Little is known about the perception of lifetime risk for cardiovascular disease (CVD). Researchers recruited subjects from the Dallas Heart Study, and each subject was classified as high or low for risk of CVD. Subjects were then assessed for their perceived lifetime risk for a myocardial infarction. There was significant discordance between perceived and predicted lifetime risk.
Health—whether psychological or physical—is characterized not just by the absence of disease but increasingly by the presence of well-being. These researchers looked at the relationship between psychological well-being (marked by optimism, happiness, and life purpose) and serum antioxidants such as carotenoids and Vitamin E, which are indicators of physical health.
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.