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Predictive and treatment validity of life satisfaction and the quality of life inventory.

The clinical and positive psychology usefulness of quality of life, well-being, and life satisfaction assessments depends on their ability to predict important outcomes and to detect intervention-related change. These issues were explored in the context of a program of instrument validation for the Quality of Life Inventory (QOLI) involving 3,927 clients from various clinical settings. Clinical norms were also generated that supplement existing nationwide norms. The predictive validity of the QOLI and life satisfaction in a university counseling center was supported in terms of its ability to predict academic retention both by itself and in conjunction with cumulative grade point average 1 to 3 years in advance. The QOLI was also found to be sensitive to treatment-related change in two naturalistic clinical settings and samples. The interpretation and intervention utility of measures of quality of life, well-being, and life satisfaction are discussed with respect to clinical and positive psychology research.

Achievement↗

Life satisfaction across four stages of adult life.

This investigation examines, via multivariate analysis, the effect of financial situation, health, standard of living and family life upon the life satisfaction of adult men and women. The stages of adulthood examined here include: Early Adulthood (ages 22--34). Early Middle Age (ages 35--44), Late Middle Age (ages 45--64), and Late Adulthood (ages 65 and older). The data used in this analysis were collected from a national probability sample (N = 2164), but the present study includes only persons twenty-two years or older with a response for each item under investigations (N = 1786). Life satisfaction was relatively high for both men and women at each stage across the lifespan. It was noted, however, that for men life satisfaction is related to age stage in a monotonic increasing fashion. On the other hand, life satisfaction scores remained relatively constant across the age stages for women. Family life and standard of living were found to be significant determinants of life satisfaction, for both sexes at each stage of adulthood.

Adult↗

The association of sports and physical recreation with life satisfaction in a community sample of people with spinal cord injuries.

The purpose of this study is to assess satisfaction with life domains in people with spinal cord injuries (SCI) and investigate whether participation in sports and physical recreation is associated with life satisfaction in SCI. 1,748 randomly selected participants with SCI who fulfilled the criteria: SCI at level C5 or below, wheelchair dependent; aged 18-50 at the time of injury; at least 1 year post-injury, were approached to take part in this study. Completed replies were received from 985 individuals with SCI (198 women, 798 men). The measures used included the Sports Participation Questionnaire, the Life Satisfaction Questionnaire and the Hospital Anxiety and Depression Scale. The numbers of hours participating in sports decreased significantly after injury. There was a greater decrease in numbers participating in team sports in comparison to the decrease seen in numbers participating in individual sports. The highest level of satisfaction existed within social domains such as: family life and contacts with friends. The lowest level of satisfaction was found in regard to the participant's sexual life and vocational situation. Higher satisfaction with life in general was demonstrated in respondents with SCI involved in sports or physical recreation compared to those not participating in physical activities.

Adult↗

Predictors of life satisfaction of Korean nurses.

AIM: This paper reports a study to identify the levels of work satisfaction, burnout and life satisfaction among Korean hospital nurses and the relative importance of negative and positive work outcomes (burnout and work satisfaction) in explaining the variance of life satisfaction of nurses. BACKGROUND: Previous research has demonstrated that work outcomes such as job satisfaction and burnout can affect overall life satisfaction. It is not yet known, however, whether positive and negative aspects of work outcomes exert equally strong or varying degrees of effect, nor whether the relationships demonstrated primarily in Western cultures also are present in other cultures. Given the widespread shortage of nurses, it is important to identify areas for organizational interventions that have the greatest potential for improving both recruitment and retention of nurses. METHODS: A cross-sectional correlational design was used. A survey was undertaken with 194 nurses from general hospitals of 300 beds or more in southern Korea between May 1999 and March 2000. Paper and pencil self-rating questionnaires were used to gather information. Data were analysed using descriptive statistics, Pearson correlations and multiple regressions. RESULTS: Korean nurses reported moderate levels of life satisfaction, with low levels of work satisfaction and high levels of burnout. Burnout explained more variance in life satisfaction than work satisfaction. Those who experienced higher personal accomplishment and lower emotional exhaustion and who were satisfied with their professional status and did not work at night reported higher life satisfaction. CONCLUSIONS: This study highlights the relative importance of negative work outcomes on nurses' overall well-being. Strategies to reduce emotional exhaustion, enhance nurses' personal accomplishment and satisfaction with professional status, and accommodate shift preferences for work scheduling were suggested. Replicating this study with nurses from other geographic areas using random selection will be needed to increase the generalizability of the findings.

