Happiness and Health

被引:309
作者
Steptoe, Andrew [1 ]
机构
[1] UCL, Dept Behav Sci & Hlth, London WC1E 6BT, England
来源
ANNUAL REVIEW OF PUBLIC HEALTH, VOL 40 | 2019年 / 40卷
关键词
subjective well-being; mortality; morbidity; positive affect; CORONARY-HEART-DISEASE; POSITIVE PSYCHOLOGY INTERVENTIONS; RANDOMIZED CONTROLLED-TRIAL; MILD COGNITIVE IMPAIRMENT; ALL-CAUSE MORTALITY; 12-YEAR FOLLOW-UP; PHYSICAL-ACTIVITY; LIFE SATISFACTION; CARDIOVASCULAR-DISEASE; DEPRESSIVE SYMPTOMS;
D O I
10.1146/annurev-publhealth-040218-044150
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Research into the relationship between happiness and health is developing rapidly, exploring the possibility that impaired happiness is not only a consequence of ill-health but also a potential contributor to disease risk. Happiness encompasses several constructs, including affective well-being (feelings of joy and pleasure), eudaimonic well-being (sense of meaning and purpose in life), and evaluative well-being (life satisfaction). happiness is generally associated with reduced mortality in prospective observational studies, albeit with several discrepant results. Confounding and reverse causation are major concerns. Associations with morbidity and disease prognosis have also been identified for a limited range of health conditions. The mechanisms potentially linking happiness with health include lifestyle factors, such as physical activity and dietary choice, and biological processes, involving nenroendocrine, inflammatory, and metabolic pathways. Interventions have yet to demonstrate substantial, sustained improvements in subjective well-being or direct impact on physical health outcomes. Nevertheless, this field shows great potential, with the promise of establishing a favorable effect on population health.
引用
收藏
页码:339 / 359
页数:21
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