The Association Between Perceived Spirituality, Religiosity, and Life Satisfaction: The Mediating Role of Self-Rated Health

This study examined the mediating role of self-perceived health between perceived spirituality, religiosity, and life satisfaction among a stratified, random sample of college students, while controlling for gender. Although both models displayed excellent fit criteria, the perceived spirituality and life satisfaction model was fully mediated by self-perceived health χ² (n=459, 4) = 1.64, p=0.80, CFI =0.99, TLI=0.99), and the perceived religiosity and life satisfaction model was partially mediated by self-perceived health χ² (n=459, 10) = 22.29, p=0.01 CFI = 0.99, TLI = 0.99). Both models were equal for men and women. Students who describe themselves as spiritual (or religious) are likely to report greater self-perceived health and greater self-perceived health likely influences life satisfaction for both men and women. Results preliminarily support the contention that life satisfaction is related to differing reported health status, whether physical or mental, and that life satisfaction may be influenced by religiosity and spirituality engagement. Implications for colleges and universities are discussed.     

Hope and happiness: A comparison of some discrepancies

This paper presents a comparison of Canadian and American university students on happiness and satisfaction as measured by the Satisfaction and Happiness Survey (Michalos, 1985). For the American sample, the findings for other measures of satisfaction and happiness, as well as for hope as measured by the Hope Index (Staats and Stassen, 1986), are also reported. American students had slightly higher means on both overall satisfaction and happiness with life as a whole than the Canadian students. The greatest perceived gap for American students was between what one has now and expects to have in the future while for Canadian students it was between what one has and what one needs. Both Canadian and American students reported greatest satisfaction with health and lowest satisfaction with financial security and paid employment. For the American sample, of the other satisfaction, happiness, and hope measures, a global happiness measure had the highest correlation with both overall satisfaction (r=0.62, p<0.0001) and=" happiness=" with=" life=" as=" a=" whole=">r=0.55, p<0.0001). reasons=" for=" the=" observed=" differences=" between=" the=" two=" samples=" are=" suggested=" and=" future=" research=" directions=" are=">     

Exploratory Study on Drug Users’ Perspectives on Quality of Life: More than Health-Related Quality of Life?

In drug treatment outcome literature, a focus on objective and socially desirable indicators of change (e.g. no drug use) has predominated, while outcome indicators that are important for drug users themselves (e.g. quality of life, satisfaction with treatment) have largely been neglected. Nonetheless, Quality of Life (QoL) has become an important concept to evaluate effectiveness of treatment in mental health care research and disability studies. Given the almost exclusive focus on Health-related Quality of Life (HRQOL) in substance abuse research and the neglect of clients’ perspectives in this field, we explore in this study the concept of QoL as perceived by drug users. Focus group discussions (n = 9) were organised in various treatment settings and community services for drug users in the region of Ghent, Belgium to identify important dimensions of QoL and their interpretation by drug users. Data were clustered and analysed based on the theoretical framework of Robert Schalock (Quality of life. Volume 1: Conceptualization and measurement, 1996). The domains ‘personal relationships’, ‘social inclusion’ and ‘self-determination’ were discussed most frequently by the participants. They stressed the importance of a supportive social network in particular. It can be concluded that QoL is not primarily associated by drug users with health and it involves much more than the aspects typically represented in measures of HRQOL.     

Quality of life as a mediator of leisure activity and perceived health among older women

Despite consistent evidence to suggest that participating in leisure is associated with perceived health status among older adults, there have been few attempts to determine the possible underlying mechanisms in this relationship, including the role of quality of life (QoL). This study examined the role of perceived quality of life in the relationship between leisure and perceived health in older women. Correlations, regression, and mediation analysis were conducted on data from the Woman’s College Alumnae Women’s Health Study. Results indicate that QoL partially mediates the relationship between leisure and perceived health in older women. Findings further establish the link between leisure and perceived health with QoL playing an important role in the relationship.     

The Relative Importance of Health

This article seeks to extend Michalos’ [Social indicators research and health-related quality of life (QoL) research. Social Indicators Research, 65, 27–72, 2004] discussion on bridging social indicators research and health-related QoL (HRQoL) research through an examination of (1) the relative importance of satisfaction with one’s own health to another common measure of QoL—Life satisfaction, and (2) the relative importance of health in relation to other major life domains. Using data from two surveys, this article found that individuals may perceive health as most important in relation to other major life domains but satisfaction with one’s own health may not necessarily be the most important determining factor (in relation to satisfaction with other major life domains) of QoL as measured by life satisfaction. These findings support Michalos’ (Social indicators research and HRQoL research. Social Indicators Research, 65, 27–72, 2004) call for caution regarding the interpretation of research results on HRQoL since many HRQoL measures are measures of satisfaction with one’s own health and should not be considered as measures of QoL.     

