Dispositional Optimism Research Articles

Influence of Dispositional Optimism on Ethically Salient Research Perspectives: A Pilot Study.

Research participants should be drawn as fairly as possible from the potential volunteer population. Underlying personality traits are underexplored as factors influencing research decision-making. Dispositional optimism, known to affect coping, physical health, and psychological well-being, has been minimally studied with respect to research-related attitudes. We conducted an exploratory, online survey with 151 individuals (with self-reported mental illness [n = 50], physical illness [n = 51], or neither [n = 50]) recruited via MTurk. We evaluated associations between dispositional optimism (assessed with the Life Orientation Test-Revised) and general research attitudes, perceived protectiveness of five research safeguards, and willingness to participate in research using safeguards. Strongly optimistic respondents expressed more positive research attitudes and perceived four safeguards as more positively influencing willingness to participate. Optimism was positively associated with expressed willingness to participate in clinical research. Our findings add to a limited literature on the influence of individual traits on ethically salient research perspectives.

Examining the Effects of Pessimism and Optimism on Depressive Symptoms and Pain Characteristics in Chronic Low Back Pain

Chronic low back pain (cLBP) is one of the leading causes of pain for millions of Americans. Recent growing literature suggests that individuals with cLBP may have elevated symptoms of depression. Optimism and pessimism are aspects of human personality related to generalized outcome expectancies for the future. Both are also associated with physical and psychological outcomes including depressive symptoms and pain characteristics. However, there is little information on how optimism and pessimism may affect depressive symptoms and pain characteristics in cLBP. The purpose of this study is to examine the impact of pessimism and optimism on pain characteristics and depressive symptoms in individuals with cLBP and pain-free controls. Participants included individuals with cLBP (N=185) and pain-free controls (N=74). All were given a battery of questionnaires to assess dispositional optimism and pessimism, depressive symptoms, and pain characteristics. Sociodemographic factors (age, sex, race) that influence pain were also addressed. Analyses revealed that pessimism (F=47.3, p< .001), and pain-status (cLBP vs. pain-free) (F=25.6 p< .001) significantly covaried with depressive symptoms, suggesting increased pessimism and having cLBP are associated with elevated depressive symptoms. Participants' race (F=6.5, p=.011), and pessimism (F=14.5, p<.001) significantly covaried with pain intensity, suggesting that non-Hispanic Black racial background, having cLBP, and increased pessimism are associated with elevated pain intensity. Relative to optimism, pessimism seemed to be more influential for individuals' depressive symptom reports and pain intensity in this study. These findings are significant because they may present the opportunity to target depressive symptoms and pain outcomes in specific vulnerable populations regarding the influence of pessimism. Future studies examining these relationships should determine if pessimism elicits a hyperalgesic response, and the impact it can have on depressive symptoms in other chronic pain populations may be warranted. This work was supported by Examining Racial And SocioEconomic Disparities in cLBP; ERASED; R01MD010441.

Impact of Social Support Ecosystem on Academic Performance of Children From Low-Income Families: A Moderated Mediation Model.

This study conducted a questionnaire survey involving 513 children from low-income families (mean age = 13.25 ± 2.19 years) to explore the relationship between social support and academic performance as well as the mediating role of dispositional optimism and the moderating role of grit. A structural equation model analysis showed that: (1) social support has a significant positive predictive effect on academic performance and (2) dispositional optimism has a significant mediating effect on the relationship between social support and academic performance. Further, a moderated mediation effect test showed that grit moderates (3) the direct social support effect on academic performance as well as (4) the direct and indirect pathways among social support, dispositional optimism, and academic performance. The results indicate that social support is conducive to the development of dispositional optimism in children from low-income families, thereby improving their academic performance. At the same time, grit can enhance the positive impact of optimism on the academic performance of children from low-income families. This study has important theoretical and practical implications for effectively improving the academic performance of children from low-income families.

