High self-esteem and optimism enable constructive responses to death threats.

Evidence

There seem to be two basic determinants of more beneficial coping. First, people with high self-esteem are less fearful of death and therefore less in need of distractions and rationalizations when a real death threat arises—say, a serious heart arrhythmia or a cancerous melanoma. They are better able to confront these matters head-on. Second, optimistic people, who tend to believe that exercise, medical care, and healthy living can effectively prolong their lives, are more likely to seek diagnoses and engage in health-promoting behaviors. Pessimists, who tend to doubt that much can be done, are much more likely to seek distractions or deny the threat. — Sheldon Solomon, Jeff Greenberg, Tom Pyszczynski, The Worm at the Core, 656