Understanding Middle School Students’ Physical Activity and Health-Related Quality of Life: An Expectancy-Value Perspective

Assessing and promoting physical activity and health-related quality of life (HRQOL) have become major public health issues, but little is known regarding HRQOL and its relation with physical activity in adolescents. This study attempted to examine relationships among middle school students’ motivation, physical activity, and HRQOL by using the expectancy-value model as a theoretical framework. Participants were 282 middle school students who responded to a previously validated inventory assessing their motivation, physical activity, and HRQOL. Correlation analyses revealed that expectancy-related beliefs and task values were positively related to physical activity and HRQOL. Physical activity was positively associated with physical, emotional, and social functioning of HRQOL. Regression analyses showed a significant relationship between increasing expectancy-related beliefs and increasing degrees of HRQOL. This research line is promising in that it can provide useful information regarding the translation of theory to practice in influencing adolescents’ physical activity and HRQOL.     

Relationship Between Morbidly Obese Subjects’ Attributions of Low General Well-being, Expectations and Health-Related Quality of Life

Low health-related quality of life among morbidly obese subjects is well-known. However, the relationship may not be simple. We aim to examine the association between pre-operative expectations and health-related quality of life and long-term changes in health-related quality of life after gastric banding. The questionnaires were answered twice: before and five years after gastric banding. Short Form-36 assessed health-related quality of life. Obesity specific questions were used to assess the subjects' attribution of impairment to morbid obesity and their expectations to changes as a result of weight loss. The subjects attribute morbid obesity as a major reason for their impairments in state of health, physical activity, pain and work capacity. As a result of weight loss, the subjects expect improvements even within fields which they did not consider to be impaired due to morbid obesity. We found an inverse association between high expectations and mental component summary score at baseline. At follow-up having expectations fully fulfilled was associated with a higher mental component summary score than having expectations fulfilled only to a fair extension and not having expectations fulfilled. Physical component summary was statistically significant improved at follow-up Morbidly obese subjects' attributions of low general well-being combined with their expectations may be a central part of understanding the mechanisms involved in the association between morbid obesity and low health-related quality of life. Furthermore the impact of morbid obesity on health-related quality of life may be reduced if healthprofessionals bridge the gap between morbidly obese subjects' expectations and their experience.     

Racial Discrimination and African American Adolescents’ Adjustment: Gender Variation in Family and Community Social Support, Promotive and Protective Factors

The current investigation explores the promotive and protective role of family and community-specific social support on the association between perceived racial discrimination and African American adolescents’ adjustment (e.g., depressive symptoms, school suspensions, school engagement). One thousand nine-hundred forty-two African American adolescents (ages 12–18, M = 15.12; SD = 1.83; 59 % female) from a large Midwestern city participated in this investigation. Regression analyses revealed that perceived racial discrimination was associated with less positive adjustment outcomes for boys and girls. Additionally, there was partial support for gender variation in the promotive role of social support and adolescent adjustment. In particular, while only maternal support was associated with boys’ adjustment, both maternal and paternal support was associated with girls’ adjustment. Also, there was partial support for gender differentiation in the strength and directionality of protective factors. Though in an unpredicted direction, father support moderated the relationship between perceived racial discrimination and girls’ adjustment. Community supports (religious connection and mentor presence) emerged as protective factors for boys’. Findings highlight the role of gender in understanding potential promotive and protective factors for African American adolescents.     

Living Well in Later Life: The Influence of Sense of Coherence,and Socio-Demographic,Lifestyle and Health-Related Factors on Older Adults’ Satisfaction with Life

This study aims at exploring a structural model of satisfaction with life’s (SWL) predictors in a cross-national sample of older adults. A quantitative approach was followed with a cross-sectional study design. A community-dwelling sample of 1,234 older adults from four different nationalities residing in Portugal, was assessed regarding SWL, sense of coherence (SOC) and socio-demographic, lifestyle and health-related characteristics. Sampling was performed in lifelong learning centres’ message boards and local community centres’ list-serves in the Lisbon metropolitan area and in the Algarve region. Structural equation modeling was used to investigate a structural model of the self-reported SWL, comprising SOC, socio-demographic characteristics (age, sex, education, marital and professional status, household, adult children, income, living setting and religion), as well as lifestyle and health-related characteristics (physical activity, recent disease and medication). Significant predictors are SOC (β?=?0.733; p?<?0.001), religion (β?=?0.725; p?<?0.001), income (β?=?0.551; p?<?0.001), adult children (β?=?0.546; p?<?0.001), education (β?=??0.403; p?<?0.001), living setting (β?=??0.292; p?<?0.001) and medication (β?=??. 197; p?<?0.001). The variables accounted for 24.8 % of the variability of SWL. Moreover, differences between the four nationality groups (F _{(3, 671)}?=?3.671, p?=?0.066) were not found concerning SWL. Sense of coherence is the strongest predictor of self-reported SWL. Other predictors are religion, income, adult children, education, living setting and medication. The four nationalities did not present significant differences, concerning SWL. This study points out the potential factors that influence older adults’ SWL, in particular SOC, religion and income, as promoters of aging well, within a salutogenic model of health for older populations.     

