Optimism, pessimism, and physical health among youth: a scoping review.

OBJECTIVE: High levels of optimism (and low levels of pessimism) are associated with improved physical health in adults. However, relatively less is known about these relations in youth. The present study aimed to review the literature investigating optimism, pessimism, and physical health in children and adolescents from populations with and without health conditions. METHODS: We conducted a scoping review up until February 2024. Studies were included if they sampled youth (average age ≤18 years) and treated optimism or pessimism as predictors of health behaviors or outcomes. Data on study and sample characteristics, health outcome, optimism construct, and findings were extracted from eligible papers and results were synthesized. RESULTS: Sixty studies were retained. Most studies were conducted in North America, with adolescents, and used cross-sectional designs and self-reported measures of health. Measures of optimism and pessimism differed across studies. Roughly one-third of studies sampled medical populations. Health categories included substance use, diet and physical activity, sexual health practices, medical adherence, other health behaviors, cardiometabolic health, subjective health/health-related quality of life, pain, sleep, and oral health. Generally, we observed adaptive associations between optimism and health. Higher optimism and lower pessimism were most consistently associated with lower rates of substance use and lower cardiometabolic risk. CONCLUSIONS: The presence of optimism or the absence of pessimism appears to be associated with various adaptive health outcomes among youth with and without health conditions. Developmental, methodological, and clinical considerations for future research are discussed, such as conducting longitudinal studies with objective measures of health and psychometrically validated instruments.

The interpersonal benefits of goal adjustment capacities: the sample case of coping with poor sleep in couples.

Introduction: This study examined the role of goal adjustment capacities and coping in the association between spousal sleep efficiency and relationship satisfaction in romantic couples. Method: A community lifespan sample of 113 heterosexual couples (age range = 21-82 years) was recruited using newspaper advertisements in the Greater Montreal Area from June 2011 to December 2012. Participants completed study measures (i.e., Goal Adjustment Scale, Brief Pittsburgh Sleep Quality Index, Relationship Assessment Scale, and the Brief Cope) at two time points, ~1 year apart. Results: The results of actor-partner interdependence models with moderation (MIXED procedure in SPSS) reveal that goal disengagement buffered people from worsening relationship satisfaction associated with poor spousal sleep [95% CI B (-1.17, -0.12)], in part via increases in actor active coping [95% CI B (-0.32, -0.02)] and decreases in partner self-blame [95% CI B (-0.28, -0.01)]. Goal reengagement was related to diminished relationship satisfaction in response to poor own sleep [95% CI B (0.59, 1.79)], in part through increases in actor behavioral disengagement [95% CI B (0.05, 0.41)]. Discussion: These findings point to a need for future studies to examine goal adjustment capacities and relationship-specific coping strategies as potential targets of intervention to maintain peoples' relationship satisfaction in the face of sleep problems.

Changes in Purpose in Life and Low-Grade Chronic Inflammation Across Older Adulthood.

Background: Older adults often experience an increase in low-grade chronic inflammation. Purpose in life could act as a protective factor as it is associated with beneficial health outcomes. Purpose in life may exert part of its adaptive function by promoting persistence in goal pursuit. During older adulthood, however, when many individuals experience an increase in intractable stressors and declining resources, the adaptive function of purpose could become reduced. Purpose: We examined whether the association between inter- and intra-individual differences in purpose in life and chronic inflammation differed across older adulthood. Method: We assessed four waves of data among 129 older adults (63-91 years old) across 6 years. Results: Hierarchical linear modeling demonstrated that within-person increases in purpose in life predicted reduced levels of chronic inflammation in early old age (25th percentile or 73 years, coefficient = -.016, p < .01), but not in advanced old age (75th percentile or 81 years, coefficient = .002, p = .67). Between-person differences in purpose were not related to chronic inflammation. Conclusions: These results suggest that greater within-person increases in purpose may protect health processes particularly in early old age but become less effective in advanced old age.

