Self-appraisal, life satisfaction, and retrospective life choices across one and three decades.

This research investigated the relationship of a self-appraisal of having lived up to one's intellectual abilities at midlife (average age of 49 years) with life satisfaction and retrospective life choices 1 and 3 decades later among 383 participants in the Terman Study of the Gifted. Study 1 showed that participants who reported living up to their intellectual abilities were higher in satisfaction with occupational success, satisfaction with family life, and joy in living 11 years later. Study 2 showed that participants who reported living up to their abilities were higher in overall life satisfaction and were less likely to report that they would make different life choices in work or family life 3 decades later. In an integrative structural equation model, the relation between the midlife self-appraisal of having lived up to intellectual abilities and overall satisfaction at age 80 was mediated by life satisfaction discrepancy at age 61.     

Women’s occupational career patterns over 27 years: Relations to family of origin, life careers, and wellness

This study aimed at identifying and describing occupational career patterns (OCPs) from age 16 to 43 by applying optimal matching techniques to sequence data obtained from a sample of Swedish women. Women’s occupational trajectories were found to be diverse. Upward mobility (3 patterns) and stable careers (4 patterns) were prevalent, but there were also women characterized by downward mobility, fluctuation and being outside the labor market (1 pattern each). Women’s OCPs were related to family of origin, but more strongly to their overall life career (i.e., multiple role constellations over the life course). The study indicates that occupational mobility patterns do matter in terms of job perceptions, work attitudes, and quality of life. The results generally confirm the popular belief of the advantage of upward mobility, followed by stable occupational careers, whereas women with downward or fluctuating careers fared worst.     

Life Balance and Well‐Being: Testing a Novel Conceptual and Measurement Approach

ABSTRACT Although a balanced life has always been viewed as desirable, there are problems with extant conceptualizations and measures of this construct. Here we introduce 2 new life‐balance measures, based on time‐use profiles, that address these problems. One defines life balance as objectively equitable time use across multiple life domains, and the other defines life balance as low subjective discrepancy between actual and ideal time‐use profiles. Study 1 finds that both measures predict concurrent well‐being, in both U.S. and Indian samples. Study 2 shows that fluctuations in balance predict fluctuations in well‐being over a 3‐week period. Study 3 replicates the Study 1 findings using a different time assessment technique, based on the Day Reconstruction Method. Study 4 assigns participants the month‐long goal of enhancing their life balance, finding that those who achieve this goal enhance their well‐being. In all 4 studies, the balance effects on well‐being were mediated by psychological need satisfaction associated with balance.     

The Impact of Social Anxiety on Occupational Participation in College Life

Social anxiety is a reality for many college students. This study explored the impact of social anxiety on the occupational participation in daily life of six Irish students. Semi-structured interviews were used to explore participants’ daily routines, coping mechanisms, and interaction with the environment. The study aims to inform occupational therapists, academics, and other healthcare professionals of the impact of the condition on the daily life of college students. Qualitative data analysis showed that participants described negative beliefs about themselves and had concerns about how they were perceived by others. This affected their ability to fully participate in the student role.     

Predicting Re-Victimization of Battered Women 3 Years After Exiting a Shelter Program

This study examined interpersonal and ecological predictors of re-victimization of a sample of women with abusive partners. All women (N = 124) had sought refuge from a battered women’s shelter 3 years earlier, and half the sample had been randomly assigned to receive free, short-term advocacy services immediately upon exit from the shelter. Results 2 years post-intervention revealed positive change in the lives of participants (C. M. Sullivan & D. Bybee, 1999), including a decrease in abuse for women who had worked with advocates. The current study examined intervention effects 3 years after the program ended, as well as other predictors of re-abuse. Nineteen percent of the original sample had experienced domestic violence between 2 and 3 years after shelter exit (65% by current partners, 35% by ex-partners). The advocacy program’s effect on risk of re-victimization did not continue 3 years post-intervention. However, having worked with an advocate 3 years prior continued to have a positive impact on women’s quality of life and level of social support. The risk of being abused 3 years post-shelter stay was exacerbated by a number of factors present 1 year prior, including women’s (1) having experienced abuse in the 6 months before that point; (2) having difficulties accessing resources; (3) having problems with the state welfare system; and (4) having people in their social networks who made their lives difficult. Women were at less risk of abuse if, 1 year earlier, they (1) were employed; (2) reported higher quality of life; and (3) had people in their networks who provided practical help and/or were available to talk about personal matters. These findings support the hypothesis that access to resources and social support serve as protective factors against continued abuse.     

