Measuring the quality of life: Why,how and what?

In this paper three questions concerning quality of life in medicine and health care are analysed and discussed: the motives for measuring the quality of life, the methods used in assessing it, and the definition of the concept. The purposes of the study are to find an ethically acceptable motive for measuring the quality of life; to identify the methodological advantages and disadvantages of the most prevalent current methods of measurement; and to present an approach towards measuring and defining the quality of life which evades the difficulties encountered and discussed. The analysis comprises measurements both in the clinical situation concerning individual patients and in research concerning whole populations. Three motives are found for evaluating the quality of human life: allocation of scarce medical resources, facilitating clinical decision making, and assisting patients towards autonomous decision making. It is argued that the third alternative is the only one which does not evoke ethical problems. As for the methods of evaluation, several prevalent alternatives are presented, ranging from scales of physical performance to more subtle psychological questionnaires. Clinical questionnaires are found to fail to provide a scientific foundation for universally measuring the quality of life. Finally, the question of definition is tackled. The classical distinction between need-based and want-based theories of human happiness is presented and discussed. The view is introduced and defended that neither of these approaches can be universally preferred to the other. The difficulty with the need approach is that it denies the subjective aspects of human life; whereas the problem of the want approach is that it tends to ignore some of the objective realities of the human existence. In conclusion, it is argued that the choice of methods as well as definitions should be left to the competent patients themselves — who are entitled, if they so wish, to surrender the judgement to the medical personnel. Technical factors as well as the requirements of respect for autonomy and informed consent support this conclusion.     

Life satisfaction and satisfaction in domains of life: is it a simple relationship?

This paper studies the nature of the relationship between life satisfaction and satisfaction in domains of life. The domains-of-life literature assumes that a person’s overall satisfaction with his or her life depends on his or her satisfaction in many concrete areas of life, which are classified into a few main domains of life. This paper addresses the issue of what characteristics the relationship between life satisfaction and satisfaction in domains of life has by focusing on its specification. The domains-of-life literature has commonly assumed that an additive relationship between domains satisfaction and life satisfaction does exist. This paper argues that the use of an additive relationship has substantially restricted our comprehension of the relationship; since it makes impossible to empirically address questions such as: Is life satisfaction just a weighted average of domain satisfactions? How easy is it to substitute satisfaction in one domain by satisfaction in another? Is it reasonable to expect similar additional benefits when we continuously improve satisfaction in one domain? What happens with our life satisfaction when we manage to continuously improve satisfaction in all domains? What happens with the importance of one domain when satisfaction in another domain declines? The paper argues that there could be substantial gains in the understanding of the relationship by assuming alternative specifications. At an empirical level the investigation works with four different specifications: an additive relationship, a semi-logarithm relationship, a logarithm–logarithm relationship, and a constant elasticity of substitution (CES) relationship. Using a database from Mexico, the investigation finds out that an additive specification provides – at least for Mexico – a goodness of fit similar to those of alternative specifications. However, there are some relevant issues in the relationship between domains satisfaction and overall life satisfaction that cannot be studied with an additive specification; hence, the?use of an alternative specification – in particular a CES specification – is preferable if the objective is to understand rather than to predict life satisfaction.     

Token economy: who responds how?

Token economy programs (TEP) can successfully modify a variety of specific and generalized behaviors in clinical populations (Gripp and Magaro, 1974). but this general success is offset by the frequent occurrence of individual nonresponsiveness (Kazdin. 1973), Two solutions to the problem of nonresponsiveness have been proposed. One proposal regards the nonresponder as needing intensified training with behavioral methods while the other suggests that the operant paradigm may be inappropriate or inefficient with such patients. In either case, it would be helpful to identify potential nonresponders before or shortly after their introduction to a TEP in order that alternative treatments or pretraining might be developed to suit them while reserving the TEP for those who could derive maximum benefit from it. However, little consistent relationship between individual responsiveness and other patient-related characteristics has been found upon which to base such judgements. The present research examined the changes in response to treatment over time of a TEP population and its component diagnostic groups with the hypothesis that distinct and unique patterns of response would be associated with the diagnostic groups and that the patterns would be different from that shown by the total group.     

