Dispositional optimism and physical well-being: the influence of generalized outcome expectancies on health.

This article explores the implications that dispositional optimism holds for physical well-being. Research is reviewed that links optimism to a number of different positive health-relevant outcomes, ranging from the development of physical symptoms to recovery from coronary artery bypass surgery. Additional findings are described which suggest that these beneficial effects are partly due to differences between optimists and pessimists in the strategies that they use to cope with stress. A number of other potential mediators are also discussed, including some that are physiologic in nature. The article closes with a discussion of the relationships between our own theoretical account of the effects of optimism and several other conceptual approaches.

[1]  S. Roth.  A revised model of learned helesspleness in humans1 , 1980 .

[2]  E. Tolman.  The determiners of behavior at a choice point. , 1938 .

[3]  D. Mechanic.  Social psychologic factors affecting the presentation of bodily complaints. , 1972, The New England journal of medicine.

[4]  Walter W. Cook,et al.  Proposed hostility and Pharisaic-virtue scales for the MMPI. , 1954 .

[5]  R. Williams,et al.  Hostility, CHD incidence, and total mortality: a 25-year follow-up study of 255 physicians. , 1983, Psychosomatic medicine.

[6]  R. Whalen,et al.  Type A Behavior, Hostility, and Coronary Atherosclerosis* , 1980, Psychosomatic medicine.

[7]  M. Antoni,et al.  Stress and hopelessness in the promotion of cervical intraepithelial neoplasia to invasive squamous cell carcinoma of the cervix. , 1986, Journal of psychosomatic research.

[8]  D Lester,et al.  The measurement of pessimism: the hopelessness scale. , 1974, Journal of consulting and clinical psychology.

[9]  M. Scheier,et al.  Public and private self-consciousness: Assessment and theory. , 1975 .

[10]  R. Lazarus,et al.  Stress-Related Transactions between Person and Environment , 1978 .

[11]  E. Lusk,et al.  Psychosocial correlates of survival in advanced malignant disease? , 1985, The New England journal of medicine.

[12]  C. Carver.  A Control-Theory Approach to Human Behavior, and Implications for Problems in Self-Management , 1983 .

[13]  Richard S. Lazarus,et al.  EMOTIONS: A COGNITIVE–PHENOMENOLOGICAL ANALYSIS , 1980 .

[14]  A. Ostfeld,et al.  Hostility, Risk of Coronary Heart Disease, and Mortality , 1983, Psychosomatic medicine.

[15]  F. Loop.  Progress in surgical treatment of coronary atherosclerosis (Part 2). , 1983, Chest.

[16]  A. Kukla,et al.  Foundations of an attributional theory of performance. , 1972 .

[17]  S. Maddi,et al.  An Alienation Test , 1979 .

[18]  S. Folkman,et al.  [An analysis of coping in a middle-aged community sample]. , 1980, Kango kenkyu. The Japanese journal of nursing research.

[19]  Frank M. Andrews,et al.  Social Indicators of Well-Being , 1976 .

[20]  K. Matthews,et al.  Competitive drive, pattern A, and coronary heart disease: a further analysis of some data from the Western Collaborative Group Study. , 1977, Journal of chronic diseases.

[21]  Sheldon Cohen,et al.  Positive Events and Social Supports as Buffers of Life Change Stress , 1983 .

[22]  T. W. Smith,et al.  What's so unhealthy about hostility? Construct validity and psychosocial correlates of the Cook and Medley Ho scale. , 1985, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[23]  C. Taylor,et al.  Effects of early postmyocardial infarction exercise testing on self-perception and subsequent physical activity. , 1983, The American journal of cardiology.

[24]  T. Kamarck,et al.  A global measure of perceived stress. , 1983, Journal of health and social behavior.

[25]  L. S. Simons,et al.  Some effects of positive life events on community mental health , 1979, American journal of community psychology.

[26]  Cass Principal Investigators and Their Associates.  Myocardial infarction and mortality in the coronary artery surgery study (CASS) randomized trial. , 1984, The New England journal of medicine.

[27]  P. Costa,et al.  Cynicism and paranoid alienation in the Cook and Medley HO Scale. , 1986, Psychosomatic medicine.

[28]  J. Rotter.  Generalized expectancies for internal versus external control of reinforcement. , 1966, Psychological monographs.

[29]  S. Folkman,et al.  Stress and adaptational outcomes. The problem of confounded measures. , 1985, The American psychologist.

[30]  G. Kaplan,et al.  Perceived health and mortality: a nine-year follow-up of the human population laboratory cohort. , 1983, American journal of epidemiology.

[31]  A. O'Leary,et al.  Self-efficacy and health. , 1985, Behaviour research and therapy.

[32]  R. Schulz,et al.  Long-term adjustment to physical disability: the role of social support, perceived control, and self-blame. , 1985, Journal of personality and social psychology.

[33]  R. McCrae.  Situational determinants of coping responses: loss, threat, and challenge. , 1984, Journal of personality and social psychology.

[34]  A. Bandura.  Self-efficacy: toward a unifying theory of behavioral change. , 1977, Psychological review.

[35]  F. Loop.  Progress in surgical treatment of coronary atherosclerosis (Part 1). , 1983, Chest.

[36]  A. Beck,et al.  Hopelessness and eventual suicide: a 10-year prospective study of patients hospitalized with suicidal ideation. , 1985, The American journal of psychiatry.

[37]  Daniel W. Russell,et al.  Cross-Situational Consistency in Causal Attributions: Does Attributional Style Exist? , 1984 .

[38]  E. Klinger,et al.  Consequences of commitment to and disengagement from incentives. , 1975 .