A large study of older adults finds that people with higher mental resilience, including calmness, perseverance, self-reliance and a sense of purpose, have a much lower risk of death from any cause. The link holds even after accounting for age, sex, race and body weight, and it remains significant, though smaller, after considering long term illness and lifestyle.
Resilience is not a fixed trait. Researchers point to meaning in life, positive emotions and strong social support as factors that can build it over time. This suggests that practical programs that strengthen coping skills and emotion regulation could help people age better.
Findings from other lines of research point in the same direction. High optimism is linked with exceptional longevity, with optimistic people more likely to reach very old age even after health and socioeconomic factors are taken into account. Positive views of one’s own aging are also associated with better functional health over many years and with longer life.
These results fit with a simple rule of thumb. Mental habits and social ties matter, but they work best alongside the basics of healthy living like good sleep, regular movement and a balanced diet. The observed link between resilience and survival is weaker in people with poor health or unhealthy habits, which means mind and body support each other.
Popular recovery practices, such as cold-water immersion, may improve mood and perceived stress for some people, but current human studies do not show that ice baths extend lifespan. Evidence for long term health effects is still early and mixed.
BMJ Mental Health – Association between psychological resilience and all cause mortality in the Health and Retirement Study – 2024
An analysis of a nationally representative cohort of older adults in the United States shows that higher psychological resilience is associated with a substantially lower risk of death from all causes. The association persists after adjusting for health conditions and lifestyle, though the effect size decreases.
BMJ Group press release – Ability to cope well with adversity in older age linked to lower death risk – 2024
Press summary of the BMJ Mental Health study. It describes resilience traits, the study cohort and follow-up, and notes that resilience remained protective after adjustments, with the strongest effect in women. It also highlights modifiable factors that can build resilience.
Proceedings of the National Academy of Sciences – Optimism is associated with exceptional longevity in 2 epidemiologic cohorts of men and women – 2019
Across two long running U.S. cohorts, higher optimism is linked to longer average lifespan and greater odds of reaching very old age, independent of demographics, health behaviors and baseline health.
Journal of Personality and Social Psychology – Longevity increased by positive self-perceptions of aging – 2002
Older adults with more positive beliefs about their own aging show better functional health over time and live longer than those with negative beliefs, even after accounting for key confounders.


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