Perceived Occupational Concerns and Sensory Processing Patterns of Mothers in a Temporary Assistance for Needy Families (TANF)-to-Work Program

In this study, the authors examine the perceived occupational concerns, typical daily routines, and sensory processing of mothers in a mandatory Temporary Assistance for Needy Families return to work program. Participants were five female members of a transitional work program for single parents with mental illness. The Canadian Occupational Performance Measure and the Adult Sensory Profile were administered. The study found that the most frequently identified occupational problems were leisure and self-care. All participants scored as having at least one atypical sensory processing pattern. Future research should investigate the efficacy of an occupational therapy intervention on this population's return to employment.     

中小幼教师职业倦怠对心理生活质量的影响:主观幸福感与人生意义的中介作用

为了解中小学、幼儿园教师职业倦怠的现状,探讨主观幸福感和人生意义在职业倦怠对心理生活质量影响的中介作用机制,采用“中小学教师职业倦怠问卷”“心理生活质量评价问卷”“主观幸福感量表”和“人生意义感量表”对广东省581名中小学和幼儿园教师实施调查。结果表明:(1)中小幼教师职业倦怠、主观幸福感、人生意义和心理生活质量两两间存在显著的相关关系;(2)中小幼教师职业倦怠能显著负向预测心理生活质量和主观幸福感; 主观幸福感能显著正向预测心理生活质量、人生意义; 人生意义能显著正向预测心理生活质量;(3)主观幸福感与人生意义在职业倦怠对中小幼教师心理生活质量影响间的链式中介作用成立。     

A Longitudinal Study of Predictors of Housing Stability,Housing Quality,and Mental Health Functioning Among Single Homeless Individuals Staying in Emergency Shelters

The current study examined risk and resilience factors at multiple levels that affect homeless individuals' ability to exit homelessness and achieve housing stability. It also examined the relationship between housing status, housing quality and mental health functioning. The methodology is a longitudinal study of single homeless individuals staying in emergency shelters in a medium‐sized Canadian city who were followed for a 2 year period. Data were collected from participants at a baseline interview when they were homeless and at a 2‐year follow‐up. There were 329 participants interviewed at baseline and 197 (59.9%) participants interviewed at follow‐up. Results from a structural equation modelling analysis found that having interpersonal and community resources were predictive of achieving housing stability. Specifically, having a larger social support network, access to subsidized housing, and greater income was related to achieving housing stability. On the other hand, having a substance use problem was a risk factor associated with a failure to achieving housing stability. Being female, feeling personally empowered, having housing that is perceived of being of higher quality were directly predictive of mental health functioning at follow‐up. Findings are discussed in the context of previous research and their policy implications.     

Early predictors of career development: A 10-year follow-up study

This paper presents empirical findings from a 10-year longitudinal study of the educational and occupational socialization of 445 participants who were about 7 years old when first tested, and about 17 years old at the fourth time of measurement. In addition to collecting psychological measurements from the participants, behavioral reports were collected from significant others, specifically parents and teachers. Findings demonstrated that the life/career evolution of the participants can be understood only when taking into account the dynamic interaction between the unique personal characteristics of individuality of each person and the psychosocial theatre within which the person’s development takes place. Using the life-span, life-space framework of Super, and the Developmental-Contextual model from Vondracek, different emerging early predictors with unique impact on the process of educational and occupational socialization were identified, especially with respect to the probability of dropping out of school. Results in terms of gender, parental influences, psychological characteristics, and social context are discussed with regard to their potential implications for psychological interventions in schools, families, and occupational settings, as well as with regard to personal counseling in what concerns the management of life circumstances and behavioral ecosystems.     

The Perception of Persons with Anorexia Nervosa on Quality of Life: an Initial Investigation

Anorexia nervosa (AN) is an illness with a large impact on an individual’s quality of life, affecting relationships with friends and family, social inclusion, employment, personal development, and physical health, among other domains. However, most QoL studies primarily focus on health-related QoL without paying attention to the psychosocial and subjective aspects of QoL. In this study, QoL in persons with AN is investigated from a broad perspective. More specifically, this study aims at (1) gaining insight into the personal meaning of QoL of persons recovering from AN, (2) specifying the indicators of the QoL model of Schalock (J Intellect Disabil Res 48(3):203–216, 2004) for persons with AN, and (3) exploring the relationship between a specific treatment program and the perception on QoL of persons with AN. Therefore, in-depth interviews were conducted with 17 persons recovering from AN, who are supported by Empathie, a therapeutic center in Flanders, using solution-focused therapy and client-centered therapy, combined with a systemic orientation. The participants spontaneously mentioned the following themes when asked which elements are important to have a good QoL: interpersonal relationships, personal development, being able to relax, self-determination, and having a healthy lifestyle. Each domain of the QoL model of Schalock was operationalized into specific indicators for persons with AN. These indicators can help service providers to tailor their support strategies to the needs of each patient. The participants reported that being in therapy had positively influenced the following domains: interpersonal relationships, emotional well-being, self-determination, and social inclusion.     

