Background: Intensive measures of well-being and behaviors in large epidemiologic cohorts have the potential to enhance health research in these areas. Yet, little is known regarding the feasibility of using mobile technology to collect intensive data in the "natural" environment in the context of ongoing large cohort studies.
Objective: We examined the feasibility of using smartphone digital phenotyping to collect highly resolved psychological and behavioral data from participants in a pilot study with participants in Nurses' Health Study II, a nationwide prospective cohort of women.
J Racial Ethn Health Disparities
September 2025
Minorities' Diminished Return (MDR) theory suggests systematically smaller effects of socioeconomic status (SES) indicators on the health of non-white populations compared to white in the United States (US). We test whether MDR theory holds with regard to subjective well-being (SWB) by investigating racial differences in the association between SES and SWB in the US using data from the Gallup Healthways survey. Our analysis included 126,669 non-Hispanic Black and white US adults.
View Article and Find Full Text PDFWe examined the independent and joint associations of five key social exposome components, including financial strain, neighborhood disorder, perceived discrimination, social strain, and traumatic life events, with cognitive function levels and decline. Data were from adults aged > 50 in the US Health and Retirement Study (HRS; n=13,795; 2008-2020) and the English Longitudinal Study of Ageing (ELSA; n=9,469; 2006-2019), and adults aged ≥ 65 in their Harmonized Cognitive Assessment Protocol (HCAP) subsamples (HRS-HCAP: n=2,749; 2016; ELSA-HCAP: n=955; 2018). Using linear mixed-effects models and quantile-based g-computation, we found that all components, except traumatic life events, were associated with lower cognitive function.
View Article and Find Full Text PDFAm J Prev Med
July 2025
Introduction: Prosocial behaviors (i.e., being kind, caring, and cooperative) are believed to shape health and well-being starting in childhood.
View Article and Find Full Text PDFCirculation
September 2025
Background: Stalking is one of the most common forms of interpersonal violence, with nearly 1 in 3 women experiencing it in their lifetime. Restraining orders are a legal remedy aimed at protecting women who experience the most severe forms of stalking and interpersonal violence. Previous work has shown associations between experiences of violence and cardiovascular health among women, but little is known about the link between being stalked or obtaining a restraining order and risk of cardiovascular disease (CVD).
View Article and Find Full Text PDFJ Gerontol B Psychol Sci Soc Sci
July 2025
Objectives: Robust evidence supports optimism as an asset for good physical and emotional health in aging populations, but its role in cognitive aging remains understudied. This study evaluated whether higher optimism levels would be prospectively associated with higher initial levels and slower decline in cognitive functioning over 26 years in a community-dwelling cohort of aging men.
Methods: Participants included 847 men from the Veterans Affairs Normative Aging Study who completed the Revised Optimism-Pessimism scale of the Minnesota Multiphasic Personality Inventory-2 in 1986 and ≥1 cognitive assessment repeated triennially in 1993-2019.
Introduction: Chronic stress has been linked with higher risk of ovarian cancer and one posited pathway is through altered metabolism of amino acids, lipids, and other small molecule metabolites. However, the types of alterations that occur may not be uniform across tissue types.
Objectives: We aim to examine and compare the impacts of chronic stress on metabolomic changes in circulation and ovarian tissue.
Biopsychosoc Sci Med
May 2025
Objective: Emerging evidence suggests maladaptive (e.g., suppression) versus adaptive (e.
View Article and Find Full Text PDFJ Occup Environ Med
August 2025
Objective: Vicarious trauma (VT) is "secondhand" trauma healthcare workers experience when interacting with trauma survivors. The prospective relationship between workers' VT symptoms and physical health has not been studied.
Methods: Survey data from 775 hospital workers were linked to health insurance expenditures to identify stress-related conditions known as disorders of gut-brain interaction (DGBIs) occurrence within 1-year follow-up.
Background: We investigated the relationship between loneliness and cardiovascular disease (CVD) in older adults from the USA and South Korea. We conducted counterfactual mediation analyses to explore the potential mediation of this relationship by health behaviors.
Methods: We used the Health and Retirement Study (HRS; n = 13 073) from the USA and the Korean Longitudinal Study of Aging (KLoSA; n = 8311) from South Korea.
Distress, including posttraumatic stress disorder (PTSD) and depression, is associated with lower cognitive function and higher use of medications, including sleep aids, opiate pain relievers, and minor tranquilizers. Whether use of these medications is linked to lower cognitive function, and whether such medication use might partially explain the relationship between distress and cognition remains unclear. Using data from 10,653 women in the Nurses' Health Study II, we assessed associations between distress and past-month medication use; medication use and cognitive function; and whether medication use mediates the distress-cognitive function relationship.