Coronary Intervention Improves Disease Specific Health-Related Quality of Life but Not Individualised Quality of Life: A Potential Response Shift Effect?

To explore potential response shift effects with different quality of life (QoL) instruments in cardiac patients undergoing coronary intervention. Study Design and Setting: Recalibration was assessed with the disease specific health-related quality of life (HRQL) instrument MacNew in combination with a then-test approach. Reconceptualisation and reprioritisation were assessed with the individualised QoL instrument SEIQoL-DW. Significant treatment effects were seen on the MacNew (global Δ: 0.6 ± 1.1, p = 0.004) but not on the SEIQoL-DW (Δ: 3.3 ± 16, p = 0.37) 6 months after coronary intervention. No recalibration effect was found on the MacNew then-test, while with the SEIQOL-DW potential response shift effects of reconceptualisation and reprioritisation were seen. For the first time response shift effects were explored in cardiac patients undergoing coronary intervention. This study confirmed that there is a clinically significant improvement in disease specific HRQL over time following successful coronary interventions. However, no treatment effect was seen for individualised QoL with the SEIQoL-DW. This might be due to reconceptualisation and reprioritisation response effects. Future studies need to focus on exploring response shift effects, and the interrelationship between its different components, captured by different patient reported outcome instruments in larger patient groups undergoing coronary interventions.     

Are Collective Efficacy,Disorder and Social Support Associated with One’s Quality of Life? Evidence from the Multilevel SWING Study in Belgium

The current study assesses the evidence for the association between several neighborhood social processes (collective efficacy and social disorder) and two important individual-level quality of life indicators, which are avoidance behaviour and mental health. In addition to these neighborhood characteristics, the study also assesses the impact of an individual’s social support network on these two outcomes. Hypotheses are derived from a theoretical framework that integrates insights from social capital theory, collective efficacy theory and broken windows theory. Hypotheses about both neighborhood- and individual-level effects are tested by applying multilevel analyses to data from the ‘Social capital and Well-being In Neighborhoods in Ghent’ (SWING) survey of 2011, which consists of face-to-face interviews among the adult population in the second largest municipality of Belgium. Results suggest that individuals living in neighborhoods with lower levels of social trust and higher levels of disorder report more avoidance behaviour. Neighborhood effects on mental health are rather negligible. Individuals who experience more social support report both a better mental health and fewer avoidance behaviour.     

Reliance on God’s Help as a Measure of Intrinsic Religiosity in Healthy Elderly and Patients with Chronic Diseases. Correlations with Health-Related Quality of Life?

Within the context of coping, we analyze whether Reliance on God’s Help, as a measure of intrinsic religiosity, is associated specifically with SF-12’s health-related quality of life. Data of 5,248 individuals (63.1 ± 10.6 years; 14% chronic diseases, 16% cancer, 8% had experienced acute diseases, and 62% healthy elderly as a control group) were enrolled. Although about half of the individuals had a strong belief that God will help and prayed to become healthy again, Reliance on God’s Help was not generally associated with better physical or mental health-related quality of life. Just in distinct subgroups we found some marginal associations. Regression analyses confirmed that physical or mental health were not among the predictors of Reliance on God’s Help. Nevertheless, intrinsic religiosity was utilized by several individuals, particularly by patients with higher age and cancer. It should be regarded as a resource to cope (meaning-focused coping) rather than an independent contributor to health-related quality of life.     

Is Easy Access Related to Better Life? Walkability and Overlapping of Personal and Communal Identity as Predictors of Quality of Life

Two studies (N?=?190 and N?=?447) were conducted to investigate the link between living in walkable neighborhoods and satisfaction with life in a city. Additionally, we explore possible mediators of this relationship. In both studies walkability was a significant predictor of perceived quality of life in a city, and overlap between personal and communal identity (in Study 1 and Study 2) and city identification (Study 2) were mediators of the walkability—quality of life relation. Implications for research on environmental qualities of neighborhoods and on self-concept and communal identity are discussed.     