Reflex BRCA1 and BRCA2 tumour genetic testing for high-grade serous ovarian cancer: streamlined for clinicians but what do patients think?

BackgroundReflex (automatic) BRCA1 and BRCA2 (BRCA1/2) genetic testing of tumour tissue is being completed for all newly diagnosed high-grade serous ovarian cancer (HGSOC) in the province of Ontario, Canada. The objective of this study was to measure the psychological impact of tumour genetic testing among individuals with a new diagnosis of HGSOC.MethodsParticipants had a new diagnosis of HGSOC and received reflex BRCA1/2 tumour genetic testing as a component of their care. Eligible individuals were recruited from two oncology centres in Toronto, Canada. One week after disclosure of tumour genetic test results, consenting participants were asked to complete a questionnaire that measured cancer-related distress, dispositional optimism, knowledge of hereditary breast/ovarian cancer, recall of tumour genetic test results, satisfaction, and the psychological impact of receiving tumour genetic test results. The Multidimensional Impact of Cancer Risk Assessment (MICRA) questionnaire was used to measure the psychological impact of tumour genetic testing.Results76 individuals completed the study survey; 13 said they did not receive their tumour test results. Of the remaining 63 participants, the average MICRA score was 26.8 (SD = 16.3). Higher total MICRA scores were seen among those with children (p = 0.02), who received treatment with primary surgery (p = 0.02), and had higher reported cancer-related distress (p < 0.001). Higher dispositional optimism (p < 0.001) and increasing age (p = 0.03) were associated with lower total MICRA scores. Most (83.5%) participants reported being satisfied/highly satisfied with having tumour testing completed; however, 40.8% could not accurately recall their tumor test results.ConclusionsThis study is the first to assess psychological outcomes following reflex BRCA1/2 tumour genetic testing in women newly diagnosed with HGSOC. Increased dispositional optimism provided a protective effect, while increased cancer-related distress increased the psychological impact of tumour genetic testing. Educational resources are needed to help increase patient understanding and recall of tumour results, particularly when tumour genetic testing includes analysis of genes that may have implications for hereditary cancer risk. Additional research is required to better understand the patient experience of reflex tumour genetic testing.

The Association of Dispositional Optimism and Pessimism With Cardiovascular Disease Events in Older Adults: A Prospective Cohort Study.

Objective: Positive psychosocial factors may protect against cardiovascular disease (CVD). We aimed to determine the association of optimism and pessimism with CVD events in community-dwelling older adults. Methods: 11,651 adults aged 70years and over, participants of the ASPREE Longitudinal Study of Older Persons (ALSOP), were followed-up for 4.7years (median). The association of optimism and pessimism (assessed as separate constructs by revised Life Orientation Test) and incident CVD events (composite and components) was assessed by Cox regression adjusted for demographic, socioeconomic and health factors. Results: No association was observed between optimism and pessimism with composite CVD events. Being more pessimistic was associated with a greater risk of fatal coronary heart disease, while being more optimistic was associated with a lower risk of non-fatal myocardial infarction. Conclusions: Optimism and pessimism may shape cardiovascular health of older adults; and we argue these psychosocial factors should be researched as separate constructs.

Perceived risk, illness perception and dispositional optimism related to COVID-19 among oncologic outpatients undergoing in-hospital treatments and healthy controls

Objective This study aimed to explore risk estimations (perceived risk, dispositional optimism) related to COVID-19 perception and distress in oncologic outpatients undergoing active hospital treatments compared to the general population. Design and Main Outcome Measures Data were collected during the Italian lockdown on 150 oncologic outpatients and a sample of 150 healthy subjects. They completed a battery of questionnaires including the Perceived Risk scale, the Brief Illness Perception Questionnaire, the Life Orientation Test- Revised and the Patient Health Questionnaire-4. Descriptive statistics, correlation analysis, and a moderated mediation model were performed to test the study hypotheses. Results The moderated mediation model attested significant conditional indirect associations of both clinical status and dispositional optimism with distress through the mediation of COVID-19 perceived risk. Healthy individuals and less optimistic people were more likely than others to report higher psychological distress only when they showed neutral or negative COVID-19-related illness perception. Conclusions Cancer patients manifest a lower risk perception and a more positive illness representation related to COVID-19 compared to control subjects; the distress level is not associated with the clinical status, but it is moderated by illness perception. Adequate protective behaviors in cancer patients may avoid a dangerous underestimation of objective risks.

