidson, K. W., Mostofsky, E., & Whang, W. (2010) · European Heart Journal · doi:10.1093/eurheartj/ehp603 · Cited by 334
Purpose in life and use of preventive health care services
Kim, E. S., Strecher, V. J., & Ryff, C. D. (2014) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1414826111 · Cited by 332 · cited 1×
“An analysis of the Health and Retirement Study demonstrated that greater eudaimonia (purpose in life) was associated with an increased likelihood of having cholesterol tests, colonoscopy, mammograms, and Papanicolaou tests (women) and prostate examinations (men) (68).”
MethodStellar, J. E., John-Henderson, N., Anderson, C. L., Gordon, A. M., McNeil, G. D., & Keltner, D. (2015) · Emotion · doi:10.1037/emo0000033 · Cited by 307
Lamers, S. M. A., Bolier, L., Westerhof, G. J., Smit, F., & Bohlmeijer, E. T. (2012) · Journal of Behavioral Medicine · doi:10.1007/s10865-011-9379-8 · Cited by 306 · cited 1×
“A meta-analysis of studies on a range of conditions, including spinal cord injury, coronary artery disease, and heart failure, documented a small protective effect of hedonic and eudaimonic well-being on recovery and survival (77).”
BackgroundBartels, M. (2015) · Behavior Genetics · doi:10.1007/s10519-015-9713-y · Cited by 293 · cited 1×
“Some of the principal elements that have been identified are summarized in Figure 1, and an extensive literature has been devoted to these associations (4, 26, 35).”
BackgroundDoes happiness itself directly affect mortality? The prospective UK Million Women Study
Liu, B., Floud, S., Pirie, K., Green, J., Peto, R., & Beral, V. (2016) · The Lancet · doi:10.1016/s0140-6736(15)01087-9 · Cited by 259 · cited 2×
“Simple ratings of happiness on a single occasion are the least robust, and associations with health outcomes have been inconsistent (83).”
BackgroundIs Psychological Well-Being Linked to the Consumption of Fruit and Vegetables?
Blanchflower, D. G., Oswald, A. J., & Stewart-Brown, S. (2013) · Social Indicators Research · doi:10.1007/s11205-012-0173-y · Cited by 247
Friedman, E. M., Hayney, M., Love, G. D., Singer, B. H., & Ryff, C. D. (2007) · Health Psychology · doi:10.1037/0278-6133.26.3.305 · Cited by 210 · cited 1×
“135 women, 61–91 years (44) PA (questionnaire) Eudaimonic scales (questionnaire) Levels inversely ∝ positive relationships, not any other scales Age, education, SES, marital status, health, medication, smoking, alcohol, depression”
BackgroundConner, T. S., Brookie, K. L., Carr, A. C., Mainvil, L. A., & Vissers, M. C. M. (2017) · PLOS ONE · doi:10.1371/journal.pone.0171206 · Cited by 207
Does mindfulness improve outcomes in patients with chronic pain? Systematic review and meta-analysis
Bawa, F. L. M., Mercer, S. W., Atherton, R. J., Clague, F., Keen, A., Scott, N. W., & Bond, C. M. (2015) · British Journal of General Practice · doi:10.3399/bjgp15x685297 · Cited by 197
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
Boyle, P. A., Buchman, A. S., & Bennett, D. A. (2010) · The American Journal of Geriatric Psychiatry · doi:10.1097/jgp.0b013e3181d6c259 · Cited by 185 · cited 1×
“Similarly, an analysis of the Rush Memory and Aging Project found that incident disability in basic and instrumental ADLs and mobility was reduced among older people who reported greater purpose in life at baseline, independently of cognitive factors, depressive symptoms, social networks, frailty, and vascular disease…”
MethodPeterson, J. C. (2012) · Archives of Internal Medicine · doi:10.1001/archinternmed.2011.1311 · Cited by 178
A systematic review of the effects of mindfulness interventions on cortisol
O’Leary, K., O’Neill, S., & Dockray, S. (2016) · Journal of Health Psychology · doi:10.1177/1359105315569095 · Cited by 103
Proyer, R. T., Wellenzohn, S., Gander, F., & Ruch, W. (2015) · Applied Psychology: Health and Well-Being · doi:10.1111/aphw.12039 · Cited by 101
Sin, N. L., Moskowitz, J. T., & Whooley, M. A. (2015) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000238 · Cited by 94
Sloan, R. P., Schwarz, E., McKinley, P. S., Weinstein, M., Love, G., Ryff, C., Mroczek, D., Choo, T.-H., Lee, S., & Seeman, T. (2017) · Health Psychology · doi:10.1037/hea0000397 · Cited by 80
Web-Based Mindfulness Intervention in Heart Disease: A Randomized Controlled Trial
Younge, J. O., Wery, M. F., Gotink, R. A., Utens, E. M. W. J., Michels, M., Rizopoulos, D., van Rossum, E. F. C., Hunink, M. G. M., & Roos-Hesselink, J. W. (2015) · PLOS ONE · doi:10.1371/journal.pone.0143843 · Cited by 74
The prospective association between positive psychological well-being and diabetes
Boehm, J. K., Trudel-Fitzgerald, C., Kivimaki, M., & Kubzansky, L. D. (2015) · Health Psychology · doi:10.1037/hea0000200 · Cited by 73
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
O'Toole, M. S., Bovbjerg, D. H., Renna, M. E., Lekander, M., Mennin, D. S., & Zachariae, R. (2018) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2018.04.005 · Cited by 62 · cited 1×
“A meta-analysis of 19 trials involving mindfulness-based methods, cognitivebehavioral therapy, or relaxation reported significant reductions in C-reactive protein concentration when comparing levels before and after intervention, though differences were not sustained at follow-up (99).”
