Martin Seligman's multidimensional theory of psychological well-being, PERMA (positive emotions, engagement, relationships, meaning, and accomplishment), was empirically tested on a sample of Australian male students (age 13-18). Researchers selected a subset of theoretically relevant items from an extensive well-being assessment. Four of the fiver PERMA elements emerged from a factor analysis, along with two ill-being factors.
Most children are born with the components of favorable cardiovascular risk—good blood pressure, lipid, and glucose levels; ideal body weight; and not smoking. If they can hold onto those assets, keep their weight down, and not get diabetes, they can avoid cardiovascular disease later. These researchers wanted to identify early psychosocial factors that safeguard and promote cardiovascular health into adulthood.
Positive psychological well-being, especially optimism, protects against the incidence, and somewhat against the progression, of cardiovascular disease through a broad array of mechanisms, according to this extensive literature review.