Could the EQ-5D be Used to Predict Mortality and Hospitalization Over a Long Term Period?

Although numerous studies have demonstrated that social support affects a range of life experiences, only a few have examined the moderators and mediators such as self-esteem. According to self-control theory, self-control represents one’s ability to override or change one’s inner responses, and to interrupt undesired behavioral tendencies and refrain from acting on them. A high level of self-control may help individuals to mediate or moderate negative affect and thus weaken any adverse effects, contributing to their subjective well-being (SWB) in the long run. The current study explored how this interaction may affect the subjective well-being of the Chinese elderly, for whom self-control and social support are especially important life management issues. The study examined whether self-control mediates and moderates the relationship between social support and SWB among the elderly Chinese population. The data were collected from 335 elderly Chinese people (162 females and 173 males) from ten cities in central China, who completed the Chinese Social Support Scale, Trait Self-control Scale, Life Satisfaction Scale and Positive and Negative Affect Scale. The results showed that self-control, social support and SWB were strongly and significantly related. Hierarchical regression analysis showed that self-control partially mediated the influence of social support on SWB. Moreover, self-control moderated the relationship between social support and positive affect, but not life satisfaction and negative affect. These findings imply that self-control is a critical indicator of SWB and can serve as a basis for differentiating between intervention strategies that promote SWB among the elderly by helping them manage positive and negative affect. Future studies should further examine the internal mechanisms by which self-control influences SWB.     

Self-Esteem as Mediator and Moderator of the Relationship Between Social Support and Subjective Well-Being Among Chinese University Students

This study examined both the mediating and moderating effects of global self-esteem on the relationship between social support and subjective well-being among Chinese university students. Three hundred and ninety-one university students (260 males and 131 females) from two different Chinese universities completed the social support scale, the self-esteem scale and the subjective well-being scale. Hierarchical regression analysis showed that global self-esteem partially mediated the influence of social support on life satisfaction and positive affect, whereas it fully mediated the influence of social support on negative affect. Moreover, global self-esteem moderated the relationship between social support and life satisfaction, and positive affect, but not negative affect. When students reported a high level of global self-esteem, those with high social support reported higher scores in life satisfaction and positive affect than those with low social support. However, there were no differences in life satisfaction or positive affect between groups with high and low social support when global self-esteem was low. The significance and limitations of the results are discussed.     

Self-efficacy Mediates the Association Between Shyness and Subjective Well-Being: The Case of Chinese College Students

The aim of the current study was to examine whether self-efficacy mediated the associations between shyness and subjective well-being, and the universality and specificity of this mediated effect between the different groups in demographic factors, e.g., gender, only children and non-only children, urban and rural in a sample of Chinese college students. We had 311 university students, with age range of 18–24 respond to self-report measures by using the paper and pencil assessments including Cheek and Buss shyness scale, general self-efficacy scale, positive affect and negative affect scale and satisfaction with life scale. Results of structural equation modeling showed fully mediated effect of self-efficacy in the relationship between shyness and life satisfaction, and partially mediated effect of self-efficacy in the relationship between shyness and positive and negative affect. Moreover, multi-group analyses found that the paths did not differ by only children and non-only children, urban and rural, but shyness was more strongly associated with males’ self-efficacy, compared to females. Implications and limitations of the findings are discussed.     

Loneliness and Self-Esteem as Mediators Between Social Support and Life Satisfaction in Late Adolescence

This study examined both the mediation effects of loneliness and self-esteem for the relationship between social support and life satisfaction. Three hundred and eighty nine Chinese college students, ranging in age from 17 to 25 (M = 20.39), completed the emotional and social loneliness scale, the self-esteem scale, the satisfaction with life scale and measure of social support. Structural equation modeling showed full mediation effects of loneliness and self-esteem between social support and life satisfaction. The final model also revealed a significant path from social support through loneliness and self-esteem to life satisfaction. Furthermore, a multi-group analysis found that the paths did not differ across sexes. The findings provided the external validity for the full mediation effects of loneliness and self-esteem and valuable evidence for more complicated relations among the variables.     