Психологические стратегии и типы финансового поведения студентов разных российских университетов

The article presents the results of empirical research aimed at a comparative analysis of financial behavior strategies and economic aspirations of Russian students (N = 80, age 19–20 years) studying at metropolitan and regional universities (Saratov and Moscow). As methods of research were used survey and testing (questionnaire of subjective economic well-being V. A. Khashchenko; test of dispositional optimism in modification of T. O. Gordeeva, O. A. Sychev, E. N. Osin; questionnaire of self-organization of activity in E. Yu. Mandrikova adaptation; Schwarz portrait questionnaire). In two groups of students both similarities (determinants of financial behavior, economically cautious strategy of budget management, avoidance of financial risk, small savings practices, financial infantilism, lack of financial awareness, attractiveness of some forms of investment, optimism expression, similarity of profiles of value orientations) and differences (personal budget structuring, economic aspirations and dream, readiness to take financial risk) were found. It is asserted that the identified similarities are determined by the respondents’ affiliation with a certain social group, while the differences are caused by the subcultural features of the territory of study and residence. Based on the assessment of subjective economic well-being and life prospects, configuration of value orientations, specifics of strategic goal-setting, the typology of financial behavior of students studying at different universities is proposed. The applied aspect of the problem under study consists in the possibility of using the results in the development of programs of socio-psychological adaptation of students to the conditions of learning and living; educational programs aimed at eliminating economic illiteracy of students; programs of psychological support and student counseling.

Explanatory or Dispositional Optimism: Which Trait Predicts Eco-Friendly Tourist Behavior?

Recently, researchers have been drawn to the literature surrounding positive psychology. The role of explanatory and dispositional optimism in eco-friendly tourism has been largely ignored by researchers, even though positive psychology, or optimism, has been studied in the sustainability domain. The purpose of this study is to determine which trait predicts eco-friendly tourist behavior. In the study, the data were collected online using Amazon Mechanical Turk from 400 respondents, and the model was assessed using partial least squares structural equation modeling. Findings revealed that in terms of predicting eco-friendly tourism behavior, dispositional optimism outperformed explanatory optimism. Furthermore, this study found that environmental concern positively moderates the association between optimism (dispositional and explanatory) and eco-friendly tourism behavior. This study has wide-ranging implications for tourism managers, practitioners, and academics.

Impact of Telestroke Implementation on Emergency Department Transfer Rate.

Telestroke networks are associated with improved outcomes from acute ischemic stroke (AIS) and facilitate greater access to care, particularly in underserved regions. These networks also have the potential to influence patient disposition through avoiding unnecessary interhospital transfers. This study examines the effect of implementation of the VA National Telestroke Program (NTSP) on interhospital transfer among Veterans. We analyzed patients with AIS presenting to the emergency departments of 21 VA hospitals before and after telestroke implementation. Transfer rates were determined through review of administrative data and chart review and patient and facility-level characteristics were collected to identify predictors of transfer. Comparisons were made using t test, Wilcoxon rank sum, and χ 2 analysis. Multivariable logistic regression with sensitivity analysis was conducted to assess the influence of telestroke implementation on transfer rates. We analyzed 3,488 stroke encounters (1,056 pre-NTSP and 2,432 post-NTSP). Following implementation, we observed an absolute 14.4% decrease in transfers across all levels of stroke center designation. Younger age, higher stroke severity, and shorter duration from symptom onset were associated with transfer. At the facility level, hospitals with lower annual stroke volume were more likely to transfer; 1 hospital saw an increase in transfer rates following implementation. After adjusting for patient and facility characteristics, the implementation of VA NTSP resulted in a nearly 60% reduction in odds of transfer (odds ratio 0.39 [0.19, 0.77]). In addition to improving treatment in acute stroke, telestroke networks have the potential to positively affect the efficiency of interhospital networks through disposition optimization and the avoidance of unnecessary transfers.