Hoping to Live a “Normal” Life Whilst Living with Unpredictable Health and Fear of Death: Impact of Cystic Fibrosis on Young Adults

This study aimed to explore the hopes and fears of young adults with cystic fibrosis (CF). Fifteen young adults with CF, aged 18–29, were interviewed about their hopes and fears using a grounded theory approach. Five themes were identified during the analysis: perceptions of living with unpredictable health and fear of death and dying; hopes for normality; hopes for a normal relationship and/or marriage; hopes for having children; and hopes for a normal work life. Participants feared the unpredictable nature of CF and the suffering that they believed they would have to endure due to ill health before premature death. Despite their fears, participants hoped to live a “normal” life by achieving their hopes of having long-lasting relationships, having children and pursuing a career. The findings highlight the need to help alleviate the fears of young adults with CF and to enable them to plan to achieve their hopes, hence giving them a sense of control over their condition.     

Perceived emotion suppression and culture: Effects on psychological well‐being

Whether the negative effects of emotion suppression on psychological well‐being are applicable cross‐culturally is a long‐debated topic. The present study attempted to shed light on this debate, focusing on the effects of perceived emotion suppression and examining the psychological processes leading from perceived emotion suppression to lower psychological well‐being. We used a scale manipulation to lead 196 American and 213 Chinese participants to perceive themselves as having suppressed their emotions to a greater or lesser extent and then measured their life satisfaction. As expected, both the American and Chinese participants reported lower life satisfaction in the high‐suppression condition than in the low‐suppression condition; this negative effect was mediated by positive affect and moderated by self‐esteem. Specifically, perceived high emotion suppression decreased positive affect, which in turn led to lower well‐being. This effect was observed only for those with low self‐esteem, but the patterns and mechanisms were consistent cross‐culturally.     

Quality of Life in Patients with Chronic Pain- A Study in Indian Population Using European Organization for Research and Treatment of Cancer(EORTC) Questionnaire

Quality of life in chronic pain Health-related quality of life was compared in patients of chronic pain with that of general population.We designed this study as a prospective, observational trial in a tertiary care centre. Quality of life was measured using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30). The EORTC QLQ-C30 is a valid alternative to the SF-36 in the assessment of QOL in patients with chronic pain especially when a broader assessment of symptoms is desired. All participants completed a set of questionnaires on demographic variables, cause, pain intensity (VAS) and quality of life (EORTC qlq c30). A total of two hundred participants were enrolled including 100 patients with chronic pain. Chronic pain was defined as one which is persisting beyond 3 months. The study revealed significantly decreased quality of life in patients with chronic pain as compared to general population (p?<?0.001). Patients with chronic pain had significantly decreased score in Physical functioning, Role functioning, emotional and social functioning on functional scales and increased scores of pain, fatigue, sleep disturbances and financial difficulties on symptom scales. The study revealed sex-related differences on the QoL with females having a lower global QOL. It is thus concluded that patients with chronic pain especially females have decreased quality of life as compared to general population     

Correlates of Happiness Among Older Spanish Institutionalised and Non-Institutionalised Adults

The overall objective of this study was to explore the current (i.e., at the time of the study) and past (i.e., over their lifetimes) happiness of 65-year-old and older men and women who had different personal and socio-demographic characteristics. We also investigated the role of affect balance and life satisfaction as sources of participants’ subjective well-being, as well as the contribution of other psychosocial variables, including self-efficacy, optimism, health and quality of life, stress, social support and leisure, and of socio-demographic conditions. Further, we examined the influence of institutionalisation on happiness and on the aforementioned psychosocial variables. Participants voluntarily completed self-reports regarding all of these variables. Participants’ current happiness (M = 6.6 on a 0–10 scale) was significantly lower than their past happiness (M = 7.7). The happiness of the institutionalised participants did not differ from that of the non-institutionalised participants, although significant differences were found for a number of psychosocial variables. Affect balance and life satisfaction were significant correlates and predictors of current happiness, which was also associated with many psychosocial variables and was further predicted by past happiness, health indicators and some life dimensions assessed as perceived sources of one’s own happiness, such as a sense of autonomy and independence. Our results highlight the importance of establishing both happiness and its correlates to develop interventions aimed at promoting subjective well-being in older people, given that, compared to earlier periods in life, happiness may be reduced in late adulthood.     

