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Perceived level of life enjoyment and risks of cardiovascular disease incidence and mortality: the Japan public health center-based study. Circulation. 2009 Sep 15;120(11):956-63.<br>2. Positive and negative affect and risk of coronary heart disease: Whitehall II prospective cohort study. BMJ. 2008 Jun 30;337:a118.<br>3. Association between poor psychosocial conditions and diabetic nephropathy in Japanese type 2 diabetes patients: A cross-sectional study. J Diabetes Investig. 2018 Jan;9(1):162-172.<br>4. Laughter lowered the increase in postprandial blood glucose.Diabetes Care.2003;26:1651-1652. 6<br>5. Emotional well-being predicts subsequent functional independence and survival. 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