Great expectations of IVF patients: the role of gender, dispositional optimism and shared IVF prognoses.

Which success rates do female and male IVF patients expect, what determines their expectations and do patients reconsider their expectations after receiving a personal IVF prognosis at the expense of anxious reactions? Female and male IVF patients have unrealistic high expectations which are positively associated with their dispositional optimism, and which are only reconsidered by patients receiving a less than average IVF prognosis, which leads to more anxious reactions in females. Female patients undergoing IVF are known to have unrealistic expectations of the success of their own IVF cycle. The available evidence suggests women expect above average performance of their fertility clinic and (family) reproductive systems. The association of gender and personality trait dispositional optimism, with expectations of IVF success and the impact of providing couples with their IVF prognosis have not been studied previously. A total of 148 partnered individuals participated in this prospective survey at two separate points in treatment: following oocyte aspiration (T1) and embryo transfer (T2) (2019-2020, participation rate = 85%). At the time of embryo transfer, gynaecologists provided couples with their IVF prognosis, calculated with the Adapted van Loendersloot model. Women and their male partners completed questionnaires independently and immediately following oocyte aspiration and embryo transfer. Dispositional optimism ('LOT-R' questionnaire) and expectations of IVF success (numerical rating scale) were assessed in eligible couples commencing a 2nd-6th IVF cycle on T1. Expectations of IVF success and anxiety ('Spielberger State-Anxiety Inventory') were (re)assessed on T2. The inter-partner correlation of expectations of IVF success was examined. Linear mixed models examined hypothesized determinants of expectations of IVF success (T1) and explored (determinants of) whether participants reconsidered their expectations after receiving their IVF prognosis (T1-T2) and whether couple's IVF prognosis was associated with anxious reactions (T2). The mean of the IVF success rates expected by patients immediately after oocyte aspiration was 59.1% (±20.0), irrespective of gender (P = 0.077). Partners expectations of IVF success were moderately correlated (r = 0.483; P < 0.001). Expectations of IVF success were positively associated with the participant's dispositional optimism (P < 0.001) but were not associated with their partner's dispositional optimism, women's age and their previous (un)successful IVF experiences. Gynaecologists gave couples their calculated IVF prognosis ranging from 4.8% to 69.2% (mean = 30.9%) at the time of embryo transfer. Gender did not influence whether participants reconsidered their expectations after receiving their prognosis. In contrast to the subgroup (n = 78), who received at least an average IVF prognosis and that did not reconsider their expectations of IVF success, the subgroup (n = 70) receiving a below average IVF prognosis lowered their expectations of IVF success (interaction effect: P < 0.001) from 55% to 46%. A below average IVF prognosis was associated with anxious reactions in women but not in men (interaction effect: P = 0.011). The study design and sample size were more optimal for examining hypothesized determinants of patient's expectations of IVF success than for studying the impact of sharing prognoses with patients. Whether (reconsidering) expectations influences IVF discontinuation rates and achieved live birth rates has yet to be followed-up. Clinics are advised to offer patients the opportunity of receiving their IVF prognosis. Providing prognoses is in line with patient preferences and tempers the unrealistic high expectations of both partners in couples with a less than average prognosis. A sensitive communication style is indicated, as lower prognoses are associated with mild anxious reactions in women. E.A.F.D. holds a postdoctoral fellowship of the Research Foundation-Flanders (12H9819N) and this study was funded by the Research Council of the KU Leuven (C14/18/106; project of J.V., K.P. and E.A.F.D.) and as an investigator sponsored study of K.P. and E.A.F.D. by Merck nv/sa Belgium, an affiliate of Merck KGaA, Darmstadt, Germany. The authors declare no conflict of interest related to this study. N/A.