Not all negative emotions are equal - Sadness and anger develop differently and their adaptivity is age-graded.

We argue that a comprehensive understanding of emotional development across adulthood must go beyond broad dimensions of affect and consider discrete emotions. Current evidence focuses on sadness and anger, two negative emotions that exert contrasting age trajectories because anger has high adaptive value in young adulthood, when people have abundant resources and need to carve out a niche in society, whereas sadness has high adaptive value in old age, a time of declining resources that requires adaptation to increasingly unattainable goals. We conclude that our position about the age-graded experience and adaptive value of emotions should hold for a variety of negative and positive emotions.

Control strategies for managing health threats in older adults.

This article addresses the motivational processes that enable older adults to manage health-related threats and to protect their psychological and physical functioning. Based on the Motivational Theory of Life-Span Development (MTD) [1], we describe how an age- and opportunity-adjusted use of control strategies can support the regulation of important developmental goals across the lifespan. In addition, we apply the premises of the MTD to the management of health threats in later adulthood and review the pertinent empirical literature. Finally, we use the Lines-of-Defense model [2] to show how an orchestrated and strategic use of control strategies can help older adults to manage the experience of progressive health declines and remain engaged in the pursuit of important health goals.

Compensatory health motivations and behaviors scale: Development, evaluation, psychometric properties and a preliminary validation.

The "Compensatory Health Beliefs" scale assesses the degree to which one believes that unhealthy behaviours can be compensated through healthier ones. However, no validated scale to assess compensatory weight-related behaviors exists. The study's objective was to develop (Study 1) and validate (Study 2) a questionnaire measuring compensatory health motivations and behaviors (CHMB) and to assess their associations with body mass index (BMI) and psychological weight-related measures. An initial 34-item measure was constructed based on a target sample's (Study 1, n = 158) suggestions and refined based on expert feedback. The measure was then tested in a representative Canadian adult sample (N = 1400, 48.7% male). The sample was stratified by sex and age and then randomly split into two (N = 701 for exploratory factor analysis; N = 699 for confirmatory factor analysis (CFA) cross-validation). Fit indices, standardized Cronbach's alphas and the associations between the CHMB model with cognitive restraint, weight concerns, and BMI were assessed in multiple linear regression models controlling for age and sex. The final CHMB model (n = 17 items) consisted of four subscales: (1) motivation, (2) use on special occasions, (3) general use, (4) compensatory health beliefs. Fit indices (Goodness of Fit Index = 0.922) and Cronbach's alphas were good (α = 0.88). In multiple linear regression models, all CHMB subscales were associated with greater cognitive restraint in eating. Compensatory behavior use on special occasions was associated with greater weight concern (B = 0.12, p < .0001), while general compensatory behavior use was associated with lower weight concern (B = -0.07, p < .05). None of the subscales were associated with BMI. The validated CHMB scale allows for the assessment of compensatory health motivations and behaviors in a Canadian population. Research on whether this scale can predict weight changes and general health is needed.

When daily emotions spill into life satisfaction: Age differences in emotion globalizing.

Although the objective conditions of people's lives are fairly stable from day to day, daily life can feel like an emotional rollercoaster. For some people, life satisfaction hitches a ride on the emotional rollercoaster (i.e., momentary emotions spill over into broader evaluations of life). The extent to which positive and negative emotions spill over into life satisfaction is referred to as positive and negative emotion globalizing. Initial evidence suggests that emotion globalizing varies between individuals and is linked to a maladaptive psychological profile. Integrating a lifespan perspective, this is the first study to identify and describe age differences in emotion globalizing using data from two adult community samples (Study 1: N = 133 women, age range = 23-78; Study 2: N = 137, age range = 18-95). Further, we tested key boundary conditions of emotion globalizing by examining two types of emotions (i.e., current or after most stressful event of the day) and two types of satisfaction (i.e., overall life satisfaction [life satisfaction] or current day satisfaction [day satisfaction]). Specifically, we investigated how younger and older adults differed in the associations of current emotions with life satisfaction (i.e., emotion globalizing; Study 1), stressor-related emotions with life satisfaction (i.e., stressor-related emotion globalizing; Study 1), and stressor-related emotions with day satisfaction (Study 2). Results revealed that older (compared to younger) adults exhibited less negative (but not positive) emotion globalizing and stressor-related emotion globalizing. We found no age differences in the association between stressor-related emotions and day satisfaction. These findings extend insights into emotion globalizing and inform theories of emotional aging. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Respiratory sinus arrhythmia moderates the interpersonal consequences of brooding rumination.

