Previous studies have demonstrated an association between positive psychological constructs and health behaviours. However, there is evidence to suggest that these constructs might relate differently to different health behaviours, serving both as facilitators and barriers depending on the health behaviour that is selected. The current study taps into this association by examining the role of multiple positive constructs (psychological flexibility, optimism, mindfulness and trait happiness) in relation to multiple health behaviours and constructs (smoking, alcohol consumption, Body Mass Index (BMI), and physical activity levels) in a large community-based sample. A cross-sectional study was conducted among Dutch volunteers from the general population. A total of 859 participants completed questionnaires to assess positive constructs and health behaviours. Cox Regression was used to answer the research question. The sample had a mean age of 48.2 ± 16.8, and consisted of 447 (52%) female participants. The results showed that psychological flexibility was positively associated with physical activity levels in age- and sex-adjusted models. Optimism was associated with a higher BMI. After adjusting for covariates both associations became non-significant. While a trend was observed, current findings indicate that positive constructs are not strongly related to health behaviours in a healthy adult sample. More research is needed to disentangle these associations and to evaluate whether this information can inform future development of interventions. The findings are to some extent in line with previous studies showing that positive constructs might be a facilitator and barrier towards health behaviour change.
Published in | Psychology and Behavioral Sciences (Volume 11, Issue 6) |
DOI | 10.11648/j.pbs.20221106.12 |
Page(s) | 185-192 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Positive Psychology, Lifestyle, Health Behaviour, Optimism, Psychological Flexibility
[1] | Collaborators, G. B. D. R. F., Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet, 2016. 388 (10053): p. 1659-1724. |
[2] | WHO, WHO's Global Health Estimates. 2020, World Health Organization Geneva. |
[3] | Hu, F. B., et al., Diet, lifestyle, and the risk of type 2 diabetes mellitus in women. N Engl J Med, 2001. 345 (11): p. 790-7. |
[4] | Piepoli, M. F., et al., 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Eur Heart J, 2016. 37 (29): p. 2315-2381. |
[5] | Yang, Q., et al., Trends in cardiovascular health metrics and associations with all-cause and CVD mortality among US adults. JAMA, 2012. 307 (12): p. 1273-83. |
[6] | Van Ommen, B., et al., Wetenschappelijke notitie over de relatie tussen COVID-19, metabole ontregeling, weerstand en leefstijlinterventies [Scientific note on the association between COVID-19, metabolic disregulation, immunity, and lifestyle interventions], H. Molema and M. van Erk, Editors. 2020, lifestyle health. |
[7] | Kwasnicka, D., et al., Theoretical explanations for maintenance of behaviour change: a systematic review of behaviour theories. Health Psychol Rev, 2016. 10 (3): p. 277-96. |
[8] | Kelly, S., et al., Barriers and Facilitators to the Uptake and Maintenance of Healthy Behaviours by People at Mid-Life: A Rapid Systematic Review. PLoS One, 2016. 11 (1): p. e0145074. |
[9] | McKenzie, S. H. and M. F. Harris, Understanding the relationship between stress, distress and healthy lifestyle behaviour: a qualitative study of patients and general practitioners. BMC Fam Pract, 2013. 14: p. 166. |
[10] | Scannell, N., et al., Understanding the Self-Perceived Barriers and Enablers toward Adopting a Mediterranean Diet in Australia: An Application of the Theory of Planned Behaviour Framework. Int J Environ Res Public Health, 2020. 17 (24). |
[11] | Sala, M., et al., Trait mindfulness and health behaviours: a meta-analysis. Health Psychol Rev, 2020. 14 (3): p. 345-393. |
[12] | Boehm, J. K., et al., Is Optimism Associated With Healthier Cardiovascular-Related Behavior? Meta-Analyses of 3 Health Behaviors. Circ Res, 2018. 122 (8): p. 1119-1134. |
[13] | Steptoe, A., Happiness and Health. Annu Rev Public Health, 2019. 40: p. 339-359. |
[14] | Van Cappellen, P., et al., Positive affective processes underlie positive health behaviour change. Psychol Health, 2018. 33 (1): p. 77-97. |
[15] | Zhang, C. Q., et al., Acceptance and Commitment Therapy for Health Behavior Change: A Contextually-Driven Approach. Front Psychol, 2017. 8: p. 2350. |
[16] | Kim, E. S., et al., Maintaining Healthy Behavior: a Prospective Study of Psychological Well-Being and Physical Activity. Annals of Behavioral Medicine, 2017. 51 (3): p. 337-347. |
[17] | Joutsenniemi, K., et al., Confidence in the future, health-related behaviour and psychological distress: results from a web-based cross-sectional study of 101 257 Finns. BMJ Open, 2013. 3 (6). |