A Measure of the Cultural Distance Between Countries

The current study was an investigation of age and gender differences in the relation between students’ school-related social support (i.e., teacher support and classmate support) and subjective well-being (SWB) in school (i.e., school satisfaction and affect in school), as well as the developmental differences in SWB in school. Data were collected from a sample of 2,158 students in Grades 4 through 11 in China on two separate occasions, 6-weeks apart. The findings indicated older age students reported lower levels of SWB in school than younger students. Furthermore, girls reported higher levels of school satisfaction than boys. In addition, both teacher support and classmate support significantly related to school satisfaction at Time 2 (controlling for Time 1) for all students. Classmate support significantly related to affect in school at Time 2 for all students, whereas teacher support only significantly related to affect in school at Time 2 for elementary school students. Specifically, teacher support accounted for the larger amount of variance in school satisfaction at Time 2 for elementary and high school students. Gender moderated the relation between teacher support and school satisfaction at Time 2 for elementary school students, as well as the relation between classmate support and school satisfaction at Time 2 for middle school students. Implications based on developmental considerations were discussed.     

Migrant Workers and Workplace Bullying in Urban China

Trends of subjective well-being (SWB) in transition countries are peculiar: they show substantial changes that are more strongly correlated with the trends of GDP than in other developed countries. This paper examines the role of the trends of GDP and of social trust in predicting the trends of well-being. We find that the strength of the relationship between social trust and SWB over the medium-term is comparable to that of GDP. We conclude that in the medium-term, even in countries where material concerns strongly affect well-being, social trust is a powerful predictor of the trends of SWB. However, in the short run the relationship between social trust and SWB does not hold and GDP stands out as the only significant correlate of SWB.     

Relations Between Social Problem Solving and Indicators of Interpersonal and Family Well-Being Among Chinese Adolescents in Hong Kong

This study evaluated the dimensionality of the construct of social problem solving and examined the relationships between social problem solving and empathy, emotional well-being and family well-being in a sample of secondary school students in Hong Kong (N=1462). The participants completed measures of social problem solving (the 25-item short form of the Chinese version of the Social Problem-Solving Inventory: C-SPSI-R), empathy (the Chinese Interpersonal Reactivity Scale), emotional well-being (the Chinese Vengeance Scale) and family well-being (the Chinese Family Assessment Instrument and the Conflict Behaviour Questionnaire). Regarding the dimensionality of the C-SPSI, confirmatory factor analysis showed that the scale has a stable five-factor structure (RMSEA=0.05) and that the related subscales were reliable (with α ranging from 0.65 to 0.81). Participants with higher levels of social problem solving had higher levels of empathy and lower personal distress in applying empathy, which suggested that these personal competencies were inter-related. Higher levels of social problem solving were also related to better emotional well-being (less tendency to take revenge) and better family quality of life (better family functioning and fewer parent-adolescent conflicts).     

Relations Between Social Problem Solving and Indicators of Interpersonal and Family Well-Being Among Chinese Adolescents in Hong Kong

This study evaluated the dimensionality of the construct of social problem solving and examined the relationships between social problem solving and empathy, emotional well-being and family well-being in a sample of secondary school students in Hong Kong (N=1462). The participants completed measures of social problem solving (the 25-item short form of the Chinese version of the Social Problem-Solving Inventory: C-SPSI-R), empathy (the Chinese Interpersonal Reactivity Scale), emotional well-being (the Chinese Vengeance Scale) and family well-being (the Chinese Family Assessment Instrument and the Conflict Behaviour Questionnaire). Regarding the dimensionality of the C-SPSI, confirmatory factor analysis showed that the scale has a stable five-factor structure (RMSEA=0.05) and that the related subscales were reliable (with ranging from 0.65 to 0.81). Participants with higher levels of social problem solving had higher levels of empathy and lower personal distress in applying empathy, which suggested that these personal competencies were inter-related. Higher levels of social problem solving were also related to better emotional well-being (less tendency to take revenge) and better family quality of life (better family functioning and fewer parent-adolescent conflicts).     

Measuring Social Well-Being in People with Chronic Illness

Although social well-being (SWB) is recognized as an integral component of health, it is rarely included in health-related quality of life (HRQL) instruments. Two SWB dimensions were identified by literature review: social support (SWB-SS) and social function (SWB-SF). As part of a larger project to develop item response theory-derived item banks and computerized adaptive testing, we developed and tested items for the SWB banks. Item ratings of three large (n > 600) datasets were conducted by 15 reviewers. Rasch measurement analyses were conducted to initially define item hierarchies. Out of 83 total items, 8 were removed due to model misfit and 8 were removed because of overlapping item content. We then wrote 11 new SWB-SS and 16 new SWB-SF items to fill content gaps, and edited items to improve comprehension and consistency. A total of 94 items (65 SWB-SS, 29 SWB-SF) was administered by computer to 202 cancer patients. Confirmatory factor analyses, Rasch analyses, and evaluations of construct validity were performed. Patients commented favorably on the content of the items and expressed appreciation for attention to this aspect of their HRQL. Using current psychometric standards for unidimensionality, reliability, and content and construct validity, we derived six preliminary item banks for social support (instrumental support, informational support, positive and negative emotional support, positive and negative social companionship) and two for social function (limitations and satisfaction). The empirical construct hierarchy was consistent with clinical observations; e.g., hobbies and leisure activities tended to reflect more limitations, while meeting the needs of family and friends tended to reflect fewer limitations. Optimal care for patients with cancer or other chronic illnesses includes obtaining a complete picture of patients’ physical and psychosocial health status. SWB measures are important since diseases like cancer and their treatment can affect quality of relationships, parental responsibilities, work abilities and social activities. With properly calibrated item banks, it will be possible to precisely and efficiently measure and monitor multiple HRQL dimensions in individual patients, and use their responses to inform care. Qualitative patient feedback and quantitative analyses suggest that it is possible and desirable to include SWB measures in HRQL assessment.     