Illness Perception and Quality of Life in Patients with Breast Cancer.

Simple SummaryThe declining average age of cancer patients may become a serious problem for health care systems and societies in general in the near future. For this reason, there is a need to fully understand the factors determining health-related quality of life in breast cancer patients, beyond clinical characteristics and sociodemographic factors. In our study, we aimed to demonstrate the relationship between illness perception and quality of life in breast cancer patients. The results of our study confirm the beneficial effect of positive illness perception on the intensity of symptoms related to cancer and treatment, as well as functional domains of EORTC QLQ-C30.Introduction. In 2020, breast cancer was the most frequently diagnosed malignancy worldwide. The QoL level plays a role in assessing the effectiveness of the diagnosis and therapy and is a significant prognostic factor. The subject that is relatively less often addressed in the literature is the impact of psycho-social factors and health-related beliefs on QoL in breast cancer patients. The aim of the study was to assess the association of illness perception, the sense of coherence, and illness acceptance with QoL in breast cancer patients. Methods. The study included 202 women (mean age 53.0 ± 10.3) treated surgically for breast cancer at the Lower Silesian Oncology Centre. The following standardized questionnaires were used: Acceptance of Illness Scale (AIS), Mental Adjustment to Cancer (Mini-MAC), Quality of Life Questionnaires (EORTC QLQ-C30 and QLQ-BR23), The Multidimensional Essence of Disease and Illness Scale (MEDIS), and Life Orientation Test (LOT-R). Results. There is a statistically significant association between illness acceptance and QoL. There is a statistically significant association between the sense of coherence (life optimism—LOT-R) and QoL among breast cancer patients. There is a statistically significant association between illness perception and QoL. There was a statistically significant correlation between the increasing importance of illness as a dysfunction, decreasing QoL, and increasing intensity of symptoms and complaints. Conclusions. Patients with a high level of illness acceptance, with an optimistic disposition, and with a positive illness perception have better QoL within all the functional domains and experience lower intensity of cancer- and treatment-related symptoms as compared to those with low level of illness acceptance, with moderate optimism or a pessimistic disposition, and with neutral or negative illness perception.

Psychometric description of the Life Orientation Test-Revised in a South African sample: A pilot study

The relevance of dispositional optimism – as measured by the Life Orientation Test-Revised (LOT-R) – in health psychology has been convincingly demonstrated in numerous cross-national studies; however, empirical evidence of its psychometric quality and normative parameters in the South African context are lacking. Firstly, this pilot study aimed to replicate previous international psychometric and normative data analyses, and secondly, to extend the investigation into associations with clinical measures of mental health and associated measures of general psychological well-being and resilience in a South African sample. A sample of 755 adults from South African workplaces (42% women, aged 19–62 years) completed the LOT-R and a selection of self-rated measures of clinical mental health and general psychological well-being and resilience. Life Orientation Test-Revised total mean scores were comparable with international samples, with normative reference data supplied to interpret individual scores. Confirmatory factor analysis suggested a bi-dimensional model as best fit, and two independent factors were identified, namely, optimism and pessimism. Significant correlations with measures of psychological health and well-being were observed. Mental health constructs were better characterised by the presence of pessimism than the absence of optimism. No significant age or gender effects were observed but the role of language requires further clarification. This study provided a psychometric description of the LOT-R in a South African sample, including support for both the bi-dimensionality of the LOT-R in this context and its construct validity. The study further provided preliminary normative data for a local sample against which individual scores can be interpreted.

Perceptions of the COVID-19 Pandemic among Women with Infertility: Correlations with Dispositional Optimism.