[18] | Legler, S., et al., Use of text messages to increase positive affect and promote physical activity in patients with heart disease Current Psychology, 2020. 39: p. 8. |
[19] | Kunzmann, U., A. Stange, and J. Jordan, Positive affectivity and lifestyle in adulthood: do you do what you feel? Pers Soc Psychol Bull, 2005. 31 (4): p. 574-88. |
[20] | Mols, F., A. J. Pelle, and N. Kupper, Normative data of the SF-12 health survey with validation using postmyocardial infarction patients in the Dutch population. Qual Life Res, 2009. 18 (4): p. 403-14. |
[21] | Kop, W. J., et al., Somatic symptom disorder in the general population: Associations with medical status and health care utilization using the SSD-12. Gen Hosp Psychiatry, 2019. 56: p. 36-41. |
[22] | Ben-Itzhak, S., I. Bluvstein, and M. Maor, The psychological flexibility questionnaire (PFQ): Development, Reliability and Validity. WebmedCentral PSYCHOLOGY, 2014. 5 (4): p. 10. |
[23] | Glaesmer, H., et al., Psychometric properties and population-based norms of the Life Orientation Test Revised (LOT-R). Br J Health Psychol, 2012. 17 (2): p. 432-45. |
[24] | Scheier, M. F., C. S. Carver, and M. W. Bridges, Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a reevaluation of the Life Orientation Test. J Pers Soc Psychol, 1994. 67 (6): p. 1063-78. |
[25] | Baer, R. A., et al., Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment, 2008. 15 (3): p. 329-42. |
[26] | Lyubomirsky, S. and H. S. Lepper, A measure of subjective happiness: Preliminary reliability and construct validation. Social Indicators Research, 1999. 46 (2): p. 137-155. |
[27] | Gezondheidsraad. Beweegrichtlijnen 2017. 2017 [cited 2022 03-03-2022]; Available from: https://www.gezondheidsraad.nl/documenten/adviezen/2017/08/22/beweegrichtlijnen-2017. |
[28] | Kroenke, K., R. L. Spitzer, and J. B. W. Williams, The PHQ-9 - Validity of a brief depression severity measure. Journal of General Internal Medicine, 2001. 16 (9): p. 606-613. |
[29] | Cohen, S., T. Kamarck, and R. Mermelstein, A global measure of perceived stress. J Health Soc Behav, 1983. 24 (4): p. 385-96. |
[30] | Barros, A. J. and V. N. Hirakata, Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol, 2003. 3: p. 21. |
[31] | Punna, M., et al., Can peer-tutored psychological flexibility training facilitate physical activity among adults with overweight? Journal of Contextual Behavioral Science, 2021. 21: p. 11. |
[32] | Kangasniemi, A. M., et al., Towards a physically more active lifestyle based on one's own values: The results of a randomized controlled trial among physically inactive adults. BMC Public Health, 2015. 15. |
[33] | Martin, E. C., et al., Pilot testing of a mindfulness- and acceptance-based intervention for increasing cardiorespiratory fitness in sedentary adults: a feasibility study. Journal of Contextual Behavioral Science, 2015. 4 (4): p. 9. |
[34] | Ivanova, E., et al., Acceptance and commitment therapy and implementation intentions increase exercise enjoyment and long-term exercise behavior among low-active women. Current Psychology, 2016. 35. |
[35] | Ait-hadad, W., et al., Optimism is associated with diet quality, food group consumption and snacking behavior in a general population. Nutrition Journal, 2020. 19 (1). |
[36] | Baruth, M., et al., Emotional Outlook on Life Predicts Increases in Physical Activity Among Initially Inactive Men. Health Education & Behavior, 2011. 38 (2): p. 150-158. |
[37] | Lianov, L. S., et al., Positive Psychology in Lifestyle Medicine and Health Care: Strategies for Implementation. American Journal of Lifestyle Medicine, 2019. 13 (5): p. 480-486. |
[38] | Trudel-Fitzgerald, C., et al., Prospective associations of happiness and optimism with lifestyle over up to two decades. Prev Med, 2019. 126: p. 105754. |
[39] | Pankalainen, M., et al., Pessimism, diet, and the ability to improve dietary habits: a three-year follow-up study among middle-aged and older Finnish men and women. Nutr J, 2018. 17 (1): p. 92. |
[40] | Weinstein, N. D., Optimistic Biases About Personal Risks. Science, 1989. 246 (4935): p. 1232-1233. |
[41] | Davidson, K. and K. Prkachin, Optimism and unrealistic optimism have an interacting impact on health-promoting behavior and knowledge changes. Personality and Social Psychology Bulletin, 1997. 23 (6): p. 617-625. |
[42] | Shepperd, J. A., et al., A Primer on Unrealistic Optimism. Curr Dir Psychol Sci, 2015. 24 (3): p. 232-237. |
[43] | Whitfield, J. B., et al., Pessimism is associated with greater all-cause and cardiovascular mortality, but optimism is not protective. Scientific Reports, 2020. 10 (1). |
APA Style
Mirela Habibovic, Emma Douma, Isabel Slurink, Willem Johan Kop, Sabita Soedamah-Muthu. (2022). Positive Psychological Constructs and Lifestyle Behaviours in a Community-Based Sample. Psychology and Behavioral Sciences, 11(6), 185-192. https://doi.org/10.11648/j.pbs.20221106.12
