Caregiver Social Problem Solving Abilities and Family Member Adjustment Following Congestive Heart Failure

Family members have a considerable impact on the health and well-being of others in the family. The characteristics of family caregivers that relate to care recipients' positive and negative outcomes associated with chronic disease have received scant empirical attention. We reasoned that family caregiver social problem solving abilities would be associated with depression and life satisfaction reported by persons with congestive heart failure (CHF). Correlational analyses found that caregiver negative orientation toward solving problems was significantly predictive of higher depression and with decreased life satisfaction of persons with CHF. These findings indicate that family caregiver problem solving abilities are important factors in adjustment following CHF. Implications for clinical interventions and theoretical models of problem solving are discussed.     

Caring for the Caregivers: An Investigation of Factors Related to Well-Being Among Parents Caring for a Child with Smith-Magenis Syndrome

Smith-Magenis syndrome (SMS) is a complex disorder characterized by numerous challenges, including intellectual disability, speech delay, decreased pain sensitivity, sleep disturbances, hyperactivity, mood instability, and self-injury. Caregivers must readily adapt to the ever-changing needs of the child. Due to these demands, caregivers may encounter difficulties maintaining their own level of well-being. Thus, a total of 112 primary caregivers (i.e., parents) of individuals diagnosed with SMS responded to online questionnaires to assess demographic and psychosocial factors, such as perceptions of child health vulnerability, benefit finding, sleep behaviors, anxiety and depression symptomatology, and caregiver satisfaction and self-efficacy, which may be related to caregiver well-being. Results show that, among mothers, caregiver well-being was directly related to perceived child health vulnerability, caregiver satisfaction, and benefit finding, and a significant moderating effect was observed for depression/anxiety counseling after beginning the caregiver role on the relationship between anxiety symptomatology and caregiver well-being. Results further suggest that maternal caregivers who report high levels of anxiety but do not seek counseling fair the worst in terms of well-being. Among fathers, lower depression symptoms and greater benefit finding were related to higher levels of caregiver well-being. These data show that many factors play roles in influencing coping and well-being among SMS caregivers. Investigating these variables and relationships may reveal additional resources and interventions to assist primary caregivers.     

Changes in social support as mediators of the impact of a psychosocial intervention for spouse caregivers of persons with Alzheimer's disease

The spouse caregivers of 406 patients with Alzheimer's disease were randomly assigned to an enhanced counseling and support intervention or to a usual care control condition. Structured interviews were conducted to assess changes in social support and psychosocial outcomes for the 312 caregivers who provided care in the home for at least 1 year. The number of support persons, satisfaction with the support network, and support persons' assistance with caregiving all increased significantly as a function of the intervention. Structural equation models indicated increased satisfaction with the social support network mediated a significant proportion of the intervention's impact on caregiver depression. A portion of this mediated effect was further mediated by changes in caregiver stress appraisals. Implications for strengthening intervention programs for spouse caregivers of individuals with Alzheimer's disease are discussed.     

Correlates of spirituality and well-being in a community sample of people living with HIV disease

While the past several years have witnessed an increase in the amount of research examining the spiritual perspectives of people living with HIV/AIDS, this literature is still insufficient to guide the conceptualization and development of spiritually based interventions to improve the life quality of people living with HIV illness. The present study assessed a community sample of 275 persons living with HIV disease to examine relationships among their spirituality, quality of life, perceptions of social support, and coping and adjustment efforts. This study found relationships between social support, active problem solving, life satisfaction, and gender and race with higher levels of spirituality among people living with HIV/AIDS. Mental health providers may need to routinely include assessments of spirituality and religious practices. Caregivers, faith communities, and mental health providers will need to assist in developing supportive environments that enhance the spiritual life and social well-being of people living with HIV infection. Additionally, caregiver training programs will need to focus on spiritual practices as a means of establishing a support system that increases the psychosocial well-being of people living with HIV/AIDS.     

A longitudinal study of the psychosocial impact of stroke on primary support persons

We investigated longitudinally the effects of a stroke on the social support systems and well-being of the patient's primary support person, both acutely and as the condition stabilized. Individuals who had suffered a first stroke and a primary support person participated in two waves of data collection, carried out in 6-month intervals beginning 7 weeks after the stroke. Our data show that the prevalence of depressive symptoms is from 2 1/2 to 3 1/2 times higher than rates found among representative samples of middle-aged and elderly populations. Mean level of depression did not change over time, although level of optimism declined significantly. Multiple regression analyses showed that levels of depression and perceived burden in support persons are highly related to aspects of the stroke such as its severity, and that demographic variables such as age and income play a relatively minor role in attenuating these relations in the acute adjustment phase. However, from 7 to 9 months after the stroke, well-established demographic variables such as health, income, and age were significant predictors of depression. Individuals who were older and who had good health and higher incomes were least depressed.     