MethodGotink, R. A., Younge, J. O., Wery, M. F., Utens, E. M. W. J., Michels, M., Rizopoulos, D., van Rossum, L. F. C., Roos-Hesselink, J. W., & Hunink, M. M. G. (2017) · PLOS ONE · doi:10.1371/journal.pone.0175923 · Cited by 47
Research works printed but not linked: 102
- 10.1073/pnas.0605053103 · DOI · Paper page
- Bartoli F, 2013, Stroke Res. Treat., 2013, 862978
- 10.1002/gps.4611 · DOI
- 10.1097/PSY.0b013e318189afcc · DOI
- 10.1016/j.amepre.2015.03.009 · DOI
- 10.1016/j.jpsychores.2016.03.018 · DOI
- 10.1037/a0023124 · DOI
- 10.1093/eurheartj/ehr203 · DOI
- 10.1177/0956797615581491 · DOI
- 10.1097/PSY.0b013e3181a5a7c0 · DOI · Paper page
- 10.1016/j.biopsycho.2012.10.002 · DOI
- 10.1093/aje/kwq249 · DOI · Paper page
- 10.2307/j.ctvc77dgq · DOI
- 10.1097/01.psy.0000245867.92364.3c · DOI
- 10.1037/a0016777 · DOI
- Davies W, 2015, The Happiness Industry: How the Government and Big Business Sold Us Well-Being
- 10.1002/9781444305159 · DOI
- Diener E, 2018, Handbook of Well-Being
- Dolan P, 2014, Happiness by Design: Change What You Do, Not How You Think
- 10.1016/j.ijcard.2015.05.121 · DOI · Paper page
- Ehrenreich B, 2009, Bright-Sided. How the Relentless Promotion of Positive Thinking Has Undermined America
- 10.1007/s40520-013-0122-x · DOI
- 10.1093/heapro/dar074 · DOI
- 10.1111/soc4.12236 · DOI
- 10.1016/j.ypmed.2015.01.032 · DOI
- 10.1016/j.jpsychores.2016.04.004 · DOI
- 10.1093/acprof:osobl/9780199549054.001.0001 · DOI
- 10.1007/s12529-009-9032-x · DOI · Paper page
- 10.1093/abm/kax012 · DOI · Paper page
- 10.1111/j.1468-5884.2011.00460.x · DOI
- 10.1097/PSY.0b013e31828c3fa4 · DOI
- Helliwell J, 2018, World Happiness Report 2018
- 10.4088/JCP.12m08022 · DOI
- 10.1161/CIRCOUTCOMES.113.000158 · DOI
- 10.1016/j.socscimed.2017.06.020 · DOI · Paper page
- 10.1016/j.biopsycho.2006.07.002 · DOI
- 10.1126/science.1129688 · DOI
- 10.1093/aje/kww182 · DOI · Paper page
- 10.1001/jamapsychiatry.2017.2145 · DOI
- 10.1007/s12160-016-9856-y · DOI
- 10.1016/j.jpsychores.2013.01.013 · DOI · Paper page
- 10.1186/1471-2458-12-54 · DOI
- 10.1093/aje/152.10.983 · DOI
- 10.1007/s10902-008-9127-0 · DOI
- 10.1126/science.1256392 · DOI
- 10.1001/archpsyc.64.12.1393 · DOI · Paper page
- 10.1186/1471-2458-11-579 · DOI
- 10.1037/hea0000228 · DOI
- 10.1037/emo0000231 · DOI
- Lawlor DA, 2016, Int. J. Epidemiol., 45, 1866, 10.1093/ije/dyw127 · DOI · Paper page
- Layard R, 2011, Happiness: Lessons from a New Science
- 10.1371/journal.pone.0051593 · DOI
- 10.1016/j.ijcard.2014.11.198 · DOI · Paper page
- Lyubomirsky S, 2010, The How of Happiness: A New Approach to Getting the Life You Want
- 10.1080/17439760.2016.1221122 · DOI
- 10.3389/fpsyg.2016.01040 · DOI
- 10.1097/PSY.0000000000000444 · DOI
- 10.1037/a0022010 · DOI
- 10.1192/bjp.bp.112.111195 · DOI
- 10.1016/j.psyneuen.2016.03.004 · DOI
- 10.1093/nutrit/nuy009 · DOI · Paper page
- 10.1037/ccp0000188 · DOI · Paper page
- 10.2105/AJPH.2016.303260 · DOI · Paper page
- 10.1136/bmj.a118 · DOI
