Higher levels of positive affect have been associated with better physical health. While positive affect is seen as highly desirable among Westerners, East Asians tend to deemphasize positive affect. Using large probability samples of Japanese and U.S. adult populations, the present study examined the relations of positive affect with serum lipid profiles, known to be strongly predictive of risk for cardiovascular disease, and tested whether their associations depend on cultural contexts. As predicted, positive affect was associated with healthier lipid profiles for Americans but not for Japanese. Further analyses showed that this cultural moderation was mediated by body mass index. This study highlights the role of culture in the link between positive emotions and key biological risk factors of cardiovascular disease.

References

Baigent, C., Keech, A., Kearney, P. M., Blackwell, L., Buck, G., Pollicino, C., , . . . Simes, R. ( 2005 ). Efficacy and safety of cholesterol-lowering treatment: Prospective meta-analysis of data from 90,056 participants in 14 randomised trials of statins . The Lancet, 366, 1267 – 1278 .

Google Scholar Crossref | Medline | ISI

Benjamini, Y., Hochberg, Y. ( 1995 ). Controlling the false discovery rate: A practical and powerful approach to multiple testing . Journal of the Royal Statistical Society, Series B (Methodological), 57, 289 – 300 .

Google Scholar Crossref

Boehm, J. K., Kubzansky, L. D. ( 2012 ). The heart’s content: The association between positive psychological well-being and cardiovascular health . Psychological Bulletin, 138, 655 – 691 . https://doi.org/10.1037/a0027448

Google Scholar

Boehm, J. K., Williams, D. R., Rimm, E. B., Ryff, C., Kubzansky, L. D. ( 2013 ). Relation between optimism and lipids in midlife . The American Journal of Cardiology, 111, 1425 – 1431 .

Google Scholar Crossref | Medline | ISI

Castelli, W. P., Doyle, J. T., Gordon, T., Hames, C. G., Hjortland, M. C., Hulley, S. B., , . . . Zukel, W. J. ( 1977 ). HDL cholesterol and other lipids in coronary heart disease. The cooperative lipoprotein phenotyping study . Circulation, 55, 767 – 772 .

Google Scholar Crossref | Medline | ISI

Cohen, S., Underwood, L. G., Gottlieb, B. H. (Eds.). ( 2000 ). Social support measurement and intervention: A guide for health and social scientists. New York, NY : Oxford University Press .

Google Scholar Crossref

Curhan, K. B., Sims, T., Markus, H. R., Kitayama, S., Karasawa, M., Kawakami, N., , . . . Ryff, C. D. ( 2014 ). Just how bad negative affect is for your health depends on culture . Psychological Science, 25, 2277 – 2280 .

Google Scholar SAGE Journals | ISI

De Leersnyder, J., Mesquita, B., Kim, H., Eom, K., Choi, H. ( 2014 ). Emotional fit with culture: A predictor of individual differences in relational well-being . Emotion, 14, 241 – 245 . doi:10.1037/a0035296

Google Scholar Crossref | Medline | ISI

Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults . ( 2001 ). Executive summary of the third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) . JAMA, 285, 2486 – 2497 .

Google Scholar Crossref | Medline | ISI

Fulmer, A. C., Gelfand, M. J., Kruglanski, A. W., Kim-Prieto, C., Diener, E., Pierro, A., Higgins, E. T. ( 2010 ). On “feeling right” in cultural contexts: How person-culture match affects self-esteem and subjective well-being . Psychological Science, 21, 1563 – 1569 .

Google Scholar SAGE Journals | ISI

Gordon, D. J., Probstfield, J. L., Garrison, R. J., Neaton, J. D., Castelli, W. P., Knoke, J. D., , . . . Tyroler, H. A. ( 1989 ). High-density lipoprotein cholesterol and cardiovascular disease. Four prospective American studies . Circulation, 79, 8 – 15 .

Google Scholar Crossref | Medline | ISI

Grilo, C. M., Pogue-Geile, M. F. ( 1991 ). The nature of environmental influences on weight and obesity: A behavior genetic analysis . Psychological Bulletin, 110, 520 – 531 .