Social skills, psychological well-being, and the mediating role of perceived stress

Social skills were predicted to be associated with two indicators of psychological well-being: reduced symptoms of depression and life-satisfaction. Social skills were also predicted to be associated with a reduction in the experience of stress. This reduced stress experience was hypothesized to explain the social skills-well-being association. These predictions were tested in a sample of 500 university students who provided self-reports of social skills, well-being (depression and life satisfaction), and stress. Results supported the hypothesized relationship between social skills and greater well-being, as well as social skills and lower levels of perceived stress. The lower perceptions of stress that accompany higher levels of social skills mediated the association between social skills and depression as well as life satisfaction.     

领悟社会支持对青少年生活满意度的影响

采用问卷法调查了1319名青少年,探讨了领悟社会支持对感恩与青少年生活满意度之间关系的中介效应以及压力性生活事件对此中介效应是否具有调节效应。结果发现：（1）领悟社会支持在感恩与青少年生活满意度之间起着部分中介作用;（2）领悟社会支持的中介作用受到压力性生活事件的调节,压力性生活事件调节了感恩 领悟社会支持 生活满意度这一中介过程的后半路径。因此,领悟社会支持对青少年生活满意度的影响是有调节的中介效应。研究结论对提高青少年的生活满意度具有重要的理论价值和参考价值。     

Depression for college students in a traditional Christian culture context: the role of attachment,spirituality and social support

The role of attachment, perceived social support, and perceived discrepancy from spiritual ideal were assessed in their association with depression in college students in a Christian culture environment. Participants (N?=?155) at a small Christian university completed the Center for Epidemiological Studies Depression Scale, the Experiences in Close Relationships questionnaire, and questions about satisfaction with social support and discrepancy of their spiritual well-being to an ideal spiritual well-being. Results showed that social support, insecure attachment and discrepancy from spiritual ideal were all significant predictors of depression. Attachment was found to moderate the association between perceived spiritual well-being and depression, with insecurely attached individuals more at risk for depression if they evaluate their spiritual development as lacking. Implications are discussed.     

Stress, appraisal, coping, and social support as predictors of adaptational outcome among dementia caregivers

A stress and coping model was used to study predictors of individual differences in caregiver adaptation. A total of 54 family caregivers of elderly dementia patients completed interviews and questionnaires assessing the severity of patient impairment and caregiving stressors; caregiver appraisals, coping responses, and social support and activity; and caregiver outcomes, including depression, life satisfaction, and self-rated health. Correlational and regression analyses supported the utility of the stress and coping model. Appraisal, coping responses, and social support and activity were significant predictors of caregiver outcome, even when severity of caregiving stressors was statistically controlled. The importance of a multidimensional approach to assessing caregiver outcomes was supported by regression analyses indicating that each caregiver outcome was predicted by different patterns of stressors, appraisal, coping, and social support and activity. Results are discussed in terms of a stress and coping model of caregiving, and clinical implications for work with caregiving families.     

Does who you marry matter for your health? Influence of patients' and spouses' personality on their partners' psychological well-being following coronary artery bypass surgery

Research suggests that presurgical personality attributes influence postsurgical well-being in both patients and their spouses in the context of coronary artery bypass grafting (CABG) surgery. The authors hypothesized that a spouse's characteristics would influence a partner's psychological well-being, regardless of whether he or she was the patient or the caregiver. In this study, 111 male patients and their caregiver spouses completed measures of neuroticism, optimism, perceived marital satisfaction, and depression prior to elective CABG. Follow-up was conducted at 18 months. As expected, higher caregiver presurgical neuroticism predicted higher patient depressive symptoms at follow-up, with caregiver's concurrent 18-month affect controlled for. Likewise, higher patient presurgical neuroticism predicted higher caregiver depressive symptoms at follow-up. Additionally, higher patient presurgical depressive symptoms and lower presurgical optimism contributed to greater caregiving burden. Relationship satisfaction moderated these effects. These results suggest that partners' personality traits are important determinants of both patients' and their caregiving spouses' well-being.     

Informing Policy Priorities using Inference from Life Satisfaction Responses in a Large Community Survey

Self-reported, quantitative, subjective measures of well-being, such as satisfaction with life overall, are increasingly looked to as measures of public welfare. While this trend is visible at the international and national government levels, regional initiatives and local communities are particularly important in seeking meaningful measures of the quality of human experience and of the success of local policies. Unlike other approaches in which well-being or progress indices are constructed using arbitrary or expert-generated weights on various domains of life experience, subjective well-being can be used to evaluate empirically the relative importance of specific measurable conditions and experiences in supporting a good life. Using a new, large community well-being survey carried out across the U.S. state of Connecticut, we use this method to evaluate the relationship between life satisfaction and a range of other socioeconomic circumstances and conditions. In support of a broad existing literature, we find enormous effects of security and social engagement as compared with variations in income. We then proceed to consider the prevalence of different socioeconomic conditions, in addition to their relative importance to affected individuals, to make inferences about the benefit-costs of feasible state and local policies. There remain some conditions, like social trust and the perceived responsiveness of local government to the needs of residents, which appear very important to well-being but for which the relationship with targeted resource allocation requires further investigation or policy experimentation.