Adult↗

Health status, job satisfaction, job stress, and life satisfaction among academic and clinical faculty.

The present study compares academic and clinical faculty affiliated with a major teaching hospital in terms of work characteristics, job stress, conflict between work and personal life, job and life satisfaction, and perceived health. There were no significant differences between the two physician groups on job satisfaction, total stress, anxiety, or depression scores. However, academic faculty reported working longer hours, taking less vacation time, and spending more time in research and teaching, but seeing fewer outpatients. Academic physicians experienced more conflict between work and personal life, were burdened by a variety of time pressures, and were less satisfied with their finances, but experienced fewer recent episodes of physical illness than clinical faculty. However, compared with what is known about the general population, both physician samples seemed equally or more satisfied with their health and their lives.

Adult↗

Domains of life satisfaction in social anxiety disorder: relation to symptoms and response to cognitive-behavioral therapy.

A general sense of satisfaction with life has been shown to be discriminable from symptom levels and disability in clinical populations. The current study focused on the utility of identifying domains of life satisfaction in social anxiety disorder and differential changes in these domains following cognitive-behavioral group therapy (CBGT). An exploratory principal axis factor analysis of the items of the Quality of Life Inventory in clients with a principal diagnosis of social anxiety disorder (N=138) yielded four domains of life satisfaction: (1) Achievement, (2) Social Functioning, (3) Personal Growth, and (4) Surroundings. Prior to treatment, clients reported dissatisfaction in the Achievement and Social Functioning domains. Further, levels of satisfaction in these domains were significantly related to severity of social anxiety and depressive symptoms. Finally, analyses of a subsample of clients completing 12-weeks of cognitive-behavioral group therapy revealed significant improvements in the Achievement and Social Functioning factors. These findings provide further support for the assertion that social anxiety disorder has important implications for clients' quality of life and that CBGT can successfully impact several domains of satisfaction.

Achievement↗

Life satisfaction and health-related quality of life (SF-36) of middle-aged men and women.

OBJECTIVES: To investigate life satisfaction and health-related quality of life (SF-36) in a general population sample of middle-aged women and men. The effects of menopausal status and hormone replacement therapy (HRT) use upon life satisfaction and health-related quality of life (HrQOL) were also examined for the female sample. DESIGN: All men and women aged 49-55 years from the age/sex register of a large general practice in London were contacted and asked to complete a questionnaire about their health. SUBJECTS: A total of 103 women (55%) and 86 men (40%) participated; of the women, 15% were premenopausal, 68% peri- or postmenopausal and 17% taking HRT. RESULTS: Women and men reported similar levels of HrQOL, life satisfaction and general health, although women reported more physical problems (SF-36). The significant predictors of HrQOL were serious illness, employment and marital status, but HRT use and menopausal status were not significantly associated with life satisfaction nor HrQOL (for women). CONCLUSIONS: Gender differences in health and HrQOL may be less apparent during mid-life, although there were some subtle differences between men and women in reported health concerns and reasons given for (dis)satisfaction with their lives.

Body Mass Index↗

Socioeconomic comparisons and life satisfaction of elderly adults.

The hypothesis that overall satisfaction with life is influenced by one's financial situation vis-a-vis significant others was tested. Respondents compared themselves financially to the relative, friend, and neighbor to whom they felt closest. Data from a 1980 community survey of persons 60 years of age and older showed that the better off financially respondents perceived themselves to be compared with the relative to whom they felt closest, the greater the life satisfaction. This effect was independent of functional health, age, sex, race, marital status, education, income, household size, and social participation. These findings suggest that life satisfaction reflects not only one's location in the broader stratification system but also one's location in a rather limited network of significant others.

Adaptation, Psychological↗

Factors associated with life satisfaction among practicing internists.

The present study explored the relationship between satisfaction with life in general among 211 practicing internists and characteristics of their work, health, and life styles. Using a forced stepwise multiple regression analysis, 67% of the total variance in life satisfaction was accounted for by study variables. More satisfied physicians were more likely to be older, married, engaged in sexual intercourse more often, argued with or emotionally withdrew from family or friends less often, had fewer health problems, were less anxious and depressed, and experienced less job stress and more job satisfaction. Characteristics of the work setting, type of work activity (teaching, research, or patient care), number of patients seen, or hours worked per week were unrelated to satisfaction with life. The findings point to the importance of studying family life, mental health, and social relations in addition to work-related variables in order to understand and assess the quality of life among physicians.

