The Association of Dispositional Optimism and Pessimism With Cardiovascular Disease Events in Older Adults: A Prospective Cohort Study

Heather Craig; Joanne Ryan; Rosanne Freak-Poli; Alice Owen; John McNeil; Robyn L. Woods; Carlene Britt; Andrew Tonkin; Danijela Gasevic

doi:10.1177/08982643221083118

The Association of Dispositional Optimism and Pessimism With Cardiovascular Disease Events in Older Adults: A Prospective Cohort Study

Heather Craig, Joanne Ryan, Rosanne Freak-Poli, Alice Owen, John McNeil, Robyn L. Woods, Carlene Britt, Andrew Tonkin, Danijela Gasevic

Research output: Contribution to journal › Article › Research › peer-review

5 Citations (Scopus)

Abstract

Objective: Positive psychosocial factors may protect against cardiovascular disease (CVD). We aimed to determine the association of optimism and pessimism with CVD events in community-dwelling older adults. Methods: 11,651 adults aged 70 years and over, participants of the ASPREE Longitudinal Study of Older Persons (ALSOP), were followed-up for 4.7 years (median). The association of optimism and pessimism (assessed as separate constructs by revised Life Orientation Test) and incident CVD events (composite and components) was assessed by Cox regression adjusted for demographic, socioeconomic and health factors. Results: No association was observed between optimism and pessimism with composite CVD events. Being more pessimistic was associated with a greater risk of fatal coronary heart disease, while being more optimistic was associated with a lower risk of non-fatal myocardial infarction. Conclusions: Optimism and pessimism may shape cardiovascular health of older adults; and we argue these psychosocial factors should be researched as separate constructs.

Original language	English
Pages (from-to)	961–972
Number of pages	12
Journal	Journal of Aging and Health
Volume	34
Issue number	6-8
DOIs	https://doi.org/10.1177/08982643221083118
Publication status	Published - Oct 2022

Keywords

cardiac health
cardiovascular disease
cohort-study
LOT-R
optimism
pessimism

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1177/08982643221083118

Cite this

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title = "The Association of Dispositional Optimism and Pessimism With Cardiovascular Disease Events in Older Adults: A Prospective Cohort Study",

abstract = "Objective: Positive psychosocial factors may protect against cardiovascular disease (CVD). We aimed to determine the association of optimism and pessimism with CVD events in community-dwelling older adults. Methods: 11,651 adults aged 70 years and over, participants of the ASPREE Longitudinal Study of Older Persons (ALSOP), were followed-up for 4.7 years (median). The association of optimism and pessimism (assessed as separate constructs by revised Life Orientation Test) and incident CVD events (composite and components) was assessed by Cox regression adjusted for demographic, socioeconomic and health factors. Results: No association was observed between optimism and pessimism with composite CVD events. Being more pessimistic was associated with a greater risk of fatal coronary heart disease, while being more optimistic was associated with a lower risk of non-fatal myocardial infarction. Conclusions: Optimism and pessimism may shape cardiovascular health of older adults; and we argue these psychosocial factors should be researched as separate constructs.",

keywords = "cardiac health, cardiovascular disease, cohort-study, LOT-R, optimism, pessimism",

author = "Heather Craig and Joanne Ryan and Rosanne Freak-Poli and Alice Owen and John McNeil and Woods, \{Robyn L.\} and Carlene Britt and Andrew Tonkin and Danijela Gasevic",

note = "Funding Information: RFP is supported by an Australian Heart Foundation post-doctoral fellowship (101927), JR is supported by NHMRC Dementia Research Leader Fellowship (1135727) . Supported by grants (U01AG029824 and U19AG062682) from the National Institute on Aging and the National Cancer Institute at the National Institutes of Health, by grants (334047 and 1127060) from the National Health and Medical Research Council of Australia, and by Monash University and the Victorian Cancer Agency. Publisher Copyright: {\textcopyright} The Author(s) 2022.",

year = "2022",

month = oct,

doi = "10.1177/08982643221083118",

language = "English",

volume = "34",

pages = "961–972",

journal = "Journal of Aging and Health",

issn = "0898-2643",

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T1 - The Association of Dispositional Optimism and Pessimism With Cardiovascular Disease Events in Older Adults

T2 - A Prospective Cohort Study

AU - Craig, Heather

AU - Ryan, Joanne

AU - Freak-Poli, Rosanne

AU - Owen, Alice

AU - McNeil, John

AU - Woods, Robyn L.

