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A multimethod approach examining the relative contributions of optimism and pessimism to cardiovascular disease risk markers

  • John M. FeltEmail author
  • Michael A. Russell
  • John M. Ruiz
  • Jillian A. Johnson
  • Bert N. Uchino
  • Matthew Allison
  • Timothy W. Smith
  • Daniel J. Taylor
  • Chul Ahn
  • Joshua SmythEmail author
Article

Abstract

Although dispositional optimism and pessimism are associated with cardiovascular disease (CVD), their relative independence and unique contributions to CVD risk are unclear. This study addressed these issues by using multiple indicators of optimism and pessimism and linking them to objective risk factors for CVD. A diverse sample of adults (N = 300) completed baseline assessments (including global reports of optimism and pessimism), a 2-day/1-night EMA protocol with ambulatory blood pressure (BP) at 45-min intervals, and had inflammatory markers and carotid intima media imaging collected. EMA reports of momentary positive and negative expectations were averaged to form intraindividual (person) means of optimism and pessimism, respectively. Optimism and pessimism were only modestly correlated between- and within-assessment methods. Higher pessimism, regardless of assessment method, predicted both lower odds of whether BP dipping occurred and a smaller degree of dipping, but was unrelated to other biomarkers. Optimism was not uniquely predictive of CVD risk factors. Pessimism thus appears to exhibit stronger relative contribution to risk indicators of CVD than optimism.

Keywords

Optimism Pessimism Ecological momentary assessment Inflammatory markers Carotid artery stenosis Ambulatory blood pressure 

Notes

Funding

This work was supported by Grant Number R01HL109340 from the National Heart, lung, and Blood Institute (NHLBI), and the Basic Behavioral and Social Sciences Research Opportunity Network (OppNet), National Institutes of Health. The first author was supported by Grant Number T32DA017629 from the National Institute on Drug Abuse (NIDA), National Institutes of Health.

Compliance with ethical standards

Conflict of interest

John M. Felt, Michael A. Russell, John M. Ruiz, Jillian A. Johnson, Bert N. Uchino, Matthew Allison, Timothy W. Smith, Daniel J. Taylor, Chul Ahn, Joshua Smyth state that she or he does not have any conflict of interest.

Human and animal rights and informed consent

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.