Outcomes of work–life balance on job satisfaction,life satisfaction and mental health: A study across seven cultures

This study investigates the effects of work–life balance (WLB) on several individual outcomes across cultures. Using a sample of 1416 employees from seven distinct populations – Malaysian, Chinese, New Zealand Maori, New Zealand European, Spanish, French, and Italian – SEM analysis showed that WLB was positively related to job and life satisfaction and negatively related to anxiety and depression across the seven cultures. Individualism/collectivism and gender egalitarianism moderated these relationships. High levels of WLB were more positively associated with job and life satisfaction for individuals in individualistic cultures, compared with individuals in collectivistic cultures. High levels of WLB were more positively associated with job and life satisfaction and more negatively associated with anxiety for individuals in gender egalitarian cultures. Overall, we find strong support for WLB being beneficial for employees from various cultures and for culture as a moderator of these relationships.     

Do materialism,intrinsic aspirations,and meaning in life predict students’ meanings of education?

Though there is a deep literature on factors that predict college attendance and on the effects of college attendance on students’ development, there has been little research on what education actually means to students themselves. This study was conducted to examine whether materialism, intrinsic aspirations, and the search for meaning in life predicted a set of ten meanings that students are known to associate with their education. Multiple regression analyses indicated that students who were high on materialism viewed their education as an opportunity to gain independence, a chance to establish relationships, and a source of stress. Individuals high on intrinsic aspirations were more likely to see education as a time for career preparation, gaining independence, exploring future life directions, learning, engaging in personal growth, establishing social relationships, and learning skills to make a difference in the world, but they were less likely to view education as an escape from future responsibilities. As expected, the findings also revealed that individuals who sought meaning in life viewed education as a way to gain independence, explore life directions, engage in personal growth, establish relationships, learn skills that will help change the world, and escape future responsibilities.     

All in the name of work? Nonwork orientations as predictors of salary,career satisfaction,and life satisfaction

Career development increasingly demands a successful integration of work and nonwork domains. Based on work-nonwork conflict and enrichment theories, this study explored the relationship between nonwork orientations (i.e., family, personal life, and community) and both objective (i.e., salary) and subjective (i.e., career satisfaction) career success and life satisfaction over a period of six months among a sample of 548 employees from Germany. The results generally support the enrichment perspective. Family orientation showed a positive relationship with career satisfaction. All three nonwork orientations, especially family orientation, were positively related to life satisfaction. We also explored gender and age effects but found no differences in nonwork orientations between young employees aged 25–34 years and older workers aged 50–59 years. Men showed lower levels of personal life orientation than women, but no differences in family or community orientation based on gender were found. We also did not observe gender x age interaction effects. We discuss the study's implications for a whole-life perspective on career development, career success, and well-being.     

Who self-initiates gratitude interventions in daily life? An examination of intentions,curiosity, depressive symptoms,and life satisfaction

Despite a variety of interventions to increase well-being, little is known about who is interested in and initiates exercises on their own. We explored individual differences that predict who is most likely to participate in a voluntary gratitude intervention. College students (n = 226) completed measures of curiosity, depressive symptoms, life satisfaction, and intentions to change their lifestyle. Afterwards, participants received a personalized invitation to take part in a web-based intervention to enhance their well-being (anonymous and strictly voluntary). Results suggested that 11.5% of participants started the gratitude intervention. Individuals endorsing strong intentions to change their lifestyle (+1 SD above mean) were 2.2 times more likely than their peers to start the gratitude intervention. People with greater trait curiosity endorsed greater intentions to start this intervention; people with greater depressive symptoms endorsed weaker intentions. Both curiosity and depressive symptoms indirectly influenced initiation of the gratitude intervention via intentions. These findings provide support for particular paths that lead to the initial behavioral effort towards healthy change. We discuss the implications for attempting to increase and sustain people’s well-being.     

Conservatives are happier than liberals, but why? Political ideology, personality, and life satisfaction

Political conservatives are happier than liberals. We proposed that this happiness gap is accounted for by specific attitude and personality differences associated with positive adjustment and mental health. In contrast, a predominant social psychological explanation of the gap is that conservatives, who are described as fearful, defensive, and low in self-esteem, will rationalize away social inequalities in order to justify the status quo (system justification). In four studies, conservatives expressed greater personal agency (e.g., personal control, responsibility), more positive outlook (e.g., optimism, self-worth), more transcendent moral beliefs (e.g., greater religiosity, greater moral clarity, less tolerance of transgressions), and a generalized belief in fairness, and these differences accounted for the happiness gap. These patterns are consistent with the positive adjustment explanation.     

Does life satisfaction change with age? A comparison of Estonia, Finland, Latvia, and Sweden

In this study, the relationship between age and life satisfaction was examined over a period of 27 years (1982-2009) in four countries—Estonia, Finland, Latvia, and Sweden—using nationally representative samples of adults between the ages of 15 and 100 from the European Value Survey, the World Values Survey, and the European Social Survey (total N = 39,420). Unlike in Finland and Sweden, the relationship between age and subjective well-being in Estonia and Latvia was best described as curvilinear, with younger and older people having higher levels of life satisfaction. The observed age differences in life satisfaction in Estonia and Latvia, however, seem to be due to an interaction of cohort and period differences.     

