Dispositional Optimism and All-Cause Mortality in Older Adults: A Cohort Study.
Dispositional Optimism and All-Cause Mortality in Older Adults: A Cohort Study.
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DOI：
10.1097/psy.0000000000000989
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发表时间：
2021-10-01
影响因子：
3.3
通讯作者：
Gasevic D
中科院分区：
文献类型：
--
作者：
Craig HJ;Ryan J;Freak-Poli R;Owen A;McNeil J;Woods R;Ward S;Britt C;Gasevic D
乐观是可以改变的，可能与健康的衰老有关。我们的目标是调查性格乐观是否与70岁及以上成年人的全因死亡率有关。2010至2014年间，通过初级保健医生招募了没有严重心血管疾病和痴呆症的老年人，并参加了阿司匹林减少老年事件(ASPREE)临床试验。澳大利亚ASPREE参与者被邀请参加ASPREE老年人纵向研究(ALSOP)，该研究与ASPREE并行进行。乐观情绪在基线时使用生活定向测验修订版(LOT-R)进行评估。乐观情绪(分为四分位数)和全因死亡率之间的关联通过Cox比例风险模型进行了评估。11,701名参与者(平均年龄：75.1岁，SD 4.24；46.6%的男性)返回了Alsop社会问卷并完成了Lot-R。在中位数4.7年的随访中，发生了469例死亡。完全调整的模型无统计学意义(HR为0.78，95%CI为0.58~1.06)。有证据表明，年龄是乐观与长寿之间联系的影响因素。仅在年龄最大的个体(77岁以上)中，较高的乐观情绪与较低的死亡风险相关(HR为0.61，95%CI为0.39-0.96)。我们在总体样本中没有观察到乐观与全因死亡率之间的独立关系，尽管乐观似乎与高龄老年人(77岁及以上的成年人)风险较低有关。
Optimism is modifiable and may be associated with healthy ageing. We aim to investigate whether dispositional optimism is associated with all-cause mortality in adults aged 70 years and older. Between 2010 and 2014, older adults free of serious cardiovascular disease and dementia were recruited through primary care physicians, and enrolled in the Aspirin Reducing Events in the Elderly (ASPREE) clinical trial. Australian ASPREE participants were invited to participate in the ASPREE Longitudinal Study of Older Persons (ALSOP) that was running in parallel to ASPREE. Optimism was assessed at baseline using the Life Orientation Test – Revised (LOT-R). The association between optimism, divided into quartiles, and all-cause mortality was assessed using Cox Proportional Hazard models. 11,701 participants (mean age: 75.1 years, SD 4.24; 46.6% men) returned the ALSOP Social questionnaire and completed the LOT-R. During the median 4.7 years follow-up, 469 deaths occurred. The fully adjusted model was not significant (HR 0.78, 95% CI 0.58-1.06). There was evidence that age was an effect modifier of the association between optimism and longevity. Higher optimism was associated with lower mortality risk in the oldest individuals only (77+ years) (HR 0.61, 95% CI 0.39-0.96). We observed no independent relationship between optimism and all-cause mortality in the total sample, although optimism appeared to be associated with lower risk among oldest old (adults aged 77 years and over).
性格乐观和应对痛苦。
影响因子：
4.2
作者：
Bargiel-Matusiewicz K;Krzyszkowska A
通讯作者：
Krzyszkowska A