Quality of Life as Medicine: Interventions that Induce Salutogenesis. A Review of the Literature

This paper reviews the medical (salutogenic) effect of interventions that aim to improve quality of life. Review of studies where the global quality of life in chronically ill patients was improved independently of subjective and objective factors (like physical and mental health, yearly income, education, social network, self-esteem, sexual ability and problems or work). The methods used were subtypes of integrative medicine (non-drug CAM) like mind body medicine, body psychotherapy, clinical holistic medicine, consciousness-based medicine and sexology. In about 20 papers on QOL as medicine, in cancer, coronary heart disease, chronic pain, mental illness, sexual dysfunction, low self-esteem, low working ability and poor QOL, the most successful intervention strategy seems to be to create a maternal, infantile bonding induced by a combination of conversation therapy and bodywork. The papers examined the treatments of over 2,000 chronically ill or dysfunctional patients and more than 20 different types of health problems. Global QOL measured by SEQOL, QOL5, QOL1, self-rated physical health, self-rated mental health, self-rated sexual functioning, anorgasmia, genital pain, self-rated working ability, self-rated relation to self, well-being, life-satisfaction, happiness, fulfillment of needs, experience of temporal and spatial domains, expression of life’s potentials, and objective functioning. We found “QOL as medicine” able in the treatment of physical disorders and illnesses including chronic pain (Number Needed to Treat (NNT) = 1–3, Number Needed to Harm (NNH) > 500), in mental illness (NNT = 1–3, NNH > 500), in sexual dysfunctions (NNT = 1–2, NNH > 1,000), self-rated low working ability (NNT = 2, NNH > 500), and self-rated low QOL (NNT = 2, NNH > 2,000). We found that QOL improving interventions helped or cured 30–90% of the patients, typically within one year, independent of the type of health problem. “QOL as medicine” seems to be able in improving chronic mental, somatic and sexual health issues without side effects.     

The Relationship Between Hope,Eustress, Self-Efficacy,and Life Satisfaction Among Undergraduates

The construct of eustress was studied alongside hope and self-efficacy, to explore how these constructs are related to life satisfaction among undergraduates. Questionnaires were administered to undergraduates to test the hypotheses that (1) as eustress levels increase, so will life satisfaction levels; (2) when eustress, hope, and self-efficacy are examined together, they will predict life satisfaction better than eustress alone; (3) eustress, hope, and self-efficacy will all be positively correlated with life satisfaction; and (4) self-efficacy will be the most positively correlated with life satisfaction. The results revealed a significant positive correlation between eustress and life satisfaction. A Hierarchical Linear Regression analysis revealed significant results supporting hypotheses 2 and 3, but not hypothesis 4. Results indicated that hope is the best predictor of life satisfaction. The work reported provides a reliable tool for measuring eustress, examines eustress in a new way at the academic level, and provides helpful information about student wellness to college administrators.     

Financial Satisfaction and (in)formal Sector in a Transition Country

This paper examines the relationship between working in the formal or informal sector and self-reported individual financial satisfaction in a country in transition. It does so by allowing for individual heterogeneity in terms of perceived financial insecurity and tax morale. The empirical analysis uses a dataset for Albania, a country in transition. The method applied is the ‘self-administered questionnaire’, which combines personal contacts with written questionnaire. The results indicate that, for most individuals, working in the informal sector has negative effects on their self reported financial satisfaction. For some individuals, however, this effect is positive. The characteristic defining these two groups of individuals is their attitude towards the perceived financial insecurity related to not paying taxes. These findings have important implications, in particular for transition countries with large informal sectors. Given the involuntary participation in the informal sector in these countries, the majority of individuals working in this sector will remain financially dissatisfied as long as they have no other social safety net.     

The Impact of School Violence on Self-Esteem and Depression Among Taiwanese Junior High School Students

The majority of research on the outcome of school violence has been conducted in Western countries. Empirical studies on how school violence impacts student psychological well-being in a Chinese cultural context are relatively limited. The aim of this study was to address this gap by exploring how student maltreatment by teachers, student perpetration against students, and student victimization by other students affected the self-esteem and depression of 1,376 junior high school students in Taiwan. The current study also explored how gender, family socioeconomic status (SES), student–teacher relationships and peer support moderate the impact of school violence. Structural equation analyses showed that student victimization by students and student perpetration of violence against students successfully predicted depression, but not self-esteem. Student maltreatment by teachers was associated with neither depression nor self-esteem. Multigroup analyses showed that relationships among the variables were similar across gender, family socioeconomic status, or student–teacher relationships. However, the impact of student victimization on depression was stronger for subgroups with a low level of peer support than for those with a high level of peer support. The overall findings suggest that depression is the major consequence of school violence in Taiwan and that the impact of student victimization by fellow students on depression is buffered by positive peer support. Implications for theory, intervention and recommendations for future research are discussed.     

