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PubMed2005

Subjective life satisfaction and objective functional outcome in bipolar and unipolar mood disorders: a longitudinal analysis.

BACKGROUND: Quality of life (QOL) has gained increasing attention as an important yet underappreciated component of functional outcome in mood disorders. In particular, the relationship between subjective life satisfaction and objective measures of psychosocial adjustment has not been well-studied. The goal of the present study was to examine the longitudinal associations between subjective life satisfaction and objective functional outcome among individuals with bipolar and unipolar mood disorders. METHOD: One hundred fifty-seven mood disordered subjects were assessed at index hospitalization for bipolar mania (n=35), unipolar psychotic depression (n=27), or unipolar nonpsychotic depression (n=95). All were prospectively followed up three times, at approximately 2, 4.5 and 7-8 years. Global outcome, work performance, social adjustment, recurrent depressive episodes, and dimensions of life satisfaction were assessed by semi-structured interviews using standardized ratings. RESULTS: Subjective life satisfaction strongly paralleled global functioning, work performance and social adjustment at each follow-up for patients with unipolar nonpsychotic depression, but not bipolar disorder or unipolar psychotic depression. Depressive symptoms and objective functional impairment contributed to poor QOL in most domains, independent of illness chronicity, medication use, or affective disorder subtype. LIMITATIONS: Findings might have differed had a different QOL measure been used, although the present measure showed concurrent validity with a previously used instrument. Sample sizes for the bipolar and psychotic depression groups were sufficient to detect moderate, but not small, correlations between objective functioning and subjective QOL. CONCLUSIONS: Recurrent depression remains a substantial contributor to poor life satisfaction across affective disorder subtypes. Subjective QOL in bipolar and unipolar psychotic depression patients may not accurately reflect objective functional outcome status, potentially due to diminished insight, demoralization, or altered life expectations over time.

Activities of Daily Living↗
PubMed1998

Life satisfaction among Chinese elderly in Beijing.

The present study examined correlates of life satisfaction among 350 Chinese elderly aged 65 or older. Subjects consisted of a clinic sample (n = 200) and a randomly selected community sample (n = 150) recruited from the same area in Beijing. Linear regression analysis was performed, using health, financial status, and family support as independent variables. Results showed that the regression model explained 38 percent of the variance in life satisfaction in the total sample, 34 percent and 43 percent of the variance respectively in the clinical and community samples. Life satisfaction was significantly predicted by health and financial status among community elderly and by health, financial status, as well as family support among outpatient elderly. Findings suggest that the socio-cultural context has exerted important impacts on the Chinese elderly's life satisfaction.

Journal Article↗
PubMed2004

Environmental factors and their role in participation and life satisfaction after spinal cord injury.

OBJECTIVES: To investigate environmental barriers reported by people with spinal cord injury (SCI), and to determine the relative impact of environmental barriers compared with demographic and injury characteristics and activity limitations in predicting variation in participation and life satisfaction. DESIGN: Cross-sectional, follow-up survey. SETTING: Individuals rehabilitated at 16 federally designated Model Spinal Cord Injury Systems of care, now living in the community. PARTICIPANTS: People with SCI (N=2726) who completed routine follow-up research interviews between 2000 and 2002. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The Craig Hospital Inventory of Environmental Factors-Short Form (CHIEF-SF), the Craig Handicap Assessment and Reporting Technique-Short Form, and the Satisfaction With Life Scale. RESULTS: The top 5 environmental barriers reported by subjects with SCI, in descending order of importance, were the natural environment, transportation, need for help in the home, availability of health care, and governmental policies. The CHIEF-SF subscales accounted for only 4% or less of the variation in participation; they accounted for 10% of the variation in life satisfaction. CONCLUSIONS: The inclusion of environmental factors in models of disability was supported, but were found to be more strongly related to life satisfaction than to societal participation.

