Abstract
Dispositional optimism represents a crucial aspect of human functioning and a major determinant of health and well-being for both healthy and patient populations. In the study reported here, we examined whether optimism is related to chronic cardiac patients’ (N = 233) subjective health through illness representations as well as whether this relation is conditional on the values of optimism. A cross-sectional design with a bootstrapping analysis framework was employed. According to the findings, dispositional optimism was related to patients’ physical and psychological subjective health with several illness representations serving as mediators, even after controlling for demographic and illness-related variables. Most of these relations were, however, conditional on the values of optimism: the relations of illness representations to subjective health scores were statistically nonsignificant at the higher levels of optimism resulting, thus, in statistically nonsignificant indirect effects of optimism on subjective health. In other words, higher levels of optimism were in any case associated with better subjective health, regardless of illness representation. Yet, at average and lower levels of optimism, a more “positive” perception of illness was related to better subjective health. Such findings indicate that the “optimism–illness representations–health” interaction functions in a rather complex way.
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References
Barry, L. C., Lightman, J. H., Spertus, J. A., Rumsfeld, J. S., Vaccarino, V., Jones, P. G., Plomondon, M. E., Parashar, S., & Krumholz, H. M. (2007). Patient satisfaction with treatment after acute myocardial infarction: Role of psychosocial factors. Psychosomatic Medicine, 69, 115–123.
Carver, C. S., & Scheier, M. F. (1998). On the self-regulation of behavior. New York: Cambridge University Press.
Carver, C. S., & Scheier, M. F. (2001). Optimism, pessimism, and self-regulation. In E. C. Chang (Ed.), Optimism and pessimism: Implications for theory, research, and practice (pp. 31–51). Washington, DC: American Psychological Association.
Carver, C. S., Pozo, C., Harris, S. D., Noriega, V., Scheier, M. F., Robinson, D. S., Ketcham, A. S., Moffat, F. L., & Clark, K. C. (1993). How coping mediates the effect of optimism on distress – A study of women with early-stage breast-cancer. Journal of Personality and Social Psychology, 65, 375–390.
Carver, C. S., Smith, R. G., Antoni, M. H., Petronis, V. M., Weiss, S., & Derhagopian, R. P. (2005). Optimistic personality and psychosocial well-being during treatment predict psychosocial well-being among long-term survivors of breast cancer. Health Psychology, 24, 508–516.
Chang, E. C., & Sanna, L. J. (2001). Optimism, pessimism, and positive and negative affectivity in middle-aged adults: A test of a cognitive – affective model of psychological adjustment. Psychology and Aging, 16, 524–531.
Contrada, R. J., Boulifard, D. A., Hekler, E. B., Idler, E. L., Spruill, T. M., Labouvie, E. W., & Krause, T. J. (2008). Psychosocial factors in heart surgery: Presurgical vulnerability and postsurgical recovery. Health Psychology, 27, 309–319.
Diefenbach, M. A., & Leventhal, H. (1996). The common-sense model of illness representation: Theoretical and practical considerations. Journal of Social Distress and the Homeless, 5, 11–38.
Eid, M., & Diener, E. (2004). Global judgments of subjective well-being: Situational variability and long-term stability. Social Indicators Research, 65, 245–277.
Ferreira, V. M., & Sherman, A. M. (2007). The relationship of optimism, pain and social support to well-being in older adults with osteoarthritis. Aging and Mental Health, 11, 89–98.
Fournier, M., de Ridder, D., & Bensing, J. (2002). How optimism contributes to the adaptation of chronic illness. A prospective study into the enduring effects of optimism on adaptation moderated by the controllability of chronic illness. Personality and Individual Differences, 33, 1163–1183.
Giltay, E. J., Geleijnse, J. M., Zitman, F. G., Hoekstra, T., & Schouten, E. G. (2004). Dispositional optimism and all-cause and cardiovascular mortality in a prospective cohort of elderly Dutch men and women. Archives of General Psychiatry, 61, 1126–1135.
Hagger, M. S., & Orbell, S. (2003). A meta-analytic review of the common-sense model of illness representations. Psychology and Health, 18, 141–184.
Helgeson, V. S. (1999). Applicability of cognitive adaptation theory to predicting adjustment in heart disease after coronary angioplasty. Health Psychology, 18, 561–569.
Karademas, E. C. (2012). Conditional indirect relations of cardiac patients’ subjective health to optimism through illness representations: A self-regulation circuit. Journal of Health Psychology, 17, 36–45.