AU - Britt, Carlene

AU - Tonkin, Andrew

AU - Gasevic, Danijela

N1 - Funding Information: RFP is supported by an Australian Heart Foundation post-doctoral fellowship (101927), JR is supported by NHMRC Dementia Research Leader Fellowship (1135727) . Supported by grants (U01AG029824 and U19AG062682) from the National Institute on Aging and the National Cancer Institute at the National Institutes of Health, by grants (334047 and 1127060) from the National Health and Medical Research Council of Australia, and by Monash University and the Victorian Cancer Agency. Publisher Copyright: © The Author(s) 2022.

PY - 2022/10

Y1 - 2022/10

N2 - Objective: Positive psychosocial factors may protect against cardiovascular disease (CVD). We aimed to determine the association of optimism and pessimism with CVD events in community-dwelling older adults. Methods: 11,651 adults aged 70 years and over, participants of the ASPREE Longitudinal Study of Older Persons (ALSOP), were followed-up for 4.7 years (median). The association of optimism and pessimism (assessed as separate constructs by revised Life Orientation Test) and incident CVD events (composite and components) was assessed by Cox regression adjusted for demographic, socioeconomic and health factors. Results: No association was observed between optimism and pessimism with composite CVD events. Being more pessimistic was associated with a greater risk of fatal coronary heart disease, while being more optimistic was associated with a lower risk of non-fatal myocardial infarction. Conclusions: Optimism and pessimism may shape cardiovascular health of older adults; and we argue these psychosocial factors should be researched as separate constructs.

AB - Objective: Positive psychosocial factors may protect against cardiovascular disease (CVD). We aimed to determine the association of optimism and pessimism with CVD events in community-dwelling older adults. Methods: 11,651 adults aged 70 years and over, participants of the ASPREE Longitudinal Study of Older Persons (ALSOP), were followed-up for 4.7 years (median). The association of optimism and pessimism (assessed as separate constructs by revised Life Orientation Test) and incident CVD events (composite and components) was assessed by Cox regression adjusted for demographic, socioeconomic and health factors. Results: No association was observed between optimism and pessimism with composite CVD events. Being more pessimistic was associated with a greater risk of fatal coronary heart disease, while being more optimistic was associated with a lower risk of non-fatal myocardial infarction. Conclusions: Optimism and pessimism may shape cardiovascular health of older adults; and we argue these psychosocial factors should be researched as separate constructs.

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KW - cardiovascular disease

KW - cohort-study

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KW - pessimism

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The Association of Dispositional Optimism and Pessimism With Cardiovascular Disease Events in Older Adults: A Prospective Cohort Study

Abstract

Keywords

UN SDGs

Access to Document

Other files and links

Understanding social isolation as a risk-factor for cardiovascular disease: Identifying Positive Ageing Strategies in Australian Communities

Comprehensive risk prediction models and presymptomatic biomarkers for dementia

ASPREE Completion Project

Cite this

The Association of Dispositional Optimism and Pessimism With Cardiovascular Disease Events in Older Adults: A Prospective Cohort Study

Abstract

Keywords

UN SDGs

Access to Document

Other files and links

Projects

Understanding social isolation as a risk-factor for cardiovascular disease: Identifying Positive Ageing Strategies in Australian Communities

Comprehensive risk prediction models and presymptomatic biomarkers for dementia

ASPREE Completion Project

Cite this