Abstract:
OBJECTIVE:Investigate the association of dispositional optimism with chronic kidney disease (CKD) and rapid kidney function decline (RKFD) and determine if there is modification by age, sex, and educational attainment among African Americans. METHODS:Optimism was measured using the 6-item Life Orientation Test-Revised scale (categorized into tertiles and log transformed) among participants from the Jackson Heart Study (n = 1960). CKD was defined as the presence of albuminuria or reduced glomerular filtration rate of <60 mL/min/1.73m2, or report of dialysis at baseline examination (2000-2004). RKFD was defined as a decline >3 mL/min/1.73m2/year between baseline and exam 3 (2009-2013). The cross-sectional and prospective associations between optimism and kidney outcomes were tested using multivariable logistic regression to obtain odds ratios (OR) and 95% confidence intervals (CI), adjusting for demographics, education, risk factors, behaviors, and depressive symptoms. We tested effect modification by age, sex, and education. RESULTS:569 participants had CKD and 326 were classified as having RKFD by exam 3. After full adjustment, the OR for CKD was 0.73 for those who reported high (vs. low) optimism (95% CI 0.55-0.99) and 0.56 (95% CI 0.27-1.15) for the optimism score. After 7.21 median years of follow up, the OR for RKFD was 0.51 for those who reported high (vs. low) optimism (95% CI 0.34-0.76), and 0.26 (95% CI 0.10-0.56) for the optimism score, after full adjustment. There was no evidence of effect modification by demographics or educational attainment. CONCLUSIONS:Higher optimism was associated with a lower odds of CKD and a lower odds of RKFD.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Glover LM,Butler-Williams C,Cain-Shields L,Forde AT,Purnell TS,Young B,Sims Mdoi
10.1016/j.jpsychores.2020.110267subject
Has Abstractpub_date
2020-12-01 00:00:00pages
110267eissn
0022-3999issn
1879-1360pii
S0022-3999(20)30829-1journal_volume
139pub_type
杂志文章abstract::The relationships between several psychological variables and salivary cortisol levels were investigated in 70 young mothers throughout the first five days following the delivery of a healthy baby. We hypothesized that postpartum blues is associated with ineffective coping strategies, high anxiety levels, and elevated...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(90)90088-l
更新日期:1990-01-01 00:00:00
abstract:OBJECTIVE:Chronic fatigue syndrome (CFS) is often associated with significant levels of disability. Although fatigue and depression have been found to be independently related to severity of disability, it is not clear how these three factors are mutually related. The present study sought to address this issue by speci...
journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
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abstract:OBJECTIVE:The demanding behavioral changes for weight control to manage diabetes might contribute to lower quality of life (QOL). This research examines whether the demands of diet and exercise contribute to lower QOL among persons with diabetes. METHODS:Data were from the Behavioral Risk Factor Surveillance System (B...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
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journal_title:Journal of psychosomatic research
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doi:10.1016/0022-3999(85)90049-2
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(94)90008-6
更新日期:1994-01-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2010.12.008
更新日期:2011-07-01 00:00:00
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journal_title:Journal of psychosomatic research
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doi:10.1016/j.jpsychores.2008.01.009
更新日期:2008-08-01 00:00:00
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journal_title:Journal of psychosomatic research
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doi:10.1016/j.jpsychores.2006.07.028
更新日期:2007-01-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2014.06.004
更新日期:2014-08-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2004.06.001
更新日期:2005-01-01 00:00:00
abstract::The Pittsburgh Sleep Quality Index (PSQI) measures sleep quality and disturbance retrospectively over a 1-month period using self-reports. Although the PSQI has been used in a variety of populations, published psychometric data are limited. The goal of this study was to examine psychometric properties of the PSQI amon...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(97)00298-5
更新日期:1998-07-01 00:00:00
abstract:BACKGROUND:Chronic fatigue syndrome (CFS) is associated with a high use of health care services. To reduce the related costs for patients and society, it will be useful to know which factors determine CFS patients' amount of health care use. Little is known, however, about these factors. METHOD:The present study retro...
journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2008.03.015
更新日期:2008-07-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2013.02.002
更新日期:2013-05-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(99)00076-8
更新日期:2000-01-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
doi:10.1016/s0022-3999(97)00202-x
更新日期:1998-01-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2014.07.018
更新日期:2014-10-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2014.10.007
更新日期:2015-02-01 00:00:00
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journal_title:Journal of psychosomatic research
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doi:10.1016/j.jpsychores.2014.07.006
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(94)90068-x
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/0022-3999(86)90050-4
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2004.08.010
更新日期:2005-03-01 00:00:00
abstract:OBJECTIVES:Patients with HIV infection frequently complain of sleep disturbances and daytime sleepiness. Only few data on these problems evaluated by standardized measures is available. METHODS:A sample of 180 consecutive patients with HIV infection referred to the internal and to the neurological HIV clinics at the U...
journal_title:Journal of psychosomatic research
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doi:10.1016/j.jpsychores.2012.03.003
更新日期:2012-06-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/j.jpsychores.2005.04.006
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journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
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