Stressful life events exposure is associated with 17-year mortality, but it is health-related events that prove predictive

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Stressful life events exposure is associated with 17-year mortality, but it is health-related events that prove predictive. / Phillips, Anna; Der, Geoff; Carroll, Douglas.

In: British Journal of Health Psychology, Vol. 13, No. 4, 01.11.2008, p. 647-657.

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@article{d34488c9a1634edc85643f71384587bd,
title = "Stressful life events exposure is associated with 17-year mortality, but it is health-related events that prove predictive",
abstract = "ObjectivesDespite the widely held view that psychological stress is a major cause of poor health, few studies have examined the relationship between stressful life-events exposure and death. The present analyses examined the association between overall life-events stress load, health-related and health-unrelated stress, and subsequent all-cause mortality.DesignThis study employed a prospective longitudinal design incorporating time-varying covariates.MethodsParticipants were 968 Scottish men and women who were 56 years old. Stressful life-events experience for the preceding 2 years was assessed at baseline, 8-9 years and 12-13 years later. Mortality was tracked for the subsequent 17 years during which time 266 participants had died. Cox's regression models with time-varying covariates were applied. We adjusted for sex, occupational status, smoking, BMI, and systolic blood pressure.ResultsOverall life-events numbers and their impact scores at the time of exposure and the time of assessment were associated with 17-year mortality. Health-related event numbers and impact scores were strongly predictive of mortality. This was not the case for health-unrelated events.ConclusionsThe frequency of life-events and the stress load they imposed were associated with all-cause mortality. However, it was the experience and impact of health-related, not health-unrelated, events that proved predictive. This reinforces the need to disaggregate these two classes of exposures in studies of stress and health outcomes.",
author = "Anna Phillips and Geoff Der and Douglas Carroll",
year = "2008",
month = nov,
day = "1",
doi = "10.1348/135910707X258886",
language = "English",
volume = "13",
pages = "647--657",
journal = "British Journal of Health Psychology",
issn = "1359-107X",
publisher = "Blackwell-Wiley",
number = "4",

}

RIS

TY - JOUR

T1 - Stressful life events exposure is associated with 17-year mortality, but it is health-related events that prove predictive

AU - Phillips, Anna

AU - Der, Geoff

AU - Carroll, Douglas

PY - 2008/11/1

Y1 - 2008/11/1

N2 - ObjectivesDespite the widely held view that psychological stress is a major cause of poor health, few studies have examined the relationship between stressful life-events exposure and death. The present analyses examined the association between overall life-events stress load, health-related and health-unrelated stress, and subsequent all-cause mortality.DesignThis study employed a prospective longitudinal design incorporating time-varying covariates.MethodsParticipants were 968 Scottish men and women who were 56 years old. Stressful life-events experience for the preceding 2 years was assessed at baseline, 8-9 years and 12-13 years later. Mortality was tracked for the subsequent 17 years during which time 266 participants had died. Cox's regression models with time-varying covariates were applied. We adjusted for sex, occupational status, smoking, BMI, and systolic blood pressure.ResultsOverall life-events numbers and their impact scores at the time of exposure and the time of assessment were associated with 17-year mortality. Health-related event numbers and impact scores were strongly predictive of mortality. This was not the case for health-unrelated events.ConclusionsThe frequency of life-events and the stress load they imposed were associated with all-cause mortality. However, it was the experience and impact of health-related, not health-unrelated, events that proved predictive. This reinforces the need to disaggregate these two classes of exposures in studies of stress and health outcomes.

AB - ObjectivesDespite the widely held view that psychological stress is a major cause of poor health, few studies have examined the relationship between stressful life-events exposure and death. The present analyses examined the association between overall life-events stress load, health-related and health-unrelated stress, and subsequent all-cause mortality.DesignThis study employed a prospective longitudinal design incorporating time-varying covariates.MethodsParticipants were 968 Scottish men and women who were 56 years old. Stressful life-events experience for the preceding 2 years was assessed at baseline, 8-9 years and 12-13 years later. Mortality was tracked for the subsequent 17 years during which time 266 participants had died. Cox's regression models with time-varying covariates were applied. We adjusted for sex, occupational status, smoking, BMI, and systolic blood pressure.ResultsOverall life-events numbers and their impact scores at the time of exposure and the time of assessment were associated with 17-year mortality. Health-related event numbers and impact scores were strongly predictive of mortality. This was not the case for health-unrelated events.ConclusionsThe frequency of life-events and the stress load they imposed were associated with all-cause mortality. However, it was the experience and impact of health-related, not health-unrelated, events that proved predictive. This reinforces the need to disaggregate these two classes of exposures in studies of stress and health outcomes.

U2 - 10.1348/135910707X258886

DO - 10.1348/135910707X258886

M3 - Article

C2 - 18039429

VL - 13

SP - 647

EP - 657

JO - British Journal of Health Psychology

JF - British Journal of Health Psychology

SN - 1359-107X

IS - 4

ER -