This research investigated the relationship of an affective-cognitive schem
a, valuation of life (VOL), to older people's responses to a set of health
utility (years of desired life) questions. Six hundred healthy and chronica
lly ill elders aged 70 and older were interviewed to measure quality of lif
e (QOL), mental health, and VOL. Valuation of life was significantly correl
ated with longer Years of Desired Life under 8 of 10 health conditions when
background, health, QOL, and mental health states were controlled. We conc
luded that VOL is an internal representation of the many positive and negat
ive features of the person and her everyday life that is necessary to compr
ehend how people may cling to life or welcome its end.