Women who had never seen nor were currently seeing a health care provider for emotional issues were more optimistic than those who had ever seen or were currently seeing a health care provider for emotional issues. (p = .002, p = .001 respectively) Treatment for mental health issues with medication was another variable that was associated with LOT-R scores: those ever treated and those currently being treated with medication were significantly less optimistic than those who had never been treated. (p < .001, p = .005 respectively)