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Humor coping, health status, and life satisfaction among older adults residing in assisted living facilities.

The present study examined the relationships between humor coping, health status, and life satisfaction among older residents of assisted living facilities. A structural equation model with latent variables was specified for the three variables. Health status was expected to directly affect humor coping and life satisfaction. Humor coping was hypothesized to have a direct association with life satisfaction and indirectly affect the relationship between health status and life satisfaction. Participants completed the Multidimensional Functional Assessment Questionnaire, Coping Humor Scale, and Life Satisfaction Index A. The relationships between health status and humor coping and health status and life satisfaction were statistically significant. Both the direct association of humor coping on life satisfaction and the intervening role between health status and life satisfaction were not supported. Humor as a coping strategy seems to be available to older adults who are in better health.

Adaptation, Psychological↗

Self-reported life satisfaction and treatment factors in patients with schizophrenia, major depression and anxiety disorder.

Our aim was to study the associations between life satisfaction and treatment factors and how depression affects these associations among patients with schizophrenia (n=403), major depression (n=349) and anxiety disorder (n=139) from a defined area. Treatment satisfaction and compliance were high, but life satisfaction was low regardless of diagnostic group. Patients with schizophrenia recorded better life satisfaction than patients with the other disorders. There were few independent associations between life satisfaction and treatment factors. Fortunately, factors amenable to treatment intervention, such as depression, problem-solving ability and social support, were independently related to life satisfaction in every diagnostic group. Depression decreased these associations significantly only in patients with schizophrenia. Life satisfaction and treatment satisfaction should be included as separate variables in treatment outcome studies.

Adult↗

[A study of preventive medicine in relation to mental health among middle-management employees (Part 1)--Relationship between lifestyles and working-life satisfaction].

This study examined the cross-sectional relationship between health practices and working-life satisfaction, which we used as a subjective index of Quality of Life (QOL), based on data obtained from a survey of 3,928 middle-management employees (1,026 department chiefs and 2,902 section chiefs) in 110 major companies in 1990. The results are summarized as follows. (1) The section chiefs had more poor health practices than the department chiefs. The section chiefs appeared to have significantly more poor habits in terms of cigarette smoking, eating breakfast, nutritional balance, working hours, snacking, salt consumption, obesity, enjoying hobbies and physical status than the department chiefs. Surprisingly, 66% of department chiefs and 77% of section chiefs worked more than 10 hours per day. (2) Both the Health Practice Index (HPI) and working-life satisfaction tended to be higher as their ages were higher. (3) The department chiefs who had a poor nutritional balance, did not maintain an adequate stress level, had poor eating habits, poor sleeping habits and physical inactivity appeared to have lower working-life satisfaction. (4) The working-life satisfaction of the management staff was significantly affected by health practices, occupational stress, physical health status and position after controlling simultaneously for the other potential confounders. From these results, it may be concluded that the behavioral lifestyle change of the middle-management employee is an important factor to promote mental health as evaluated by working-life satisfaction.

Adult↗

A study of spirituality and life satisfaction among persons with spinal cord injury.

The purpose of this study was to investigate the relationship of spirituality and life satisfaction among persons with spinal cord injury. A nationwide sample of 230 persons with long-term spinal cord injury completed the Satisfaction With Life Scale (SWLS), the Quality of Life Index (QLI), and a demographic data form. Data analysis also indicated that there was a significant positive correlation between life satisfaction and psychological/spiritual factors of the QLI instrument. Nurses are mandated by the International Council of Nurses, the Joint Commission on Accreditation of Healthcare Organizations, and the Patient's Bill of Rights (Maddox, 2001) to provide spiritual care for clients. Rehabilitation nurses have the opportunity to support spirituality and life satisfaction as we assist our clients with disabilities to redefine their lives and explore new life opportunities.

Adult↗

Life satisfaction several years after severe multiple trauma--a retrospective investigation.