The Construct Validity of Ryff's Scales of Psychological Well-Being (SPWB) and their Relationship to Measures of Subjective Well-Being

The factor structure of Ryff's Scales ofPsychological Well-Being (SPWB) and theirrelationship to standardized measures ofsubjective well-being (SWB) were investigated.Two hundred seventy-seven participants rangingin age from 18 to 48 years were administeredthe Memorial University of Newfoundland Scaleof Happiness (MUNSH), the Satisfaction WithLife Scale (SWLS), and the SPWB. Results failedto support either the hypothesis thatperforming factor analytic procedures on theitems of the SPWB should produce a six-factorsolution, with scale-specific items loadingmost highly on their respective factors or thehypothesis that subjecting the sub-scales ofthe SPWB to factor analytic procedures alongwith standardized measures of SWB would produceone higher-order well-being factor. Instead,item loadings clustered around three majorfactors that could not be identified with thesix scales proposed by Ryff. Moreover, thefactor analysis of SPWB and SWB scale totalsproduced three, instead of one, higher-orderfactors. Implications of findings are discussedwith respect to the relationship of the PWBconstruct to the SWB construct.     

National differences in reported subjective well-being: Why do they occur?

There are marked variations between nations in reported subjective well-being (SWB), but the explanations for this diversity have not been fully explored. It is possible that the differences are entirely due to true variability in SWB, but it is also reasonable that the differences may be due to factors related to self-report measurement such as variation across nations in whether it is desirable to say one is happy. At a substantive level, there might be differences in the norms governing the experience of emotion such that cultural differences in SWB are due to affective regulation. Pacific Rim countries (e.g., Japan, the People's Republic of China, and S. Korea) appear to have lower SWB than their material circumstances warrant, and the U.S.A. has higher SWB than is predicted based on its income per person. The genesis of these differences was explored by comparing students in S. Korea, Japan, and the People's Republic of China to students in the U.S.A., and it was concluded that: (1) The Pacific Rim subjects score lower on both happiness and life satisfaction in both absolute terms and when income is controlled, (2) There probably is not a general negative response set in the Pacific Rim which causes lower SWB, as evidenced by the fact that the Asians express dissatisfaction in some areas (e.g., education and self) but not in other areas (e.g., social relationships), (3) Artifacts are not causing the lower reported SWB, (4) The general suppression of mood in the Pacific Rim is unlikely to be the cause of SWB differences, but Chinese students do appear to avoid negative affect, (5) SWB is no less important and salient in Japan and S. Korea, but does appear to be a less central concern in China, and (6) There are different patterns of well-being depending on whether life satisfaction or hedonic balance are considered.     

Gender Convergence in the American Heritage Time use Study (AHTUS)

The present study explored the short-term temporal characteristics of subjective well-being (SWB) and its potential correlates. Specifically, we examined the intra-individual variability and the trajectories of SWB and its components life satisfaction, positive, and negative affect. Over a two-week period, 27 participants (78% university students, 85% females, mean age of 29 years) provided SWB data every other day. Before and after this period, participants completed several questionnaires assessing personality and environmental variables, as well as several open-ended questions. The results provide evidence that participants experienced a significant amount of intra-individual variability in their SWB and its components. Furthermore, inter-individual differences in the intra-individual variability were related to several of the personality and environmental variables, as well as to participant’s age. Results of multiple regression analyses indicated that deliberation (one facet of the Big Five dimension conscientiousness), social support, and age accounted for 58% of the total variance of intra-individual variability in SWB. In contrast, the slopes of the individual trajectories of SWB were on average statistically non-significantly different from zero. These results emphasize that information is gained by looking at both the patterns and the intra-individual variability over time: The individual trajectories of the participants on average appeared to be stable, but intra-individual variability of SWB was meaningfully related to several of the variables.     