     

Personality prior to disability determines adaptation: agreeable individuals recover lost life satisfaction faster and more completely

Personality traits prior to the onset of illness or disability may influence how well an individual psychologically adjusts after the illness or disability has occurred. Previous research has shown that after the onset of a disability, people initially experience sharp drops in life satisfaction, and the ability to regain lost life satisfaction is at best partial. However, such research has not investigated the role of individual differences in adaptation to disability. We suggest that predisability personality determines the speed and extent of adaptation. We analyzed measures of personality traits in a sample of 11,680 individuals, 307 of whom became disabled over a 4-year period. We show that although becoming disabled has a severe impact on life satisfaction, this effect is significantly moderated by predisability personality. After 4 years of disability, moderately agreeable individuals had levels of life satisfaction 0.32 standard deviations higher than those of moderately disagreeable individuals. Agreeable individuals adapt more quickly and fully to disability; disagreeable individuals may need additional support to adapt.     

The chronic illness quality of life (CIQOL) model: explaining life satisfaction in people living with HIV disease.

The chronic illness quality of life (CIQOL) model theorizes that life satisfaction in persons living with a chronic illness such as HIV disease is a function of illness-related discrimination, barriers to health care and social services, physical well-being, social support, and coping. The CIQOL model was evaluated using data from 275 persons living with HIV disease. Women reported less life satisfaction and confronted more barriers to health care and social services than men, and White participants reported higher perceptions of AIDS-related discrimination than non-White participants. The CIQOL model provided an excellent fit to study data (root-mean-square error of approximation = .03) and accounted for almost a third of the variance in life satisfaction scores. Barriers to health care and social services played a particularly prominent role in the model.     

Caregiver Attributions for Late‐Life Depression and Their Associations with Caregiver Burden

Late‐life depression (LLD) has detrimental effects on family caregivers that may be compounded when caregivers believe that depressive behaviors are volitional or within the patient's capacity to control. In this study we examined three person‐centered caregiver attributions that place responsibility for LLD on the patient (i.e., character, controllability, and intention), and the impact of such attributions on levels of general caregiver burden and burden specific to patient depressive symptoms. Participants were 212 spouses and adult children of older adults enrolled in a depression treatment study. Over one third of caregivers endorsed character attributions, which significantly predicted greater levels of both general and depression‐specific burden. Intention attributions were significantly associated with general burden, but not depression‐specific burden. Contrary to our expectation, controllability attributions did not predict either type of burden. Our findings suggest that the assessment of family caregiver attributions for LLD may be useful in identifying caregivers at risk for burden and subsequent health effects, as well as those who may need education and support to provide effective care to a vulnerable population of older adults.     

A self-determination theory account of self-authorship: Implications for law and public policy

Self-authorship has been established as the basis of an influential liberal principle of legislation and public policy. Being the author of one’s own life is a significant component of one’s own well-being, and therefore is better understood from the viewpoint of the person whose life it is. However, most philosophical accounts, including Raz’s conception of self-authorship, rely on general and abstract principles rather than specific, individual psychological properties of the person whose life it is. We elaborate on the principles of self-authorship on the basis of self-determination theory, an empirically based psychological theory that has been at the forefront of the study of autonomy and self-authorship for more than 45 years. Our account transcends distinctions between positive and negative freedom and attempts to pinpoint the exact properties of self-authorship within the psychological processes of intrinsic motivation and internalization. If a primary objective of public policy is to support self-authorship, then it should be devised on the basis of how intrinsic motivation and internalization can be properly supported. Self-determination theory identifies three basic psychological needs: autonomy, competence, and relatedness. The satisfaction of these needs is associated with the support and growth of intrinsic tendencies and the advancement of well-being. Through this analysis, we can properly evaluate the significance of rationality, basic goods, and the availability of options to self-authorship. Implications for law and policy are discussed with an emphasis on legal paternalism and what many theorists call “liberal perfectionism,” that is, the non-coercive support and promotion of the good life.     