- 10.1037/0882-7974.20.2.272 · DOI · Paper page
- 10.1007/s12160-015-9764-6 · DOI
- 10.1097/PSY.0000000000000279 · DOI · Paper page
- 10.1097/PSY.0000000000000480 · DOI
- 10.1016/j.smrv.2016.07.006 · DOI
- 10.1016/j.amepre.2010.07.015 · DOI
- 10.1097/00006842-200103000-00003 · DOI
- 10.1016/j.psyneuen.2004.08.004 · DOI
- 10.1016/j.bbi.2007.04.009 · DOI
- 10.1007/s12160-009-9111-x · DOI
- 10.3233/JAD-160862 · DOI · Paper page
- 10.1037/0022-3514.69.4.719 · DOI · Paper page
- 10.1375/twin.14.3.249 · DOI
- 10.1097/PSY.0000000000000546 · DOI
- Schwartz JE, 1994, Ann. Behav. Med., 16, 210, 10.1093/abm/16.3.210 · DOI
- 10.1080/13607863.2014.938602 · DOI
- 10.1503/cmaj.131155 · DOI
- 10.1016/S0140-6736(13)61489-0 · DOI
- 10.1097/PSY.0b013e31824f82c8 · DOI
- Steptoe A, Lassale C. 2018. Happiness at older ages. See Ref. 26, pp. 129–49 · DOI
- 10.1093/aje/kwm252 · DOI
- 10.1016/j.neurobiolaging.2005.08.016 · DOI
- 10.1073/pnas.1110892108 · DOI
- 10.1001/archinternmed.2011.1028 · DOI
- 10.1073/pnas.0409174102 · DOI · Paper page
- Stiglitz J, 2009, Report by the Commission on the Measurement of Economic Performance and Social Progress
- Stone AA, 2013, Subjective Well-Being: Measuring Happiness, Suffering, and Other Dimensions of Experience
- 10.1037/a0019432 · DOI · Paper page
- 10.1016/j.archger.2011.06.030 · DOI · Paper page
- 10.1097/HJH.0000000000000175 · DOI
- 10.1093/aje/kws199 · DOI
- 10.1037/a0023839 · DOI
- 10.1037/a0031196 · DOI
- 10.1037/a0016767 · DOI
- 10.1177/0956797617713309 · DOI
- 10.1037/emo0000200 · DOI
- 10.1136/bmj.i6267 · DOI
- 10.1016/j.jpsychores.2015.09.013 · DOI
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Campbell, O., Bann, D., & Patalay, P. (2020) · doi:10.1101/2020.06.12.20129312 · Cited by 484
Steptoe, A., & Fancourt, D. (2019) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1814723116 · Cited by 254
Self-citation
Metadata
- Authors
- Steptoe, A.
- Affiliations
- University College London (GB)
- Corresponding author
- Steptoe, Andrew
- ORCID
- Steptoe, Andrew
- Venue
- Annual Review of Public Health
- Publisher
- Annual Reviews
- Published
- 2019-04-01
- Volume
- 40
- Issue
- 1
- Pages
- 339-359
- ISSN
- 0163-7525 (ISSN-L)
- 1545-2093
- OpenAlex
- W2908143860
- Cited by
- 474
- References
- 49
- Citations by year
- 2026: 50 · 2025: 70 · 2024: 69 · 2023: 86 · 2022: 75 · 2021: 58 · 2020: 48 · 2019: 16
- FWCI
- 7.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annual Review of Public Health (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Keywords
- happiness, subjective well-being, emotional well-being, eudaimonic well-being, life satisfaction, mortality, morbidity, disease risk, reverse causality, confounding, physical activity, diet, neuroendocrine pathways, inflammation, metabolic pathways, intervention
- MeSH terms
- Diet, Female, Happiness, Health Status, Humans, Life Style, Male, Personal Satisfaction, Prospective Studies, Quality of Life, Health Behavior
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