Activities of Daily Living↗
PubMed1991

Stressful events and life satisfaction among elderly men and women.

The purpose of this study was to examine the interrelationships among stressful events, domain-specific assessments of life satisfaction, and global evaluations of life satisfaction. This research was guided by two competing theoretical formulations. According to bottom-up theory, older adults first assess feelings of satisfaction within specific life domains that are based in part on the experiences (i.e., stressors) they encounter in these areas. The domain-specific views are subsequently synthesized to form an overall sense of satisfaction with life as a whole. In contrast, the top-down theory suggests that a person's ongoing sense of satisfaction with life as a whole predisposes him or her to assess satisfaction with specific domains in ways that are congruent with his or her initial sense of global life satisfaction. Analysis of data provided by older participants in a nationwide survey tends to support the bottom-up perspective.

Aged↗
PubMed1993

Changes in life satisfaction over a two and a half year period among very elderly people living in London.

Research evidence concerning the contributions of social networks and support to the subjective wellbeing (i.e. life satisfaction) of older persons is not consistent. This paper reports the results of an investigation of the effects life satisfaction at baseline, social network type and health status, on life satisfaction at follow-up at two and a half years later among people ages 85+ living in the East end of London. The percentage of the total variation in overall life satisfaction which was explained by the model was 47%. Baseline life satisfaction score explained most of this (43%), and the remaining variation was explained largely by functional status and age. Previous analyses of baseline life satisfaction reported that health and functional status had accounted for most of the variation between groups, far more than social network and support variables.

Activities of Daily Living↗
PubMed2005

Dental check-ups in 31-year-olds in relation to optimism and life satisfaction.

OBJECTIVE: To analyse the impact of optimism and life satisfaction on dental check-ups. BASIC RESEARCH DESIGN: A cross-sectional study. PARTICIPANTS: The data used in this study consists of a postal questionnaire sent to the members of the 1966 Birth Cohort in Northern Finland. The number of replies totalled 8,690, giving a response rate of 75.3%. MAIN OUTCOME MEASURES: The subjects were classified into two categories according to frequency of dental check-ups: those who went for check-ups at least once in two years and those who went more rarely. A Life Orientation Test was used to measure optimism. Life satisfaction was measured using a single question. The other explanatory variables were gender, marital status, education, incomes and employment status. Multivariate analyses were performed using log-binomial regression models. RESULTS: Independent of other factors, life satisfaction among women and optimism among men was associated with dental check-ups. Links between socioeconomic factors and dental check-ups were weaker than anticipated. CONCLUSIONS: The results suggest that not only socioeconomic factors but also psychosocial aspects need to be taken into account in planning successful dental health policy.

Adult↗
PubMed2005

[Relationship between life satisfaction and lifestyle in residents of Kyoto].

OBJECTIVE: The purpose of this study was to assess relationships between life satisfaction and lifestyle in residents of the city of Kyoto, Japan, by addressing their subjective evaluation of their own health status. METHODS: The subjects comprised 4746 men and women (15-97 years old) who had completed a questionnaire on life style in the 1998 Kyoto Citizen's Health and Nutrition Study. Stratified by their responses to subjective health, the relationship between life-satisfaction and lifestyle was evaluated by odds ratios and chi-square tests of the subjects classified by age and gender. RESULTS: The proportion of respondents who felt their subjective health was good decreased with age, while the proportion of respondents who considered their life satisfaction good increased with age. Whether the residents had good or poor subjective health, the proportion of respondents who had a healthy lifestyle, as exemplified by having breakfast everyday, having dinner with their family regularly and having a good intake of greeny-ellow vegetables increased with age in both men and women. This healthy lifestyle was also positively associated with good life satisfaction. CONCLUSION: Whether the residents had good or poor subjective health, these results suggest that thos with a healthy lifestyle feel good life satisfaction.

Adolescent↗
PubMed1995

Validity and reliability of a Five Dimensional Life Satisfaction Index.