Google Scholar Crossref | Medline | ISI

Grundy, S. M., Bilheimer, D., Chait, A., Clark, L. T., Denke, M., Havel, R. J., KrisEtherton, P. ( 1993 ). Summary of the second report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel II) . Journal of the American Medical Association, 269, 3015 – 3023 .

Google Scholar Crossref | Medline | ISI

Hayes, A. F. ( 2013 ). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, NY : Guilford Press .

Google Scholar

Joshanloo, M., Weijers, D. ( 2014 ). Aversion to happiness across cultures: A review of where and why people are averse to happiness . Journal of Happiness Studies, 15, 717 – 735 .

Google Scholar Crossref | ISI

Kiecolt-Glaser, J. K., McGuire, L., Robles, T. F., Glaser, R. ( 2002 ). Emotions, morbidity, and mortality: New perspectives from psychoneuroimmunology . Annual Review of Psychology, 53, 83 – 107 .

Google Scholar Crossref | Medline | ISI

Kotchemidova, C. ( 2005 ). From good cheer to “drive-by smiling”: A social history of cheerfulness . Journal of Social History, 39, 5 – 37 .

Google Scholar Crossref | ISI

Lemieux, I., Lamarche, B., Couillard, C., Pascot, A., Cantin, B., Bergeron, J., Després, J. P. ( 2001 ). Total cholesterol/HDL cholesterol ratio vs LDL cholesterol/HDL cholesterol ratio as indices of ischemic heart disease risk in men: The Quebec Cardiovascular Study . Archives of Internal Medicine, 161, 2685 – 2692 .

Google Scholar Crossref | Medline

Leu, J., Wang, J., Koo, K. ( 2011 ). Are positive emotions just as “positive” across cultures? Emotion, 11, 994 – 995 .

Google Scholar Crossref | Medline | ISI

Levine, C. S., Miyamoto, Y., Markus, H. R., Rigotti, A., Boylan, J. M., Park, J., , . . . Ryff, C. ( 2016 ). Culture and healthy eating: The role of independence and interdependence in the United States and Japan . Personality and Social Psychology Bulletin, 42, 1335 – 1348 .

Google Scholar SAGE Journals | ISI

Markus, H. R., Kitayama, S. ( 1991 ). Culture and the self: Implications for cognition, emotion, and motivation . Psychological Review, 98, 224 – 253 .

Google Scholar Crossref | ISI

McCullough, M. L., Feskanich, D., Stampfer, M. J., Giovannucci, E. L., Rimm, E. B., Hu, F. B., , . . . Willett, W. C. ( 2002 ). Diet quality and major chronic disease risk in men and women: Moving toward improved dietary guidance . The American Journal of Clinical Nutrition, 76, 1261 – 1271 .

Google Scholar Crossref | Medline | ISI

Mesquita, B., Leu, J. ( 2007 ). The cultural psychology of emotion . In Kitayama, S., Cohen, D. (Eds.), Handbook of cultural psychology (pp. 734 – 759 ). New York, NY : Guilford Press .

Google Scholar

Miyamoto, Y., Boylan, J. M., Coe, C. L., Curhan, K. B., Levine, C. S., Markus, H. R., , . . . Ryff, C. D. ( 2013 ). Negative emotions predict elevated interleukin-6 in the United States but not in Japan . Brain, Behavior, and Immunity, 34, 79 – 85 .

Google Scholar Crossref | Medline | ISI

Miyamoto, Y., Ma, X. ( 2011 ). Dampening or savoring positive emotions: A dialectical cultural script guides emotion regulation . Emotion, 11, 1346 – 1357 .

Google Scholar Crossref | Medline | ISI

Miyamoto, Y., Uchida, Y., Ellsworth, P. C. ( 2010 ). Culture and mixed emotions: Co-occurrence of positive and negative emotions in Japan and the U.S . Emotion, 10, 404 – 415 . doi:10.1037/a0018430

Google Scholar Crossref | Medline | ISI

Peng, K., Nisbett, R. E. ( 1999 ). Culture, dialectics, and reasoning about contradiction . American Psychologist, 54, 741 – 754 .

Google Scholar Crossref | ISI

Pressman, S. D., Cohen, S. ( 2005 ). Does positive affect influence health? Psychological Bulletin, 131, 925 – 971 .