Karademas, E. C., Kynigopoulou, E., Agathangelou, E., & Anestis, D. (2011). The relation of illness representations to the ‘end-stage’ appraisal of outcomes through health status, and the moderating role of optimism. Psychology and Health, 26, 567–583.
Leventhal, H., Meyer, D., & Nerenz, D. (1980). The common-sense representations of illness danger. In S. Rachman (Ed.), Medical psychology (Vol. 2, pp. 7–30). New York: Pergamon.
Leventhal, H., Diefenbach, M., & Leventhal, E. A. (1992). Illness cognition: Using common sense to understand treatment adherence and affect cognition treatment. Cognitive Therapy and Research, 16, 223–230.
Leventhal, H., Halm, E., Horowitz, C., Leventhal, E. A., & Ozakinci, G. (2005). Living with chronic illness: A contextualized, self-regulation approach. In S. Sutton, A. Baum, & M. Johnston (Eds.), The SAGE handbook of health psychology (pp. 197–240). London: Sage.
Moss-Morris, R., Weinman, J., Petrie, K. J., Horne, R., & Cameron, L. D. (2002). The revised illness perception questionnaire (IPQ-R). Psychology & Health, 17, 1–16.
Oxland, M., & Wade, T. D. (2008). Longitudinal risk factors for adverse psychological functioning six months after coronary bypass graft surgery. Journal of Health Psychology, 13, 79–92.
Petrie, K. J., Cameron, L., Ellis, C. J., Buick, D., & Weinman, J. (2002). Changing illness perceptions after myocardial infarction: An early intervention randomized controlled trial. Psychosomatic Medicine, 64, 580–586.
Preacher, K. J., & Hayes, A. F. (2008). Asymptomatic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.
Preacher, K. J., Rucker, D. D., & Hayes, A. F. (2007). Addressing moderated mediation hypotheses: Theory, methods, and prescriptions. Multivariate Behavioral Research, 42, 185–227.
Rasmussen, H. N., Wrosch, C., Scheier, M. F., & Carver, C. S. (2006). Self-regulation processes and health: The importance of optimism and goal adjustment. Journal of Personality, 74, 1721–1747.
Scheier, M. F., & Carver, C. S. (1985). Optimism, coping, and health: Assessment and implications of generalized outcome expectancies. Health Psychology, 4, 219–247.
Scheier, M. F., & Carver, C. S. (1987). Dispositional optimism and physical well-being: The influence of generalized outcome expectancies on health. Journal of Personality, 55, 169–210.
Scheier, M. F., & Carver, C. S. (1992). Effects of optimism on psychological and physical well-being: Theoretical overview and empirical update. Cognitive Therapy and Research, 16, 201–228.
Scheier, M. F., & Carver, C. S. (2001). Adapting to cancer: The importance of hope and purpose. In A. Baum & B. L. Andersen (Eds.), Psychosocial intervention for cancer (pp. 15–36). Washington, DC: American Psychological Association.
Scheier, M. F., Carver, C. S., & Bridges, M. W. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the Life Orientation Test. Journal of Personality and Social Psychology, 67, 1063–1078.
Shen, B. J., McCreary, C. P., & Myers, H. F. (2004). Independent and mediated contributions of personality, coping, social support, and depressive symptoms to physical functioning outcome among patients in cardiac rehabilitation. Journal of Behavioral Medicine, 27, 39–49.
Shnek, Z. M., Irvine, J., Stewart, D., & Abbey, S. (2001). Psychological factors and depressive symptoms in ischemic heart disease. Health Psychology, 20, 141–145.
Stewart, A. L., & Ware, J. E. (Eds.). (1992). Measuring functioning and well-being: The medical outcome study approach. Durham: Duke University Press.
Symister, P., & Friend, R. (2003). The influence of social support and problematic support on optimism and depression in chronic illness: A prospective study evaluating self-esteem as a mediator. Health Psychology, 22, 123–129.
Taylor, S. E., & Armor, D. A. (1996). Positive illusions and coping with adversity. Journal of Personality, 64, 873–898.
Vickers, K. S., & Vogeltanz, N. D. (2000). Dispositional optimism as a predictor of depressive symptoms over time. Personality and Individual Differences, 28, 259–272.
Ware, J. E., Jr., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Medical Care, 30, 473–483.
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Karademas, E.C., Frokkai, EF., Tsotra, E., Papazachariou, R. (2012). The Relation of Optimism to Cardiac Patients’ Subjective Health Through Illness Representations: Does the Level of Optimism Matter?. In: Efklides, A., Moraitou, D. (eds) A Positive Psychology Perspective on Quality of Life. Social Indicators Research Series, vol 51. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-4963-4_10
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