OBJECTIVES: To describe the prevalence of self-reported changes in life satisfaction after multiple trauma, to analyse associations between satisfaction with life as a whole and with domains in life, and to identify important contributors for satisfaction with life. DESIGN: Retrospective follow-up study. SETTING: Rehabilitation hospital three years after multiple trauma. SUBJECTS: Sixty-nine subjects with severe multiple trauma (ISS > or = 16). MAIN OUTCOME MEASURES: Clinical examinations to reveal prevalences of impairments and disabilities. Questionnaires about satisfaction with life as a whole and eight domains of life, both for the time before trauma, and for the actual situation; sense of coherence (SOC-13); social network. RESULTS: A total of 87% experienced a decrease in at least one of the nine life satisfaction items from before to after trauma (six-graded scale). After trauma significantly fewer subjects reported to be satisfied with life as a whole, as well as the domains sexual life, ADL, contact with friends, leisure, vocational and financial situation. Satisfaction with family life and partner relationship did not decrease significantly. The most important domains after trauma were satisfaction with leisure, family life and vocation. Vocational and leisure disability after trauma were important determinants for satisfaction with life as a whole. A strong sense of coherence and sufficient social network quality had significant impact on satisfaction with life as a whole and some of the domain-specific satisfactions. CONCLUSIONS: Both personal resources (a strong sense of coherence) and the presence of a qualitatively sufficient social network can buffer the negative influence of disabilities on life satisfaction after trauma.

Activities of Daily Living↗

Dieting behaviors, weight perceptions, and life satisfaction among public high school adolescents.

Relationships among perceived life satisfaction, perceptions of body weight, and dieting behaviors were examined in a statewide cross-sectional study of public high school adolescents in South Carolina (N = 5,032). The Centers for Disease Control (CDC) Youth Risk Behavior Survey and the Brief Multidimensional Students' Life Satisfaction Scale were utilized for this study. Adjusted logistic regression analyses and multivariate models constructed separately (via SUDAAN), revealed that perceptions of overweight, perceptions of underweight, having dieted to lose weight, having vomited or used laxatives to lose weight, and taking diet pills were significantly related (p < .05) to reduced life satisfaction for adolescents. Differences in dieting behavior and perceptions of weight were demonstrated across gender and race. Measures of life satisfaction as a component of comprehensive assessments of adolescent weight management and healthy eating behaviors in clinic, fieldwork, research, and program-evaluation efforts should be considered.

Journal Article↗

Happiness and congruence in older adulthood: a structural model of life satisfaction.

The purpose of this study was to determine how health impairment, socioeconomic status, and social support relate to life satisfaction in later life. Using data from a sample of 320 older adults from The Georgia Centenarian Study, we constructed a structural model of life satisfaction. LISREL analysis was performed to test a two-factor model that included Happiness and Congruence and to determine the relationship of health impairment, socioeconomic status (SES), and social support to Happiness and Congruence, two measures of the Life Satisfaction Index-A (LSI-A). Data were found to provide a satisfactory fit of the model (GFI = 0.94; AFGI = 0.91). Social support and SES were found to have direct effects on health impairment. Health impairment was a key predictor and mediating variable of Happiness and Congruence. Findings also support a relationship between social resources and subjective well-being in later life. In particular, the association between social resources and life satisfaction was mediated through health impairment. These findings offer understanding relative to how health and social resources influence past and present assessments of subjective well-being among the elderly.

Adult↗

Predictors of life satisfaction in retired physicians and spouses.

BACKGROUND: With the current demographic changes, adjustment to retirement has become a major concern for physicians. Yet information on adjustment to retirement gathered from retired physicians is sparse. Information on physician spouses following retirement is currently not available. Therefore, we conducted a survey of a multi-disciplinary group of retired physicians and their spouses on adjustment to retirement. METHODS: A mail survey was sent to 1834 alumni who graduated from medical school prior to 1965. Responses were received from 795 (43 %) physicians and 455 spouses. Of the physicians, 678 indicated that they were retired or semi-retired. Life satisfaction was measured on a 9-point Likert scale. RESULTS: Levels of life satisfaction were high for both physicians and spouses. Approximately 88 % of both groups reported being mostly satisfied or better with their lives. Factors associated with better life satisfaction for physicians included better health, optimism, feelings of financial security, participation in activities and hobbies and a good sexual relationship. For spouses, good health, having a husband willing to help with chores, quality of relationships including sexual relationship and attending theatre or sporting events were associated with higher levels of life satisfaction. Spouses who had never worked reported higher levels of life satisfaction than spouses who had worked and were now retired. For changes in life satisfaction since physician retirement, predictors for both physicians and spouses were similar to those for life satisfaction. However, for physicians, both younger age and more years in retirement were independently associated with improved life satisfaction. Issues regarding loss of role and methods and reasons for retirement influenced satisfaction in the early retirees. For spouses, major challenges involved coping with changes in the marital relationship. CONCLUSIONS: Physicians and their spouses reported high levels of life satisfaction. The factors predicting life satisfaction and change in life satisfaction following retirement differed for physicians and spouses. For physicians, life satisfaction and change in life satisfaction were affected by time since retirement.

