Purpose in life and reduced risk of myocardial infarction among older US adults with coronary heart disease: a two-year follow-up

被引：151
作者：
Kim, Eric S. [1 ]
Sun, Jennifer K. [1 ]
Park, Nansook [1 ]
Kubzansky, Laura D. [2 ]
Peterson, Christopher [1 ]
机构：
[1] Univ Michigan, Dept Psychol, Ann Arbor, MI 48109 USA
[2] Harvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
来源：
JOURNAL OF BEHAVIORAL MEDICINE | 2013年 / 36卷 / 02期
关键词：
Purpose in life; Heart attack; Myocardial infarction; Coronary heart disease; Positive psychology; Meaning in life; POSITIVE AFFECT; SELF-REPORT; CARDIOVASCULAR EVENTS; DEPRESSIVE SYMPTOMS; HEALTH; MORTALITY; OPTIMISM; VALIDITY; REGRESSION; AGREEMENT;
D O I：
10.1007/s10865-012-9406-4
中图分类号：
B849 [应用心理学];
学科分类号：
040203 ;
摘要：
This study examined whether purpose in life was associated with myocardial infarction among a sample of older adults with coronary heart disease after adjusting for relevant sociodemographic, behavioral, biological, and psychological factors. Prospective data from the Health and Retirement Study-a nationally representative panel study of American adults over the age of 50-were used. Analyses were conducted on the subset of 1,546 individuals who had coronary heart disease at baseline. Greater baseline purpose in life was associated with lower odds of having a myocardial infarction during the 2-year follow-up period. On a six-point purpose in life measure, each unit increase was associated with a multivariate-adjusted odds ratio of 0.73 for myocardial infarction (95% CI, 0.57-0.93, P = .01). The association remained significant after controlling for coronary heart disease severity, self-rated health, and a comprehensive set of possible confounds. Higher purpose in life may play an important role in protecting against myocardial infarction among older American adults with coronary heart disease.
引用
收藏
页码：124 / 133
页数：10
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