Brooding rumination is an intrapersonal emotion regulation strategy associated with negative interpersonal consequences. Resting respiratory sinus arrhythmia (RSA), a psychophysiological marker of self-regulatory capacity, may buffer the association between maladaptive emotion regulation and negative interpersonal behaviors. The current work examines the moderating effect of RSA on the association between brooding rumination and different negative interpersonal consequences. Across three convenience samples, individuals with lower RSA showed a stronger association between brooding rumination and more negative interpersonal behaviors as well as less perception of received instrumental social support (Study 1; n = 154), higher levels of interviewer-rated interpersonal stress (Study 2; n = 42) and a stronger indirect association between brooding rumination and depressive symptoms via daily interpersonal stress (Study 3; n = 222). These findings highlight the negative interpersonal consequences of brooding rumination, particularly among individuals with lower RSA.

Examining intra- and inter-personal health effects of optimism and pessimism: The role of subjective well-being in romantic couples.

INTRODUCTION: Recent meta-analytic research suggests that the absence of pessimism could be a stronger predictor of physical health than the presence of optimism. The present study examined the role of subjective well-being in the effects of optimism and pessimism on physical health in romantic couples. It was hypothesized that pessimism would be more strongly associated with both well-being and health than optimism, intra- and interpersonally. Subjective well-being was also expected to explain variance in the associations between optimism, pessimism, and health. METHODS: A baseline sample of 153 opposite-sex couples completed various measures of subjective well-being (e.g., life satisfaction, positive and negative affect, and depressive symptoms) and physical health (e.g., subjective health, sleep efficiency, physical symptoms, cold symptoms, and chronic illness). RESULTS: Results of actor-partner interdependence models showed that the absence of pessimism, but not the presence of optimism, was associated with better physical health at baseline and over time. Pessimism was also a stronger predictor than optimism of baseline levels in some indicators of subjective well-being. These effects were obtained intra- and interpersonally. Finally, subjective well-being explained variance in some of the effects of pessimism on levels of physical health. Implications for theory, research, and practice are discussed.

Discrete negative emotions and goal disengagement in older adulthood: Context effects and associations with emotional well-being.

This study examined whether sadness, but not anger, could facilitate adaptive goal disengagement capacity in the context of older adult's stress-related experiences. To this end, we investigated whether the within-person effects of sadness and anger on older adults' goal disengagement capacity were moderated by stress perceptions and diurnal cortisol levels. In addition, we tested whether an association between sadness and goal disengagement capacity could protect emotional well-being when older adults experience higher than normal perceived stress or cortisol. The study used data from a 6-wave 10-year longitudinal study of 184 community-dwelling older adults (Mage = 72.08, SDage = 5.70). Participants' sadness, anger, goal disengagement capacity, perceived stress, diurnal cortisol levels, emotional well-being (i.e., positive and negative affect), and sociodemographic variables were assessed at each wave. Hierarchical linear modeling showed that within-person increases in sadness, but not anger, predicted increased goal disengagement capacity among older adults who generally secreted high levels of cortisol. Moreover, older adults' who disengaged more easily when they felt sad were protected from declines in positive affect during assessments in which they secreted high, but not low, levels of cortisol. The study's findings suggest that generally enhanced cortisol output may facilitate an association between sadness and older adults' goal disengagement capacity and that this process may protect against declines in emotional well-being. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Self-compassion as predictor of daily physical symptoms and chronic illness across older adulthood.