Caregiving Burden and Parent–Child Quality of Life Outcomes in Neurodevelopmental Conditions: The Mediating Role of Behavioral Disengagement

The aim of this study was to analyze the direct and indirect effects, via parents’ behavioral disengagement coping, of caregiving burden on the quality of life (QL) of parents and their children with neurodevelopmental conditions. Self-completion questionnaires on the target variables were administered to a sample of 156 parents who had a child with a neurodevelopmental condition, namely epilepsy (n = 65) and cerebral palsy (n = 91). Structural equation modeling was used to test a mediation model and ascertain direct and indirect effects among study variables. Significant direct effects of caregiving burden on parents’ and their children’s QL were found. Additionally, caregiving burden had a significant indirect effect on parents’ QL, via behavioral disengagement, but not on their children’s QL. Finally, this model was found to be invariant across conditions and patients’ age groups. Caregiving burden may be elected as a strategic intervention target to improve parent–child QL outcomes in neuropediatric settings. Parents should be encouraged to avoid or reduce behavioral disengagement coping in relation to their caregiving stress, and alternatively adopt active coping strategies that may positively affect their children’s QL and impede or attenuate the deleterious effects of caregiving burden on their own QL.     

Neighborhood Risk and Interpersonal Support as Predictors of Parents’ Sense of Community

Parents’ sense of community (SOC) may ease the impact of neighborhood risk on children’s outcomes, but not all parents feel part of a trusted community. In this study, we examined whether parents’ ratings of neighborhood risk and interpersonal support were related to their SOC, and whether interpersonal support moderated the relationship between neighborhood risk and parents’ SOC. Participants included 161 parents (M?=?40.25 years; 92.3% female) of minor children who were enrolled in youth mentoring programs. Results indicated that greater interpersonal support and less neighborhood risk was associated with parents’ SOC. Post-hoc analyses showed that living in a neighborhood with gangs and illegal drugs, but not residential instability or living in public housing, was a salient risk factor for lower SOC. Contrary to our prediction, interpersonal support did not moderate the link between neighborhood risk and parents’ SOC. These findings may inform interventions designed to bolster parents’ connectedness to community and ability to promote children’s positive development.

     

Degree of Delay Discounting as a Function of Who Receives the Outcome and the Discounter’s Perceived Level of Social Support

Delay discounting occurs when the subjective value of an outcome decreases as its delivery is delayed. The present study investigated whether how individuals discount delayed outcomes would vary as a function of who would hypothetically experience the outcome and the participants’ perceived level of social support. In Experiment One, 600 university students completed a measure of perceived social support and a discounting task involving four different outcomes, with different groups differing in terms of who would hypothetically receive the outcome being discounted (themselves, their mother, or a classmate). The degree of discounting did not vary as a function of recipient of the outcome, but did vary significantly and inversely with perceived level of social support. Experiment Two replicated the effect of perceived social support in 488 university students, but failed to demonstrate that the degree of discounting varied as a function of the level of social support available to the recipient of the outcome being discounted. These results suggest that people discount outcomes similarly regardless of who will be the recipient of the outcome, but that rates of discounting are reliably altered by the discounter’s own perceived level of social support. The latter finding is potentially informative as to why social-support groups may be valuable in therapeutic environments.     

Support Means Direct Help: Filipino Adolescents’ Multidimensional Conceptualization of Social Support

This study investigated Filipino adolescents?? conceptualization of social support. While Western literature suggests that adolescents, in their developmental task of growing towards independence and individuality, prefer emotional support and acceptance in achieving these goals, it is worthwhile to discover what Filipino adolescents define as supportive in their lives, given a collectivist and interdependent cultural background. In-depth interviews were done with 89 male adolescents. Results reveal that social support among Filipino adolescents is conceptualized mainly as hands-on support. Advice, personal assistance, and being challenged are conceptualized as expressions of care and concern, rather than as intrusive acts. Furthermore, Filipino adolescents have a wide source of social support, with different social support providers perceived as having a particular niche in terms of the kind of social support they provide. Theoretical and practical implications of these findings are discussed.     

