Associations of ikigai as a positive psychological factor with all-cause mortality and cause-specific mortality among middle-aged and elderly Japanese people: Findings from the Japan Collaborative Cohort Study

Tanno, Kozo; Sakata, Kiyomi; Ohsawa, Masaki; Onoda, Toshiyuki; Itai, Kazuyoshi; Yaegashi, Yasunori; Tamakoshi, Akiko

doi:10.1016/j.jpsychores.2008.10.018

Cited by 107 publications

(131 citation statements)

References 38 publications

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“…This confirms the suggestion that different wellbeing indicators are independent from each other. The analysis by Tanno et al (2009) uses data for Japan and suggests that both men and women with sense of life purpose are less likely to die from any cause as well as from cardiovascular diseases in different follow-up intervals. Koizumi et al (2008) find lower mortality risk from cardiovascular diseases, but only for men, in another 15-year follow-up study for Japan.…”

Section: Mortalitymentioning

confidence: 99%

Wellbeing and Society: Towards Quantification of the Co-benefits of Wellbeing

Maccagnan

Wren-Lewis²,

Brown³

et al. 2018

Soc Indic Res

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The objectives of this paper are twofold. First, it reviews the empirical evidence showing the existence of linkage between wellbeing and possible co-benefits, investigating in particular the positive effect that happiness and life satisfaction can have on health, social outcomes, employment, education and environmental behaviours. Second, it presents the valuation methods that have been proposed in the literature to place a monetary value on these outcomes. With wellbeing having become more and more relevant for individuals and policy makers, the full understanding of the co-benefits of wellbeing is central for the design and development of wellbeing interventions. As a consequence, the evaluation of the co-benefits of wellbeing is of crucial importance for the appropriate allocation of resources towards such strategies.

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Section: Mortalitymentioning

confidence: 99%

Wellbeing and Society: Towards Quantification of the Co-benefits of Wellbeing

Maccagnan

Wren-Lewis²,

Brown³

et al. 2018

Soc Indic Res

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“…[10][11][12] In the present study, ikigai status was assessed using a single question, "Do you have ikigai in your life?" The following 4 possible answers were provided: "definitely yes", "yes", "not particularly", and "no".…”

Section: Evaluation Of Ikigaimentioning

confidence: 99%

“…11-14 Ikigai means, briefly, something to live for, the joy and goal of living, a life worth living, and the happiness and benefit of being alive. [10][11][12] Lifestyle behaviors, such as having habitual physical activity and not currently smoking, and socioeconomic factors such as higher education level, social support or networks were associated with lower CVD mortality. [15][16][17][18][19] Women may experience more of those factors through their C ardiovascular disease (CVD) is a leading cause of mortality in both Western countries and in Japan.…”

mentioning

confidence: 99%

“Ikigai”, Subjective Wellbeing, as a Modifier of the Parity-Cardiovascular Mortality Association　― The Japan Collaborative Cohort Study ―

Yasukawa

Eguchi

Oginö

et al. 2018

Circ J

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Background: Nulliparity is associated with an excess risk of cardiovascular disease (CVD). "Ikigai", subjective wellbeing in Japan, is associated with reduced risk of CVD. The impact of ikigai on the association between parity and the risk of CVD, however, has not been reported. Methods and Results:A total of 39,870 Japanese women aged 40-79 years without a history of CVD, cancer or insufficient information at baseline in 1988-1990, were enrolled and followed until the end of 2009. They were categorized into 7 groups according to parity number 0-≥6. Using Cox regression hazard modeling, the associations between parity and mortality from stroke, coronary artery disease, and total CVD were investigated. During the follow-up period, 2,121 total CVD deaths were documented. No association was observed between parity and stroke and CVD mortality in women with ikigai, but there was an association in those without ikigai. The multivariable hazard ratios of stroke and total CVD mortality for nulliparous women without ikigai vs. those with 1 child were 1.87 (95% CI: 1.15-3.05) and 1.46 (95% CI: 1.07-2.01), respectively, and that for stroke mortality in high parity women without ikigai was 1.56 (95% CI: 1.00-2.45). Conclusions:Nulliparous or high parity women without ikigai had higher mortality from stroke and/or total CVD, suggesting that ikigai attenuated the association between parity and CVD mortality in Japanese women.

