The effects of psychological interventions on well-being measured with the Mental Health Continuum: a meta-analysis

Journal of Happiness Studies - The last decades experienced a rapid growth in the number of studies examining the effects of psychological interventions on well-being, yet well-being is often...     

Measuring happiness: The higher order factor structure of subjective and psychological well-being measures

The nature and structure of well-being is a topic that has garnered increasing interest with the emergence of positive psychology. Limited research to date suggests two separate but related factors of subjective well-being and psychological well-being. Subjective well-being comprises an affective component of the balance between positive and negative affect, together with a cognitive component of judgments about one’s life satisfaction. Psychological well-being is conceptualised as having six components, including positive relations with others, autonomy, environmental mastery, self-acceptance, purpose in life and personal growth. In the current study, we used exploratory factor analysis and confirmatory factor analysis to examine the higher order factor structure of subjective and psychological well-being in a series of large UK samples. Analyses showed that subjective well-being and psychological well-being loaded separately onto two independent but related factors, consistent with previous research. Further, we demonstrated that these loadings did not vary according to gender, age or ethnicity, providing further support for the robustness of this higher order factor structure. The discussion locates these findings in context and explores future research directions on the associations between subjective and psychological well-being over time.     

Measuring happiness: The higher order factor structure of subjective and psychological well-being measures

The nature and structure of well-being is a topic that has garnered increasing interest with the emergence of positive psychology. Limited research to date suggests two separate but related factors of subjective well-being and psychological well-being. Subjective well-being comprises an affective component of the balance between positive and negative affect, together with a cognitive component of judgments about one’s life satisfaction. Psychological well-being is conceptualised as having six components, including positive relations with others, autonomy, environmental mastery, self-acceptance, purpose in life and personal growth. In the current study, we used exploratory factor analysis and confirmatory factor analysis to examine the higher order factor structure of subjective and psychological well-being in a series of large UK samples. Analyses showed that subjective well-being and psychological well-being loaded separately onto two independent but related factors, consistent with previous research. Further, we demonstrated that these loadings did not vary according to gender, age or ethnicity, providing further support for the robustness of this higher order factor structure. The discussion locates these findings in context and explores future research directions on the associations between subjective and psychological well-being over time.     

Functional impairment, marital quality, and patient psychological distress as predictors of psychological distress among cancer patients' spouses.

This study investigated contextual determinants of psychological distress among 197 spouses of cancer patients. It was hypothesized that higher levels of patient functional impairment would lead to greater patient distress. Patient distress, in turn, would lead to lower spouse marital satisfaction and ultimately to higher spouse distress. Spouses completed measures of distress and marital quality at three time points. Cancer patients rated their functional impairment and psychological distress at the same time points. Results indicated that at all time points, greater patient impairment was associated with higher levels of patient distress, which, in turn, was related to lower marital satisfaction. However, marital quality was related to spouse distress at only 1 time point, but spouse distress was directly associated with patient distress at each time point. Implications for cancer patients and spouses are discussed.     

Confirmatory factor analysis and reliability of the Mental Health Inventory for Australian adolescents

Ostroff, Woolverton, Berry, and Lesko in 1996 examined the adolescent subsample of Veit and Ware's 1983 normative data for the Mental Health Inventory and recommended a two-factor rather than the original five-factor model for the assessment of adolescents' mental health. Analysis of a 30-item version with a new independent sample of 878 adolescents in another English-speaking country supported a two-factor model of psychological well-being and distress for boys and girls. Internal consistency was > .9, and scores were stable (approximately .7) over a 10-wk. period. Boys reported slightly better mental health than girls, as in the original American research.     

Homemaking-role quality and the psychological well-being and distress of employed women

This paper examines the quality of employed women's experience in the homemaking-role and its relationship to their psychological well-being and distress. The subjects (N=403) were drawn from a random stratified sample of women, ages 25 to 55, who were employed as social workers or licensed practical nurses. Positive homemaking-role experience was associated with increased psychological well-being and lowered psychological distress. These associations were affected by the quality of the subjects' experiences in the paid work-role. Thus the favorable association of positive homemaking-role quality with psychological well-being and distress was enhanced by positive paid work-role quality, suggesting that the relationship of homemaking-role quality to the psychological outcomes is influenced by the effects of paid work-role quality on psychological well-being and distress.Data for this paper were collected as part of a larger project funded by the National Institute on Occupational Safety and Health (1 RO1-OHO-1968). The initial analyses and writing of this paper took place at the Center for Research on Women, Wellesley College, and was supported by NIMH postdoctoral training grant no. MH-17058-053. We would like to express special thanks to the late Grace K. Baruch for her enthusiastic support and encouragement of this paper.     

