ArticleJAMA network open2020
Association of Positive Affect Instability With All-Cause Mortality in Older Adults in England.
Article in JAMA network open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Unpacking the components of positive affect variability: Implications for psychological health across contexts.Emotion (Washington, D.C.) · 2025Pooled it
- Mindfulness training fosters a positive outlook during acute stress: A randomized controlled trial.Emotion (Washington, D.C.) · 2025Trial
- Higher loneliness is associated with greater positive and negative emotion instability in everyday life.Cognition & emotion · 2026Article
- Daily loneliness deconstructed: Examining patterns of within- and between-person variation.Emotion (Washington, D.C.) · 2026Article
- Longitudinal profiles of affect dynamics in middle and later life: A latent transition analysis.Psychology and aging · 2026Article
- Broken Ties: Black Americans' Diminished Return of Socioeconomic Status on Subjective Well-being.Journal of racial and ethnic health disparities · 2025Article
- Dynamic Complexity of Positive and Negative Affect in NSSI - A Daily Diary Study.Clinical psychology in Europe · 2025Article
- Beyond lifestyle, logic and empathy: subjective health, mood, emotional intelligence, and personality as keys to well-being for women and men.BMC psychiatry · 2025Article
- Factors influencing students' happiness, vitality, and self-esteem.Frontiers in psychology · 2024Article
- Daily Affective Dynamics in Major Depressive Disorder: The Role of Daily Stressors and Positive Events.Affective science · 2023Article
- For living well, behaviors and circumstances matter just as much as psychological traits.Proceedings of the National Academy of Sciences of the United States of America · 2023Article
- Intercorrelated variability in blood and hemodynamic biomarkers reveals physiological network in hemodialysis patients.Scientific reports · 2023Article
- Optimism, Daily Stressors, and Emotional Well-Being Over Two Decades in a Cohort of Aging Men.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022Article
- Associations Between Intraindividual Variability in Sleep and Daily Positive Affect.Affective science · 2022Article
- Prospective and Concurrent Affective Dynamics in Self-Injurious Thoughts and Behaviors: An Examination in Young Adult Women.Behavior therapy · 2021Article
- Associations of Wellbeing Levels, Changes, and Within-Person Variability With Late-Life All-Cause Mortality Across 12 Years: Contrasting Hedonic vs. Eudaimonic Wellbeing Among Very Old Adults.Frontiers in psychology · 2021Article
- The Mediating Role of Daily Affect Dynamics in Bidirectional and Longitudinal Associations Between Depressive Symptoms and Inflammation.Biopsychosocial science and medicineArticle
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
Abstract
Importance: There is increasing recognition that positive affective states have a protective association for all-cause mortality. However, positive states of happiness and excitement vary over time, and little is known about the association of fluctuations in positive affect with survival. Objective: To investigate the association of positive affect instability, conceptualized as fluctuations in momentary positive affect, with mortality in a population-based sample of older adults in England. Design, Setting, and Participants: This survey study used data from a longitudinal survey collected in wave 2 (2004) of the English Longitudinal Study of Ageing, a nationally representative sample of older men and women living in England, with follow-up continuing until March 2018. Participants included people aged 50 years or older at recruitment. Data were analyzed from September 2019 to April 2020. Main Outcomes and Measures: The main outcome was all-cause mortality. Positive and negative affect were measured at 4 time points over the course of 1 day: soon after waking, 30 minutes after waking, at 7:00 pm, and at bedtime. Results: Data were analyzed from 3834 participants (mean [SD] age at baseline, 64.0 [7.4] years; 2082 [54.3%] women) with a mean (SD) follow-up of 12.25 (2.60) years. Adjusting for demographic characteristics, baseline illness, health behaviors, and mean level and instability in negative affect, Cox proportional hazards regression showed that high positive affect instability was associated with greater mortality, with a hazard ratio of 1.25 (95% CI, 1.04-1.49; P = .02). Associations did not differ by age, suggesting that the increased mortality risk associated with high positive affect instability was not restricted to older ages. Conclusion and Relevance: These findings suggest that temporal fluctuations in positive affect were associated with mortality risk in older adults. These findings illustrate the value of incorporating dynamic assessments of positive affect in distal health outcomes such as mortality.
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