The Relationship between Country of Residence, Gender and the Quality of Life in Australian and Taiwanese Midlife Residents

A growing global aging population is presenting more opportunities for health professionals to interact with other cultures. The specific aims of this study were to: (1) compare the quality of life of midlife men and women in Australian and Taiwan; and (2) to explore the impact of country of residence and gender on quality of life. A cross-sectional survey was conducted using census data and a probability proportional sampling (PPS) strategy on a general population of men and women aged 40–59 years-old who live permanently in Taiwan and Australia. The sample consisted of 278 Australians and 398 Taiwanese men and women. Analysis showed that country of residence does have an impact on quality of life with significant differences seen between midlife Australian and Taiwanese men and women (F 4, 666 = 59.31, p < 0.001). The results suggest that midlife Australian men and women have a better quality of life than midlife Taiwanese men and women. The mean score for the four domains of quality of life by gender indicated that midlife women consider that they have a better quality of life than midlife men in both Australia and Taiwan. Midlife Australian men in this study reported they are more dissatisfied with their sleep and rest (χ ² = 10.57, df = 4, p = 0.03) and more dissatisfied with their sexual activities (χ ² = 9.42, df = 4, p = 0.05) in contrast to midlife Australian women. This study has addressed and contributed to the assessment of multi-cultural quality of life research and has important implications for both health providers and policy makers of both countries.     

The Performance of the World Health Organization’s WHOQOL-BREF in Assessing the Quality of Life of Thai College Students

The purpose of this study was to examine the performance of the Thai-version of WHOQOL-BREF in assessing the quality of life (QoL) among Thai college students. The psychometric properties of WHOQOL-BREF were assessed in this study. The self-administered WHOQOL-BREF questionnaire was applied. A total of 407 Thai college students (male age = 20.5 ± 1.2; female age = 20.5 ± 1.2) participated in this study. Item-response distributions, internal consistency reliability, discriminant validity, criterion-related validity and construct validity through confirmatory analysis were analyzed. The findings indicate that the WHOQOL-BREF had acceptable internal consistency (α = 0.73–0.83 across four domains), all items highly correlated with corresponding domain scores (r = 0.53–0.80), the indices of a two-order confirmatory factor analysis (CFA) demonstrate that the data fit the model well with allowing covary of error variances of some items, all items had good property of criterion-related validity and item discrimination and, all three domain scores except the social relationship domain had significant associations with overall QoL or general health. The results suggest that the WHOQOL-BREF was reliable and valid to health professionals in the assessment of the QoL of college-based Thai youth, but some unsuitable items may be deleted in future studies.     

Emotional wellbeing of student midwives during COVID-19

BackgroundMental health of students in higher education was affected during the COVID-19 pandemic.AimTo examine the emotional wellbeing of midwifery students in the Netherlands and Flanders (Belgium) during COVID-19.MethodsA cross-sectional online-based survey with 619 Dutch and Flemish midwifery students. Sociodemographic details were obtained. Anxiety and depression were measured twice (T1, T2) during the COVID-19 pandemic.FindingsFlemish students had significantly higher mean depression and anxiety scores than Dutch students during the total period of study (p < .001; p < .001). Total group mean depression and anxiety scores were significantly higher at T2 compared to T1 (p < .001; p < .001). In the Dutch student group, there was a significant increase of depression from T1 to T2 (p < .001). In the Flemish student group, both depression and anxiety scores significantly increased from T1 to T2 (p < .001; p < .001). A history of psychological problems predicted both depression and anxiety, irrespective of COVID-19 period or country (p < .001; p < .001). Being single (p.015) and having a job (p.046) predicted depression, irrespective of period or country. A history of psychological problems predicted depression (p.004; p < .001) and anxiety (p.003; p.001) during the total period of study. Being single also predicted depression during T2 (p.024).ConclusionThese findings inform how emotional wellbeing of midwifery students was affected during the COVID-19 pandemic and identify those students that might need extra attention after the pandemic, during another pandemic or similar situations with social restrictions.     