Adaptation, Psychological↗

Life satisfaction and death anxiety in aged women.

The life satisfaction and death anxiety of elderly women were investigated as a function of demographic, life history, and stress variables. Though multiple regression, life satisfaction was predicted by number of friends, good health, and, surprisingly, by having fewer offspring living in the same city. Health problems, change in living conditions, and relatively high educational level were predictors of death anxiety. It was concluded that life satisfaction and death anxiety are a function of past and present life experiences and conditions.

Aged↗

Life satisfaction in old age: linking social psychology and history.

A life course perspective on aging assumes that adaptation is governed by factors beyond the immediate situation. Using longitudinal data on 79 women from the 1900 generation of the Berkeley Guidance Study, we examined how social and psychological factors interact over time in the course of successful aging, as expressed by life satisfaction. The consequences of adaptive resources in early adulthood vary in relation to social class. Intellectual skills in 1930 indirectly predict life satisfaction in old age for women from the working class, whereas emotional health is more influential in the life satisfaction of women with higher class origins. Social activity in old age makes a difference only in the lives of women from the working class. Finally, adaptation to old age is related to women's experiences with past stressful events. Middle-class women in 1930 showed gains attributable to Depression hardship (1930s), whereas the life satisfaction of women from the working class was diminished by such hardships. Several mechanisms are discussed that may link widely separated problem situations and life events across the life course. The analysis provides empirical support for the proposition that the influence of social change on life trajectories is contingent on what individuals bring to change situations.

Adaptation, Psychological↗

The life satisfaction chart: perceptions of the course of subjective experience.

The Life Satisfaction Chart is presented as a method for studying perceptions of the course and determinants of life satisfaction. Analyses of reports from forty-five men and forty-six women in the Oakland Growth Study indicated the following: (1) Early-maturing boys, particularly in the working class, recollected their early adolescence as more satisfying than did the late-maturing boys, while early-maturing girls remembered early adolescence as less satisfying. (2) Upward social mobility was associated with an increase in reported life satisfaction for both sexes, but at a statistically significant level for men only. Unexpectedly, both men and women who were upwardly mobile recollected their childhoods as less satisfying than did the downwardly mobile. (3) Women rated above the mean in physical attractiveness during high school did not recall their teen-age years as more satisfying than those below the mean. The top quartile, however, did recollect these years as more satisfying than the bottom quartile. (4) Both men and women rated high on use of the defense mechanism of denial reported higher levels of retrospective life satisfaction.

Female↗

Life satisfaction in adults with pediatric-onset spinal cord injuries.

OBJECTIVE: To determine the level of life satisfaction of adults with pediatric-onset spinal cord injuries (SCI) and the factors associated with life satisfaction. METHOD: A structured interview including standardized measures. PARTICIPANTS: Participants were individuals who sustained SCI at age 18 years or younger, were 24 years of age or olderat interview, did not have significant brain injury, and were living in the United States or Canada. OUTCOME MEASURES: A structured interview, the Functional Independence Measure (FIM), the Craig Handicap Assessment and Reporting Technique (CHART), the Short-Form 12 (SF-12), and the Satisfaction with Life Scale (SWLS). RESULTS: Two hundred sixteen individuals were interviewed. Mean age at injury was 1 4 years, mean age at interview was 29 years, and mean duration of injury was 14 years. The mean SWLS score was 23.6, and the median score was 25. There was not a significant difference between men and women, but those with tetraplegia were significantly less satisfied than were those with paraplegia. A regression model identified age at injury, community mobility (CHART), marital status, use of street drugs, perceived mental health (SF-12), and medical complications as predictors of life satisfaction. Other factors strongly associated with SWLS were employment, income, independent living, FIM total plus physical and sociocognitive domain scores, perceived physical health (SF-12), and CHART total plus the subscales of physical independence, cognitive independence, and occupation. CONCLUSIONS: Life satisfaction in adults with pediatric-onset SCI is associated with demographic, injury-related, and functional limitation factors, as well as with health status and community integration outcomes.