Supplementary material

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References

  1. Boehm, J. K., Chen, Y., Koga, H., Mathur, M. B., Vie, L. L., & Kubzansky, L. D. (2018). Is optimism associated with healthier cardiovascular-related behavior? Circulation Research,122, 1119–1134.CrossRefGoogle Scholar
  2. Boehm, J. K., & Kubzansky, L. D. (2012). The heart’s content: The association between positive psychological well-being and cardiovascular health. Psychological Bulletin,138, 655–691.CrossRefGoogle Scholar
  3. Brosschot, J. F., Verkuil, B., & Thayer, J. F. (2010). Conscious and unconscious perseverative cognition: Is a large part of prolonged physiological activity due to unconscious stress? Journal of Psychosomatic Research,69, 407–416.CrossRefGoogle Scholar
  4. Brydon, L., Walker, C., Wawrzyniak, A. J., Chart, H., & Steptoe, A. (2009). Dispositional optimism and stress-induced changes in immunity and negative mood. Brain, Behavior, and Immunity,23, 810–816.CrossRefGoogle Scholar
  5. Burford, T. I., Low, C. A., & Matthews, K. A. (2013). Night/day ratios of ambulatory blood pressure among healthy adolescents: Roles of race, socioeconomic status, and psychosocial factors. Annals of Behavioral Medicine,46, 217–226.  https://doi.org/10.1007/s12160-013-9487-5 CrossRefPubMedPubMedCentralGoogle Scholar
  6. Creed, P. A., Patton, W., & Bartrum, D. (2002). Multidimensional properties of the LOT-R: Effects of optimism and pessimism on career and well-being related variables in adolescents. Journal of Career Assessment,10, 42–61.CrossRefGoogle Scholar
  7. Crum, A. J., Salovey, P., & Achor, S. (2013). Rethinking stress: The role of mindsets in determining the stress response. Journal of Personality and Social Psychology,104, 716–733.  https://doi.org/10.1037/a0031201 CrossRefPubMedGoogle Scholar
  8. Eguchi, K., Hoshide, S., Ishikawa, J., Pickering, T. G., Schwartz, J. E., Shimada, K., et al. (2009). Nocturnal nondipping of heart rate predicts cardiovascular events in hypertensive patients. Journal of Hypertension,27, 2265–2270.CrossRefGoogle Scholar
  9. Felix, A. S., Lehman, A., Nolan, T. S., Sealy-Jefferson, S., Breathett, K., Hood, D. B., et al. (2019). Stress, resilience, and cardiovascular disease risk among black women. Circulation. Cardiovascular Quality and Outcomes,12, e005284.CrossRefGoogle Scholar
  10. Fortmann, A. L., Gallo, L. C., Roesch, S. C., Mills, P. J., Barrett-Connor, E., Talavera, G. A., et al. (2012). Socioeconomic status, nocturnal blood pressure dipping, and psychosocial factors: A cross-sectional investigation in Mexican–American women. Annals of Behavioral Medicine,44, 389–398.  https://doi.org/10.1007/s12160-012-9387-0 CrossRefPubMedPubMedCentralGoogle Scholar
  11. Frishman, W. H. (1998). Biologic markers as predictors of cardiovascular disease. American Journal of Medicine.  https://doi.org/10.1016/s0002-9343(98)00184-3 CrossRefPubMedGoogle Scholar
  12. 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.CrossRefGoogle Scholar
  13. Jones, D. R., Lehman, B. J., Kirsch, J. A., & Hennessy, K. G. (2017). Pessimism moderates negative emotional responses to naturally occurring stress. Journal of Research in Personality,69, 180–190.CrossRefGoogle Scholar
  14. Kim, E. S., Park, N., & Peterson, C. (2011). Dispositional optimism protects older adults from stroke. Stroke,42, 2855–2859.CrossRefGoogle Scholar
  15. La Marca, R., Bösch, M., Sefidan, S., Annen, H., Wyss, T., & Ehlert, U. (2017). Inverse effects of optimism and resilience on the acute stress reactivity of the autonomic nervous system. Psychoneuroendocrinology,83, 15–16.CrossRefGoogle Scholar
  16. Matthews, K. A., Raikkonen, K., Sutton-Tyrrell, K., & Kuller, L. H. (2004). Optimistic attitudes protect against progression of carotid atherosclerosis in healthy middle-aged women. Psychosomatic Medicine,66, 640–644.CrossRefGoogle Scholar
  17. Moore, R. C., Depp, C. A., Wetherell, J. L., & Lenze, E. J. (2016). Ecological momentary assessment versus standard assessment instruments for measuring mindfulness, depressed mood, and anxiety among older adults. Journal of Psychiatric Research,75, 116–123.CrossRefGoogle Scholar
  18. Pincus, D., & Metten, A. (2010). Nonlinear dynamics in biopsychosocial resilience. Nonlinear Dynamics, Psychology, and Life Sciences,14, 353–380.PubMedGoogle Scholar
  19. Rasmussen, H. N., Scheier, M. F., & Greenhouse, J. B. (2009). Optimism and physical health: A meta-analytic review. Annals of Behavioral Medicine,37, 239–256.CrossRefGoogle Scholar
  20. Rosansky, S. J., Menachery, S. J., Whittman, D., & Rosenberg, J. C. (1996). The relationship between sleep deprivation and the nocturnal decline of blood pressure. American Journal of Hypertension,9, 1136–1138.CrossRefGoogle Scholar
