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Pessimistic people report more
knee pain and worse functioning than those with similar knee problems
who don't have such a negative outlook.
Outlook, especially one that
is negative and expecting the worst, "really affects the physical
health of a person.
Researchers measured physical
pain, functioning and outlook in 480 patients at least 65 years old who
were suffering from arthritis. All of the study participants experienced
pain in their knees on most days, which caused a certain amount of disability.
The researchers measured physical
functioning and disability from pain by surveying patients and watching
them perform day-to-day activities. Outlook was measured by asking people
to rate how much they agreed with optimistic statements such as "I
always look on the bright side of things" or pessimistic statements
such as "If something can go wrong for me, it will."
The investigators found that
people who appeared to be pessimistic were less able than others to perform
all of the measured daily activities, which included walking, lifting
an object, climbing stairs and getting in and out of a car.
Optimism, in contrast, appeared
less connected to health, with people characterized by a more cheery outlook
appearing no better able of performing most functions than others.
People who are pessimistic
don't believe things will work out for them, and so they never try to
achieve anything. They don't get a chance to find out if they can or can't
do it.
As such, if pessimistic people
don't even try to maintain certain health behaviors, such as exercise,
they are less likely to keep up their physical conditioning, and so will
feel more pain and function less well than their more upbeat peers.
And when negatively inclined
people do try to exercise they may be more likely to feel pain, which
just reaffirms their expectation that nothing works in their favor, so
they might as well stop trying. It becomes a type of "negative self-fulfilling
prophecy.
Optimistic people may be more
likely to try to exercise. Although their efforts might keep their condition
from deteriorating, they still may not actually improve, she added. Optimists
are more likely to try, but they are not more likely to succeed.
Journal
of Behavioral Medicine June 2002;25:219-231
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