Dispositional Optimism and the Risk of Cardiovascular Death: The Zutphen Elderly Study

Giltay, Erik J.

doi:10.1001/.431

Cited by 124 publications

(145 citation statements)

References 25 publications

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“…However, we did not observe an association of EPA þ DHA intake and dispositional optimism measured with the LOT-R. These questionnaires may differ because the 4Q also captures life engagement, vitality, motivation and feeling a purpose in life (17) rather than generalised positive outcome expectancies which is the focus of the LOT-R (22) . Nevertheless, 46 % of the participants were classified into the same tertile with both the LOT-R and 4Q, and Spearman rank correlation was 0·44 indicating a reasonable agreement between the two questionnaires.…”

Section: Discussionmentioning

confidence: 58%

“…The LOT-R assesses respondents' expectations for the future and is considered the standard psychological optimism test with good psychometric properties (22) . The other optimism test, the 4Q, was shown to represent a rather stable personality measure over time, and was predictive of subsequent depressive symptoms and cardiovascular mortality in the Zutphen Elderly Study (17,23) , but has not been validated against other measures of mental well-being.…”

Section: Discussionmentioning

confidence: 99%

“…The 4Q was used previously in the Zutphen Elderly Study, and was predictive of both subsequent depressive symptoms (23) and cardiovascular mortality (17) . It consists of the following four questions: 'I still expect much from life'; 'I do not look forward to the years to come'; 'My days seem to pass by slowly'; 'I am still full of plans'.…”

Section: Assessment Of Mental Well-beingmentioning

confidence: 99%

“…Depression is not simply the reverse of optimism, but both affect mental well-being, and because the intake of fish or n-3 PUFA may alleviate depressive symptoms, it may also enhance optimism. Dispositional optimism is defined in terms of generalised positive expectancies for one's future (14) and has been associated with more healthy dietary and other lifestyle habits (15,16) and also with less cardiovascular mortality (17) . In a prospective study in 773 community-dwelling elderly men, it was shown that dispositional optimism was associated with healthy lifestyle and dietary habits, including eating $ 400 mg EPA þ DHA/d (16) .…”

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confidence: 99%

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Association of n-3 long-chain PUFA and fish intake with depressive symptoms and low dispositional optimism in older subjects with a history of myocardial infarction

et al. 2009

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Individuals with CHD are at increased risk of poor mental well-being. Dietary intake of EPA and DHA, the main n-3 fatty acids from fish, may be beneficial to mental well-being. We examined the association of EPA þ DHA and fish intake with mental well-being in 644 participants, aged 60 -80 years, with a history of myocardial infarction. Habitual food intake was assessed with a 203-item FFQ. Depressive symptoms were assessed with the self-report geriatric depression scale, and dispositional optimism was assessed with the revised life orientation test (LOT-R) and a fouritem questionnaire (4Q). In Cox-regression models modified for cross-sectional analyses, we adjusted for sex, age, energy intake, BMI, family history of depression, education, marital status, smoking, physical activity and intake of saturated fat, alcohol and fibre. Compared with the lower tertile, subjects in the higher tertile of EPA þ DHA intake had a lower prevalence of depressive symptoms, but this association was not statistically significant (prevalence ratio (PR) 0·78; 95 % CI 0·50, 1·22, P-trend 0·27). The higher tertile of EPAþ DHA intake was positively associated with dispositional optimism measured with the 4Q (PR 0·69; 95 % CI 0·46, 1·03, P-trend 0·05), but not according to the LOT-R. Fish intake was not related to either depressive symptoms or dispositional optimism. In conclusion, intake of EPAþDHA was positively associated with dispositional optimism assessed with the 4Q, but not with optimism assessed with the LOT-R or with depressive symptoms.

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Section: Assessment Of Mental Well-beingmentioning

confidence: 99%

mentioning

confidence: 99%

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Association of n-3 long-chain PUFA and fish intake with depressive symptoms and low dispositional optimism in older subjects with a history of myocardial infarction

et al. 2009

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“…[30][31][32] • Those who engage in practicing gratitude make more progress in achieving important personal goals 4,33 and are more likely to report feeling loved. 4,34 In addition to enhancing numerous positive psychological outcomes, the exercise of gratitude is also associated with mitigation of negative affective states such as stress and depression.…”

mentioning

confidence: 99%