Validity of the Five Dimensional Life Satisfaction Index (Hawkins, Eklund, Kim, & Greene, 1994), which was developed to measure life satisfaction as it applies to adults with mental retardation, was examined. The index was administered to 48 adults with moderate mental retardation. Results showed (a) alternate forms reliability and internal consistency, (b) convergent and discriminant validity, and (c) construct validity.

Adult↗
PubMed1990

Life satisfaction and spinal cord injury: the patient perspective.

Spinal cord injury is a high-cost disability requiring numerous personal life-style changes. As a result of advanced medical and nursing care, life expectancy of the spinal cord-injured (SCI) individual has greatly increased. Economic impact and changes in life expectancy have led to assumptions about life satisfaction in SCI individuals. Those assumptions are: (1) spinal cord-injured individuals have less life satisfaction than the general population, and (2) since these individuals cannot lead "normal" lives, they may be better off not living. This study attempted to disprove those assumptions by determining whether correlation existed between life satisfaction and physical functioning in SCI individuals. Telephone interviews were conducted with 31 individuals who had suffered spinal cord injury. Data were collected through the use of the Life Satisfaction in the Elderly Scale (LSES) and the Barthel Index. A correlation was found to exist between LSES scores and Barthel scores, but Barthel scores and the LSES subscale scores for goals, mood and finance had low correlations. The data suggest nurses may enhance life satisfaction in the SCI individual by focusing on adaptation in the three subscales of goals, mood and finance.

Activities of Daily Living↗
PubMed1980

Life satisfaction and activity theory: a multidimensional approach.

Life satisfaction is examined utilizing a multidimensional approach. Hypotheses were proposed and tested for each of the dimensions of LSIA (Life Satisfaction Index A) within an activity theory perspective. The results provide qualified support for the theory. Some dimensions; however, show a better fit than others. Lack of a more general confirmation proved to be due to problems with activity theory and its attendant measures rather than with the multidimensional approach. The patterns of relationships found across the dimensions provide further support for using a multidimensional analysis when dealing with LSIA.

Aged↗
PubMed2000

Self-reported life satisfaction and 20-year mortality in healthy Finnish adults.

The authors investigated the role of self-reported life satisfaction in mortality with a prospective cohort study (1976-1995). A nationwide sample of healthy adults (18-64 years, n = 22,461) from the Finnish Twin Cohort responded to a questionnaire about life satisfaction and known predictors of mortality in 1975. A summary score for life satisfaction (LS), defined as interest in life, happiness, loneliness, and general ease of living (scale range, 4-20), was determined and used as a three-category variable: the satisfied (LS, 4-6) (21%), the intermediate group (LS, 7-11) (65%), and the dissatisfied (LS, 12-20) (14%). Mortality data were analyzed with Cox regression. Dissatisfaction was linearly associated with increased mortality. The age-adjusted hazard ratios of all-cause, disease, or injury mortality among dissatisfied versus satisfied men were 2.11 (95% confidence interval (CI): 1.68, 2.64), 1.83 (95% CI: 1.40, 2.39), and 3.01 (95% CI: 1.94, 4.69), respectively. Adjusting for marital status, social class, smoking, alcohol use, and physical activity diminished these risks to 1.49 (95% CI: 1.16, 1.92), 1.35 (95% CI: 1.01, 1.82), and 1.93 (95% CI: 1.19, 3.12), respectively. Dissatisfaction was associated with increased disease mortality, particularly in men with heavy alcohol use (hazard ratio = 3.76, 95% CI: 1.61, 8.80). Women did not show similar associations between life satisfaction and mortality. Life dissatisfaction may predict mortality and serve as a general health risk indicator. This effect seems to be partially mediated through adverse health behavior.

Adolescent↗
PubMed2005

[The impact of antidepressive therapy on work productivity and life satisfaction--a one-year follow-up study].