Structural validity of the Mental Health Continuum-Short Form: The bifactor model of emotional,social and psychological well-being

The Mental Health Continuum-Short Form (MHC-SF) is a growingly popular questionnaire designed to assess three components of well-being: emotional, social, and psychological. The main goal of the present study was to evaluate the structural validity of the MHC-SF and test the bifactor model of the MHC-SF, which includes one general factor and three specific factors of well-being. Sample 1 consisted of 1095 Serbian students (aged 18–26 years), while Sample 2 included 325 Serbian adults (aged 27–63 years). The bifactor model of the MHC-SF yielded the best fit to the data across the two samples. The results showed that the general factor of well-being accounted for substantially greater amount of variance of the MHC-SF than three specific factors of well-being. After controlling for the general factor, three specific factors explained a small portion of variance in well-being. In addition, the three subscales of the MHC-SF showed low reliability as estimated by omega-subscale coefficients, indicating that these subscales comprise too small amount of reliable variance to interpret. The present findings suggest that researchers should not calculate separate scores for three types of well-being when using the MHC-SF and that alternative measures of specific components of well-being should be considered.     

Measuring, monitoring and managing the psychological well-being of first year university students

This paper profiles the psychological well-being of students in their initial year of university. There were three aims: to measure the impact of arrival at university on the psychological well-being of first year students, to monitor (i.e. profile) the shape of psychological well-being across the first year, and to investigate how students manage their well-being in relation to the use of university counselling services. Data were collected on four occasions, with 84% of all first year students at a UK university (4,699 students) completing the questionnaire on at least one occasion. Psychological well-being was assessed using the GP-CORE, a general population form of the CORE-OM. Results show that greater strain is placed on well-being once students start university compared to levels preceding entry. This strain rises and falls across the year but does not return to pre-university levels. Items tapping depression and anxiety suggest that the first year of university is a time of heightened anxiety but not a particularly depressive time. The findings are discussed in relation to students' experience of higher education and how to match student needs with university counselling service provision.     

Spanish adaptation of the Personal Meaning Profile-Brief: Meaning in life,psychological well-being,and distress

Background/ObjectiveThis study aimed to adapt the Personal Meaning Profile-Brief (PMP-B) to the Spanish-speaking population and investigate its psychometric properties. The PMP-B is a 21-item instrument that assesses meaning in life through seven sources: relationship, intimacy, achievement, self-acceptance, self-transcendence, fair treatment, and religion.MethodParticipants were 546 Spanish adults comprised of a community sample (n = 171) and university students (n = 375). The PMP-B, the Ryff's Scales of Psychological Well-Being, and the Depression Anxiety Stress Scale were administrated.ResultsThe PMP-B showed a bifactor structure with one general factor and seven subfactors. Measurement invariance was found across age, gender, and samples. Internal consistency and test-retest reliability were generally good. Older people showed higher PMP-B scores than younger people. The PMP-B scores, especially relational sources of meaning, were positively associated with psychological well-being and negatively related to psychological distress, mainly to depression.ConclusionsThe validity evidence gathered in this study supports the reliable use of the PMP-B to measure meaning in life. The PMP-B can be a noteworthy contribution to the meaning-centered research.     

Health,social comparisons,and psychological well-being: Their cross-time relationships

The purposes of this short-term longitudinal study were to investigate (a) stability and change in social comparisons across time; (b) the relationship between physical health and the use of social comparisons across time; (c) whether psychological well-being is best predicted by prior or concurrent social comparisons; and (d) the moderating effects of social comparisons. Community-dwelling elderly women (N=149) completed self-report instruments designed to measure social comparisons, psychological well-being, and physical health at two times, 2 years apart. Worse health at Time 1 predicted more frequent and less positive social comparisons at Time 2. Concurrent, but not prior, social comparisons contributed to a number of domains of psychological well-being. Further, the effects of prior health status on subsequent psychological functioning (Time 2) were moderated by social comparison processes. Women in poorest health who engaged in positive social comparisons showed less depression and anxiety and more positive relations with others at Time 2. Little support was found for the influence of prior psychological functioning on subsequent physical health.     