The Role of Emotional Intelligence in the Impact of Mindfulness on Life Satisfaction and Mental Distress

The present study tested the mediating role of emotional intelligence in the impact of mindfulness on life satisfaction and mental distress in a sample of Chinese adults and the widespread or limited mediators between the different groups in demographic factors, e.g., gender, students and non-students. Three hundred and twenty-one participants completed the Mindful Attention Awareness Scale, the Wong Law Emotional Intelligence Scale, the Satisfaction with Life Scale, and the General Health Questionnaire. Path analysis showed that emotional intelligence mediated partially the impact of mindfulness on life satisfaction and mental distress. Moreover, multi-group analyses indicated that no significant path in the final model differed by gender, but non-students with high levels of mindfulness are more likely to perceive greater life satisfaction than students. The findings corroborate an important role for emotional intelligence in mindfulness exerting its beneficial effects.     

Impact of Social Changes and Birth Cohort on Subjective Well-Being in Chinese Older Adults: A Cross-Temporal Meta-analysis, 1990–2010

Over the past several decades, the proportion of older adults in the Chinese population has steadily increased during a period of substantial social change; the effect of these changes on older adults warrants examination. The present study explored changes in subjective well-being (SWB) in older adults by birth cohort and the social factors influential in these changes. We performed a cross-temporal meta-analysis using data from 20,713 adults over 60 years of age; data were obtained from 61 studies that used the Memorial University of Newfoundland Scale of Happiness. The dynamics of SWB in older adults were evaluated as a function of time. The mean SWB score decreased by 4.98 over the measured period, indicating a decrease of .52 standard deviations between 1990 and 2010. In addition, SWB in older adults was significantly correlated with high social connectedness and low overall threat. Specifically, urbanization level, Gini coefficient, personal medical expenditure, and birth rate were strong predictors of SWB. Our research demonstrates that social connectedness and overall threat contribute to SWB in Chinese older adults. As SWB is significantly related to the mental and physical health of older adults, the present study may serve as a useful reference for health care agencies and policy-makers.     

Explaining Low Subjective Well-Being of Persons with Disabilities in Europe: The Impact of Disability, Personal Resources, Participation and Socio-Economic Status

Persons with chronic disabilities report the lowest subjective well-being (SWB) in many countries. The gap in SWB compared with the non-disabled population is smaller in some countries than in others. Data from the European Social Survey were analysed in order to: (1) describe the inequality in SWB in 21 European countries; and (2) identify the main determinants of this inequality in SWB. Data on a range of topics of a total of 40,605 persons, including 2,846 persons with serious chronic disabilities, were used of the European Social Survey. SWB was measured using multi-item scales for ‘emotional well-being’ and ‘satisfying life’. Variables on disability, socio-demographics (age, gender, household composition), socio-economic status (level of education, net household income), participation (paid work, voluntary work, social contacts), and personal resources (supportive relationships, social cohesion, vitality, optimism, resilience, perceived autonomy, perceived accomplishment, perceived capacity, perceived engagement, perceived meaning and purpose) were entered stepwise in regression models of SWB. The results show that persons with disabilities are in a disadvantaged position in terms of SWB in all countries. In the Northern countries, the gaps between disabled and non-disabled persons are smaller than in Eastern European countries. In all countries inequality in SWB is explained mostly by personal resources and not by the level of disability, socio-economic status or level of participation in work. The implications of these findings for policy and practice (e.g. social cohesion and physical exercise programs) are discussed.     

Development of a tool to measure holistic reflection in midwifery students and midwives

BackgroundHolistic reflection encompasses reflection as a continuum, incorporating critical reflection, reflexivity, critical thinking and a whole-of-person approach. The development of holistic reflection in midwifery students and midwives is rarely measured in a standardised way.AimTo develop and test a tool to measure holistic reflection in midwifery students and midwives, for use in pre-registration and post-graduate education, and research.DesignThe eight-step approach to tool development by DeVellis was followed with psychometric testing of data from a cross-sectional survey.ParticipantsMidwifery students (pre-registration and postgraduate), and midwifery alumni of an Australian university.MethodsDraft items (n = 84) were generated from review of the literature, qualitative research, and a theoretical model. An expert panel (n = 19) reviewed draft items resulting in 39 items. The survey included demographic details, the draft Holistic Reflection Assessment Tool, emotional intelligence subscale, and a social desirability scale. Participants repeated the online survey at two weeks to confirm test-retest reliability.ResultsThe 187 responses were received. Exploratory factor analysis with varimax rotation revealed three factors accounting for 49% of variance. Internal consistency of the tool was high (α = .91) and test-retest reliability at two weeks (α = .93) demonstrated stability. There were low correlations between social desirability (r = .22, p < .001) and emotional intelligence (r = .21, p < .001) with the new holistic reflection scale.ConclusionsThe Holistic Reflection Assessment Tool is the first for midwifery. The tool was reliable, stable, and valid. Further research is warranted for criterion validity.     