Google Scholar Crossref | Medline | ISI

Pressman, S. D., Gallagher, M. W., Lopez, S. J. ( 2013 ). Is the emotion-health connection a “first-world problem”? Psychological Science, 24, 544 – 549 .

Google Scholar SAGE Journals | ISI

Rahe, R. H., Rubin, R. T., Gunderson, E. K., Arthur, R. J. ( 1971 ). Psychologic correlates of serum cholesterol in man: A longitudinal study . Psychosomatic Medicine, 33, 399 – 410 .

Google Scholar Crossref | Medline | ISI

Raposa, E. B., Bower, J. E., Hammen, C. L., Najman, J. M., Brennan, P. A. ( 2014 ). A developmental pathway from early life stress to inflammation: The role of negative health behaviors . Psychological Science, 25, 1268 – 1274 .

Google Scholar SAGE Journals | ISI

Richman, L. S., Kubzansky, L. D., Maselko, J., Ackerson, L. K., Bauer, M. ( 2009 ). The relationship between mental vitality and cardiovascular health . Psychology & Health, 24, 919 – 932 .

Google Scholar Crossref | Medline | ISI

Ryff, C. D., Love, G. D., Urry, H. L., Muller, D., Rosenkranz, M. A., Friedman, E. M., , . . . Singer, B. ( 2006 ). Psychological well-being and ill-being: Do they have distinct or mirrored biological correlates? Psychotherapy and Psychosomatics, 75, 85 – 95 .

Google Scholar Crossref | Medline | ISI

Saloumi, C., Plourde, H. ( 2010 ). Differences in psychological correlates of excess weight between adolescents and young adults in Canada . Psychology, Health & Medicine, 15, 314 – 325 .

Google Scholar Crossref | Medline | ISI

Shirai, K., Iso, H., Ohira, T., Ikeda, A., Noda, H., Honjo, K., , . . . Tsugane, S. ( 2009 ). Perceived level of life enjoyment and risks of cardiovascular disease incidence and mortality: The Japan Public Health Center-Based Study . Circulation, 120, 956 – 963 . doi:10.1161/CIRCULATIONAHA.108.834176

Google Scholar Crossref | Medline | ISI

Sims, T., Tsai, J. L., Jiang, D., Wang, Y., Fung, H. H., Zhang, X. ( 2015 ). Wanting to maximize the positive and minimize the negative: Implications for mixed affective experience in American and Chinese contexts . Journal of Personality and Social Psychology, 109, 292 – 315 .

Google Scholar Crossref | Medline | ISI

Spencer-Rodgers, J., Williams, M. J., Peng, K. ( 2010 ). Cultural differences in expectations of change and tolerance for contradiction: A decade of empirical research . Personality and Social Psychology Review, 14, 296 – 312 .

Google Scholar SAGE Journals | ISI

Stampfer, M. J., Krauss, R. M., Ma, J., Blanche, P. J., Holl, L. G., Sacks, F. M., Hennekens, C. H. ( 1996 ). A prospective study of triglyceride level, low-density lipoprotein particle diameter, and risk of myocardial infarction . Journal of the American Medical Association, 276, 882 – 888 .

Google Scholar Crossref | Medline | ISI

Steptoe, A., Wardle, J., Marmot, M. ( 2005 ). Positive affect and health-related neuroendocrine, cardiovascular, and inflammatory processes . Proceedings of the National Academy of Sciences , USA , 102, 6508 – 6512 .

Google Scholar Crossref

Suh, E., Diener, E., Oishi, S., Triandis, H. C. ( 1998 ). The shifting basis of life satisfaction judgments across cultures: Emotions versus norms . Journal of Personality and Social Psychology, 74, 482 – 493 .

Google Scholar Crossref | ISI

Tsai, J. L., Knutson, B., Fung, H. H. ( 2006 ). Cultural variation in affect valuation . Journal of Personality and Social Psychology, 90, 288 – 307 .

Google Scholar Crossref | Medline | ISI

Uchida, Y., Kitayama, S. ( 2009 ). Happiness and unhappiness in East and West: Themes and variations . Emotion, 9, 441 – 456 . doi:10.1037/a0015634

Google Scholar Crossref | Medline | ISI