Is the good life characterized by self-control? Perceived regulatory success and judgments of life quality

To what extent do people view self-control as central to achieving a healthy, high-quality life? While scientific evidence strongly supports the notion that self-control is associated with successful adaptation and optimal functioning, we examine whether individuals connect this trait with positive outcomes. In Study 1, participants rated the likelihood that an individual with high self-control (or self-esteem) would experience good health and a high-quality life. Studies 2–3 experimentally portrayed a target person as high or low in self-control (and self-esteem) before participants rated the target on an array of positive outcomes. Across studies, self-control was perceived as less strongly connected with a high-quality life than self-esteem. Mediation analyses suggest that people link self-esteem (but not self-control) with healthy behaviors that, in turn, lead to superior perceived physical and psychological health. While self-esteem is strongly associated with lay concepts of the good life, the importance of self-control may be comparatively under-recognized.     

Preparing for retirement: how self-efficacy and resource threats contribute to retirees’ satisfaction,depression, and losses

The resource-based dynamic perspective has been applied in this study to explore retirees’ satisfaction, depression, and actual loss of resources. A three-wave design with Spanish workers who were in transition to retirement (N = 286) was used with the aim of investigating correlations between pre-retirement variables and post-retirement well-being. Participants were working at Time 1 and Time 2 but at Time 3, they had retired in the past year. Individual attributes (age), access to resources (life satisfaction and depression), situational characteristics (job stress, job tenure, and retirement transition quality), and psychological disposition (general self-efficacy and positive retirement expectations) at the first wave, correlated with the threat of loss at the second wave. Moreover, these predictors explained how people adjust to retirement at the third wave, assessed both directly (actual loss of resources) and indirectly (satisfaction with retirement and depression), via their effects on Time 2 variables. The results revealed that threat of loss had a positive relationship on loss of resources after retirement, and also both on retirement satisfaction and depression after retirement. Hence, this suggested several avenues for intervention targeting expectations and, in turn, increasing retirees’ well-being, which are discussed.     

Tell me who you are,and I will tell you how you feel?

Surprisingly little is known about the suggested mediator role of emotional intelligence and mood‐regulation regarding the relationship between personality and subjective well‐being. Three independent samples were administered to investigate whether EI and mood‐regulation served as mediators for subjective well‐being beyond personality. Using structural equation modelling, the authors demonstrated the superior role of extraversion and neuroticism in explaining satisfaction with life, happiness, positive and negative affect. Consistent mediation effects were found for the trait meta‐mood of repair. Contrary to expectations, the remaining variables (attention, clarity, self‐efficacy of affect regulation) did not mediate the relationship between personality and well‐being; neither did they show substantial incremental validity in explaining variance in SWB. Results are discussed with regard to methodological issues and practical implications. Copyright © 2009 John Wiley & Sons, Ltd.     

The empathic brain: how, when and why?

Recent imaging results suggest that individuals automatically share the emotions of others when exposed to their emotions. We question the assumption of the automaticity and propose a contextual approach, suggesting several modulatory factors that might influence empathic brain responses. Contextual appraisal could occur early in emotional cue evaluation, which then might or might not lead to an empathic brain response, or not until after an empathic brain response is automatically elicited. We propose two major roles for empathy; its epistemological role is to provide information about the future actions of other people, and important environmental properties. Its social role is to serve as the origin of the motivation for cooperative and prosocial behavior, as well as help for effective social communication.     

Work–family enrichment,job satisfaction,and work engagement: The mediating role of subjective career success

Objective: The aim of the study was to explore the possible indirect effect of subjective career success on the relationship between work–family enrichment and job satisfaction and work–family enrichment and work engagement. Method: A cross-sectional, quantitative research design approach was followed using a convenience sample (N = 334). Results: Results revealed that work–family enrichment was not only positively related to subjective career success, job satisfaction and work engagement, but also predictive of the mentioned constructs. Furthermore, subjective career success was found to indirectly effect the relationship between work–family enrichment and job satisfaction and work engagement. Conclusion: Using the resource-gain-development framework, new insights are provided into the processes and mechanisms relating to work–family enrichment. Our findings suggest that resources are creating positive affect in not only the work and career domains of employees, but also leading to more engaged and satisfied employees. (i.e., the indirect effect of subjective career success). Organisations can benefit when they enhance work environments (e.g., by providing relevant resources) to promote work–family enrichment and, by implication, subjective career success and positive work outcomes such as job satisfaction and work engagement.     