Influence of Prudential Value on the Subjective Well-Being of Chinese Urban–Rural Residents

The perspective of previous studies on subjective well-being (SWB) is mainly in terms of utility, demand and capacity, among others. However, the understanding of SWB is not sufficiently comprehensive and systematic. In this study, we used survey data from Chinese General Social Survey and studied the SWB of Chinese urban–rural residents from the perspective of prudential value, an integrated prudential value perspective that is “value”-oriented, multidimensional, social, inter-subjective, and interdisciplinary. We also made a scientific and effective layered control for SWB variables. Different types of variables were progressively overlaid to establish five related comparability study models. Linear regression analysis method was used to obtain reliable results. We then derived substantive conclusions based on the differences in SWB (i.e., degree of life satisfaction and life happiness) of China urban–rural residents. We found that the lack of education, medical, employment and other related social security systems significantly influences the degree of life satisfaction and happiness of urban–rural residents rather than differences between urban–rural households. The lack of basic systems prevented residents from fulfilling their basic needs and undermined their own sense of dignity. As long as the socio-economic status and prudential recognition of urban–rural residents remain under equal conditions, happiness between urban and rural residents does not differ significantly. Therefore, to better solve the current social issues and further improve the quality of life of Chinese residents, we propose suggestions for government on the policies that coordinate urban and rural development.     

The Personal Wellbeing Index: Psychometric Equivalence for Adults and School Children

Despite the wealth of accumulated research evaluating subjective wellbeing (SWB) in children and adults, the validity of scores from parallel forms of SWB measures for each age group has yet to be empirically tested. This study examines the psychometric equivalence of the child and adult forms of the personal wellbeing index (PWI) using multiple-group confirmatory factor analysis. The child sample comprised 1,029 Victorian high-school students (aged 11–20) sampled across three independent studies. The adult sample comprised 1,965 Australian adults drawn from the Australian Unity Wellbeing Index. The results demonstrated strict factorial invariance between both versions, suggesting that the PWI measures the same underlying construct in adolescent and adult populations. These findings provide support for quantitative comparisons between adult and adolescent SWB data as valid.     

Use of Other-Reports to Validate Subjective Well-Being Measures

Level of agreement between self-reports and other-reports obtained from a large two-wave study of older adults was examined. Various measures of subjective well-being (affect, happiness, and life satisfaction) and behavioral manifestations (smoking and sleep quality) were assessed. Results indicate that the SWB measures were highly stable over a 9-month period, and that good agreement between the self- and other-reports was found for the SWB measures. In addition, SWB was related to behavioral manifestations and that these ratings were corroborated through the other-reports. This study furthers the support for the reliability of SWB over time and advances the criterion validity of SWB measures through use of collateral assessments.     

Adult Attachment,Love Styles,Relationship Experiences and Subjective Well-Being: Cross-Cultural and Gender Comparison between Americans,Portuguese, and Mozambicans

Attachment security, love styles, and romantic relationship experiences are closely associated with subjective well-being (SWB). A few studies have empirically observed significant relations between these variables. However, no studies have included all of these predictors to analyze the unique contribution of each to SWB, and no cross-cultural studies have analyzed these variables simultaneously. This article examined (a) the relations between attachment security, love styles, romantic relationship experiences and subjective well-being, (b) the unique contribution of each to predict SWB, and (c) cross-cultural and gender differences in the predictors of SWB across three samples of 1,574 university students: 497 from North Carolina (US), 544 from Maputo (Mozambique), and 533 from Lisbon (Portugal). We found cross-cultural differences in the three samples. The main predictor of SWB was attachment security in the US and Portuguese samples, while in the Mozambican it was eros love style. Storge love style positively predicted SWB in the US and Portuguese samples, but not in the Mozambican. In contrast, mania love style predicted the SWB of Mozambicans but not that of Americans or Portuguese. We found gender similarities and differences: the association between attachment security and SWB was not gender-specific; the associations between love styles, relationship experiences and SWB were gender-specific.