Activities of Daily Living↗

Relationship of health status and social support to the life satisfaction of older adults.

We examined the relationship of health factors and social support to life satisfaction in older adults dwelling in a rural town. The gender difference in variables related to life satisfaction was also discussed in this study. One hundred and forty-two older adults (86 females and 56 males) who completed a self-administered questionnaire and participated in a health examination in 1998 or 1999 comprised the study participants. The t-test and chi-square test were used to assess the differences between the two genders. Correlation measure and multiple regression analysis were used to assess the relationship between life satisfaction and other health related or socially related factors for each gender. Significant gender differences were observed in living status and several health related factors. According to the results of the multiple regression analyses, life satisfaction was related to mental health and age in females, while it was related to mental health status and social support from others in males. Gender differences in the variables associated with life satisfaction were observed among the community-dwelling older adults. These data suggest the importance of mental health for older adults. When preparing health promotion strategies for older adults, results of gender differences as they related to social support and life satisfaction should be applied in practice.

Aged↗

[The effects of aromatherapy on pain, depression, and life satisfaction of arthritis patients].

PURPOSE: The purpose of this study was to investigate the effect of aromatherapy on pain, depression, and feelings of satisfaction in life of arthritis patients. METHOD: This study used a quasi-experimental design with a non-equivalent control group, pre-and post-test. The sample consisted of 40 patients, enrolled in the Rheumatics Center, Kangnam St. Mary's Hospital, South Korea. The essential oils used were lavender, marjoram, eucalyptus, rosemary, and peppermint blended in proportions of 2:1:2:1:1. They were mixed with a carrier oil composed of almond (45%), apricot(45%), and jojoba oil(10%) and they were diluted to 1.5% after blending. The data were analyzed using an 2-test, Fisher's exact test, t-test and paired t-test. RESULT: Aromatherapy significantly decreased both the pain score and the depression score of the experimental group compared with the control group. However, aromatherapy didn't increase the feeling of satisfaction in life of the experimental group compared with the control group. CONCLUSION: The result of this study clearly shows that aromatherapy has major effects on decreasing pain and depression levels. Based on our experiment's findings, we suggest that aromatherapy can be a useful nursing intervention for arthritis patients.

Aromatherapy↗

Life satisfaction among older people (65+) with reduced self-care capacity: the relationship to social, health and financial aspects.

AIMS AND OBJECTIVES: This study aimed at investigating life satisfaction and its relation to living conditions, overall health, self-care capacity, feeling lonely, physical activities and financial resources among people (65+) with reduced self-care capacity. BACKGROUND: Knowledge about factors related to low life satisfaction among older people with reduced self-care capacity is sparse, although this is important in health care and nursing so that the care is adapted to their needs and perspective. Previous research has mainly focused on isolated aspects such as pain in relation to life satisfaction among older people in general and less among so those with reduced self-care capacity in general. DESIGN AND METHOD: A subsample of 522 persons was selected from a randomly selected cross-sectional survey using a modified form of the Older Americans' Resources Schedule and Life Satisfaction Index Z. RESULTS: The mean age in the total sample was 77.9; women (79.5) were significantly older than men (77.0). Low life satisfaction was found among women, as well as those living in special accommodations. Life Satisfaction Index Z was 15.3 (SD 5.6) in the total sample. Gender and living conditions did not explain life satisfaction whilst poor overall self-reported health and poor financial resources in relation to needs had the strongest explanatory value. Also of significant importance were loneliness, the degree of reduced self-care capacity and feeling worried. CONCLUSION: Life satisfaction in older people with reduced self-care capacity is determined by several factors, with social, physical, mental and financial aspects probably interacting with each other; especially feeling lonely, degree of self-care capacity, poor overall health, feeling worried and poor financial resources in relation to needs. These factors need to be considered in the care of these people to preserve or improve their life satisfaction. RELEVANCE TO CLINICAL PRACTICE: Nursing interventions in terms of preventive home visits, rehabilitation, health education directed towards physical, psychological, social and economic aspects of importance may help to preserve or improve life satisfaction for those with reduced self-care capacity.

