Cited by 259Psychological Well-being and Life SatisfactionHealth, psychology, and well-beingOptimism, Hope, and Well-being

The DOI matches its Crossref record; 87 of the 91 references it cites were found in a registry or an index; none of the 72 sources its claims cite is checked for support yet.

Psychological Well-Being and Physical Health: Associations, Mechanisms, and Future Directions

Open access

Abstract

A paradigm shift in public health and medicine has broadened the field from a singular focus on the ill effects of negative states and psychopathology to an expanded view that examines protective psychological assets that may promote improved physical health and longevity. We summarize recent evidence of the link between psychological well-being (including positive affect, optimism, life meaning and purpose, and life satisfaction) and physical health, with particular attention to outcomes of mortality and chronic disease incidence and progression. Within this evolving discipline there remain controversies and lessons to be learned. We discuss measurement-related challenges, concerns about the quality of the evidence, and other shortcomings in the field, along with a brief discussion of hypothesized biobehavioral mechanisms involved. Finally, we suggest next steps to move the field forward.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This selective review summarizes prospective evidence (2006 onward) linking psychological well-being—positive affect, optimism, life satisfaction, and purpose in life—to physical health outcomes including chronic disease incidence, disease progression, and mortality. The authors argue the field is limited by inconsistent measurement and conceptualization of well-being, and call for randomized interventions to establish causality.

Key findings

  • Well-being is associated with lower chronic disease incidence: in EPIC-Germany (~28,704 women), low life satisfaction was linked to 45% increased cancer risk, 69% for stroke, and 27% for diabetes; in 1,739 Nova Scotians, each unit increase in staff-coded positive affect was associated with 22% reduced odds of a cardiac event over 10 years.
  • Eudaimonic and blended constructs also show protective effects: a meta-analysis of 10 studies found life purpose associated with lower CVD risk (RR = 0.83, 95% CI = 0.75–0.92); ikigai was linked to lower breast cancer odds (RR = 0.66, 95% CI = 0.47–0.94) in 34,497 Japanese women; in ELSA (8,182 older adults), each SD increase in well-being was associated with reduced arthritis (HR = 0.89), diabetes (HR = 0.82), and lung disease (HR = 0.80).
  • In disease progression, each 1-SD increase in well-being was associated with 11% reduced risk of rehospitalization or mortality in cardiac patients (meta-analysis of 11 studies); in 995 women with HIV, high positive affect was associated with twice the likelihood of undetectable viral load (OR = 1.92, 95% CI 1.34–2.74).
  • For longevity, purpose in life remained significant when hedonic well-being was included in the same model (MIDUS, N = 6,163), and daily stressor-related decreases in positive affect predicted higher mortality over 10 years (181 men, VA Normative Aging Study); some effects attenuated when health behaviors and self-rated health were controlled.

Methods

  • Selective review of prospective evidence published 2006 onward, restricted to studies with objective health measures and those illuminating potential differential effects across well-being subtypes.
  • Well-being organized into hedonic (pleasure, happiness, positive affect, life satisfaction) and eudaimonic (life meaning, purpose, self-actualization, autonomy) domains, plus blended constructs (optimism, hope, vitality); studies summarized in Table 1 and supplementary Table 2.
  • Narrative synthesis across three outcome areas: disease onset in healthy samples, disease progression in clinical samples, and mortality/longevity, with attention to covariates and hypothesized biobehavioral mechanisms.

Limitations

  • Stated by the paper: lack of consistency in defining and sorting well-being domains (e.g., optimism variously cataloged as eudaimonic or blended); rare simultaneous inclusion of multiple well-being types in a single model; eudaimonic aspects greatly neglected; overreliance on secondary data with narrow, sometimes dubious well-being measures; and predominance of observational designs that cannot establish causality.
  • Stated by the paper: controversy over whether statistically controlling for hypothesized mediators (e.g., health behaviors) constitutes over-adjustment, potentially obscuring real effects.
  • Evident from the text: the review is explicitly selective rather than systematic, and the authors note it is premature to infer differential health effects across well-being subdomains given heterogeneity in constructs and disease states.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1177/1754073917697824

Cites

87 of 87 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

0 of 72 cited sources checked · 0 supported · 0 flagged

Show all 62 claims

  • Probably not a substantial claim. 11
  • It may state two separate claims as one. 34
  • The quote only partly states this claim. 4
42 of 42

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?

Citations

Cites

Flagged first, then by citations

Show all 91 references

4 of the 91 references couldn’t be matched to a known paper.

Research works printed but not linked: 2

  1. Diener E., Pressman S. D., Lyubomirsky S. (2015, December 17). Can 1 million women be wrong about happiness and health? Los Angeles Times, p. A21.
  2. Suls J. (2018). Toxic affect: Are anger, anxiety, and depression independent risk factors for cardiovascular disease? EMR, 10: (1), 6–17.

Cited by

Sorted by citations

Items 201–258 of 258

Metadata

Authors
Hernandez, R., Bassett, S. M., Boughton, S. W., Schuette, S. A., Shiu, E. W., & Moskowitz, J. T.
Affiliations
  • School of Social Work, University of Illinois at Urbana-Champaign, USA
  • Northwestern University (US)
Venue
Emotion Review
Published
2017-10-20
Volume
10
Issue
1
Pages
18-29
ISSN
  • 1754-0739 (ISSN-L)
  • 1754-0747
OpenAlex
W2766119211
Cited by
259
References
91
Citations by year
2026: 36 · 2025: 43 · 2024: 48 · 2023: 32 · 2022: 35 · 2021: 25 · 2020: 23 · 2019: 13 · 2018: 3 · 2017: 1
FWCI
15.58
Type
journal article
Language
en
Open access
Locations
  • Emotion Review (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Heart, Lung, and Blood Institute (1K01HL130712-01A1)
  • National Institute of Mental Health (K24 MH 093225)
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
psychological well-being, physical health, positive affect, optimism, life satisfaction, mortality, chronic disease, biobehavioral mechanisms, measurement challenges

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.

A language model drew the claims from the paper on 2026-10-08, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).

A second model labelled each claim on 2026-10-08 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).

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