Pessimism is associated with greater all-cause and cardiovascular mortality, but optimism is not protective

John B. Whitfield · J. George Landers · Nicholas G. Martin

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Optimism, Hope, and Well-being Cardiac Health and Mental Health Health disparities and outcomes

Abstract

Abstract Scores on an optimistic-pessimistic personality scale have been associated with mortality, but optimism and pessimism scores are separable traits and it is unclear which has effects on health or longevity. The Life Orientation Test (LOT), containing items for optimism and pessimism, was included in a twin study on health of Australians aged over 50 in 1993–1995. After a mean of 20 years, participants were matched against death information from the Australian National Death Index. 1,068 out of 2,978 participants with useable LOT scores had died. Survival analysis tested for associations between separate optimism and pessimism scores and mortality from any cause, and from cancers, cardiovascular diseases or other known causes. Age-adjusted scores on the pessimism scale were associated with all-cause and cardiovascular mortality (Hazard Ratios per 1 standard deviation unit, 95% confidence intervals and p-values 1.134, 1.065–1.207, 8.85 × 10–5 and 1.196, 1.045–1.368, 0.0093, respectively) but not with cancer deaths. Optimism scores, which were only weakly correlated with pessimism scores (age-adjusted rank correlation = − 0.176), did not show significant associations with overall or cause-specific mortality. Reverse causation (disease causing pessimism) is unlikely because in that case both cardiovascular diseases and cancers would be expected to lead to pessimism.

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References

1985Optimism, coping, and health: Assessment and implications of generalized outcome expectancies.2009Optimism, Cynical Hostility, and Incident Coronary Heart Disease and Mortality in the Women’s Health Initiative 2006Separating optimism and pessimism: A robust psychometric analysis of the Revised Life Orientation Test (LOT-R).2001Is the Glass Half Empty or Half Full? A Prospective Study of Optimism and Coronary Heart Disease in the Normative Aging Study 2004Dispositional Optimism and All-Cause and Cardiovascular Mortality ina Prospective Cohort of Elderly Dutch Men and Women 2016Can psychological interventions increase optimism? A meta-analysis 2018Dispositional optimism and physical health: A long look back, a quick look forward.1992Optimism, pessimism and mental health: A twin/adoption analysis

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