People who are more optimistic may experience better psychological health during stressful times. The present study examined the perceptions and emotions surrounding the COVID-19 pandemic among American women who were experiencing fertility problems. We tested if dispositional optimism in these women was associated with less negative perceptions and emotions. We conducted a cross-sectional survey of patients from a single private infertility and reproductive clinic in an urban area in the Midwest, United States. Women, age 18 or older, primarily White and educated, who presented for an appointment to the clinic were invited to participate in an email-based survey. Respondents (N = 304) reported their perceived impact of the COVID-19 pandemic on fertility treatment, emotions associated with this impact, and perceived stress and depressive symptoms. They also completed measures of dispositional optimism and expectations for a future pregnancy. Findings indicated that women perceived an overall negative impact of the pandemic on their treatment plans, which was associated with more negative emotions, lower expectations of future pregnancy, and greater stress and depressive symptoms during the pandemic. However, further correlational analyses revealed that being higher in trait optimism was associated with perceiving a less negative impact of the pandemic, experiencing fewer negative emotions, and less overall stress and depressive symptoms. Although women with fertility problems have perceived the pandemic as negative and disruptive, those who are higher in optimism may be less affected.

Health Behaviours and the Sense of Optimism in Nursing Students in Poland, Spain and Slovakia during the COVID-19 Pandemic

(1) The COVID-19 outbreak brought about several socio-economic changes and has had a negative impact on the mental health of people around the world. The aim of this study was to examine the correlation between health behaviours and dispositional optimism among nursing students in Poland, Spain and Slovakia during the COVID-19 pandemic. (2) The study was carried out in spring 2021 on a group of 756 nursing students in Poland (n = 390), Spain (n = 196) and Slovakia (n = 170). The diagnostic survey method was applied with the questionnaire technique, and the following standardised research tools were used: Life Orientation Test—Revised (LOT-R) and the Health Behaviour Inventory (IZZ). The survey was conducted in a mixed arrangement: in direct contact with the respondents in Poland and in Spain and online in Slovakia. (3) Significant differences were demonstrated in health behaviour preferences in students in Poland, Spain and Slovakia (F = 6.22; p < 0.002). The highest IZZ index was found in Spanish students (82.60 ± 13.65), while lower values were observed in Slovak (80.38 ± 13.74) and Polish (78.44 ± 13.47) students. The correlation between dispositional optimism and a positive attitude was the strongest in the Polish sample (r = 0.56; p < 0.001), at a high level in the Spanish sample (r = 0.53; p < 0.001) and at an average level in the Slovak sample (r = 0.48; p < 0.001). (4) 1. The study showed a moderating effect of the country of origin on the students’ health behaviours. 2. Dispositional optimism is an important predictor of the students’ health behaviours, regardless of the country of origin.

Patterns of a structural covariance network associated with dispositional optimism during late adolescence

Dispositional optimism (hereinafter, optimism), as a vital character strength, reflects the tendency to hold generalized positive expectancies for future outcomes. A great number of studies have consistently shown the importance of optimism to a spectrum of physical and mental health outcomes. However, less attention has been given to the intrinsic neurodevelopmental patterns associated with interindividual differences in optimism. Here, we investigated this important question in a large sample comprising 231 healthy adolescents (16–20 years old) via structural magnetic resonance imaging and behavioral tests. We constructed individual structural covariance networks based on cortical gyrification using a recent novel approach combining probability density estimation and Kullback-Leibler divergence and estimated global (global efficiency, local efficiency and small-worldness) and regional (betweenness centrality) properties of these constructed networks using graph theoretical analysis. Partial correlations adjusted for age, sex and estimated total intracranial volume showed that optimism was positively related to global and local efficiency but not small-worldness. Partial least squares correlations indicated that optimism was positively linked to a pronounced betweenness centrality pattern, in which twelve cognition-, emotion-, and motivation-related regions made robust and reliable contributions. These findings remained basically consistent after additionally controlling for family socioeconomic status and showed significant correlations with optimism scores from 2.5 years before, which replicated the main findings. The current work, for the first time, delineated characteristics of the cortical gyrification covariance network associated with optimism, extending previous neurobiological understandings of optimism, which may navigate the development of interventions on a neural network level aimed at raising optimism.

