Restricted accessResearch articleFirst published online 2015-7
Divergent pathways to influence: Cognition and behavior differentially mediate the effects of optimism on physical and mental quality of life in Chinese university students
Previous research has indicated that both cognitive and behavioral variables mediate the positive effect of optimism on quality of life; yet few attempts have been made to accommodate these constructs into a single explanatory framework. Adopting Fredrickson’s broaden-and-build perspective, we examined the relationships between optimism, self-rated health, resilience, exercise, and quality of life in 365 Chinese university students using path analysis. For physical quality of life, a two-stage model, in which the effects of optimism were sequentially mediated by cognitive and behavioral variables, provided the best fit. A one-stage model, with full mediation by cognitive variables, provided the best fit for mental quality of life. This suggests that optimism influences physical and mental quality of life via different pathways.
AspinwallLGTaylorSE (1992) Modeling cognitive adaptation: A longitudinal investigation of the impact of individual differences and coping on college adjustment and performance. Journal of Personality and Social Psychology63: 989–1003.
2.
AyresCGMahatG (2012) Social support, acculturation, and optimism understanding positive health practices in Asian American college students. Journal of Transcultural Nursing23: 270–278.
3.
BailisDSSegallAChipperfieldJG (2003) Two views of self-rated general health status. Social Science & Medicine56: 203–217.
4.
BassoMRSchefftBKRisMD. (1996) Mood and global-local visual processing. Journal of the International Neuropsychological Society2: 249–255.
5.
BaumgartnerTAJacksonAS (1999) Measurement for Evaluation in Physical Education and Exercise Science. Boston, MA: WCB/McGraw-Hill.
6.
BoehmJKPetersonCKivimakiM. (2011) A prospective study of positive psychological well-being and coronary heart disease. Health Psychology30: 259.
7.
BosompraKAshikagaTWordenJK. (2000–2001) Is more optimism associated with better health? Findings from a population-based survey. International Quarterly of Community Health Education20: 39–58.
8.
CarverCSGainesJG (1987) Optimism, pessimism, and postpartum depression. Cognitive Therapy and Research11: 449–462.
9.
CarverCSScheierMF (1994) Optimism and health-related cognition: What variables actually matter?Psychology & Health9: 191–195.
10.
CarverCSScheierMF (1998) On the Self-Regulation of Behavior. New York: Cambridge University Press.
ConnorKMDavidsonJRT (2003) Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety18: 76–82.
13.
ConversanoCRotondoALensiE. (2010) Optimism and its impact on mental and physical well-being. Clinical Practice and Epidemiology in Mental Health6: 25–29.
14.
DaltonWTSchetzinaKEPfortmillerDT. (2011) Health behaviors and health-related quality of life among middle school children in Southern Appalachia: Data from the Winning with Wellness project. Journal of Pediatric Psychology36: 677–686.
15.
DunnJOcchipintiSCampbellA. (2011) Benefit finding after cancer: The role of optimism, intrusive thinking and social environment. Journal of Health Psychology16: 169–177.
16.
EbrechtMHextallJKirtleyLG. (2004) Perceived stress and cortisol levels predict speed of wound healing in healthy male adults. Psychoneuroendocrinology29: 798–809.
17.
FredricksonBL (2001) The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. The American Psychologist56: 218–226.
18.
GillhamJEReivichKJJaycoxLH. (1995) Prevention of depressive symptoms in schoolchildren: Two-year follow-up. Psychological Science6: 343–351.
19.
GiltayEJGeleijnseJMZitmanFG. (2004) Dispositional optimism and all-cause and cardiovascular mortality in a prospective cohort of elderly Dutch men and women. Archives of General Psychiatry61: 1126–1135.
20.
GlazebrookKEBrawleyLR (2011) Thinking about maintaining exercise therapy: Does being positive or negative make a difference?Journal of Health Psychology16: 905–916.
21.
GodinGShephardRJ (1985) A simple method to assess exercise behavior in the community. Canadian Journal of Applied Sport Sciences (Journal Canadien des Sciences Appliquees au Sport)10: 141–146.
22.
HogeEAAustinEDPollackMH (2007) Resilience: Research evidence and conceptual considerations for posttraumatic stress disorder. Depression and Anxiety24: 139–152.
23.
HookerKMonahanDJBowmanSR. (1998) Personality counts for a lot: Predictors of mental and physical health of spouse caregivers in two disease groups. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences53: 73–85.
24.
IdlerELBenyaminiY (1997) Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior38: 21–37.
25.
KelloniemiHEkELaitinenJ (2005) Optimism, dietary habits, body mass index and smoking among young Finnish adults. Appetite45: 169–176.
