Evidence map›Paper›PMID 27796252›Full record

Observational studyGeneral hospital psychiatry

The effects of optimism and gratitude on adherence, functioning and mental health following an acute coronary syndrome.

Rachel A Millstein, Christopher M Celano, Eleanor E Beale, Scott R Beach, Laura Suarez, Arianna M Belcher, James L Januzzi, Jeff C Huffman

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Rachel A MillsteinHarvard Medical School, 55 Fruit St., Boston, MA 02114, USA; Department of Psychiatry, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA. Electronic address: ramillstein@mgh.harvard.edu.
Christopher M CelanoHarvard Medical School, 55 Fruit St., Boston, MA 02114, USA; Department of Psychiatry, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.
Eleanor E BealeHarvard Medical School, 55 Fruit St., Boston, MA 02114, USA.
Scott R BeachHarvard Medical School, 55 Fruit St., Boston, MA 02114, USA; Department of Psychiatry, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.
Laura SuarezDepartment of Psychiatry, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.
Arianna M BelcherDepartment of Medicine, Division of Cardiology, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.
James L JanuzziHarvard Medical School, 55 Fruit St., Boston, MA 02114, USA; Department of Medicine, Division of Cardiology, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.
Jeff C HuffmanHarvard Medical School, 55 Fruit St., Boston, MA 02114, USA; Department of Psychiatry, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.

Funding

Developing a positive psychology intervention to improve cardiac health behaviorsR01HL113272 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI HUFFMAN, JEFF C · 2013 to 2017
$2.6M
A positive psychology intervention to promote health behaviors in heart failureK23HL123607 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI CELANO, CHRISTOPHER M · 2015 to 2019
$859k
NHLBI NIH HHS K23 HL123607NHLBI NIH HHS R01 HL113272
6 · The paper itself

Abstract

objectiveThis study examined the effects of optimism and gratitude on self-reported health behavior adherence, physical functioning and emotional well-being after an acute coronary syndrome (ACS).

methodsAmong 156 patients, we examined associations between optimism and gratitude measured 2 weeks post-ACS and 6-month outcomes: adherence to medical recommendations, mental and physical health-related quality of life (HRQoL), physical functioning, depressive symptoms and anxiety. Multivariable linear regression models were used, controlling for increasing levels of adjustment.

resultsOptimism [β=.11, standard error (S.E.)=.05, P=.038] and gratitude (β=.10, S.E.=.05, P=.027) at 2 weeks were associated with subsequent self-reported adherence to medical recommendations (diet, exercise, medication adherence, stress reduction) at 6 months in fully adjusted models. Two-week optimism and gratitude were associated with improvements in mental HRQoL (optimism: β=.44, S.E.=.13, P=.001; gratitude: β=.33, S.E.=.12, P=.005) and reductions in symptoms of depression (optimism: β=-.11, S.E.=.05, P=.039; gratitude: β=-.10, S.E.=.05, P=.028) and anxiety (optimism: β=-.15, S.E.=.05, P=.004; gratitude: β=-.10, S.E.=.05, P=.034) at 6 months.

conclusionOptimism and gratitude at 2 weeks post-ACS were associated with higher self-reported adherence and improved emotional well-being 6 months later, independent of negative emotional states. Optimism and gratitude may help recovery from an ACS. Interventions promoting these positive constructs could help improve adherence and well-being.

Indexed as

Outcome Assessment, Health CareAcute Coronary SyndromeAgedAged, 80 and overAnxietyDepressionEmotionsFemaleFollow-Up StudiesHumansMaleMiddle AgedOptimismPatient ComplianceQuality of LifeAcute coronary syndromeAdherenceGratitudeMental healthOptimism

Identifiers

PMID27796252
PMCPMC6894170

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.