This study examined whether self-compassion could benefit daily physical symptoms and chronic illness in early and advanced old age. The hypotheses were evaluated in a 4-year longitudinal study of 264 older adults. Results showed that self-compassion predicted lower levels of daily physical symptoms across the study period in advanced, but not early, old age (T-ratio = -1.93, p = 0.05). In addition, self-compassion was associated with fewer increases in chronic illness in advanced, but not early, old age (T-ratio = - 2.45, p < 0.02). The results of this study suggest that self-compassion may be particularly adaptive towards the end of life.

Age differences in sadness reactivity and variability.

Sadness is a negative emotion typically elicited by loss experiences. Given that losses increase with age, sadness should be relatively salient in this life phase. Such sadness experiences may serve an adaptive function in old age, if they facilitate detachment from unattainable goals. Thus, we predicted increased and less variable levels of sadness to occur among older, as compared with younger, adults in response to film clips involving loss-related themes. To test this prediction, a sample of 52 younger (Mage = 23.75 years, SD = 4.52) and 52 older adults (Mage = 71.21 years, SD = 6.11) watched four films and reported their sadness on multiple occasions during each film. In partial support of the hypotheses, the results showed that older, as compared with younger, adults reported greater sadness in response to one out of four film clips. However, there was no conclusive evidence for age differences in sadness variability within or across the films. Additional analyses revealed that age differences were not significant for another emotion, anxiety, in neither reactivity nor variability. Finally, although there were no age differences in mean levels of interest in the films, interest showed less variability among older, as compared with younger, adults. These findings are discussed from the perspective of a discrete emotions theory proposing distinct functions and associated differential age-related changes for different negative emotions. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

A tale of two emotions: The diverging salience and health consequences of calmness and excitement in old age.

Although the benefits of positive affect in old age have been well established, little is known about the late-life salience or adaptive value of discrete positive emotions that have contrasting motivational functions. In two studies, we examined the prevalence and health consequences of individual differences in positive emotions posited to motivate a present-focused mindset that fosters rest and recovery (calmness) or a future-focused mindset that motivates pursuit of novelty and stimulation (excitement). Study 1 was based on a 1-week daily diary study (n = 146) that assessed the salience of these discrete emotions in older adults (M age = 75, SD = 6.82) relative to younger adults (M age = 23, SD = 3.91). Results from multilevel models showed that older adults experienced higher average levels of calmness and lower levels of excitement in comparison to younger adults. Study 2 was based on a 10-year study (n = 336, M age = 75, SD = 6.64) and examined the longitudinal health consequences of individual differences in calmness and excitement for older adults who perceived varying levels of control over their life circumstances. Results from multilevel growth models showed that calmness, but not excitement, buffered against longitudinal declines in psychological well-being (perceived stress, depressive symptoms) and physical health (physical symptoms, chronic conditions) for older adults experiencing low control circumstances. Findings inform theories of emotional aging in showing that positive emotions with disparate motivational functions become more or less salient with age and have diverging consequences for health in late life. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

It remains meaningful to distinguish optimism from pessimism: Reply to VanderWeele and Kubzansky (2021).

VanderWeele and Kubzansky (2021) provide a commentary on Scheier et al. (2021), in which they introduce the distinction between what they term comparative and absolute optimism. We believe that more conceptual and empirical work is needed before a full understanding of the meaning and implications of the terms can be known. In contrast, the construal of optimism and pessimism as separate but related dimensions is founded on decades of research. Moreover, as shown in Scheier et al. (2021), the absence of pessimism is a better predictor of physical health outcomes than is the presence of optimism, which in turn has implications for how interventions might be devised. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Optimism versus pessimism as predictors of physical health: A comprehensive reanalysis of dispositional optimism research.

