Dispositional optimism and all-cause and cardiovascular mortality in a prospective cohort of elderly dutch men and women
Dispositional optimism and all-cause and cardiovascular mortality in a prospective cohort of elderly dutch men and women
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DOI：
10.1001/archpsyc.61.11.1126
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发表时间：
2004-11-01
影响因子：
--
通讯作者：
Schouten, EG
中科院分区：
文献类型：
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作者：
Giltay, EJ;Geleijnse, JM;Schouten, EG
背景：已知重度抑郁症与较高的心血管死亡率有关。然而，关于性格乐观与死亡率相关的流行病学数据很少。目的：测试乐观的受试者是否比悲观的受试者寿命更长。设计：我们的分析构成了荷兰一项基于人群的前瞻性队列研究（阿纳姆老年人研究）的一部分。地点：一般社区。参与者：年龄 65 至 85 岁的老年受试者（999 名男性和女性）完成了包含 30 项验证的荷兰主观主观量表老年人的福祉，有 5 个分量表：健康、自尊、士气、乐观和交往。共有 941 名受试者（466 名男性和 475 名女性）拥有完整的性格乐观数据，这些受试者被分为四分位数。主要结果指标：随访期间的死亡人数。结果：在 9.1 年的随访期间（19912001 年），有 397 例死亡。与高度悲观的受试者相比，那些报告高度乐观的受试者的全因死亡率的年龄和性别调整风险比为 0.55（95% 置信区间，0.42-0.74；上四分位数与下四分位数）。对于心血管死亡率，根据年龄、性别、慢性疾病、教育程度、吸烟、饮酒、心血管疾病或高血压病史、体重指数和总胆固醇水平进行调整后，风险比为 0.23（95% 置信区间，0.10-0.55）。在乐观水平与全因死亡率和心血管死亡率之间观察到保护趋势关系（P
Background: Major depression is known to be related to higher cardiovascular mortality. However, epidemiological data regarding dispositional optimism in relation to mortality are scanty.Objective: To test whether subjects who are optimistic live longer than those who are pessimistic.Design: Our analysis formed part of a prospective population-based cohort study in the Netherlands (Arnhem Elderly Study).Setting: General community.Participants: Elderly subjects aged 65 to 85 years (999 men and women) completed the 30-item validated Dutch Scale of Subjective Well-being for Older Persons, with 5 subscales: health, self-respect, morale, optimism, and contacts. A total of 941 subjects (466 men and 475 women) had complete dispositional optimism data, and these subjects were divided into quartiles.Main Outcome Measure: Number of deaths during the follow-up period.Results: During the follow-up period of 9.1 years (19912001), there were 397 deaths. Compared with subjects with a high level of pessimism, those reporting a high level of optimism had an age- and sex-adjusted hazard ratio of 0.55 (95% confidence interval, 0.42-0.74; upper vs lower quartile) for all-cause mortality. For cardiovascular mortality, the hazard ratio was 0.23 (95% confidence interval, 0.10-0.55) when adjusted for age, sex, chronic disease, education, smoking, alcohol consumption, history of cardiovascular disease or hypertension, body mass index, and total cholesterol level. Protective trend relationships were observed between the level of optimism and all-cause and cardiovascular mortality (P