Early adolescents’ personality and life satisfaction: A closer look at global vs. domain-specific satisfaction

We examined relations between US early adolescents’ major personality traits and global life satisfaction (LS) and satisfaction in five specific domains (i.e., family, friends, school, self, living environment). A sample of 344 7th graders completed the Adolescent Personal Style Inventory (Lounsbury et al., 2003), which assesses the Big Five traits of neuroticism, extraversion, openness, agreeableness, and conscientiousness. Furthermore, participants completed the Students’ Life Satisfaction Scale (Huebner, 1991) and the Multidimensional Students’ Life Satisfaction Scale (Huebner, Zullig, & Saha, 2012), assessing global and domain-specific satisfaction, respectively. Neuroticism (inversely), and conscientiousness, agreeableness, and extraversion (positively) were uniquely associated with early adolescents’ global LS, with neuroticism showing the strongest association. With respect to domain-specific satisfaction, neuroticism (inversely) and conscientiousness (positively) were uniquely related to satisfaction in all five domains. Extraversion displayed the strongest, unique (positive) association with friend and self-satisfaction reports. Openness displayed the strongest, unique (positive) association with school satisfaction. Agreeableness demonstrated a unique (positive) association with family satisfaction. The results demonstrated the importance of neuroticism in understanding early adolescents’ global LS, while the personality variables revealed varying patterns of relationships with domain-specific satisfaction reports.     

Personality and music: Can traits explain how people use music in everyday life?

This paper reports the results of a study on the relationship between individual differences and specific uses of music, referring to why and how people use music in everyday life. Questionnaire data from 341 respondents showed that open and intellectually engaged individuals, and those with higher IQ scores, tended to use music in a rational/cognitive way, while neurotic, introverted and non‐conscientious individuals were all more likely to use music for emotional regulation (e.g. change or enhance moods). Results suggest that individual differences in personality and cognitive ability may partly determine the way in which we experience music. Limitations and suggestions for future studies are discussed.     

Are life satisfaction and self-esteem distinct constructs? A black South African perspective

As part of a longitudinal project on Quality of Life, a study was undertaken to extend the applicability of the 5-item Satisfaction With Life Scale, developed in the USA, in South Africa. Data on basic sociodemographic characteristics, the scale, and the 10-item Rosenberg Self-esteem scale were available for 360 Black South Africans (151 men and 209 women), ages 21 to 83 years (M = 38.6 yr., SD = 10.3). Factor analysis applied to scale scores gave two factors, accounting for 71% of the variance. Factor I was loaded by 10 Self-esteem items and Factor II by four of the five Life Satisfaction items. Coefficient alpha was .77 for the Satisfaction With Life Scale and .97 for the Rosenberg Self-esteem Scale. Life Satisfaction was related to Self-esteem (r = .17, p < .01). It was concluded that Life Satisfaction and Self-esteem appear to be distinct, unitary constructs, but responses to Item 5 on the Satisfaction With Life Scale require cautious interpretation and may contribute to the weak r, although so may the collectivist culture of Black South Africans.     

Dynamic doxastic logic: why,how, and where to?

We investigate the research programme of dynamic doxastic logic (DDL) and analyze its underlying methodology. The Ramsey test for conditionals is used to characterize the logical and philosophical differences between two paradigmatic systems, AGM and KGM, which we develop and compare axiomatically and semantically. The importance of Gärdenfors’s impossibility result on the Ramsey test is highlighted by a comparison with Arrow’s impossibility result on social choice. We end with an outlook on the prospects and the future of DDL.     

Why are materialists less happy? The role of gratitude and need satisfaction in the relationship between materialism and life satisfaction

Materialism has been consistently related to lower levels of life satisfaction. We suggest that one reason for this negative relationship may be that high materialists find it harder to be grateful, and lower levels of trait gratitude may be related to unmet psychological needs. 246 undergraduate marketing students (129 female) completed self-report dispositional measures of materialism, gratitude, need satisfaction, and life satisfaction via online questionnaire. Statistical mediation analyses were performed using conditional process modeling. Consistent with predictions, gratitude and need satisfaction mediated the relationship between materialism and decreased life satisfaction in-sequence. Gratitude was also a direct mediator, whereas need satisfaction played an indirect role through its relationship with gratitude. Results may shed light on why those high in materialism are less happy than those low in materialism, and suggest possibilities for interventions to increase life satisfaction.