A telehealth intervention for veterans on antiviral treatment for the hepatitis C virus

The standard treatment for chronic hepatitis C (pegylated interferon and ribavirin) causes challenging physical and psychological side effects. The current pilot study evaluated the efficacy of a brief, telephone-based, cognitive-behavioral self-management intervention designed to address mood and quality of life within a sample of veterans on antiviral treatment for hepatitis C. Results from this pilot study support the feasibility of this telehealth intervention, showing that veterans were highly satisfied with the content of the intervention and compliant with the telephone calls. Findings further indicate that symptoms of depression and anxiety and mental health quality of life either remained stable or improved in those participants who received the brief telephone intervention, while those receiving usual care showed significant declines in mood and mental health quality of life. The findings from this study provide evidence that a brief, clinician-administered phone intervention may help individuals on antiviral therapy for hepatitis C to cope more effectively with the negative treatment side effects.     

Coping with a child who stutters: A phenomenological analysis

Qualitative methods were used in the form of a phenomenological analysis to explore how families cope with having a child who stutters. Twelve participants, 2 men and 10 women, who have children who stutter participated in this study. The participants were asked to consider their experiences with being the parent of a child who stutters. Analysis of these data resulted in 3 primary categories. The results indicate that parents experience and cope with stresses associated with being the parent of a child who stutters. The participants described feelings of uncertainty and concern as well as the desire to do what is best for their children. Results highlight the importance of providing information and avenues of support that will help parents more effectively cope with having a child who stutters.Educational objectives: The reader will be able to: (a) describe, from the perspective of a parent of a child who stutters, the themes associated with the process of coping with a child who stutters, (b) describe types of coping resources, (c) describe the factors that influence the choice to use emotion-focused and problem-focused coping strategies, and (d) describe four specific areas to consider when providing resources for families of children who stutter.     

Opioid Substance Abuse Among Occupational Therapy Clients

This study examined opioid substance abuse among clients of occupational therapists. A sample of 500 occupational therapists, representing five targeted clinical practice areas, was randomly selected from American Occupational Therapy Association membership. Of these, a total of 182 participants ultimately responded to postal surveys. Results found one third considered opioid substance abuse a problem at their facility, and over half reported having one or more clients known to be or suspected of abusing opioids. Moreover, one in five reported having a client exhibit symptoms of overdose. Recommendations for a concerted response by the profession of occupational therapy to this nationwide epidemic are presented.     

Youth Initiated Mentoring: Investigating a New Approach to Working with Vulnerable Adolescents

This study examines youth initiated mentoring (YIM), a new approach to mentoring in which youth nominate mentors from among the non-parental adults within their existing social networks (e.g., teachers, family friends, extended family members). YIM is currently being implemented through the National Guard Youth ChalleNGe Program (NGYCP), an intensive residential intervention program for youth ages 16–18 who have dropped out or been expelled from high school. This study employed a mixed methods explanatory design, drawing on quantitative data from a national longitudinal evaluation of NGYCP (N = 1,173) and qualitative data from a subsample of participants (N = 30) in the evaluation. Results indicated that more enduring mentoring relationships were associated with increased retention of educational, vocational, and behavioral outcomes 3 years following entry into the study. Qualitative data suggested that, when relationships endured, mentors contributed to improvements in participants’ educational and occupational success, quality of relationships with parents, peers, and others, and self-concept by providing social-emotional support, instrumental support, and guidance. Results also revealed that relationships were more likely to endure when youth chose their mentors on their own (rather than receiving help from parents or program staff) and when mentors were of the same race as youth. Implications for research and practice are discussed.     

Age differences in life stories and neuroticism mediate age differences in subjective well-being

We examined whether age differences in life stories and personality traits mediated age differences in subjective well-being. One hundred one young, 77 middle-aged, and 81 older participants completed measures of subjective well-being and personality traits. They described chapters and specific memories in their life stories and rated these on emotional tone and positive and negative self-event connections. Older participants scored higher on subjective well-being, rated their life stories as more positive, and scored lower on neuroticism compared with both young and middle-aged participants. Age differences in subjective well-being were mediated by life stories and neuroticism, with neuroticism being the strongest mediator. We suggest that changes in personality may enable older individuals to interpret events and themselves in a positive light, which help enhance their subjective well-being.