Is my risk lower than yours? The role of compared risk, illness perceptions, and self-efficacy as determinants of perceived risk for COVID-19

Risk perception is a psychological construct influenced by the available information about specific illnesses or conditions and several psychosocial variables. In the context of the COVID-19 pandemic, it is important to understand people´s perceptions about the illness and their subsequent behaviour. In the present study we aimed to assess risk and illness perceptions about COVID-19 at the beginning of the pandemic in a community sample and to assess whether illness perception dimensions, dispositional optimism, compared risk and perceived self-efficacy are predictors of individual risk perception for COVID-19. The participants were 549 Portuguese adults not infected by COVID-19 who completed an online survey. Our findings showed that individual and compared risk perceptions about COVID-19 were high as well as concern, negative emotional representation, and perceived consequences. The predictive model showed that 54% of the variance of the perceived individual risk was explained by compared risk, followed by concern, emotional representation, and self-efficacy. These findings highlight the importance of comparative risk (unrealistic comparative optimism) in the formation of individual risk perception. Social comparison can be an important factor for risk perception and the adoption of protective behaviours for COVID-19.

Differences in Mood, Optimism, and Risk-Taking Behavior Between American and Chinese College Students.

Mood and optimism have been demonstrated to influence risk-taking decisions; however, the literature on mood, optimism, and decision-making is mixed and conducted primarily with western samples. This study sought to address this gap in the literature by examining the impact of mood and dispositional optimism on risk-taking and whether these associations differed between undergraduate students from the United States (N = 141) and the People’s Republic of China (N = 90). Both samples completed a dispositional optimism questionnaire and an autobiographical mood induction task. They were then tasked with choosing to complete the Raven’s Advanced Progressive Matrices reasoning task on easy, medium, or hard difficulty for hypothetical money. Selecting harder difficulties was interpreted as more risk-taking due to a higher chance of failure. More positive mood and higher dispositional optimism were associated with decreased risk-taking, i.e., selecting easier puzzle difficulties, in the American sample but increased risk-taking decisions, i.e., selecting harder difficulties, in the Chinese sample (p < 0.05 for all). These findings suggest that the effect of mood and optimism on decision-making may differ by nationality and/or culture.

A prospective cohort study of the psychological consequences of the COVID-19 pandemic on frontline healthcare workers in New York City.

ObjectivesWe sought to describe the course and correlates of psychological distress in frontline healthcare workers (FHCWs) during the COVID-19 pandemic in New York City (NYC).MethodsA prospective cohort study of FHCWs at the Mount Sinai Hospital was conducted during the initial 2020 surge (T1) and 7 months later (T2). Psychological distress [i.e., positive screen for pandemic-related post-traumatic stress disorder (PTSD), major depressive disorder (MDD), and/or generalized anxiety disorder (GAD)], occupational and personal exposures to COVID-19, coping strategies, and psychosocial characteristics were assessed. Four courses of psychological distress response were identified: no/minimal, remitted, persistent, and new-onset. Multinomial logistic regression and relative importance analyses were conducted to identify factors associated with courses of distress.ResultsOf 786 FHCWs, 126 (16.0%) FHCWs had persistent distress; 150 (19.1%) remitted distress; 35 (4.5%) new-onset distress; and 475 (60.4%) no/minimal distress. Relative to FHCWs with no/minimal distress, those with persistent distress reported greater relationship worries [19.8% relative variance explained (RVE)], pre-pandemic burnout (18.7% RVE), lower dispositional optimism (9.8% RVE), less emotional support (8.6% RVE), and feeling less valued by hospital leadership (8.4% RVE). Relative to FHCWs with remitted symptoms, those with persistent distress reported less emotional support (29.7% RVE), fewer years in practice (28.3% RVE), and psychiatric history (23.6% RVE).ConclusionsOne-fifth of FHCWs in our study experienced psychological distress 7 months following the COVID-19 surge in NYC. Pandemic-related worries, pre-pandemic burnout, emotional support, and feeling valued by leaders were linked to persistent distress. Implications for prevention, treatment, and organizational efforts to mitigate distress in FHCWs are discussed.Supplementary InformationThe online version contains supplementary material available at 10.1007/s00420-022-01832-0.

