Aijie Zhang, Liqiong Zhou, Yaxian Meng, Qianqian Ji, Meijie Ye, Qi Liu, Weiri Tan, Yeqi Zheng, Zhao Hu, Miao Liu, Xiaowei Xu, Ida K. Karlsson, Sara Hägg, Yiqiang Zhan
Abstract
Psychological resilience refers to an individual's ability to cope with and adapt to challenging life circumstances and events.
This study aims to explore the association between psychological resilience and all-cause mortality in a national cohort of US older adults by a cross-sectional study.
The Health and Retirement Study (2006-2008) included 10 569 participants aged ≥50. Mortality outcomes were determined using records up to May 2021. Multivariable Cox proportional hazards models were used to analyse the associations between psychological resilience and all-cause mortality. Restricted cubic splines were applied to examine the association between psychological resilience and mortality risk.
During the follow-up period, 3489 all-cause deaths were recorded. The analysis revealed an almost linear association between psychological resilience and mortality risk. Higher levels of psychological resilience were associated with a reduced risk of all-cause mortality in models adjusting for attained age, sex, race and body mass index (HR=0.750 per 1 SD increase in psychological resilience; 95% CI 0.726, 0.775). This association remained statistically significant after further adjustment for self-reported diabetes, heart disease, stroke, cancer and hypertension (HR=0.786; 95% CI 0.760, 0.813). The relationship persisted even after accounting for smoking and other health-related behaviours (HR=0.813; 95% CI 0.802, 0.860).
This cohort study highlights the association between psychological resilience and all-cause mortality in older adults in the USA.
Psychological resilience emerges as a protective factor against mortality, emphasising its importance in maintaining health and well-being.
Practitioners (doctors, other healthcare professionals)
2
8%
Scientists
1
4%
Attention Score in Context
Attention Score in Context
This research output has an Altmetric Attention Score of 487. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 September 2024.
All research outputs
#58,207
of 26,187,546 outputs
Outputs from BMJ Mental Health
#8
of 926 outputs
Outputs of similar age
#448
of 171,842 outputs
Outputs of similar age from BMJ Mental Health
#2
of 10 outputs
Altmetric has tracked 26,187,546 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 926 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 19.7. This one has done particularly well, scoring higher than 99% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 171,842 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 10 others from the same source and published within six weeks on either side of this one. This one has scored higher than 8 of them.