Quality of Life in College Students with and without Social Phobia

Prior studies demonstrating quality of life impairment in phobia and anxiety disorders have relied upon epidemiological samples or clinical data. Using the same quality of life scale, the Short Form 36-item Health Survey (SF-36), in Iranian college students allowed us to study the impact of social phobia (SP) on quality of life among the college students. This report summarizes findings from a cross sectional study on Iranian students with social phobia studying at Shahed University. Quality of life was measured using the Short Form 36-item Health Survey (SF-36) which is a widely used and valid questionnaire to measure quality of life in cross-sectional and longitudinal studies. Three standard instruments were used to measure social phobia severity, namely Social Phobia Inventory, Social Interaction Anxiety Scale, and Brief version of the Fear of Negative Evaluation Scale. The sample consisted of 202 college students, 72 with SP and 130 without SP. The main finding of this study was that students with social phobia reported significantly lower quality of life, particularly in general health (P = 0.02), vitality (P < 0.0001), social functioning (P < 0.0001), role functioning—emotional (P < 0.0001), and Mental health (P = 0.001) dimensions. Standardized summed scores for mental health components of the SF-36 showed that 36.2% of all the s with SP were severely impaired while 16.0% of the students in control croup were severely impaired. Findings demonstrated that Iranian socially anxious college students reported extensive functional disability, and lower well-being compared to those without SP. These findings should encourage education officers to implement systematic efforts to prevent and treat social anxiety among students.     

Satisfaction with life among international students: An exploratory study

The study examines self-reported satisfaction with life and thefactors predicting it among 304 international students (159 malesand 145 females) at the University of Bergen, Norway. Thestudents had on the average lived 2.34 years (SD = 2.31) inNorway. The students reported on the whole good satisfactionwith life. However, students from Europe and North America wereon the whole more satisfied than their peers from Africa andAsia. It was also found that factors such as the number offriends, satisfaction with finances, perceived discrimination andinformation received prior to the foreign sojourn significantlyaffected the student's life satisfaction. The importance ofthese factors differed for students from developing and developedcountries where some paradoxical findings came out. Theseparadoxical findings may be the result of the Norwegian contextof the study. Language proficiency (with respect to host andEnglish languages), and having a host national friend did notshow significant effect on life satisfaction.     

Trends in life expectancy in wellbeing

Objectives: This paper describes anddiscusses trends in life expectancy inwellbeing between 1989 and 1998.Methods: Data on wellbeing by theBradburn Affect Balance Scale is obtained fromthe Netherlands Continuous Health InterviewSurveys for the calendar years from 1989 to1998. Using Sullivan's method, life expectancyin wellbeing is calculated.Results: For males at the age of 16, lifeexpectancy in wellbeing increases significantlyfrom 52.7 years in 1989 (90.1% of the totallife expectancy) to 54.4 years in 1998(90.8%). This increase is almost completelycaused by the increase in total lifeexpectancy. For females at the age of 16, lifeexpectancy in wellbeing raises significant from54.4 years in 1989 (84.1%) to 56.2 years in1998 (86.3%). This increase is almostcompletely caused by a decrease in the numberof years in a state of distress.For both males and females at the age of 65,the significant increase of life expectancy inwellbeing exceeds the increase in total lifeexpectancy and is mainly caused by the decreasein number of years in distress.Conclusion: Contrary to life expectancyin good perceived health and to disability freelife expectancy – which show a decreasing trend– the overall wellbeing of the population isincreasing. It seems that aspects in human lifethat contribute to wellbeing or quality of lifeother than physical health are gaining inimportance. This makes life expectancy inwellbeing a less appropriate instrument tomonitor changes in population health, but auseful instrument to measure population qualityof life.     

The Association Between Perceived Income Inequality and Subjective Well-being: Evidence from a Social Survey in Japan

Previous studies have shown that income inequality in society is negatively associated with individuals subjective well-being (SWB), such as their perceived happiness and self-rated health (SRH). However, it is not realistic to assume that individuals have precise information about actual income distribution measured by the Gini coefficient or other statistical measures. In the current study, we examined how perceived income inequality, rather than actual inequality, was associated with SWB, using cross-sectional data collected from a nationwide, Internet survey conducted in Japan (N = 10,432). We also examined how this association was confounded by individuals’ objective and subjective income status, considering the possibility that individuals with lower income status are more inclined to both perceive income inequality and feel unhappy/unhealthy. In our analysis, we focused on the perception of widening income inequality (as perceived income inequality), perceived happiness and SRH (as SWB), and household income and living standards compared with 1 year ago and compared with others (as income status). We also controlled for personality traits. We obtained three key findings: (1) perceived income inequality was negatively associated with SWB; (2) both perceived income inequality and SWB were associated with income status; and (3) the association between perceived income inequality and SWB was attenuated after controlling for income status, but not fully for perceived happiness. These findings suggest that perceived income inequality, which links actual income inequality to SWB, should be further studied.     

