Tregear C, Dalle C, Hertoghe T.
Positive emotions and attitudes: Precious keys to longevity
JEAAM. 2006 Oct.; (4): 30-3
Positive emotions and attitudes are defined here as feelings and behaviors that make one see and experience the sunny side of life more often than average and as being worthwhile and even essential for human existence.
In this large article we review the effects of positive emotions and attitudes such as love, hope, happiness-emotional well-being life satisfaction, optimism, on cardiovascular diseases and cancer, age-related diseases that have high mortality rates, and on human lifespan. Optimism, for example, has been reported in several studies to be associated with a lower risk of cardiovascular disease and a higher survival rate. Its beneficial effects on cancer seem to be restricted to a better quality of life, including a better adjustment to cancer and its treatment. The lack of studies where the effects of optimism were examined on cancer progression or cancer survival, make any definitive statements on the eventual anti-cancer effects of an optimistic attitude hazardous. For most other positive emotions, results of studies are quite similar: improvement of the quality of life, some cardiovascular protection, a moderate (some years of lifespan gain) or no effect on lifespan and uncertainty concerning their effect on cancer disease and mortality. This review highlights the scientific data that are available on the effects of positive emotions and attitudes and points to the need of more studies to increase our knowledge in this probable crucial domain for human longevity. 

1. Kelsey KS, DeVellis BM, Begum M, Belton L, Hooten EG, Campbell MK. Positive affect, exercise and self-reported health in blue-collar women. Am J Health Behav. 2006 Mar-Apr;30(2):199-207.
2. Billings DW, Folkman S, Acree M, Moskowitz JT. Coping and physical health during caregiving: the roles of positive and negative affect. J Pers Soc Psychol. 2000 Jul;79(1):131-42.
3. Voogt E, van der Heide A, van Leeuwen AF, Visser AP, Cleiren MP, Passchier J, van der Maas PJ. Positive and negative affect after diagnosis of advanced cancer. Psychooncology. 2005 Apr;14(4):262-73.
4. Schroevers MJ, Sanderman R, van Sonderen E, Ranchor AV. The evaluation of the Center for Epidemiologic Studies Depression (CES-D) scale: Depressed and Positive Affect in cancer patients and healthy reference subjects. Qual Life Res. 2000;9(9):1015-29.
5. Middleton RA, Byrd EK.. Psychosocial factors and hospital readmission status of older persons with cardiovascular disease. J Appl Rehab Couns. 1996; 27:3-10.
6. Ostir GV, Markides KS, Black SA, Goodwin JS. Emotional well-being predicts subsequent functional independence and survival. J Am Geriatr Soc. 2000 May;48(5):473-8.
7. Moskowitz JT. Positive affect predicts lower risk of AIDS mortality. Psychosom Med. 2003 Jul-Aug;65(4):620-6.
8. Danner DD, Snowdon DA, Friesen WV. Positive emotions in early life and longevity: findings from the nun study. J Pers Soc Psychol. 2001;80(5):804-13.
9. Ross-Petersen L, Johansen C, Olsen JH. Does psychosocial intervention in cancer patients affect survival and psychological well-being? Ugeskr Laeger. 1998 Sep 21;160(39):5625-34.
10. Cowan MJ, Pike KC, Budzynski HK. Psychosocial nursing therapy following sudden cardiac arrest: impact on two-year survival. Nurs Res. 2001;50(2):68-76
11. Linden W, Stossel C, Maurice J. Psychosocial interventions for patients with coronary artery disease: a meta-analysis. Arch Intern Med. 1996 Apr 8;156(7):745-52
12. Dusseldorp E, van Elderen T, Maes S, Meulman J, Kraaij V. A meta-analysis of psychoeduational programs for coronary heart disease patients. Health Psychol. 1999 Sep;18(5):506-19.
13. Janoff-Bulman R, Marshall G. Mortality, well-being, and control: A study of a population of institutionalized aged. Pers Social Psychol Bull. 1982;8:691–8
14. Stones M.J., Dornan, B., & Kozma, A. (1989). The prediction of mortality in elderly institution residents. J Gerontol. 1989; 44: 72-9.
15. Friedman HS, Tucker JS, Tomlinson-Keasey C, Schwartz JE, Wingard DL, Criqui MH. Does childhood personality predict longevity? J Pers Soc Psychol. 1993 Jul;65(1):176-85.
16. Pressman SD, Cohen S. Does positive affect influence health? Psychol Bull. 2005 Nov;131(6):925-71.