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Cited by 114Optimism, Hope, and Well-beingAcute Ischemic Stroke ManagementHealth, psychology, and well-being

Dispositional Optimism Protects Older Adults From Stroke: The Health and Retirement Study

Kim, Eric S., Park, Nansook, Peterson, Christopher·2011·Stroke
DOI 10.1161/strokeaha.111.613448
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Abstract

Background and Purpose—: Although higher optimism has been linked to an array of positive health outcomes, the association between optimism and incidence of stroke remains unclear, especially among older adults. We examined whether higher optimism was associated with a lower incidence of stroke. Method—: Prospective data from the Health and Retirement Study—a nationally representative panel study of American adults aged >50 years—were used. Analyses were conducted for a 2-year follow-up on the subset of 6044 adults (2542 men, 3502 women) who were stroke-free at baseline. Analyses adjusted for chronic illnesses, self-rated health, and relevant sociodemographic, behavioral, biological, and psychological factors. Results—: Higher optimism was associated with a lower risk of stroke. On an optimism measure ranging from 3 to 18, each unit increase in optimism was associated with an age-adjusted OR of 0.90 for stroke (95% CI, 0.84 to 0.97; P <0.01). The effect of optimism remained significant even after fully adjusting for a comprehensive set of sociodemographic, behavioral, biological, and psychological stroke risk factors. Conclusions—: Optimism may play an important role in protecting against stroke among older adults.

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  1. Scheier MF, Matthews KA, Owens JF, Magovern SGJ, Lefebvre RC, Abbott RA, et al. Dispositional optimism and recovery from coronary artery bypass surgery: the beneficial effects on physical and psycho- logical well-being. J Pers Soc Psychol. 1989;57:1024 -1040.
  2. Kubzansky LD. Is the glass half empty or half full? A prospective study of optimism and coronary heart disease in the Normative Aging Study. Psychosom Med. 2001;63:910.
  3. Tindle HA, Chang Y-F, Kuller LH, Manson JE, Robinson JG, Rosal MC, et al. Optimism, cynical hostility, and incident coronary heart disease and mortality in the Women's Health Initiative. Circulation. 2009;120: 656 -662.
  4. Giltay EJ, Geleijnse JM, Zitman FG, Hoekstra T, Schouten EG. Dispo- sitional optimism and all-cause and cardiovascular mortality in a pro- spective cohort of elderly Dutch men and women. Arch Gen Psychiatry. 2004;61:1126 -1135.
  5. Nabi H, Koskenvuo M, Singh-Manoux A, Korkeila J, Suominen S, Korkeila K, et al. Low pessimism protects against stroke: the Health and Social Support (HESSUP) Prospective Cohort Study. Stroke. 2010;41: 187-190.
  6. Herzberg PY, Glaesmer H, Hoyer J. Separating optimism and pessimism: a robust psychometric analysis of the Revised Life Orientation Test (LOT-R). Psychol Assess. 2006;18:433-438.
  7. Marshall GN, Wortman CB, Kusulas JW, Hervig LK, Vickers RR Jr. Distinguishing optimism from pessimism: relations to fundamental dimensions of mood and personality. J Pers Soc Psychol. 1992;62: 1067-1074.
  8. Ostir GV, Markides KS, Peek MK, Goodwin JS. The association between emotional well-being and the incidence of stroke in older adults. Psy- chosom Med. 2001;63:210 -215.
  9. Wallace RB, Herzog AR. Overview of the health measures in the Health and Retirement Study. J Hum Resour. 1995;30:S84 -S107.
  10. Okura Y, Urban LH, Mahoney DW, Jacobsen SJ, Rodeheffer RJ. Agreement between self-report questionnaires and medical record data was substantial for diabetes, hypertension, myocardial infarction and stroke but not for heart failure. J Clin Epidemiol. 2004;57:1096 -1103.
  11. Engstad T, Bonaa KH, Viitanen M. Validity of self-reported stroke: the Tromso Study. Stroke. 2000;31:1602-1607.
  12. Glymour MM, Avendano M. Can self-reported strokes be used to study stroke incidence and risk factors? Evidence from the Health and Retirement Study. Stroke. 2009;40:873-879.
  13. Kivima ¨ki M, Vahtera J, Elovainio M, Helenius H, Singh-Manoux A, Pentti J. Optimism and pessimism as predictors of change in health after death or onset of severe illness in family. Health Psychol. 2005;24: 413-421.
  14. McWilliams JM, Meara E, Zaslavsky AM, Ayanian JZ. Health of pre- viously uninsured adults after acquiring Medicare coverage. JAMA. 2007; 298:2886 -2894.
  15. Van Belle G. Epidemiology. In: Van Belle G, eds. Statistical Rules of Thumb, II Ed. Hoboken, NJ: Wiley; 2008:113-142.
  16. Kubzansky LD, Thurston RC. Emotional vitality and incident coronary heart disease: benefits of healthy psychological functioning. Arch Gen Psychiatry. 2007;64:1393-1401.
  17. Collins LM, Schafer JL, Kam C-M. A comparison of inclusive and restrictive strategies in modern missing data procedures. Psychol Methods. 2001;6:330 -351.
  18. West BT, Berglund P, Heeringa SG. A closer examination of subpopu- lation analysis of complex-sample survey data. Stata J. 2008;8:520 -531.
  19. Eagle KA, Ginsburg GS, Musunuru K, Aird WC, Balaban RS, Bennett SK, et al. Identifying patients at high risk of a cardiovascular event in the near future: Current status and future directions: report of a National Heart, Lung, and Blood Institute Working Group. Circulation. 2010;121: 1447-1454.
  20. Shepperd JA, Maroto JJ, Pbert LA. Dispositional optimism as a predictor of health changes among cardiac patients. Journal of Research in Per- sonality. 1996;30:517-534.
  21. Giltay EJ, Kamphuis MH, Kalmijn S, Zitman FG, Kromhout D. Dispo- sitional optimism and the risk of cardiovascular death: the Zutphen Elderly Study. Arch Intern Med. 2006;166:431-436.

Cited by

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Authors
Kim, E. S., Park, N., & Peterson, C.
Affiliations
University of Michigan (US)
ORCID
Venue
Stroke
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2011-10
Volume
42
Issue
10
Pages
2855-2859
ISSN
  • 0039-2499 (ISSN-L)
  • 1524-4628
DOI
10.1161/strokeaha.111.613448
OpenAlex
W2096975909
Cited by
114
References
4
Citations by year
2026: 1 · 2025: 5 · 2024: 2 · 2023: 5 · 2022: 13 · 2021: 7 · 2020: 14 · 2019: 10 · 2018: 12 · 2017: 7 · 2016: 7 · 2015: 11 · 2014: 11 · 2013: 6 · 2012: 3
FWCI
8.51
Type
journal article
Language
en
Open access
closed
Locations
  • Stroke (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
  • Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
  • Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
Keywords
dispositional optimism, stroke incidence, older adults, stroke risk factors, health psychology, protective factors, Health and Retirement Study
MeSH terms
Affect, Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Male, Middle Aged, Personality, Prospective Studies, Risk Factors, Incidence, Stroke

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