Work conditions and employees' self-set goals: goal processes enhance prediction of psychological distress and well-being

Although previous theory and research suggest that employee well-being should be predicted by work conditions (viz., Karasek and colleagues' job demands-control-social support [J-DCS] model), other factors are also likely to be important. In this study, the authors consider correlates of employee psychological distress and well-being using a goal-focused approach grounded in Ford's (1992) motivational systems theory. Specifically, work conditions and midlevel work goal processes (WGP) were examined in a questionnaire study of health care employees. Regarding predictions derived from the J-DCS model, the authors found full support for the iso-strain, partial support for the nonlinearity, and no support for the buffer hypothesis. Of importance, however, WGP (i.e., cognitions and emotions involved in the pursuit of self-set work goals) explained variance in job satisfaction, burnout, depression, and somatic complaints, over and above that of the J-DCS model. This suggests that investigation of WGP can enhance our understanding of employee psychological distress and well-being.     

Positive and negative social ties among older adults: Measurement models and the prediction of psychological distress and well-being

The factor structure of positive and negative social ties was studied among 246 older adults who were either recently physically disabled, recently conjugally bereaved, or matched controls. Covariance structure analyses were carried out on a network measure to determine whether positive and negative social ties represent independent domains of social experience, and to assess the degree to which their structure is invariant across groups undergoing major loss transitions. Positive and negative social ties were found to be independent and there was substantial similarity in their factor structure across the three groups. Hierarchical regression analyses revealed that, whereas positive social ties were related to psychological well-being, negative social ties were predictive of both psychological well-being and distress. These results demonstrate the importance of assessing both positive and negative ties in explaining the psychological adjustment of older adults.     

Measuring well-being: A comparison of subjective well-being and PERMA

We compared Seligman’s PERMA model of well-being with Diener’s model of subjective well-being (SWB) to determine if the newer PERMA captured a type of well-being unique from the older SWB. Participants were 517 adults who completed self-report measures of SWB, PERMA, and VIA character strengths. Results from four analytic techniques suggest the factor underlying PERMA is capturing the same type of well-being as SWB. Confirmatory factor analysis yielded a latent correlation of r = 0.98 between SWB and PERMA. Exploratory structural equation modeling found two highly related factors (r = 0.85) that did not map onto PERMA and SWB. SWB and PERMA factors showed similar relationships with 24 character strengths (average correlation difference = 0.02). Latent profile analyses yielded subgroups of people who merely scored high, low, or mid-range on well-being indicators. Our findings suggest that while lower-order indicators SWB and PERMA have unique features, they converge onto a single well-being factor.     

Ovarian cancer patients' psychological distress: the role of physical impairment, perceived unsupportive family and friend behaviors, perceived control, and self-esteem.

Although research has indicated that illness-related and interpersonal stress are associated with greater psychological distress among cancer patients, little empirical attention has been given to mechanisms that account for these relationships. In the present study, 2 mechanisms for the association between illness-related stress (physical impairment) and interpersonal stress (family and friend unsupportive responses) and psychological distress of 143 ovarian cancer patients were examined cross-sectionally. Separate structural equation models tested whether physical impairment impacted patients' distress via decrements in perceived control over their illness and whether unsupportive behaviors impacted patients' distress via decrements in patients' self-esteem. Results supported the proposed models and suggest that perceived control and self-esteem are 2 mechanisms for explaining how illness-related and interpersonal stress may be associated with psychological distress among women with ovarian cancer.     

Psychological distress and well-being in advanced cancer: The effects of optimism and coping

This study examined the relations among optimism, coping, functional status, and psychological adjustment in 75 adults diagnosed with cancer. Both the positive and the negative aspects of psychological adjustment were assessed. All participants had been diagnosed with advanced stages of cancer (i.e., Stages II, III, and IV). Participants completed three assessments across a 4-month time period. Both optimism and coping were associated with psychological adjustment, even after controlling for functional status and prior adjustment. Additionally, optimism and coping were differentially related to distress and well-being. Optimism was strongly and positively associated with well-being and inversely related to distress. Escape-Avoidance coping was positively associated with distress and Accepting Responsibility coping was negatively associated with well-being. Comparisons between the current and prior studies indicated that individuals who are diagnosed with more advanced stages of cancer or who have survived bone marrow transplantation exhibit higher levels of optimism than do healthy individuals and individuals with early-stage disease.     

