Evidence map›Paper›PMID 27852243›Full record

ArticleBMC public health2016

Pessimism and risk of death from coronary heart disease among middle-aged and older Finns: an eleven-year follow-up study.

Mikko Pänkäläinen, Tuomas Kerola, Olli Kampman, Markku Kauppi, Jukka Hintikka

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% of its field
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 77 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Mental health status and cardiovascular outcomes across Life's Essential 8 categories.International journal of cardiology. Cardiovascular risk and prevention · 2025
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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

5 authors at 3 institutions in 1 country.

Mikko PänkäläinenDepartment of Psychiatry, Päijät-Häme Central Hospital, Keskussairaalankatu 7, FI-15850, Lahti, Finland. mikko.pankalainen@phsotey.fi.
Tuomas KerolaDepartment of Internal Medicine, Päijät-Häme Central Hospital, Lahti, Finland.
Olli KampmanDepartment of Psychiatry, Seinäjoki Hospital District, Seinäjoki, Finland.
Markku KauppiDepartment of Internal Medicine, Päijät-Häme Central Hospital, Lahti, Finland.
Jukka HintikkaDepartment of Psychiatry, Päijät-Häme Central Hospital, Keskussairaalankatu 7, FI-15850, Lahti, Finland.
Päijät-Hämeen Keskussairaala · FITampere University · FISeinäjoki University of Applied Sciences · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMortality from coronary heart disease (CHD) remains at quite notable levels. Research on the risk factors and the treatment of CHD has focused on physiological factors, but there is an increasing amount of evidence connecting mental health and personality traits to CHD, too. The data concerning the connection of CHD and dispositional optimism and pessimism as personality traits is relatively scarce. The aim of this study was to investigate the connection between optimism, pessimism, and CHD mortality.

methodsThis was an 11-year prospective cohort study on a regional sample of three cohorts, aged 52-56, 62-66, and 72-76 years at baseline (N = 2815). The levels of dispositional optimism and pessimism of the study subjects were determined at baseline using a revised version of the Life Orientation Test (LOT-R). Eleven years later, those results and follow-up data about CHD as a cause of death were used to calculate odds. Adjustments were made for cardiovascular disease risk.

resultsThose who died because of CHD were significantly more pessimistic at baseline than the others. This finding applies to both men and women. Among the study subjects in the highest quartile of pessimism, the adjusted risk of death caused by CHD was approximately 2.2-fold (OR 2.17, 95 % CI 1.21-3.89) compared to the subjects in the lowest quartile. Optimism did not seem to have any connection with the risk of CHD-induced mortality.

conclusionsPessimism seems to be a substantial risk factor for death from CHD. As an easily measured variable, it might be a very useful tool together with the other known risk factors to determine the risk of CHD-induced mortality.

Indexed as

DeathPersonalityPessimismAgedAged, 80 and overCause of DeathCoronary Artery DiseaseCoronary DiseaseFemaleFinlandFollow-Up StudiesHumansMaleMental HealthMiddle AgedProspective StudiesPessimism, Optimism, Cardiovascular disease risk, Coronary heart disease, Mortality, Life Orientation TestRevised

Identifiers

PMID27852243
PMCPMC5112655
OpenAlexW2539626672

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.