ACS Style
Mirela Habibovic; Emma Douma; Isabel Slurink; Willem Johan Kop; Sabita Soedamah-Muthu. Positive Psychological Constructs and Lifestyle Behaviours in a Community-Based Sample. Psychol. Behav. Sci. 2022, 11(6), 185-192. doi: 10.11648/j.pbs.20221106.12
@article{10.11648/j.pbs.20221106.12, author = {Mirela Habibovic and Emma Douma and Isabel Slurink and Willem Johan Kop and Sabita Soedamah-Muthu}, title = {Positive Psychological Constructs and Lifestyle Behaviours in a Community-Based Sample}, journal = {Psychology and Behavioral Sciences}, volume = {11}, number = {6}, pages = {185-192}, doi = {10.11648/j.pbs.20221106.12}, url = {https://doi.org/10.11648/j.pbs.20221106.12}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.pbs.20221106.12}, abstract = {Previous studies have demonstrated an association between positive psychological constructs and health behaviours. However, there is evidence to suggest that these constructs might relate differently to different health behaviours, serving both as facilitators and barriers depending on the health behaviour that is selected. The current study taps into this association by examining the role of multiple positive constructs (psychological flexibility, optimism, mindfulness and trait happiness) in relation to multiple health behaviours and constructs (smoking, alcohol consumption, Body Mass Index (BMI), and physical activity levels) in a large community-based sample. A cross-sectional study was conducted among Dutch volunteers from the general population. A total of 859 participants completed questionnaires to assess positive constructs and health behaviours. Cox Regression was used to answer the research question. The sample had a mean age of 48.2 ± 16.8, and consisted of 447 (52%) female participants. The results showed that psychological flexibility was positively associated with physical activity levels in age- and sex-adjusted models. Optimism was associated with a higher BMI. After adjusting for covariates both associations became non-significant. While a trend was observed, current findings indicate that positive constructs are not strongly related to health behaviours in a healthy adult sample. More research is needed to disentangle these associations and to evaluate whether this information can inform future development of interventions. The findings are to some extent in line with previous studies showing that positive constructs might be a facilitator and barrier towards health behaviour change.}, year = {2022} }
TY - JOUR T1 - Positive Psychological Constructs and Lifestyle Behaviours in a Community-Based Sample AU - Mirela Habibovic AU - Emma Douma AU - Isabel Slurink AU - Willem Johan Kop AU - Sabita Soedamah-Muthu Y1 - 2022/11/29 PY - 2022 N1 - https://doi.org/10.11648/j.pbs.20221106.12 DO - 10.11648/j.pbs.20221106.12 T2 - Psychology and Behavioral Sciences JF - Psychology and Behavioral Sciences JO - Psychology and Behavioral Sciences SP - 185 EP - 192 PB - Science Publishing Group SN - 2328-7845 UR - https://doi.org/10.11648/j.pbs.20221106.12 AB - Previous studies have demonstrated an association between positive psychological constructs and health behaviours. However, there is evidence to suggest that these constructs might relate differently to different health behaviours, serving both as facilitators and barriers depending on the health behaviour that is selected. The current study taps into this association by examining the role of multiple positive constructs (psychological flexibility, optimism, mindfulness and trait happiness) in relation to multiple health behaviours and constructs (smoking, alcohol consumption, Body Mass Index (BMI), and physical activity levels) in a large community-based sample. A cross-sectional study was conducted among Dutch volunteers from the general population. A total of 859 participants completed questionnaires to assess positive constructs and health behaviours. Cox Regression was used to answer the research question. The sample had a mean age of 48.2 ± 16.8, and consisted of 447 (52%) female participants. The results showed that psychological flexibility was positively associated with physical activity levels in age- and sex-adjusted models. Optimism was associated with a higher BMI. After adjusting for covariates both associations became non-significant. While a trend was observed, current findings indicate that positive constructs are not strongly related to health behaviours in a healthy adult sample. More research is needed to disentangle these associations and to evaluate whether this information can inform future development of interventions. The findings are to some extent in line with previous studies showing that positive constructs might be a facilitator and barrier towards health behaviour change. VL - 11 IS - 6 ER -