Exploring correlations between positive psychological resources and symptoms of psychological distress among hematological cancer patients: a cross-sectional study

Hematological cancer patients experience high levels of psychological distress during diagnoses and intensive treatments. The aim of the present study is to explore the effects of positive psychological resources on depressive and anxiety symptoms in hematological cancer patients. This survey was conducted in a hospital during the period from July 2013 to April 2014. A total of 300 inpatients were recruited and finally 227 of them completed the questionnaires. Questionnaires included demographic and clinical variables, the Center for Epidemiologic Studies Depression Scale, the Self-Rating Anxiety Scale, the Life Orientation Scale-Revised, the General Perceived Self-Efficacy Scale, and the Resilience Scale-14. Results showed that the prevalence of depressive and anxiety symptoms was 66.1 and 45.8%, respectively. Both optimism (β = ?.479, p < .001) and resilience (β = ?.174, p < .05) were negatively associated with depressive symptoms, and optimism (β = ?.393, p < .001) was negatively associated with anxiety symptoms. However, resilience (β = ?.133, p > .05) was not significantly associated with anxiety symptoms, and self-efficacy was not significantly associated with depressive (β = ?.032, p > .05) or anxiety symptoms (β = ?.055, p > .05). The results suggest that hematological cancer patients who possess high levels of positive psychological resources may have fewer symptoms of psychological distress. The findings indicate that enhancing positive psychological resources can be considered in developing intervention strategies for decreasing depressive and anxiety symptoms.     

The Reliability and Validity of a Brief Self-Report Questionnaire to Screen for Mental Health Problems: The Health Dynamics Inventory

Mental health problems are underrecognized in medical settings, leading to inadequate treatment. The present paper describes the development of the Health Dynamics Inventory (HDI), a brief, self-report questionnaire developed to evaluate mental health functioning. The HDI was written to evaluate the three aspects of mental disorders as described in the Diagnostic and Statistical Manual of Mental Disorders (DSM): (1) the experience of emotional or behavioral symptoms; (2) emotional distress; and (3) psychosocial impairment. This study evaluated the psychometric properties and construct validity of its items, scales, and subscales. Results indicated that the items distinguish patients from nonpatients, that the instrument's scales and subscales are reliable, and that the scales and subscales discriminates between persons with mental health concerns or diagnosable problems and those without such concerns or problems. The utility of the instrument for screening mental health problems in primary care settings is discussed.     

Immigration, lack of control and psychological distress: findings from the Oslo Health Study

The aims of this study are to compare the level of psychological distress between Norwegian born and immigrants from countries with different income levels and culture, and to investigate the explanatory effect of socioeconomic and psychosocial factors, with special emphasis on lack of control (powerlessness and self-efficacy). A cross-sectional survey with self-administered questionnaire was conducted in 2000-2001 in a sample of 15,723 adults living in Oslo. Psychological distress was measured by a ten-item shortened version of Hopkins Symptom Checklist-25 items, whereas psychosocial variables were measured by various instruments. The results show that the level of psychological distress is significantly higher in immigrants from low- and middle-income countries than in the Norwegian born and the immigrants from high-income countries. They also report more powerlessness, more negative life events, less social support, less income and less paid work. It is concluded that negative life events, mainly related to social network, somatic health and economic situations, as well as lack of social support, are important mediators between immigration from low- and middle-income countries to Norway and psychological distress. Powerlessness also plays a role, but this is mainly because of a concept overlap between psychological distress and powerlessness.     

Caregivers of adults with cancer: Multidimensional correlates of psychological distress

The relationship between psychological distress and intrapersonal, family, and socioecological variables was examined in 77 caregivers of adults actively receiving cancer treatment. Results indicated that a sizable minority (29%) of caregivers was experiencing clinically significant psychological distress. Furthermore, family disturbances and maladaptive coping strategies were most predictive of psychological distress in this sample. The clinical implications of these findings in relation to the assessment and treatment of both patients and caregivers are discussed.     

Perceived control, coping efficacy, and avoidance coping as mediators between spouses' unsupportive behaviors and cancer patients' psychological distress.

This study examined whether avoidance, coping efficacy, and perceived control mediate the effects of spouses' unsupportive behaviors on patient psychological distress among 191 married individuals enrolled in cancer treatment. Results of the structural equation analyses suggested that avoidance and coping efficacy mediated the relationship between spouses' unsupportive behaviors and patient psychological distress. Perceived control of emotional aspects of the illness, including emotional responses and relationships with family and friends, and perceived control of the medical course of the cancer did not mediate the relationship between spouses' unsupportive behaviors and patient psychological distress. These findings suggest 2 mechanisms to explain why unsupportive responses from spouses may be associated with psychological distress among cancer patients.