The Emotional Timeline of Unemployment: Anticipation,Reaction, and Adaptation

Unemployment continues to be one of the major challenges in industrialized societies. Aside from its economic and societal repercussions, questions concerning the subjective experience of unemployment have recently attracted increasing attention. Although existing studies have documented the detrimental effects of unemployment for cognitive (life satisfaction) and affective well-being, studies directly comparing these two dimensions of subjective well-being and their temporal dynamics in anticipation of and response to unemployment are absent from the literature. Using longitudinal data of the German Socio-Economic Panel (SOEP) and applying fixed effects regressions, we investigate changes in cognitive and affective well-being prior to and after job loss. Extending previous studies, we use discrete emotion measures instead of affect balance indicators to assess affective well-being. Our results support existing findings that unemployment leads to decreases in life satisfaction and that the unemployed do not adapt towards previous levels of life satisfaction. We also find that individuals more often experience sadness and anxiety, and less often happiness when transitioning into unemployment. Importantly, changes in affective well-being are less enduring compared to the changes in life satisfaction.     

残疾人大学生领悟社会支持对主观幸福感的影响:自我同情的中介作用

探讨残疾人大学生领悟社会支持、自我同情与主观幸福感的关系。采用领悟社会支持量表、幸福感指数量表、大学生自我同情量表对普通高等特殊教育学校206名在校残疾人大学生进行了调查研究。结果表明:(1)残疾人大学生领悟社会支持与自我同情存在显著正相关,与主观幸福感存在显著正相关; 自我同情与主观幸福感存在显著正相关。(2)残疾人大学生领悟社会支持不能直接预测主观幸福感,但通过自我同情的中介作用间接预测主观幸福感。自我同情在残疾人大学生领悟社会支持与主观幸福感的关系中起完全中介作用。     

Gender Differences in Psychological Well-Being in Emerging Adulthood

Gender is recognized as an important social determinant of health, but past research on gender differences in psychological well-being have not produced conclusive results. This study investigated gender differences in eudaimonic well-being and life satisfaction in emerging adulthood. A cross-sectional study with a sample of 1990 emerging adults (50% males) from the Spanish general population was conducted. Participants were assessed through five questionnaires. Results showed that women scored higher than men in purpose in life and personal growth. Hierarchical multiple regression analysis revealed that the most important predictors of emerging adult men’s and women’s eudaimonic well-being and life satisfaction were higher self-confidence and lower negative self-evaluation. Other significant variables in the eudaimonic well-being of both women and men were higher score in the masculine/instrumental trait, higher emotional social support, higher educational level, and higher score in the feminine/expressive trait. Furthermore, higher instrumental social support was associated with eudaimonic well-being in females. Other predictors of women’s and men’s life satisfaction were higher score in the feminine/expressive trait, less age, higher educational level and higher instrumental social support. In addition, higher emotional social support was associated with life satisfaction in males. The results suggest that gender is important in the psychological well-being of people in emerging adulthood, although self-esteem and instrumental social support are, in both emerging adult women and men, the most important predictors of psychological well-being.

     

大学生社会支持、自尊和主观幸福感的关系研究

采用量表法以300名大学生为被试研究了社会支持、自尊和主观幸福感(包括总体主观幸福感、生活满意度、积极情感和消极情感)的关系.(1)相关分析表明,社会支持、自尊和总体主观幸福感、生活满意度以及积极情感两两显著正相关;社会支持、自尊和消极情感显著负相关.(2)回归分析进一步表明:社会支持对自尊和主观幸福感各维度回归效应显著;自尊在社会支持基础之上对主观幸福感各维度回归效应显著,对社会支持与主观幸福感起到了中介作用.(3)EQS5.7b方法进一步验证了自尊是社会支持与主观幸福感的中介影响因素的结论.     

The Role of Decision Making Styles in Explaining Happiness

In pursuit of happiness, individuals often choose activities which may be influenced by their general decision making styles that reflect habitual ways of choosing and making decisions. The present study investigated the associations of such tendencies, namely individuals’ temporal perspectives that included present and future focus, and maximizing, with persons’ orientations to happiness and their relevance for subjective well-being. The obtained results confirmed previous reports indicating the relevance of orientations to happiness for subjective well-being. With respect to the decision making styles, they revealed positive correlations with regard to future focus with orientations to meaning and engagement that were also negatively associated with present focus. In addition, present focus was positively correlated with orientation to pleasure. With respect to maximizing, this decision making style was positively associated with all three orientations. While assessing the relevance of decision making styles for subjective well-being, the regression analyses indicated that higher levels of maximizing directly predicted higher levels of negative affect and lower life satisfaction. Next, mediation and network methodologies revealed significant mediating effects of orientations to meaning and engagement with respect to the relationships between future focus with life satisfaction and positive affect, orientation to meaning with respect to the associations between present focus with life satisfaction and positive affect, and orientation to engagement with respect to the relationships between maximizing with life satisfaction and positive affect. These results extend previous knowledge, indicating the relevance of individuals’ decision making styles for their conceptualizations of happiness, as well as subjective well-being.