ArticleJournal of diabetes2018
Optimism, pessimism, cynical hostility, and biomarkers of metabolic function in the Women's Health Initiative.
Article in Journal of diabetes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association of Optimism With Cardiovascular Events and All-Cause Mortality: A Systematic Review and Meta-analysis.JAMA network open · 2019Pooled it
- A Smartphone App (TRIANGLE) to Change Cardiometabolic Risk Behaviors in Women Following Gestational Diabetes Mellitus: Intervention Mapping Approach.JMIR mHealth and uHealth · 2021Trial
- Association Between Optimism and Negative Emotional Eating in Caribbean Latinx Adults in the Northeast US.International journal of behavioral medicine · 2023Article
- The relationship between optimism, MCI, and dementia among postmenopausal women.Aging & mental health · 2023Article
- Yin and Yang of Psychological Health in the Cancer Experience: Does Positive Psychology Have a Role?Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022Article
- Independent and Joint Associations of Pessimism, Total Calorie Intake and Acid-Producing Diets with Insomnia Symptoms among Breast Cancer Survivors.Journal of clinical medicine · 2022Article
- Association of the 2020 US Presidential Election With Hospitalizations for Acute Cardiovascular Conditions.JAMA network open · 2022Article
- Is Optimism a Protective Factor for Cardiovascular Disease?Current cardiology reports · 2021Review
- Positive psychological well-being and cardiovascular disease: Exploring mechanistic and developmental pathways.Social and personality psychology compass · 2021Article
- Do health behaviors mediate associations between personality traits and diabetes incidence?Annals of epidemiology · 2021Article
- Hostile personality as a risk factor for hyperglycemia and obesity in adult populations: a systematic review.Journal of diabetes and metabolic disorders · 2020Review
- Sex differences in the association of psychosocial resources with prevalent type 2 diabetes among African Americans: The Jackson Heart Study.Journal of diabetes and its complications · 2019Article
- Personality traits and diabetes incidence among postmenopausal women.Menopause (New York, N.Y.) · 2019Article
- Optimism predicts sustained vigorous physical activity in postmenopausal women.Preventive medicine reports · 2017Article
- The Relation of Optimism to Relative Telomere Length in Older Men and Women.Psychosomatic medicineArticle
Corrections and comments
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Authors and funding
15 authors.
Funding
Abstract
backgroundPsychological attitudes reflecting expectations about the future (optimism, pessimism) and people (cynical hostility) independently predict incident cardiovascular disease and possibly diabetes, but underlying biologic pathways are incompletely understood. Herein we examined the cross-sectional relationship between optimism, pessimism, and cynicism and biomarkers of metabolic function in the Women's Health Initiative.
methodsAmong 3443 postmenopausal women, biomarkers of metabolic function (fasting insulin [FINS] and glucose) were measured at baseline and used to calculate insulin resistance (homeostasis model assessment of insulin resistance [HOMA-IR]) and pancreatic β-cell activity (homeostasis model assessment of β-cell function [HOMA-B]). Psychological attitudes were assessed by the Life Orientation Test, Revised (full scale, and optimism and pessimism subscales) and the Cook-Medley cynicism subscale. Multivariable linear regression modeled the association of psychological attitudes with biomarker levels, adjusting for sociodemographics, health conditions, and health behaviors. Because obesity promotes insulin resistance and obese individuals tend to report higher levels of pessimism and cynical hostility, an interaction with body mass index (BMI) was explored.
resultsIn fully adjusted models, only pessimism remained independently associated with higher FINS and insulin resistance (HOMA-IR). Scoring 1 point higher on the pessimism subscale was associated with a 1.2% higher FINS, whereas scoring 1 SD higher was associated with a 2.7% higher FINS (P = 0.03); results were similar for HOMA-IR. An interaction term with BMI was not significant.
conclusionsIn multivariable models, higher dispositional pessimism was associated with worse metabolic function; these findings were not modified by obesity status. Results extend prior work by linking pessimism to an objective biomarker of insulin resistance in elderly women.
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