AIM OF THE STUDY: One of the most frequent causes of temporary or permanent diminution of work productivity is depression. The complete recovery of depression means fully restored creativity, work production and life satisfaction. Antidepressive treatment is regarded effective if besides symptom remission, the original functions and roles are fully restored, i.e. life satisfaction significantly improves. The aim of this study was to assess the improvement of work productivity and life satisfaction of paroxetin treated depressives. METHODS: The study was a 52 weeks lasting open, multicentric, self-controlling survey with the inclusion of 1407 paroxetin treated depressed patients. Apart from recording demographic data, comorbidities, course of the illness, and scales measuring the severity of the illness (HAMD, CGI-S, CGI-I), scales indicating the impairment of work productivity (SAS, SDS) and life satisfaction (LS) were also processed. RESULTS: Besides the improvement of the depressive symptoms (HAMD scores decreased from 22.6 to 3.8; and CGI-S scores from 4.7 to 1.3), the scores of work productivity and life satisfaction also significantly decreased (SAS scores from 2.8 to 1.3, SDS scores from 18.2 to 2.8, and LS scores from 14.9 to 7.1, respectively). Following the acute treatment period, work productivity and life satisfaction further continuously improved till the end of the maintenance treatment phase. CONCLUSION: Parallel to the improvement of the depressive symptoms, the number of absence days decreased, the work performance, free time activity and family functioning significantly improved. A significant correlation was found between the improvement of depressive symptoms and the positive changes in work production and life satisfaction.

Adult↗
PubMed1992

Psychosocial function and life satisfaction after stroke.

BACKGROUND AND PURPOSE: This prospective study was designed to describe different aspects of psychosocial function after stroke and the development of changes over time. A major aim has been to identify mental, functional, and social factors associated with low life satisfaction late after stroke. METHODS: Social network, functional ability, leisure-time activities, experience of ill health, major depression, and life satisfaction were assessed repeatedly over 3 years in a population-based sample of 50 long-term survivors of stroke (mean age 71.4 years). RESULTS: Compared with a general elderly population, patients 3 years poststroke had more psychiatric symptoms, lower functional ability, and reduced life satisfaction. Contacts with children were maintained over the 3-year follow-up period, whereas contacts with friends and neighbors declined early after stroke and remained lower than in the general elderly population (p less than 0.05). When time dependency was analyzed, activities of daily living and somatic/neurological symptoms were found to change little after 3 months, while psychiatric symptoms showed changes later. Between 3 and 12 months poststroke, the prevalence of major depression decreased, leisure-time activities and social contacts were partly resumed, and life satisfaction improved (p less than 0.01). Once good life satisfaction was restored it was maintained, and poor life satisfaction at 1 year remained poor for the entire 3 years. CONCLUSIONS: It is concluded that major depression early after stroke, functional disability, and an impaired social network interact to reduce life satisfaction for the long-term survivors of stroke.

Activities of Daily Living↗
PubMed1991

[Relationship between working-life satisfaction, health practices and primary symptoms/problems].

This study examined the relationship between Quality of Life (QOL) among workers of a major manufacturing company, health practices and primary symptoms/problems. To examine subjective assessment of the quality of life, we designed a comprehensive working-life satisfaction scale. Similarly we designed and assessed Health Practice Index (HPI) and scores for primary symptoms/problems. The results are summarized as follows: 1) Scores for primary symptoms/problems tended to be lower as the Health Practice Index (HPI) were higher. 2) Working-life satisfaction tended to be higher as scores for primary symptoms/problems were lower. 3) Working-life satisfaction tended to be higher as the Health Practice Index (HPI) were higher. The findings pointed to strong correlations between working-life satisfaction as a subjective index in order to assess the Quality of Life (QOL), the Health Practice Index (HPI) and scores for primary symptoms/problems.

Adult↗
PubMed2006

Life satisfaction after traumatic brain injury and the World Health Organization model of disability.