View Article and Find Full Text PDFNpj Ment Health Res
April 2025
Little is known about early-life experiences that may lead to higher optimism levels in adulthood. Using data from 202,898 adults in 22 countries, we evaluated childhood candidate antecedents of optimism. We examined the associations between retrospectively reported childhood experiences and adult optimism levels in each country separately, and cross-nationally by pooling results across countries.
View Article and Find Full Text PDFProsocial behaviors play a vital role in promoting individual and societal well-being. Charitable giving and helping strangers are two important expressions of prosociality; yet we know little about how these behaviors differ across sociodemographic indicators cross-nationally. Using data from the Global Flourishing Study, a diverse and international sample of 202,898 individuals across 22 countries, we examined distributions of charitable giving and helping (binary variables, yes/no) across nine demographic factors (age, gender, marital status, employment status, religious service attendance, education, immigration status, race and ethnicity, and religious affiliation) and culturally diverse countries.
View Article and Find Full Text PDFWhile prior work documents the individual and societal benefits of prosocial behaviors, less is known about how childhood experiences shape prosociality in adulthood. Using data from the Global Flourishing Study, a diverse and international sample of 202,898 individuals across 22 countries, we examined associations between 11 candidate childhood predictors (i.e.
View Article and Find Full Text PDFPrior research (mainly from Western industrialized countries) documents associations between greater dispositional optimism (a generalized expectation that good things will happen) and improved health and well-being. However, less is known about whether and how levels of optimism differ across countries and across sociodemographic groups within different countries. This study presents a cross-national exploration of optimism, and its variations across sociodemographic groups.
View Article and Find Full Text PDFJAMA Netw Open
April 2025
Importance: The COVID-19 pandemic has been associated with risk factors for cognitive decline, such as bereavement and SARS-CoV-2 infection.
Objective: To examine whether the COVID-19 pandemic and pandemic-related exposures are associated with cognitive function among middle-aged women.
Design, Setting, And Participants: This cohort study analyzed data from the Nurses' Health Study II, an ongoing study of registered nurses in the US.
Objective: Childhood obesity affects millions worldwide but is challenging to treat. Prosocial or helping behavior may help mitigate childhood obesity. We investigated whether prosocial behavior at ages 5-11 was associated with body mass index (BMI) and reduced obesity risk through age 17.
View Article and Find Full Text PDFObjective: A life-disrupting stressor (e.g. pandemic) may cause or exacerbate poor sleep health; resilience may offset impacts.
View Article and Find Full Text PDFBackground: Post-traumatic stress disorder (PTSD) is characterized by severe distress and associated with cardiometabolic diseases. Studies in military and clinical populations suggest that dysregulated metabolomic processes may be a key mechanism. Prior work identified and validated a metabolite-based distress score (MDS) linked with depression and anxiety and subsequent cardiometabolic diseases.
View Article and Find Full Text PDFObjective: Emerging research suggests the use of certain strategies to cope with stressors relate to disease and mortality risk, and lifestyle habits may be underlying mechanisms. Studies show psychological symptoms (eg, anxiety) and states (eg, happiness) predict the likelihood of adopting an integrated lifestyle that encompasses key health-related behaviors, like smoking. Yet, whether psychological processes, including stress-related coping, influence the adoption of a healthy lifestyle is unknown.
View Article and Find Full Text PDFJ Gerontol B Psychol Sci Soc Sci
February 2025
Objectives: Prosociality, defined as positive other-regarding intentions and behaviors, is a modifiable factor demonstrated to be associated with better mental, physical, and cognitive health in older adults. Prior studies have largely focused on individual prosocial behaviors, especially volunteering. This study examines whether prosocial intentions are associated with maintaining cognitive health over time.
View Article and Find Full Text PDFJ Gerontol A Biol Sci Med Sci
March 2025
Background: Subjective well-being (SWB) is a crucial measure of life quality in older adults. Understanding its relationship with frailty may inform strategies to promote healthy aging.
Methods: We analyzed data for older adults aged ≥60 years old from Waves 3 and 4 of the China Health and Retirement Longitudinal Study.
Background: Several studies have suggested that depression may be associated with increased risk of ovarian cancer. Less is known about whether timing matters regarding when depression occurs. To provide evidence for an etiologically relevant exposure period, we examined depression occurring during the time in which precursor lesions develop and progress to invasive carcinoma with the risk of developing ovarian cancer.
View Article and Find Full Text PDF