Precariousness and Quality of Life—a Qualitative Perspective on Quality of Life of Households in Precarious Prosperity in Switzerland and Spain

Households’ resources and constraints are key components of quality of life (QOL). QOL also depends on how these are evaluated. In times of crisis one expects subjective wellbeing and quality of life to decline. We argue that the quality of life depends on objective living conditions, their subjective evaluation and the ability to maintain or improve the situation of “embedded individuals”. This ability, in turn, depends on the opportunities provided by the state, labour markets, families and communities. We analyse qualitative interviews (2008–2010) with around 25 households in precarious prosperity in two cities (Pamplona, Spain and Lausanne, Switzerland) to elaborate their QOL. Few sampled Swiss households witnessed a decline in socio-economic status, contrary to the Spanish. Domains important to these households for QOL varied according to the opportunity structures: in the Spanish sample QOL was related to the opportunities for income, work, and security to plan ahead; in the Swiss sample to health, work-life balance and loneliness. In both samples, QOL varied according to scope of agency, people’s position within the life course, the households’ past experiences, current situation and future perspectives. Lack of future perspectives and opportunities lowered QOL; reframing, adaption and accepting the situation sometimes moderated QOL. We conclude that apart from living conditions and/or subjective wellbeing, households’ agency within opportunity structures is a promising direction for further research in QOL.     

Middle School Transition from the Strengths Perspective: Young Adolescents’ Character Strengths, Subjective Well-Being, and School Adjustment

The study examined the longitudinal associations of adolescents’ character strengths with subjective well-being and school adjustment during the pivotal period of the transition to middle school. The study followed 417 students and 13 teachers from four public middle schools in the center of Israel during seventh and eighth grade. Students completed questionnaires about their character strengths, life satisfaction, and positive and negative affects. Students’ school adjustment was measured through grade point average and questionnaires given to the students’ teachers. Findings provided extensive support for the associations among character strengths, subjective well-being (SWB), and middle school adjustment. Intellectual and temperance strengths were central in the prediction of students’ school performance and achievements. Interpersonal strengths were significantly related to social functioning at school. Temperance and transcendence strengths were robust positive predictors of students’ SWB. The findings extend existing knowledge about character and its relation to optimal functioning and well-being among young adolescents, and have important practical implications for applying strengths-building practices at middle schools.     

The Role of Romantic Involvement and Social Support in Italian Adolescent Mothers’ Live

This study examined the experience of mothering in adolescence in the context of romantic involvement and social support. 30 adolescent mothers completed measures of adolescent self-development and motherhood, romantic relationship experience, availability of and satisfaction with social support, and parenting stress. Findings suggest that young mothers benefit greatly from the support of a partner, as evidenced by a more functional understanding of motherhood and the maternal role, greater satisfaction with social support, and lower levels of psychological distress. Education on social support should be made available to young mothers to address stress associated with adolescent parenting.     

Maternal Trauma and Children’s Functioning: The Role of Kinship Social Support

Although research has documented the detrimental effects of maternal trauma on child behavior (Lambert, Holzer, & Hasbun, 2014), the role of extended family support in potentially mitigating the effects of intergenerational transmission of trauma is not clearly understood. With a diverse community sample of 52 trauma-exposed mothers and their children between the ages of 7 and 12, we investigated relationships between kinship social support, maternal trauma exposure severity, maternal posttraumatic stress disorder (PTSD) symptom severity, and child behavioral problems. Results showed that kinship social support was negatively related to maternal trauma exposure severity, maternal PTSD symptom severity, child internalizing behaviors, and child externalizing behaviors. Additionally, kinship social support moderated the relationship between maternal trauma exposure severity and child internalizing behaviors. These results have implications in the implementation of interventions aimed at supporting diverse families facing trauma that incorporate extended family networks.     

Mindful and Resilient? Incremental Validity of Sense of Coherence Over Mindfulness and Big Five Personality Factors for Quality of Life Outcomes

Though conceptually distinct, mindfulness and sense of coherence (SOC) are empirically related aspects that promote health and wellbeing. The present research explored uniqueness by investigating criterion validity and incremental validity beyond the Big Five personality traits when predicting psychological distress, life satisfaction, and burnout. N = 1033 participated in a cross-sectional study. We used multiple regression analysis to examine the incremental validity of mindfulness (CHIME) and SOC (SOC-13) for psychological distress (SCL-K-9), life satisfaction (SWLS), and burnout (MBI-GS scales: emotional exhaustion, cynicism, personal accomplishment). Mindfulness and SOC had incremental validity over the Big Five traits. Despite a strong overlap (45% shared variance) between mindfulness and SOC, SOC was always the stronger predictor: psychological distress (β = ?.52), life satisfaction (β = .57), emotional exhaustion (β = ?.23), cynicism (β = ?.40), and personal accomplishment (β = ?.30). For psychological distress, life satisfaction, and cynicism, SOC statistically explained almost all the criterion validity of mindfulness. The clinical utility of mindfulness for predicting psychological health appears to be of minor importance relative to SOC, regardless whether meditators or non-meditators, who differed in mindfulness, were analyzed. Western approaches to assessing mindfulness may lack crucial social and existential dimensions.