Are Optimism and Cynical Hostility Associated with Smoking Cessation in Older Women?

Ana M. Progovac, Yue Fang Chang, Chung Chou H Chang, Karen A. Matthews, Julie M. Donohue, Michael F. Scheier, Elizabeth B Habermann, Lewis H. Kuller, Joseph S. Goveas, Benjamin P. Chapman, Paul R. Duberstein, Catherine R. Messina, Kathryn E. Weaver, Nazmus Saquib, Robert B. Wallace, Robert C. Kaplan, Darren Calhoun, J. Carson Smith, Hilary A. Tindle

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: Optimism and cynical hostility independently predict morbidity and mortality in Women’s Health Initiative (WHI) participants and are associated with current smoking. However, their association with smoking cessation in older women is unknown. Purpose: The purpose of this study is to test whether optimism (positive future expectations) or cynical hostility (mistrust of others) predicts smoking cessation in older women. Methods: Self-reported smoking status was assessed at years 1, 3, and 6 after study entry for WHI baseline smokers who were not missing optimism or cynical hostility scores (n = 10,242). Questionnaires at study entry assessed optimism (Life Orientation Test-Revised) and cynical hostility (Cook-Medley, cynical hostility subscale). Generalized linear mixed models adjusted for sociodemographics, lifestyle factors, and medical and psychosocial characteristics including depressive symptoms. Results: After full covariate adjustment, optimism was not related to smoking cessation. Each 1-point increase in baseline cynical hostility score was associated with 5% lower odds of cessation over 6 years (OR = 0.95, CI = 0.92–0.98, p = 0.0017). Conclusions: In aging postmenopausal women, greater cynical hostility predicts lower smoking cessation over time. Future studies should examine whether individuals with this trait may benefit from more intensive cessation resources or whether attempting to mitigate cynical hostility itself may aid smoking cessation.

Original languageEnglish (US)
Pages (from-to)1-11
Number of pages11
JournalAnnals of Behavioral Medicine
DOIs
StateAccepted/In press - Feb 13 2017

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Hostility
Smoking Cessation
Women's Health
Smoking
Social Adjustment
Optimism
Life Style
Linear Models
Depression
Psychology
Morbidity
Mortality

Keywords

  • Cynical hostility
  • Optimism
  • Pessimism
  • Smoking
  • Smoking cessation

ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health

Cite this

Progovac, A. M., Chang, Y. F., Chang, C. C. H., Matthews, K. A., Donohue, J. M., Scheier, M. F., ... Tindle, H. A. (Accepted/In press). Are Optimism and Cynical Hostility Associated with Smoking Cessation in Older Women? Annals of Behavioral Medicine, 1-11. https://doi.org/10.1007/s12160-016-9873-x

Are Optimism and Cynical Hostility Associated with Smoking Cessation in Older Women? / Progovac, Ana M.; Chang, Yue Fang; Chang, Chung Chou H; Matthews, Karen A.; Donohue, Julie M.; Scheier, Michael F.; Habermann, Elizabeth B; Kuller, Lewis H.; Goveas, Joseph S.; Chapman, Benjamin P.; Duberstein, Paul R.; Messina, Catherine R.; Weaver, Kathryn E.; Saquib, Nazmus; Wallace, Robert B.; Kaplan, Robert C.; Calhoun, Darren; Smith, J. Carson; Tindle, Hilary A.

In: Annals of Behavioral Medicine, 13.02.2017, p. 1-11.

