@article{ref1,
title="Psychological well-being and mortality: longitudinal findings from Lithuanian middle-aged and older adults study",
journal="Social psychiatry and psychiatric epidemiology",
year="2019",
author="Tamosiunas, Abdonas and Sapranaviciute-Zabazlajeva, Laura and Luksiene, Dalia and Virviciute, Dalia and Peasey, Anne",
volume="54",
number="7",
pages="803-811",
abstract="BACKGROUND: The study aimed to examine whether after confounding by possible socio-demographic and other risk factors, psychological well-being is independently associated with reduced all-cause and cardiovascular mortality. <br><br>METHODS: Initial data were collected within the framework of the international project HAPIEE in 2006-2008. A random sample of 7115 individuals aged 45-72 years was screened. Deaths were evaluated by death register of Kaunas city (Lithuania) in a follow-up study till 2016. Psychological well-being was evaluated by a CASP-12 questionnaire. Socio-demographic, lifestyle, biologic factors and depressive symptoms were evaluated. <br><br>RESULTS: Age-adjusted survival curves revealed that psychological well-being predicts longevity in men and women (p < 0.001). After adjustment for many possible confounders psychological well-being was independently associated with all-cause mortality in men (HR 0.77; 95% CI 0.62-0.94) and women (HR 0.73; 95% CI 0.56-0.96). However, psychological well-being association with cardiovascular mortality attained statistical significance only in the women's group (HR 0.53; 95% CI 0.33-0.87), but not in men (HR 0.98; 95% CI 0.72-1.33). <br><br>CONCLUSIONS: Psychological well-being is an important predictor of longevity, controlling well-recognized risk factors such as age, education, cardiovascular diseases, social status, marital status, lifestyle and biological factors and depressive symptoms. Positive psychological well-being should be taken into account when screening older people to prevent negative health outcomes.<p /> <p>Language: en</p>",
language="en",
issn="0933-7954",
doi="10.1007/s00127-019-01657-2",
url="http://dx.doi.org/10.1007/s00127-019-01657-2"
}