In a population of relatively young and healthy U.S. Army active-duty soldiers, we found that those who tested highest for optimism at the start of the study had a 22% lower risk of developing hypertension during three-and-a-half years of follow-up than those who scored the lowest. We know that people in the military are more susceptible to early-onset hypertension because of the stressors associated with their jobs (for example, combat exposure), so it was striking to see that much of a protective effect—and also that the finding held for both women and men, and across racial and ethnic groups, according to a Harvard School of Health study that found a link between optimism and hypertension.

We took into account of a lot of other factors that might have explained away the apparent effects of optimism, including number of deployments, smoking, and levels of depression, but none of them substantially altered our key finding. People who are optimistic don’t tend to be depressed, but our analysis further suggests that optimism confirms protection over and above signaling the absence of a risk factor—it’s a positive health asset.