Subjective Well-Being and Social Capital in Belgian Communities. The Impact of Community Characteristics on Subjective Well-Being Indicators in Belgium

In this article, we investigate the effect of individual and community level characteristics on subjective well-being in Belgium. Various indicators for subjective well-being are being used in a multilevel analysis of the 2009 SCIF survey (n = 2,080) and the 2006 Belgian ESS sample (n = 1,798). On the individual level, most hypotheses on the determinants of subjective well-being were confirmed. Living with a partner and age were shown to have strong effects, but also social capital indicators had a significant positive effect on subjective well-being. All these effects remained significant controlling for optimism. On the community level, especially unemployment rate had a negative impact on subjective well-being. The analysis further demonstrates that in homogeneous regions, community characteristics have a far weaker impact on subjective well-being indicators than in economically more heterogeneous regions.     

Feeding Patterns and Emotional Care in Breastfed Infants

A number of studies have suggested breastfed infants have improved bonding and attachment or cognitive development outcomes. However, mechanisms by which these differences might develop are poorly understood. We used maternal time use data to examine whether exclusively breastfeeding mothers spend more time in close interactive behaviors with their infants than mothers who have commenced or completed weaning. Mothers (188) participating in a time use survey recorded infant feeding activities for 24 h over a 7 day period using an electronic device. Tracking was conducted at 3, 6, and 9 months postpartum. Data was collected for maternal activities including infant feeding and time spent in emotional care. The mothers of exclusively breastfed infants aged 3–6 months fed them frequently and total time spent in breastfeeding averaged around 17 h a week. Maternal time spent in emotional care was also substantial, and found to correlate positively with time spent breastfeeding. Exclusively breastfed infants received greatest amounts of emotional care from their mother, and exclusively formula fed infants the least. Mixed fed infants received more emotional care time than formula fed infants, but less than fully breastfed infants. These findings may help explain the differential cognitive developmental outcomes reported in the medical literature for breastfed and non breastfed infants.     

The Short-Term Impact of Involuntary Migration in China’s Three Gorges: A Prospective Study

The aim of this study is to measure the short-term impact of involuntary migration resulting from China’s Three Gorges Dam project on the 1.3 million persons being displaced. We focus on the social, economic, and mental and physical health impact using three sets of indicators. Using a prospective research design, we gathered information about these indicators from a sample of migrants first before they moved and then again after they moved. Changes in the migrants’ wellbeing during the period, when benchmarked to corresponding changes computed for a control group of non-migrants, are attributed to the impact of involuntary migration. Our results showed that although the displaced have enjoyed a relative gain in housing quality, most of the changes were in the negative direction and many of such negative changes were statistically significant.     

Geography of European Life Satisfaction

The vast majority of studies analyze life satisfaction at individual and/or country level. This study contributes with analysis of life satisfaction at the (sub-national) province level across multiple countries. The purpose of this study is to call attention to spatial aspects of life satisfaction. Literature does not discuss the fact that life satisfaction in one province may be related to life satisfaction in other provinces. This study shows that there are well-defined happiness clusters in Europe, but also some outliers.     

The Incompatibility of Materialism and the Desire for Children: Psychological Insights into the Fertility Discrepancy Among Modern Countries

We examined factors related to attitudes toward marriage and the importance of having children in both the US and Singapore. Path analysis indicated that life dissatisfaction leads to materialism, and both of these factors lead to favorable attitudes toward marriage, which leads to greater desire for children. Further analysis indicated this model was effective in explaining the difference in desire for children between Singaporeans and Americans, whereby Singaporeans have lower life satisfaction, higher materialism, and lower attitudes toward marriage and children. Materialistic standards of success were also related to the emphasis women placed on potential marriage partners’ earning capacity. As Singaporean women had higher materialistic standards, they also placed higher emphasis on potential mates’ earning capacity. Results suggest a consideration of psychological variables such as life satisfaction, materialism, and mate preferences may lead to a better understanding of larger-scale socioeconomic issues, including low fertility rates among developed East Asian countries.