26.
KongAPSChoiKCLiAMC. (2010) Association between physical activity and cardiovascular risk in Chinese youth independent of age and pubertal stage. BMC Public Health10: 303.
27.
KristensonMOlssonAGKucinskieneZ (2005) Good self-rated health is related to psychosocial resources and a strong cortisol response to acute stress: The LiVicordia study of middle-aged men. International Journal of Behavioral Medicine12: 153–160.
28.
LamCTseEGandekB (2005) Is the standard SF-12 health survey valid and equivalent for a Chinese population?Quality of Life Research14: 539–547.
29.
LevyBRMyersLM (2004) Preventive health behaviors influenced by self-perceptions of aging. Preventive Medicine39: 625–629.
30.
LiHChungOKJHoKY. (2013) Effectiveness of an integrated adventure-based training and health education program in promoting regular physical activity among childhood cancer survivors. Psycho-Oncology. Epub ahead of print 4June. DOI: 10.1002/pon.3326.
31.
MosingMAZietschBPShekarSN. (2009) Genetic and environmental influences on optimism and its relationship to mental and self-rated health: A study of aging twins. Behavior Genetics39: 597–604.
32.
PageRMSuwanteerangkulJ (2009) Self-rated health, psychosocial functioning, and health—related behavior among Thai adolescents. Pediatrics International51: 120–125.
33.
PernaLMielckALacruzME. (2012) Socioeconomic position, resilience, and health behaviour among elderly people. International Journal of Public Health57: 341–349.
34.
PoppeCCrombezGHanoulleI. (2012) Mental quality of life in chronic fatigue is associated with an accommodative coping style and neuroticism: A path analysis. Quality of Life Research21: 1337–1345.
35.
RasmussenHNScheierMFGreenhouseJB (2009) Optimism and physical health: A meta-analytic review. Annals of Behavioral Medicine37: 239–256.
36.
RiolliLSavickiVCepaniA (2002) Resilience in the face of catastrophe: Optimism, personality, and coping in the Kosovo crisis. Journal of Applied Social Psychology32: 1604–1627.
37.
RobertsREPhinneyJSMasseLC. (1999) The structure of ethnic identity of young adolescents from diverse ethnocultural groups. The Journal of Early Adolescence19: 301–322.
38.
ScheierMFCarverCSBridgesMW (1994) Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the Life Orientation Test. Journal of Personality and Social Psychology67: 1063–1078.
39.
SchouIEkebergØRulandC (2005) The mediating role of appraisal and coping in the relationship between optimism—pessimism and quality of life. Psycho-Oncology14: 718–727.
40.
ScullyDKremerJMeadeMM. (1998) Physical exercise and psychological well being: A critical review. British Journal of Sports Medicine32: 111–120.
41.
SegerstromSC (2007) Optimism and resources: Effects on each other and on health over 10 years. Journal of Research in Personality41: 772–786.
42.
ShepperdJAMarotoJPbertLA (1996) Dispositional optimism as a predictor of health changes among cardiac patients. Journal of Research in Personality30: 517–534.
43.
SmithBTooleyEChristopherP. (2010) Resilience as the ability to bounce back from stress: A neglected personal resource?The Journal of Positive Psychology5: 166–176.
44.
SteinhardtMDolbierC (2008) Evaluation of a resilience intervention to enhance coping strategies and protective factors and decrease symptomatology. Journal of American College Health56: 445–453.
45.
SteptoeAWrightCKunz-EbrechtSR. (2006) Dispositional optimism and health behaviour in community-dwelling older people: Associations with healthy ageing. British Journal of Health Psychology11: 71–84.
46.
TomásJMSanchoPMelendezJC. (2012) Resilience and coping as predictors of general well-being in the elderly: A structural equation modeling approach. Aging & Mental Health16: 317–326.
47.
WareJE JrKosinskiMKellerSD (1996) A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity. Medical Care34: 220–233.
48.
WindleGHughesDLinckP. (2010) Is exercise effective in promoting mental well-being in older age? A systematic review. Aging & Mental Health14: 652–669.
49.
WongSSLimT (2009) Hope versus optimism in Singaporean adolescents: Contributions to depression and life satisfaction. Personality and Individual Differences46: 648–652.
50.
YiJPVitalianoPPSmithRE. (2008) The role of resilience on psychological adjustment and physical health in patients with diabetes. British Journal of Health Psychology13: 311–325.
51.
YuXLauJTMakWW. (2011) Factor structure and psychometric properties of the Connor-Davidson Resilience Scale among Chinese adolescents. Comprehensive Psychiatry52: 218–224.