Adaptation, Psychological↗

Predicting the dimensions of life satisfaction.

Taking multidimensional life satisfaction as the basic premise of this study, a four-equation multiple regression model was constructed for its prediction. The set of regressors included some conventional biographical characteristics, a number of activity variables, and three indicators of retirement experience. A stepwise regression estimation method was adopted. Results indicated that the pattern of regressor influence varied greatly between equations, providing fairly specific evidence on a number of previously espoused hypotheses. In particular, the Activity perspective on aging was found to be important in the prediction of over-all affect or mood tone, but of little relevance for the other dimensions of life satisfaction, and a modicum of support for the Disengagement perspective was observed.

Affect↗

Life satisfaction across the life course: evaluations of the most and least satisfying decades of life.

In a recent American study, the decades from ages 20 to 59 were most frequently chosen to be the most satisfying. However, one third of the elderly evaluated a decade in old age to be the most satisfying (Field, 1996). The present study was undertaken to investigate whether this finding could be replicated in a larger, representative sample of elderly Danes. Four cohorts born with an interval of five years, 62 to 77 years old (N = 3207) were asked to point out the most and the least satisfying decades of life. The years from 30 to 39 were most frequently chosen as the most satisfying decade, followed by the adjoining decades. A decade in old age was chosen as the least satisfying by 24% of the participants, while only 8.5% of the participants evaluated old age as the most satisfying period of life. Further analyses were made to examine conditions related to evaluating the present decade as the most or the least satisfying.

Activities of Daily Living↗

Trunk deformity is associated with a reduction in outdoor activities of daily living and life satisfaction in community-dwelling older people.

We have evaluated the association between trunk deformities of the sagittal plane and functional impairment of daily living in community-dwelling elderly subjects. The analysis involved a detailed assessment of indoor and outdoor activities of daily living, satisfaction with life, and mental status. The participants in this study were 236 community-dwelling older adults, aged 65 years and older, living in Kahoku district of Kochi in Japan. The participants were classified based on their posture, which was assessed using photographs of the subjects, and interviewed to assess their basic activities of daily living (BADL), instrumental ADL (IADL), and cognitive well-being in the cross-sectional study. The statistical analysis was performed using the Mann-Whitney U-test. The lumbar kyphosis group received significantly lower BADL and IADL scores than the normal group. The trunk deformity group which were defined as kyphosis, flat back, and lumbar lordosis groups exhibited decreases in activities that included going out, shopping, depositing and withdrawing money, and visiting friends in the hospital. These activities require going outdoors; thus, this study showed that the trunk deformity group had limitations in outdoor activities. There was no significant difference between the geriatric depression score (GDS) and the pattern of posture. The abnormal trunk deformity groups tended to score lower than the normal group with regard to subjective healthiness and life satisfaction measures, including subjective health condition, everyday feeling, satisfaction with human relationships, satisfaction with economic condition, and satisfaction with present life.

Activities of Daily Living↗

Moderate and severe erectile dysfunction equally affects life satisfaction.

PURPOSE: To explore the life satisfaction of patients with erectile dysfunction (ED) and to examine the relation between severity of ED and life satisfaction. MATERIALS AND METHODS: The study sample was recruited from patients who presented in an andrologic outpatient clinic complaining of ED. All patients underwent the basic clinical evaluation and were assessed by the International Index of Erectile Dysfunction (IIEF) and the Life Satisfaction Inventory (LSI). RESULTS: The study included 69 patients with ED (age range 22-71 years, mean 49.5, SD 13.7). The LSI appeared to have satisfactory internal consistency (Cronbach's alpha = 0.82). Men with ED had significantly lower satisfaction with their sexual life (t = -13.756, d.f. = 68, P = 0.000), but also significantly lower total score of satisfaction with their life (t = -2.793, d.f. = 68, P = 0.007) compared with available normative data from healthy population. However, when compared with controls, men with ED showed significantly higher satisfaction scores on their financial status (t = 5.075, d.f. = 68, P = 0.000) and on their leisure time activities (t = 4.029, d.f. = 68, P = 0.000). Regarding ED severity, mild ED affects patients' satisfaction with sexual life less than do moderate and severe ED. Interestingly, no difference was identified between moderate and severe ED groups. CONCLUSIONS: Men who seek help for ED have lower satisfaction with sexual life and lower satisfaction with their overall life compared with healthy people. Severity of ED seems to be an important factor, as men with moderate ED perceive the impact of ED on their life satisfaction equally with those with severe ED. ED patients gain more satisfaction from other domains of their life, provided they adopt coping behaviors that help compensate for their low overall life satisfaction. Furthermore, as ED patients do not differ from healthy people in their expressed subjective rating of quality of life (QoL), life satisfaction may be more sensitive than QoL assessment in the evaluation of the impact of ED on our patients' life.