OBJECTIVE: To determine which components of the World Health Organization's International Classification of Functioning, Disability, and Health (ICF) are most predictive of global life satisfaction after traumatic brain injury (TBI). DESIGN: Prospective evaluation of 180 individuals enrolled in a TBI model system project site. RESULTS: Multiple regression analysis indicated that the combination of ICF components (body function and structure, activities, and participation) and demographic factors significantly predicted life satisfaction and accounted for 17% of the variance. Participation was the strongest predictor; activities were a significant, but weaker predictor; and body function and structure did not add to the prediction of life satisfaction. Of all the individual variables evaluated, only social integration and productivity were found to be significant, unique predictors. CONCLUSIONS: When considering the effects of various aspects of disabling conditions on the life satisfaction of individuals who have suffered a TBI, restriction of participation in life activities was found to have the greatest impact. Although the model accounted for a significant percentage in the variation of life satisfaction, a large proportion of the predictive picture (>82%) remains unclear. Doubtless, other variables impinge on life satisfaction that would further clarify the complex relationship between disabling conditions and life satisfaction in TBI.

Activities of Daily Living↗
PubMed2005

On loss of activity and independence, adaptation improves life satisfaction in old age--a qualitative study of patients' perceptions.

The purpose was to improve the understanding of factors are perceived by elderly people as important for their life satisfaction, during and after rehabilitation. Fifteen persons aged 80-94 years were interviewed while in hospital and on two follow-up occasions after discharge. Assessment of motor function using the General Motor Function assessment scale was used for descriptive purposes. Three themes emerged as important for life satisfaction: activity, independence and adaptation. Activity and independence were considered significant for life satisfaction. Basic activity preferences were related to care of one's own body and to social contacts. Control and influence over help and services were regarded as important. Different strategies for adaptation to the consequences of disease were used: reorganisation, interaction with caregivers, mental adaptation and mental activities (used as pastime and escape). Those with declined motor functions limited their activity preferences. A key finding was that pleasant past memories were actively recalled in an effort to achieve current life satisfaction. This adaptation strategy created a sense of life satisfaction, however with a potential risk for concealing dissatisfaction with conditions that might otherwise be correctable. Strategies for improving life satisfaction among old people in rehabilitation are suggested.

Activities of Daily Living↗
PubMed1990

Life satisfaction and death anxiety in elderly nursing home and public housing residents.

To compare life satisfaction and death anxiety in older adults, 30 elderly residents of a public housing apartment complex and 20 nursing home residents completed the Death Anxiety Scale, the Philadelphia Geriatric Center Morale Scale, and a structured interview. Nursing home residents more frequently reported that in five years they expected to be dead, whereas public housing residents more frequently reported that in five years they would be doing about the same thing or nothing. The two groups did not differ on their reported death anxiety or life satisfaction. However, across both groups, those reporting higher life satisfaction also reported lower death anxiety and a more positive attitude toward growing older. It appears that, for the elderly individuals in this study, place of residence was not related to their expression of life satisfaction or death anxiety.

Aged↗
PubMedDate not supplied

Relationship between life satisfaction and violent behaviors among adolescents.

OBJECTIVE: To explore relationships between life satisfaction and violent behaviors among 5,032 adolescents. METHODS: Adjusted polychotomous logistic regression analyses and multivariate models were used via SUDAAN with the 1997 CDC YRBS. RESULTS: Carrying a weapon; carrying a gun; carrying a weapon at school; physical fighting; physical fighting at school; physical fighting that required physician treatment; drinking and driving; riding with a drinking driver; having property stolen/damaged at school; feeling unsafe while at, going to or returning from school; and being injured/ threatened with a weapon were associated (p=.05) with reduced life satisfaction. CONCLUSION: Measures of life satisfaction as a component of comprehensive assessments of adolescent violence/aggression in field-work, research, and program-evaluation efforts should be considered.

Adolescent↗