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“…Reports of emotional vitality (Kubzansky & Thurston, 2007) and displays of positive affect (Davidson, Mostofsky, & Whang, 2010) are also associated with reduced risk of CHD, although some null findings have been reported as well (Nabi, Kivimaki, De Vogli, Marmot, & SinghManoux, 2008). Moreover, studies from Japan have demonstrated that ikigai -defined as having a life worth living -is associated with reduced cardiovascular mortality (Koizumi, Ito, Kaneko, & Motohashi, 2008;Tanno et al, 2009). …”

Section: Positive Psychological Well-being and Coronary Heart Diseasementioning

confidence: 99%

A prospective study of positive psychological well-being and coronary heart disease

Boehm¹,

Peterson²,

Kivimäki³

et al. 2011

PsycEXTRA Dataset

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Objective-Research suggests that positive psychological well-being is associated with cardiovascular health. However, much of this research uses elderly samples and has not determined the pathways by which psychological well-being influences cardiovascular disease or whether effects are similar for men and women. This study investigates the association between two aspects of well-being (emotional vitality and optimism) and coronary heart disease (CHD) in a sample of middle age men and women, and considers potential mediating factors.Methods-Between 1991 and 1994, well-being and coronary risk factors were assessed among 7,942 individuals without a prior cardiovascular event from the Whitehall II cohort. Incident CHD (fatal CHD, first nonfatal myocardial infarction, or first definite angina) was tracked during 5 person-years of follow-up.Results-Positive psychological well-being was associated with reduced risk of CHD with an apparent threshold effect. Relative to people with the lowest levels of well-being, those with the highest levels had minimally-adjusted hazard ratios of 0.74 (95% confidence interval: 0.55-0.98) for emotional vitality and 0.73 (95% confidence interval: 0.54-0.99) for optimism. Moreover, the association was strong for both genders and was only weakly attenuated when accounting for illbeing. Neither health-related behaviors nor biological factors explained these associations.Conclusions-Positive psychological well-being was associated with a modest but consistent reduced risk of incident CHD. The relationship was comparable for men and women, and was maintained after controlling for cardiovascular risk factors and ill-being. Additional research is needed to identify underlying mechanisms and investigate whether interventions to increase wellbeing may enhance cardiovascular health.Keywords cardiovascular disease; coronary heart disease; well-being; vitality; optimism A growing body of evidence suggests that psychological health may influence physical health. Most of the research to date has focused on psychological ill-being, with less Correspondence and reprint requests to: Dr. J. Boehm, Department of Society, Human Development, and Health, Harvard School of Public Health, 401 Park Drive, Boston, MA 02215; Phone: 617-384-8777; Fax: 617-432-3123; jboehm@hsph.harvard.edu. Publisher's Disclaimer: The following manuscript is the final accepted manuscript. It has not been subjected to the final copyediting, fact-checking, and proofreading required for formal publication. It is not the definitive, publisher-authenticated version. The American Psychological Association and its Council of Editors disclaim any responsibility or liabilities for errors or omissions of this manuscript version, any version derived from this manuscript by NIH, or other third parties. The published version is available at www.apa.org/pubs/journals/hea NIH Public Access research examining whether and how positive psychological well-being influences physical health outcomes. Because psychological ill-being and well-bei...

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Associations of ikigai as a positive psychological factor with all-cause mortality and cause-specific mortality among middle-aged and elderly Japanese people: Findings from the Japan Collaborative Cohort Study

Cited by 107 publications

References 38 publications

Wellbeing and Society: Towards Quantification of the Co-benefits of Wellbeing

Wellbeing and Society: Towards Quantification of the Co-benefits of Wellbeing

“Ikigai”, Subjective Wellbeing, as a Modifier of the Parity-Cardiovascular Mortality Association　― The Japan Collaborative Cohort Study ―

A prospective study of positive psychological well-being and coronary heart disease

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Associations of ikigai as a positive psychological factor with all-cause mortality and cause-specific mortality among middle-aged and elderly Japanese people: Findings from the Japan Collaborative Cohort Study

Cited by 107 publications

References 38 publications

Wellbeing and Society: Towards Quantification of the Co-benefits of Wellbeing

Wellbeing and Society: Towards Quantification of the Co-benefits of Wellbeing

“Ikigai”, Subjective Wellbeing, as a Modifier of the Parity-Cardiovascular Mortality Association ― The Japan Collaborative Cohort Study ―

A prospective study of positive psychological well-being and coronary heart disease

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“Ikigai”, Subjective Wellbeing, as a Modifier of the Parity-Cardiovascular Mortality Association　― The Japan Collaborative Cohort Study ―