Evidence map›Paper›PMID 39227169›Full record

ArticleBMJ mental health2024

Association between psychological resilience and all-cause mortality in the Health and Retirement Study.

Aijie Zhang, Liqiong Zhou, Yaxian Meng, Qianqian Ji, Meijie Ye, Qi Liu, Weiri Tan, Yeqi Zheng, Zhao Hu, Miao Liu and 4 more

Abstract read
In one paragraph

Article in BMJ mental health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Resilience at the Intersection of Race/Ethnicity, Sex, and Sexual Orientation among U.S. Adults.Journal of urban health : bulletin of the New York Academy of Medicine · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Aijie ZhangDepartment of Epidemiology, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, Guangdong, China.ORCID http://orcid.org/0009-0003-9626-7518
Liqiong ZhouDepartment of Epidemiology, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, Guangdong, China.ORCID http://orcid.org/0000-0002-9950-9055
Yaxian MengDepartment of Epidemiology, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, Guangdong, China.
Qianqian JiDepartment of Epidemiology, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, Guangdong, China.
Meijie YeDepartment of Epidemiology, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, Guangdong, China.
Qi LiuDepartment of Epidemiology, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, Guangdong, China.
Weiri TanDepartment of Epidemiology, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, Guangdong, China.ORCID http://orcid.org/0009-0000-4908-1786
Yeqi ZhengDepartment of Epidemiology, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, Guangdong, China.
Zhao HuDepartment of Epidemiology, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, Guangdong, China.
Miao LiuDepartment of Epidemiology, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, Guangdong, China.
Xiaowei XuDepartment of Neurology, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong, China.
Ida K KarlssonDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Sara HäggDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Yiqiang ZhanDepartment of Epidemiology, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, Guangdong, China zhanyq8@mail.sysu.eduncn yiqiang.zhan@ki.se.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPsychological resilience refers to an individual's ability to cope with and adapt to challenging life circumstances and events.

objectiveThis 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.

methodsThe 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.

findingsDuring 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).

conclusionsThis cohort study highlights the association between psychological resilience and all-cause mortality in older adults in the USA. CLINICAL IMPLICATIONS: Psychological resilience emerges as a protective factor against mortality, emphasising its importance in maintaining health and well-being.

Indexed as

MortalityResilience, PsychologicalAgedAged, 80 and overCause of DeathCohort StudiesCross-Sectional StudiesFemaleHumansMaleMiddle AgedRetirementUnited StatesCross-Sectional StudiesData Interpretation, StatisticalPSYCHIATRY

Identifiers

PMID39227169
PMCPMC11409260

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.