Adult↗

Alternative medicine and allergies: life satisfaction, health locus of control and quality of life.

OBJECTIVES: Little is known on psychosocial characteristics of subjects with allergies who use or do not use alternative medicine (AM). We aimed to assess health-related quality of life (QoL), life satisfaction and health locus of control of adults with allergies and to compare users and nonusers of AM in a population-based setting. METHODS: In a population-based nested case control study, computer-assisted telephone interviews were performed in subjects (n=351, age median 46 years, response 76.1%) who had reported allergies (hay fever, asthma, atopic eczema and food hypersensitivity) in a previous survey. Questions on health-related QoL and evaluated instruments measuring life satisfaction ("Questions on Life Satisfaction" (FLZ(M))) and health locus of control ("Fragebogen zur Erhebung von Kontrollüberzeugungen zu Krankheit und Gesundheit" (KKG)) were applied. RESULTS: A total of 93 subjects (26.6%), who were younger and better educated than the remaining participants (n=257), reported experiences with AM. General and health-related life satisfaction was not statistically different between users (71.5 and 71.6) and nonusers (68.5 and 67.0) of AM. Nonusers scored significantly higher for fatalistic externality (21.6) than users (19.0) of AM (P=.005, adjusted age, gender and school education). The impact on overall health-related QoL was significantly higher for users (11.7) than nonusers (10.3) of AM. This difference was also significant for the domains "physical," "psychological," "friends and family" and "leisure activities" (adjusted P<.001). CONCLUSIONS: Users and nonusers of AM with allergies can be distinguished by psychosocial characteristics such as health locus of control and QoL.

Adult↗

College women with eating disorders: self-regulation, life satisfaction, and positive/negative affect.

The authors examined the self-regulatory strategies and subjective well-being of students recently diagnosed with eating disorders, at-risk students, and individuals without eating disorders. Fifty-six college students were individually interviewed regarding their use of self-regulatory strategies to lose and maintain their weight; they also completed the Extended Satisfaction with Life Scale (V. C. Alfonzo, D. B. Allison, D. E. Rader, & B. S. Gorman, 1996) and the Positive and Negative Affect Scale (D. Watson, L. A. Clarck, & A. Tellegen, 1988). As hypothesized, students with eating disorders reported more self-regulated strategies for managing their weight, a lower level of life satisfaction, and higher levels of negative affect than did at-risk students or individuals with normal weights. At-risk students reported higher levels of self-regulation and negative affect than did the students with normal weights. These findings may be useful for parents and health practitioners providing care to college students, who must be made aware of the signs and symptoms of these disorders.

Adult↗

The relationship between objective life status and subjective life satisfaction with quality of life.

A locally developed quality of life inventory was used to examine the relationship between objective life status and subjective satisfaction with quality of life in 8,550 participants from Hunan, China. The inventory included 112 items in 4 dimensions-physical health, psychological health, social functional status, and living conditions. Objective life status was the principal factor affecting subjective satisfaction, but discrepancies were found in some participants, especially when objective status was at the extremes of the distribution. Young, urban, or more educated participants with higher scores on objective status often had lower subjective satisfaction scores in spite of comparatively high objective status scores. Participants who ranked lower on objective status (old, rural, or less educated people) sometimes ranked higher in subjective satisfaction. Scores for subjective satisfaction always showed a normal distribution, whatever the objective satisfaction of the population. Divergence between individual objective status and subjective satisfaction was associated with hierarchy of life needs and the reference standards used for the comparison.

Adult↗