Dispositional optimism and depression risk in older women in the Nurses´ Health Study: a prospective cohort study

Dispositional optimism is a potentially modifiable factor and has been associated with multiple physical health outcomes, but its relationship with depression, especially later in life, remains unclear. In the Nurses´ Health Study (n = 33,483), we examined associations between dispositional optimism and depression risk in women aged 57–85 (mean = 69.9, SD = 6.8), with 4,051 cases of incident depression and 10 years of follow-up (2004–2014). We defined depression as either having a physician/clinician-diagnosed depression, or regularly using antidepressants, or the presence of severe depressive symptoms using validated self-reported scales. Age- and multivariable-adjusted Cox proportional hazards models were used to estimate hazard ratios (HRs) with 95% confidence intervals (95% CIs) across optimism quartiles and for a 1-standard deviation (SD) increment of the optimism score. In sensitivity analyses we explored more restrictive definitions of depression, potential mediators, and moderators. In multivariable-adjusted models, women with greater optimism (top vs. bottom quartile) had a 27% (95%CI = 19–34%) lower risk of depression. Every 1-SD increase in the optimism score was associated with a 15% (95%CI = 12–18%) lower depression risk. When applying a more restrictive definition for clinical depression, the association was considerably attenuated (every 1-SD increase in the optimism score was associated with a 6% (95%CI = 2–10%-) lower depression risk. Stratified analyses by baseline depressive symptoms, age, race, and birth region revealed comparable estimates, while mediators (emotional support, social network size, healthy lifestyle), when combined, explained approximately 10% of the optimism-depression association. As social and behavioral factors only explained a small proportion of the association, future research should investigate other potential pathways, such as coping strategies, that may relate optimism to depression risk.

ИЗУЧЕНИЕ ОСОБЕННОСТЕЙ И ФАКТОРОВ ПСИХИЧЕСКОГО ЗДОРОВЬЯ У ЛИЦ С РАЗНЫМ УРОВНЕМ ЗДОРОВЬЯ

The article examines the features and factors of manifestation of mental health in persons with different levels of health: mild health disorders, chronic diseases and other defects, severe health disorders and disabilities. At the beginning, the author cites the results of an analysis of theoretical sources on mental health problems and highlights the factors that affect its level: the presence and degree of physical disorders in health and the presence of mental disorders and negative psychological states. As shown by the results of a survey of research participants, more than 70% of them have mental health disorders, expressed in the manifestation of negative mental states and disorders. Further, the features of mental health in persons with different levels of health were studied by using the following questionnaires: "Scale of coherence", "Test of hardiness", "Test of dispositional optimism", "Test of social adaptation", "Methods of coping behavior". An analysis of the results of using these questionnaires showed that the presence and degree of disorders in human health affects a decrease in the levels of hardiness and dispositional optimism, and deterioration in mental health and the development of negative psychological states also lead to a decrease in hardiness and its components, and a decrease in optimistic expectations from changes in the future, a decrease in the level of a sense of coherence and the possibilities of cognitive perception of the surrounding reality, an increase in the level of negative impact of stress on the psychophysical state of a person and an increase in cases of choosing maladaptive coping strategies for coping with stress.