Research output: Contribution to journalArticle

Progovac, AM, Chang, YF, Chang, CCH, Matthews, KA, Donohue, JM, Scheier, MF, Habermann, EB, Kuller, LH, Goveas, JS, Chapman, BP, Duberstein, PR, Messina, CR, Weaver, KE, Saquib, N, Wallace, RB, Kaplan, RC, Calhoun, D, Smith, JC & Tindle, HA 2017, 'Are Optimism and Cynical Hostility Associated with Smoking Cessation in Older Women?', Annals of Behavioral Medicine, pp. 1-11. https://doi.org/10.1007/s12160-016-9873-x
Progovac, Ana M. ; Chang, Yue Fang ; Chang, Chung Chou H ; Matthews, Karen A. ; Donohue, Julie M. ; Scheier, Michael F. ; Habermann, Elizabeth B ; Kuller, Lewis H. ; Goveas, Joseph S. ; Chapman, Benjamin P. ; Duberstein, Paul R. ; Messina, Catherine R. ; Weaver, Kathryn E. ; Saquib, Nazmus ; Wallace, Robert B. ; Kaplan, Robert C. ; Calhoun, Darren ; Smith, J. Carson ; Tindle, Hilary A. / Are Optimism and Cynical Hostility Associated with Smoking Cessation in Older Women?. In: Annals of Behavioral Medicine. 2017 ; pp. 1-11.
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abstract = "Background: Optimism and cynical hostility independently predict morbidity and mortality in Women’s Health Initiative (WHI) participants and are associated with current smoking. However, their association with smoking cessation in older women is unknown. Purpose: The purpose of this study is to test whether optimism (positive future expectations) or cynical hostility (mistrust of others) predicts smoking cessation in older women. Methods: Self-reported smoking status was assessed at years 1, 3, and 6 after study entry for WHI baseline smokers who were not missing optimism or cynical hostility scores (n = 10,242). Questionnaires at study entry assessed optimism (Life Orientation Test-Revised) and cynical hostility (Cook-Medley, cynical hostility subscale). Generalized linear mixed models adjusted for sociodemographics, lifestyle factors, and medical and psychosocial characteristics including depressive symptoms. Results: After full covariate adjustment, optimism was not related to smoking cessation. Each 1-point increase in baseline cynical hostility score was associated with 5{\%} lower odds of cessation over 6 years (OR = 0.95, CI = 0.92–0.98, p = 0.0017). Conclusions: In aging postmenopausal women, greater cynical hostility predicts lower smoking cessation over time. Future studies should examine whether individuals with this trait may benefit from more intensive cessation resources or whether attempting to mitigate cynical hostility itself may aid smoking cessation.",
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AU - Chang, Yue Fang

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AU - Matthews, Karen A.

AU - Donohue, Julie M.

AU - Scheier, Michael F.

AU - Habermann, Elizabeth B

AU - Kuller, Lewis H.

AU - Goveas, Joseph S.

AU - Chapman, Benjamin P.

AU - Duberstein, Paul R.

AU - Messina, Catherine R.

AU - Weaver, Kathryn E.

AU - Saquib, Nazmus

AU - Wallace, Robert B.

AU - Kaplan, Robert C.

AU - Calhoun, Darren

AU - Smith, J. Carson

AU - Tindle, Hilary A.

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N2 - Background: Optimism and cynical hostility independently predict morbidity and mortality in Women’s Health Initiative (WHI) participants and are associated with current smoking. However, their association with smoking cessation in older women is unknown. Purpose: The purpose of this study is to test whether optimism (positive future expectations) or cynical hostility (mistrust of others) predicts smoking cessation in older women. Methods: Self-reported smoking status was assessed at years 1, 3, and 6 after study entry for WHI baseline smokers who were not missing optimism or cynical hostility scores (n = 10,242). Questionnaires at study entry assessed optimism (Life Orientation Test-Revised) and cynical hostility (Cook-Medley, cynical hostility subscale). Generalized linear mixed models adjusted for sociodemographics, lifestyle factors, and medical and psychosocial characteristics including depressive symptoms. Results: After full covariate adjustment, optimism was not related to smoking cessation. Each 1-point increase in baseline cynical hostility score was associated with 5% lower odds of cessation over 6 years (OR = 0.95, CI = 0.92–0.98, p = 0.0017). Conclusions: In aging postmenopausal women, greater cynical hostility predicts lower smoking cessation over time. Future studies should examine whether individuals with this trait may benefit from more intensive cessation resources or whether attempting to mitigate cynical hostility itself may aid smoking cessation.

AB - Background: Optimism and cynical hostility independently predict morbidity and mortality in Women’s Health Initiative (WHI) participants and are associated with current smoking. However, their association with smoking cessation in older women is unknown. Purpose: The purpose of this study is to test whether optimism (positive future expectations) or cynical hostility (mistrust of others) predicts smoking cessation in older women. Methods: Self-reported smoking status was assessed at years 1, 3, and 6 after study entry for WHI baseline smokers who were not missing optimism or cynical hostility scores (n = 10,242). Questionnaires at study entry assessed optimism (Life Orientation Test-Revised) and cynical hostility (Cook-Medley, cynical hostility subscale). Generalized linear mixed models adjusted for sociodemographics, lifestyle factors, and medical and psychosocial characteristics including depressive symptoms. Results: After full covariate adjustment, optimism was not related to smoking cessation. Each 1-point increase in baseline cynical hostility score was associated with 5% lower odds of cessation over 6 years (OR = 0.95, CI = 0.92–0.98, p = 0.0017). Conclusions: In aging postmenopausal women, greater cynical hostility predicts lower smoking cessation over time. Future studies should examine whether individuals with this trait may benefit from more intensive cessation resources or whether attempting to mitigate cynical hostility itself may aid smoking cessation.

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