Activities of Daily Living↗

A prospective study of life satisfaction, neuroticism and breast cancer risk (Finland).

OBJECTIVE: To prospectively investigate whether life satisfaction and neuroticism, two measures reflecting aspects of anxiety/depression, are related to risk of breast cancer. METHODS: The study population comprised 12,032 women from the population-based Finnish Twin Cohort. Life satisfaction and neuroticism were assessed in health questionnaires in 1975 and 1981. During 21 years of follow-up, 238 cases of breast cancer were documented in the study cohort through record linkage to the Finnish Cancer Registry. RESULTS: After adjustment for age and other important covariates, the hazard ratios were 1.0 (reference), 0.9 (95% confidence interval 0.6-1.3) and 1.0 (0.7-1.6) by decreasing level of life satisfaction (satisfied, intermediate, dissatisfied), and 1.0 (reference), 1.0 (0.7-1.4) and 0.8 (0.6-1.2) by increasing level of neuroticism (low, intermediate, high). These results did not change after accounting for possible changes in the levels of life satisfaction and neuroticism between 1975 and 1981. The null results were also confirmed with the use of a nested case-control study within twin pairs that became discordant for breast cancer during the follow-up. CONCLUSIONS: Our data indicate that life satisfaction and neuroticism are not substantially associated with breast cancer risk. These findings provide epidemiological evidence against the doubts that breast cancer would be more likely to occur in unhappy, dissatisfied, and worrying women.

Adult↗

Religious activity improves life satisfaction for some physicians and older patients.

OBJECTIVE: To assess religious perceptions and activities of physicians and older patients and to determine whether religious activities are associated with life satisfaction. DESIGN AND SETTING: A cross-sectional survey of practicing Virginia internists and psychiatrists and hospitalized or institutionalized (nursing home) older adults. PARTICIPANTS: One hundred randomly sampled practicing physicians and 55 hospitalized or institutionalized older patients. METHODS: A mailed survey was used for the physicians and a structured interview for the patients. All subjects provided information pertaining to demographics and life satisfaction using the Life Satisfaction Index (LSI-B). For physicians or patients who engaged in any religious activity, the Intrinsic/Extrinsic Religiosity (I/E-R) scale was used. RESULTS: Of the 100 physicians (49 internists and 51 psychiatrists) who answered the survey (50% response rate), 75% used religious activity as a coping resource (39% somewhat, 36% definitely). There was a positive correlation between intrinsic religious activity (e.g., prayer, Bible reading) and life satisfaction (r = .293, P = .042). Of the 55 patients interviewed, 47 (86%) used religion as a coping resource, and intrinsic religious activity was positively associated with life satisfaction (r = .843, P < .001). Even after controlling for age, gender, health, and marital status, intrinsic religious activity remained a predictor of higher life satisfaction. CONCLUSIONS: Intrinsic religious activity is associated positively with life satisfaction in physicians and ill older adults.

Adaptation, Psychological↗

Predicting life satisfaction among adults with physical disabilities.

The perceptions of life satisfaction among adults with physical disabilities were examined in this research. Personal interviews were conducted with 790 adults who had a physical disability. Data were collected using the Center for Epidemiological Studies Depression Scale, Rosenberg's Self-esteem Scale, and the Life 3 Scale. Results from a stepwise multiple regression analysis (n = 344) indicated that leisure satisfaction was the most significant predictor of life satisfaction, explaining 42% of the variance in the life satisfaction scores for this population. An additional 11% of the variance in life satisfaction was explained by scores on financial status, self-esteem, health satisfaction, religious satisfaction, and marital status. Findings from this research highlight the role that leisure satisfaction plays in enhancing life satisfaction among individuals with physical disabilities. Furthermore, the findings suggest that leisure and life satisfaction levels are influenced by employment status and whether the disability was acquired. Discussion centers on the potential contribution that therapeutic recreation can have in the rehabilitation arena.

Adolescent↗