Prior research has related dispositional optimism to physical health. Traditionally, dispositional optimism is treated as a bipolar construct, anchored at one end by optimism and the other by pessimism. Optimism and pessimism, however, may not be diametrically opposed, but rather may reflect 2 independent, but related dimensions. This article reports a reanalysis of data from previously published studies on dispositional optimism. The reanalysis was designed to evaluate whether the presence of optimism or the absence of pessimism predicted positive physical health more strongly. Relevant literatures were screened for studies relating dispositional optimism to physical health. Authors of relevant studies were asked to join a consortium, the purpose of which was to reanalyze previously published data sets separating optimism and pessimism into distinguishable components. Ultimately, data were received from 61 separate samples (N = 221,133). Meta-analytic analysis of data in which optimism and pessimism were combined into an overall index (the typical procedure) revealed a significant positive association with an aggregated measure of physical health outcomes (r = .026, p < .001), as did meta-analytic analyses with the absence of pessimism (r = .029, p < .001) and the presence of optimism (r = .011, p < .018) separately. The effect size for pessimism was significantly larger than the effect size for optimism (Z = -2.403, p < .02). Thus, the absence of pessimism was more strongly related to positive health outcomes than was the presence of optimism. Implications of the findings for future research and clinical interventions are discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Stress-Related Trajectories of Diurnal Cortisol in Older Adulthood Over 12 Years.

OBJECTIVE: Although evidence shows that stress experiences can predict both hyper- and hypo-cortisol regulation, there is a lack of research examining these associations longitudinally. Our study assessed whether levels and increases in psychological stress experiences predicted 12-year changes in circadian cortisol levels (area under the curve; AUC) and cortisol slopes in a sample of community-dwelling older adults. METHODS: In 2004, 190 community dwelling older adults (57 to 94 years) started providing three days of diurnal cortisol and stress experience data every two years for a total of seven waves of data. All analyses controlled for relevant covariates including: SES, BMI, age, sex, cortisol-related medication, chronic illness, and smoking status. RESULTS: Growth-curve modeling documented that compared to participants who reported generally lower stress experiences (T-ratio = -5.57, p < .01), their counterparts with higher stress experiences showed significantly steeper declines in cortisol AUC over time (T-ratio = -9.23, p < .01). Higher stress experience was associated with generally flatter cortisol slopes. In addition, among participants with high and increasing stress experience over 12 years, cortisol slopes became increasingly flatter over time (T-ratio = 2.78, p < .01). CONCLUSIONS: Among individuals with high, as compared to low, levels of chronic stress experience, cortisol levels displayed steeper declines across the study period. Moreover, cortisol slopes became increasingly flatter as a function of high and increasing stress experience. Implications for theory and research on the associations between stress experience and cortisol in the context of longitudinal observations are discussed.

Goal adjustment capacities and quality of life: A meta-analytic review.

OBJECTIVES: This meta-analysis quantified associations between goal disengagement and goal reengagement capacities with individuals' quality of life (i.e., well-being and health). METHODS: Effect sizes (Fisher's Z'; N = 421) from 31 samples were coded on several characteristics (e.g., goal adjustment capacity, quality of life type/subtype, age, and depression risk status) and analyzed using meta-analytic random effects models. RESULTS: Goal disengagement (r = 0.08, p < 0.01) and goal reengagement (r = 0.19, p < 0.01) were associated with greater quality of life. While goal disengagement more strongly predicted negative (r = -0.12, p < 0.01) versus positive (r = 0.02, p = 0.37) indicators of well-being, goal reengagement was similarly associated with both (positive: r = 0.24, p < 0.01; negative: r = -0.17, p < 0.01). Finally, the association between goal disengagement and lower depressive symptoms (r = -0.11, p < 0.01) was reversed in samples at-risk for depression (r = 0.08, p = 0.01), and goal disengagement more strongly predicted quality of life in older samples (B = 0.003, p < 0.01). CONCLUSIONS: These findings support theory on the self-regulatory functions of individuals' capacities to adjust to unattainable goals, document their distinct benefits, and identify key moderating factors.

