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The Costs of Coping: Long-Term Mortality Risk in Aging Men.

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Higher total coping effort in aging men was linked to increased all-cause mortality risk. This finding suggests coping effort, not just stress or specific strategies, may impact longevity.

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Area of Science:

  • Gerontology
  • Psychology
  • Public Health

Background:

  • Prospective studies on coping and mortality are limited, especially in non-clinical populations.
  • The transactional stress and coping model offers a framework to understand these associations.

Purpose of the Study:

  • To examine the independent and joint associations of stress and coping components with all-cause mortality risk.
  • To investigate the specific role of coping effort in relation to mortality among community-dwelling men.

Main Methods:

  • Utilized data from 743 men in the Veterans Affairs Normative Aging Study with mortality follow-up through 2020.
  • Assessed problem stressfulness, coping strategies, total coping effort, and coping efficiency using the Brief California Coping Inventory.
  • Employed Cox regression to analyze the relationship between coping variables and all-cause mortality risk.

Main Results:

  • Problem stressfulness and coping efficiency were not significantly associated with mortality risk.
  • Social coping was associated with a higher risk of all-cause mortality.
  • Increased total coping effort independently predicted a 14% higher risk of all-cause mortality.

Conclusions:

  • Total coping effort may serve as a significant indicator for longevity in aging men.
  • This contrasts with prior research focusing on problem stressfulness and specific coping strategies.