Ratings of positive and depressive emotion as predictors of mortality in coronary patients

Department of Medicine, Duke University, Durham, North Carolina, United States
International Journal of Cardiology (Impact Factor: 4.04). 04/2005; 100(2):213-6. DOI: 10.1016/j.ijcard.2004.06.016
Source: PubMed


An extensive body of research has demonstrated an association between negative affective states and health outcomes. Positive emotions may also influence physical health, however, their examination has received far less attention.
Positive and depressive emotion ratings were examined as independent and joint predictors of survival in a sample of 866 cardiac catheterization patients. The mean follow-up was 11.4 years, during which 415 deaths occurred. The mean age of the sample was 60.3 years and 74.3% of the sample were males.
Both positive and depressive ratings were associated with survival (hazard ratio=0.80, 95% CI=0.66-0.97, p<0.025 and hazard ratio=1.32, 95% CI=1.13-1.54, p<0.001, respectively), adjusted for risk factors. Positive emotion ratings were no longer significantly related to mortality when the two emotion measures were simultaneously included in a survival model.
The current findings are consistent with a theory that suggests that the relation between positive emotion and mortality may be partly mediated by depressive emotion.

9 Reads
  • Source
    • "Assertive individuals tend to be forceful and dominant, and may be more likely to take the lead in part because of a higher energy level [30]. A large literature links well-being to health outcomes, with many studies [44]–[46], but not all [47], finding greater emotional well-being associated with reduced risk of cardiovascular diseases and mortality. The current study suggests that aerobic capacity might be a potential mediator of the links between positive emotions and cardiovascular health. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Personality traits and cardiorespiratory fitness in older adults are reliable predictors of health and longevity. We examined the association between personality traits and energy expenditure at rest (basal metabolic rate) and during normal and maximal sustained walking. Personality traits and oxygen (VO(2)) consumption were assessed in 642 participants from the Baltimore Longitudinal Study of Aging. Results indicate that personality traits were mostly unrelated to resting metabolic rate and energy expenditure at normal walking pace. However, those who scored lower on neuroticism (r = -0.12) and higher on extraversion (r = 0.11), openness (r = 0.13), and conscientiousness (r = 0.09) had significantly higher energy expenditure at peak walking pace. In addition to greater aerobic capacity, individuals with a more resilient personality profile walked faster and were more efficient in that they required less energy per meter walked. The associations between personality and energy expenditure were not moderated by age or sex, but were in part explained by the proportion of fat mass. In conclusion, differences in personality may matter the most during more challenging activities that require cardiorespiratory fitness. These findings suggest potential pathways that link personality to health outcomes, such as obesity and longevity.
    PLoS ONE 01/2013; 8(1):e54746. DOI:10.1371/journal.pone.0054746 · 3.23 Impact Factor
  • Source
    • "Since the last two decades researchers have demonstrated an association between affective states and health outcomes, especially cardiovascular safety. Relation between negative and positive emotions and survival in coronary artery disease [1]; impact of anger and anger expression on cardiovascular health [2]; kinship of mood and anxiety disorders with congenital heart disease [3]; and depression as a common co-morbid condition in patients with coronary artery disease [4] "

    International journal of cardiology 07/2012; 162(3). DOI:10.1016/j.ijcard.2012.06.091 · 4.04 Impact Factor
  • Source
    • "Höfer, S., Benzer, W., Alber, H., Ruttmann, E., Kopp, M., Schüssler, G. & Doering, S. (2005). Determinants of health-related quality of life in coronary artery disease patients: A prospective study generating a structural equation model. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Health-related quality of life (QoL) is an important and widely used outcome measure in cardiac populations. We examined the relationship between positive affect and health-related quality of life, controlling for traditional cardiovascular risk factors, clinical variables and negative affect. We further investigated the role of gender in this relationship given the well-known gender differences in cardiovascular health. We enrolled 746 patients with coronary heart disease (CHD) before they entered outpatient cardiac rehabilitation. All patients completed the Global Mood Scale and the SF-36 Health Survey. Positive affect was independently associated with mental (p < .001) and physical QoL (p < .001) after controlling for control variables. Gender moderated the relationship between positive affect and physical QoL (p = .009) but not mental QoL (p = .60). Positive affect was positively associated with physical QoL in men (p < .001) but not in women (p = .44). The health-related QoL of patients with CHD is associated with a person's level of positive affect.
    Journal of Clinical Psychology in Medical Settings 05/2012; 20(1). DOI:10.1007/s10880-012-9311-6 · 1.49 Impact Factor
Show more

Similar Publications