A Proactive Approach to Aging Well for Women Over 45

ABSTRACT

This paper reports on an exploratory two-group, pre- and posttest design study, which employed data triangulation with a convenience sample (n = 120) of women over 45 years aged between 45 and 83 years, living and/or working within the South East Sydney and Illawarra areas of New South Wales. Sixty-nine women recorded the Health Check Log (HCL) (33 were health professionals) to assess and monitor their health over 12 months. The majority found the HCL greatly assisted in monitoring and maintaining their health, and the analyses of the SF-36 health survey suggest that women 45 years and over may benefit by regular use of the HCL.     

Construct and Criterion Validity of a Norwegian Instrument for Health Related Quality of Life Among Elderly Women Living at Home

Purpose of the study: The aim of the current study is to validate an instrument consisting of five items and first used in the Nord-Trondelag Health Survey (HUNT-5), as a measure of health related quality of life (QOL) in a population of elderly women living at home. Design and methods: A random sample of 307 women aged 75 years and over (mean 80.8 years, response rate 74.5%) and living at home were interviewed using the HUNT-5 instrument, the 20-question version of the General Health Questionnaire (GHQ-20) and the respondents’ records of their health status and functional ability. Results: No significant relationships were found between age and the sumscores of GHQ-20 and HUNT-5. Factor analysis indicated that HUNT-5 is primarily unidimensional. The Cronbach α for HUNT-5 was 0.79 and that for GHQ-20 was 0.87. The correlation between the HUNT-5 and the GHQ-20 sumscores was 0.75 (p < 0.001). There were significant correlations between some of the health and function items and the two QOL instruments (ranging from 0.14 to 0.68). Implications: This evaluation supports the psychometric validity of HUNT-5 for elderly women living at home. It is important to take into consideration the women’s own experience of their health and functional ability in planning therapy and in obtaining the best possible QOL for them.     

Individual quality of life: can it be accounted for by psychological or subjective well-being?

There is ongoing discussion in the scientific literature about the need for a more theoretical foundation to underpin quality of life (QoL) measurement. This paper applied Keyes et al.’s [J. Pers. Soc. Psychol. 82 (2002) 1007] model of well-being as a framework to assess whether respondents (n = 136 students) focus on elements of subjective well-being (SWB), such as satisfaction and happiness, or on elements of psychological well-being (PWB), such as meaning and personal growth, when making individual QoL (IQoL) judgments using the Schedue of the Evaluation of Individual Quality of Life (SEIQoL). The Keyes et al.’s model was confirmed and explained 41% of the variance in SEIQoL scores. Both SWB and PWB were correlated with the SEIQoL Index Score and SWB was found to be an important mediating variable in the relationship between PWB and SEIQoL. When analyzing different well-being combinations, respondents with high SWB/high PWB had significantly higher SEIQoL scores than did those with low SWB/low PWB. Respondents with high PWB/high SWB had higher SEIQoL scores than did those with high PWB/low SWB. Longitudinal studies in different patient groups are needed to explore the dynamic relationship between IQoL and well-being. Further investigation of the relationship between PWB and SWB with other instruments purporting to measure QoL would contribute to an enhanced understanding of the underlying nature of QoL.     

Health Condition and Quality of Life in Older Adults: Adaptation of Qolie-89

This study aimed at adapting the Questionnaire Quality of Life in Epilepsy (QOLIE-89 version 1.0: Vickrey et al., 1993), Quality of Life in Epilepsy QoLIE-89 RAND (Santa Monica, CA)] so that it may be used to measure quality of life (QoL) of older adults, healthy or suffering from various chronic illnesses. The participants were 202 older adults recruited from the Pathology Clinic of a general hospital in Thessaloniki, Greece, and from Community Centers for Older adults. The mean age was 71 years. Of them, 51 suffered from diabetes, 50 from cardiovascular disease, 52 suffered from arthritis/myoskeletal diseases, and 49 were healthy. The QOLIE-89 inventory comprises 89 items that measure 17 topics. Exploratory factor analysis revealed 3 factors, namely, health (i.e., physical health and functioning), cognition, and social behavior. Cronbach’s α for the various topics in each group of participants ranged from 0.60 to 0.90 with a number of exceptions with very low α. Concurrent validity was tested through correlations with measures of subjective well being, affect, life satisfaction, and adaptation to old age. A series of ANOVAs showed differences between the healthy and the chronic illness groups of participants but no clearcut differences between the three chronic illness groups. Further study on the adaptation of QOLIE-89 is needed so that its potential as a general measure of QoL in older adults is determined.     