Why are we together? A dyadic longitudinal investigation of relationship motivation, goal progress, and adjustment.

OBJECTIVE: This investigation used self-determination theory to study goal striving in the context of romantic relationships. The study explored how dyadic partners' relationship motivation impacted goal progress, personal well-being, and relationship satisfaction. In addition, the mediating role of relationship goal progress was explored. METHOD: In a prospective longitudinal study, 153 heterosexual couples rated their own relationship motivation and each reported a relationship goal and a self-oriented goal. Goal progress was assessed approximately 1 year later. In addition, well-being and relationship satisfaction were assessed at baseline and follow-up. RESULTS: Actor-partner interdependence models revealed that actor's autonomous relationship motivation was positively associated with relationship and self-oriented goal progress. Actor's autonomous relationship motivation, as well as both actor and partner relationship goal progress, were associated with increases in actor's subjective well-being (SWB) and relationship satisfaction. Relationship goal progress mediated the association between actor's autonomous relationship motivation and SWB, as well as relationship satisfaction. CONCLUSIONS: Together, these findings contribute to research on relationship motivation and goal striving in dyadic partners, by suggesting that motivational regulations impact goal regulation in romantic relationships and associated well-being outcomes.

Marital quality and inflammation: The moderating role of early life adversity.

OBJECTIVE: Although positive marital quality is usually associated with lower chronic low-grade inflammation, not everyone benefits equally from spousal support. Exposure to early life adversity (ELA) has been proposed as a factor that may impede the social buffering effect of positive social relationships. The goal of this study was to test whether ELA would moderate the impact of marital quality on inflammation. METHOD: This cross-sectional study examined 168 partnered middle-aged women who either were experiencing a current chronic caregiving stressor, raising an adolescent with an autism spectrum disorder or intellectual disability, or who had the normative parenting experience of raising a typically developing adolescent. Participants completed self-report questionnaires on marital satisfaction, dyadic coping, and perceived partner responsiveness to create a composite index of marital quality, and they filled out the Childhood Trauma Questionnaire to assess ELA exposure. Participants also provided plasma samples for the assessment of interleukin-6, tumor necrosis factor-α, and C-reactive protein, three circulating biomarkers of inflammation. RESULTS: ELA moderated the association between marital quality and inflammation. Among individuals who endorsed lower ELA exposure, there was a significant, negative association between marital quality and interleukin-6 and tumor necrosis factor-α levels. However, this association was attenuated and not statistically significant among participants who reported higher ELA exposure. This effect was independent of current chronic stress. CONCLUSIONS: These findings suggest that ELA may impair the social buffering effect of marital quality on inflammation. This impaired social buffering effect may be another mechanism through which ELA promotes sustained elevations in inflammation over time. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Changes in self-esteem and chronic disease across adulthood: A 16-year longitudinal analysis.

RATIONALE: Self-esteem is an adaptive personality factor that has been associated with good physical health. While research has observed that self-esteem and physical health typically decline in older adulthood, there is a paucity of research investigating the associations between changes in self-esteem and physical health across the adult lifespan. OBJECTIVE: The present study examined whether changes in selfesteem and chronic disease exert reciprocal effects on subsequent changes in self-esteem and disease. In addition, it investigated whether individuals' age would moderate these associations. METHODS: The study analyzed data from 14,117 adult (18+) Canadians who completed surveys over 16 years, from cycles 1 to 9 of the National Population Health Survey (NPHS). Self-esteem, chronic diseases, and demographic information were collected. RESULTS: Cross-lagged panel analyses indicated reciprocal age-related associations between changes in self-esteem and chronic disease. Initial decline in self-esteem predicted subsequent increases in chronic disease, and initial increases in chronic disease predicted subsequent declines in self-esteem, only among young adults, and not middle-aged or older adults. CONCLUSION: These results suggest that age may qualify the associations between declines in self-esteem and physical health and that adverse changes in both factors may be particularly problematic for young adults' prospective personality functioning and physical health.