Am J Epidemiol 2003; 158:827-835.
Copyright © 2003 by Johns
Hopkins Bloomberg School of Public Health
ORIGINAL CONTRIBUTIONS |
Negative Affect and Mortality in Older Persons
1 Rush Alzheimer’s Disease Center and Rush Institute for Healthy Aging, Rush-Presbyterian-St. Luke’s Medical Center, Chicago, IL.
2 Department of Neurological Sciences, Rush-Presbyterian-St. Luke’s Medical Center, Chicago, IL.
3 Department of Psychology, Rush-Presbyterian-St. Luke’s Medical Center, Chicago, IL.
4 Department of Internal Medicine, Rush-Presbyterian-St. Luke’s Medical Center, Chicago, IL.
The authors examined the relation of negative affect to mortality in the Religious Orders Study, a longitudinal cohort study of older persons, between 1994 and 2002. Participants were 851 Catholic clergy members without dementia at baseline (mean age, 75.4 (standard deviation, 6.9) years; 68% women). They completed standard measures of depressive symptoms, proneness to anxiety and anger, and patterns of anger expression at baseline and then underwent annual clinical evaluations for a mean of 4.7 (standard deviation, 2.7) years. The association of each scale with mortality was examined in proportional hazards models adjusted for age, sex, education, measures of cognitive function, lower limb function, chronic illness, smoking, alcohol, and obesity. During follow-up, 164 persons died. Measures of internally experienced negative affect, such as depressive symptoms and suppressed anger, were related to mortality, but measures of externally directed negative affect, such as the tendencies to be angry with others and to express anger overtly, were not. Persons with a high score (90th percentile) on a summary measure of internally experienced negative affect were nearly twice as likely to die as persons with a low score (10th percentile). The results suggest that negative affect in older persons, especially internally experienced distress, is associated with an increased mortality risk.
aging; anger; anxiety; depression; mortality; prospective studies; survival analysis
Abbreviations: Abbreviations: CES-D, Center for Epidemiologic Studies Depression; CI, confidence interval; SD, standard deviation.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  L. L. Barnes, C. F. M. de Leon, T. T. Lewis, J. L. Bienias, R. S. Wilson, and D. A. Evans Perceived Discrimination and Mortality in a Population-Based Study of Older Adults Am J Public Health, July 1, 2008; 98(7): 1241 - 1247. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. Iwasa, Y. Masui, Y. Gondo, H. Inagaki, C. Kawaai, and T. Suzuki Personality and All-Cause Mortality Among Older Adults Dwelling in a Japanese Community: A Five-Year Population-Based Prospective Cohort Study Am J Geriatr Psychiatry, May 1, 2008; 16(5): 399 - 405. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. S. Wilson, S. E. Arnold, T. L. Beck, J. L. Bienias, and D. A. Bennett Change in Depressive Symptoms During the Prodromal Phase of Alzheimer Disease Arch Gen Psychiatry, April 1, 2008; 65(4): 439 - 445. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Kim and E. A. Frongillo Participation in Food Assistance Programs Modifies the Relation of Food Insecurity with Weight and Depression in Elders J. Nutr., April 1, 2007; 137(4): 1005 - 1010. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. S. Wilson, K. R. Krueger, S. E. Arnold, J. A. Schneider, J. F. Kelly, L. L. Barnes, Y. Tang, and D. A. Bennett Loneliness and Risk of Alzheimer Disease Arch Gen Psychiatry, February 1, 2007; 64(2): 234 - 240. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. S. Wilson, S. E. Arnold, J. A. Schneider, Y. Li, and D. A. Bennett Chronic Distress, Age-Related Neuropathology, and Late-Life Dementia Psychosom Med, January 1, 2007; 69(1): 47 - 53. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. T. Aggarwal, R. S. Wilson, T. L. Beck, J. L. Bienias, and D. A. Bennett Motor Dysfunction in Mild Cognitive Impairment and the Risk of Incident Alzheimer Disease Arch Neurol, December 1, 2006; 63(12): 1763 - 1769. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T.-M. Lyyra, T. M. Tormakangas, S. Read, T. Rantanen, and S. Berg Satisfaction with present life predicts survival in octogenarians. J. Gerontol. B. Psychol. Sci. Soc. Sci., November 1, 2006; 61(6): P319 - P326. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. C. Shah, R. S. Wilson, J. L. Bienias, Z. Arvanitakis, D. A. Evans, and D. A. Bennett Blood pressure and lower limb function in older persons. J. Gerontol. A Biol. Sci. Med. Sci., August 1, 2006; 61(8): 839 - 843. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. A. Chyun, G. D. Melkus, D. M. Katten, W. J. Price, J. A. Davey, N. Grey, G. Heller, and F. J. Th. Wackers The association of psychological factors, physical activity, neuropathy, and quality of life in type 2 diabetes. Biol Res Nurs, April 1, 2006; 7(4): 279 - 288. [Abstract] [PDF]
|
|
|
|
|
|
R. S. Wilson, K. R. Krueger, L. Gu, J. L. Bienias, C. F. Mendes de Leon, and D. A. Evans Neuroticism, Extraversion, and Mortality in a Defined Population of Older Persons Psychosom Med, November 1, 2005; 67(6): 841 - 845. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. S. Buchman, R. S. Wilson, J. L. Bienias, R. C. Shah, D. A. Evans, and D. A. Bennett Change in body mass index and risk of incident Alzheimer disease Neurology, September 27, 2005; 65(6): 892 - 897. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. A. Everson-Rose, K. A. Skarupski, J. L. Bienias, R. S. Wilson, D. A. Evans, and C. F. M. de Leon Do Depressive Symptoms Predict Declines in Physical Performance in an Elderly, Biracial Population? Psychosom Med, July 1, 2005; 67(4): 609 - 615. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 X. Zhang, S. L. Norris, E. W. Gregg, Y. J. Cheng, G. Beckles, and H. S. Kahn Depressive Symptoms and Mortality among Persons with and without Diabetes Am. J. Epidemiol., April 1, 2005; 161(7): 652 - 660. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. A. Everson-Rose, J. S. House, and R. P. Mero Depressive Symptoms and Mortality Risk in a National Sample: Confounding Effects of Health Status Psychosom Med, November 1, 2004; 66(6): 823 - 830. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. S. Wilson, C. F. Mendes de Leon, J. L. Bienias, D. A. Evans, and D. A. Bennett Personality and Mortality in Old Age J. Gerontol. B. Psychol. Sci. Soc. Sci., May 1, 2004; 59(3): P110 - P116. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Other articles noted: 14 Nov 2003 to 30 Jan 2004 Evid. Based Nurs., April 1, 2004; 7(2): e2 - e2. [Full Text] [PDF]
|
|