  21. Roy, B., Diez-Roux, A. V., Seeman, T., Ranjit, N., Shea, S., & Cushman, M. (2010). Association of optimism and pessimism with inflammation and hemostasis in the multi-ethnic study of atherosclerosis (MESA). Psychosomatic Medicine,72, 134–140.CrossRefGoogle Scholar
  22. Rozanski, A. (2014). Behavioral cardiology: Current advances and future directions. Journal of the American College of Cardiology,64, 100–110.CrossRefGoogle Scholar
  23. Rozanski, A., Bavishi, C., Kubzanksy, L., & Cohen, R. (2019). Association of optimism with cardiovascular events and all-cause mortality. European Journal of Nutrition,2, e1912200.Google Scholar
  24. Ruiz, J. M., Taylor, D. J., Uchino, B. N., Smith, T. W., Allison, M., & Ahn, C. (2017). Evaluating the longitudinal risk of social vigilance on atherosclerosis: Study protocol for the North Texas Heart Study. British Medical Journal Open,7, e017345.Google Scholar
  25. Scheier, M. F., & Carver, C. S. (1985). Optimism, coping, and health: Assessment and implications of generalized outcome expectancies. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association,4, 219–247.CrossRefGoogle Scholar
  26. Scheier, M. F., & Carver, C. S. (2018). Dispositional optimism and physical health: A long look back, a quick look forward. American Psychologist,73, 1082–1094.CrossRefGoogle Scholar
  27. 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.CrossRefGoogle Scholar
  28. Seery, M. D. (2011). Challenge or threat? Cardiovascular indexes of resilience and vulnerability to potential stress in humans. Neuroscience and Biobehavioral Reviews,35, 1603–1610.CrossRefGoogle Scholar
  29. Segerstrom, S. C. (2005). Optimism and immunity: Do positive thoughts always lead to positive effects? Brain, Behavior, and Immunity,19, 195–200.CrossRefGoogle Scholar
  30. Segerstrom, S. C., Evans, D. R., & Eisenlohr-Moul, T. A. (2011). Optimism and pessimism dimensions in the life orientation test-revised: Method and meaning. Journal of Research in Personality,45, 126–129.CrossRefGoogle Scholar
  31. Serlachius, A., Pulkki-Råback, L., Elovainio, M., Hintsanen, M., Mikkilä, V., Laitinen, T. T., et al. (2015). Is dispositional optimism or dispositional pessimism predictive of ideal cardiovascular health? The Young Finns Study. Psychology and Health,30, 1221–1239.CrossRefGoogle Scholar
  32. Smyth, J. M., Juth, V., Ma, J., & Sliwinski, M. (2017). A slice of life: Ecologically valid methods for research on social relationships and health across the life span. Social and Personality Psychology Compass,11, e12356.CrossRefGoogle Scholar
  33. Soeki, T., & Sata, M. (2016). Inflammatory biomarkers and atherosclerosis. International Heart Journal,57, 134–139.  https://doi.org/10.1536/ihj.15-346 CrossRefPubMedGoogle Scholar
  34. Steca, P., Monzani, D., Greco, A., Chiesi, F., & Primi, C. (2015). Item response theory analysis of the life orientation test-revised: Age and gender differential item functioning analyses. Assessment,22, 341–350.CrossRefGoogle Scholar
  35. Tsai, J., Harpaz-Rotem, I., Pietrzak, R. H., & Southwick, S. M. (2012). The role of coping, resilience, and social support in mediating the relation between PTSD and social functioning in Veterans returning from Iraq and Afghanistan. Psychiatry: Interpersonal & Biological Processes, 75, 35–149.CrossRefGoogle Scholar
  36. Vautler, S., Raufaste, E., & Carlou, M. (2003). Dimensionality of the revised life orientation test and the status of filler items. International Journal of Psychology,38, 390–400.CrossRefGoogle Scholar
  37. Verdecchia, P., Porcellati, C., Schillaci, G., Borgioni, C., Ciucci, A., Battistelli, M., et al. (1994). Ambulatory blood pressure: An independent predictor of prognosis in essential hypertension. Hypertension,24, 793–801.CrossRefGoogle Scholar
  38. Voorhees, C. M., Brady, M. K., Calantone, R., & Ramirez, E. (2016). Discriminant validity testing in marketing: An analysis, causes for concern, and proposed remedies. Journal of the Academy of Marketing Science,44, 119–134.CrossRefGoogle Scholar
  39. Walker, F. R., Pfingst, K., Carnevali, L., Sgoifo, A., & Nalivaiko, E. (2017). In the search for integrative biomarker of resilience to psychological stress. Neuroscience and Biobehavioral Reviews,74, 310–320.CrossRefGoogle Scholar
  40. Yano, Y., & Kario, K. (2012). Nocturnal blood pressure and cardiovascular disease: A review of recent advances. Hypertension Research,35, 695.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2020

Authors and Affiliations

  1. 1.The Pennsylvania State UniversityUniversity ParkUSA
  2. 2.The University of ArizonaTusconUSA
  3. 3.University of UtahSalt Lake CityUSA
  4. 4.University of California, San DiegoSan DiegoUSA
  5. 5.University of Texas Southwestern Medical CenterDallasUSA

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