Psychometric Evaluation of the Hebrew Language Version of the Satisfaction with Life Scale

The satisfaction with life scale (SWLS) is a widely accepted and widely used tool for measuring well-being. Although its potential as a cross-cultural index is recognized, an introduction and systematic validation of the Hebrew version is needed. Thus, the purpose of this study is: (1) to describe the process of developing the Hebrew version of the SWLS, and (2) to examine its construct validity as well as its internal consistency. Four hundred and eighty seven working adults completed the following self reported Hebrew language versions of the: (1) SWLS, (2) positive affect and negative affect scales (PANAS), and (3) the self-rated health (SRH) scale. In addition, as way of gathering additional evidence of validity, the SWLS was completed by proxy (i.e., each participant’s life partner or significant other). Confirmatory factor analysis supported a single-factor structure with significant correlations between the SWLS and the rest of the measures—PANAS scores, the SRH scores as well as the SWLS scores as measured by proxy. In addition, item-analysis supports the internal consistency of the scale. The Hebrew version of the SWLS is a valid and reliable scale and can be utilized in the Israeli context.     

Comparing the Level of Positive Tendency in a Life Satisfaction Evaluation between Chinese and Western People

We demonstrate that people from Chinese cultural backgrounds have a smaller positive tendency in life evaluation compared to people in typical Western cultures. Participants first described their imagined best and worst life and then rated their current life on scale anchored by those imaginings (Mellor et al. International Journal of Social Research Methodology Theory and Practice, 2, 263–278, 1999), with scores above 50 indicating the strength of positive tendency. We compare responses from 82 Taiwanese students to data from the 22 Australian students in Mellor et al.’s (International Journal of Social Research Methodology Theory and Practice, 2, 263–278, 1999) study. Results of independent t tests support the hypothesis that culturally Chinese subjects have a lower positive tendency (65.32%SM) than Australian participants (76.12%SM) in life satisfaction evaluation. Shih-jung Lee and Chia-huei Wu have made equal contributions to this study.     

The Well-Being of 12 - to 16-Year-Old Adolescents and their Parents: Results from 1999 to 2003 Spanish Samples

This study adopts satisfaction with life as a whole and satisfaction with specific life domains as indicators to analyse the relationships between the well-being of 12 to 16-year-old adolescents and some related constructs such as self-esteem, perceived control and perceived social support. Well-being indicators from a 2003 Spanish sample using an 11-point scale (N = 1,634) are compared with an equivalent 1999 Spanish sample using a 5-point scale (N = 1,618). The different results obtained from the 2003 sample with a Principal Component Analysis (PCA) using a shorter and a longer list of life domains are also discussed. A sub-sample of the adolescents’ results from the 2003 sample are compared with their parents’ answers, using the same well-being indicators. Using a list of 8 life domains, and despite the change of scale used, overall results show no relevant changes in adolescents’ satisfaction with life domains between 1999 and 2003 in Spain and are in agreement with normative data expected from western societies [Cummins: 1998, Social Indicators Research 43, pp. 307–334; Cummins et al.: 2001, Australian Unity Well-being Index (Australian Centre on Quality of Life, Deakin University, Melbourne)]. Adolescents’ overall life satisfaction has been shown to correlate consistently with the other well-being related constructs. However, it clearly decreases with age over the period studied. The results also show that increasing the list of life domains has a major impact on the structure of the results obtained. When we compare results from parents with those from their own child, outstanding differences in well-being appear between generations: few domain satisfaction dimensions show significant correlation between parents and children and more than 20% of the population studied shows high discrepancies in the answers in four domains.     

Gender differences in the experience of loneliness in U.S. Chinese older adults

This study aimed to explore the gender differences in the experiences of loneliness in the U.S. Chinese older population. The data were drawn from the PINE study, a population-based study of U.S. Chinese adults aged 60 years and older. The Revised–University of California at Los Angeles Loneliness Scale (R-UCLA) was used to measure loneliness. Overall, older Chinese women (28.3%) had a higher rate of loneliness than older men (23.3%, p < .001). In particular, women were more likely to sometimes or often experience a lack of companionship than men (22.9% vs. 17.3%, p < .001). Older women living with fewer people, with lower health status, poorer quality of life, and worsening health changes over the past year were more likely than men to experience any loneliness. This study indicates that gender differences exist in the prevalence, symptoms, and correlates of loneliness. Longitudinal studies should be undertaken to understand gender differences in risk factors and outcomes of loneliness.