Indicators Of Emotional Well-being Research Articles

Promoting Adolescent Health and Well-Being Through Outdoor Youth Programs: Results From a Multisite Australian Study

The purpose of this study was to examine the extent to which participation in structured outdoor programs is associated with improvements in adolescent health and well-being. Students (n = 160) were recruited from three secondary schools in Victoria, Australia. Adolescents completed online surveys 3 weeks before camp (Time 1), 1 week before camp (Time 2), and 1 week after camp (Time 3). Positive changes were observed on some indicators of emotional well-being (fear and self-efficacy), as well as peer and school connectedness. No camp effects were found for depression, aggression, well-being, friend connectedness, teacher connectedness, and nature connectedness. Results support the view that structured outdoor programs may have a beneficial effect on well-being. However, effects were not ubiquitous (they were domain specific), which warrants further investigation. Subscribe to JOREL

The Relationships Between Psychological Flexibility, Self-Compassion, and Emotional Well-Being.

Despite theoretical overlap between self-compassion and psychological flexibility, empirical links between these constructs is limited. This study examined the relationships between psychological flexibility, self-compassion, and emotional well-being to add to the literature on understanding the importance of self-compassion as a possible contributor to mental health, adding support to continuing development of compassion-based therapies. Relationships among these constructs were explored using survey data from a sample of 144 university psychology students (110 females and 34 males, aged 17-60 years). Self-compassion was significantly correlated with psychological flexibility processes, including mindful acceptance, defusion, and emotional well-being. Regression analyses indicated that self-compassion predicts significant unique variance above and beyond psychological flexibility across various indices of emotional well-being. These findings support the association between psychological flexibility, self-compassion, and emotional well-being, with implications for 3rd-wave models of therapy, including acceptance and commitment therapy (ACT) and compassion-based approaches. Therapies incorporating compassion processes may potentially lead to improved treatment outcomes.

A Pilot Study of a Mindfulness Intervention for Adolescents and the Potential Role of Self-Compassion in Reducing Stress

In this pilot study, we sought to investigate the effects of a mindfulness intervention for adolescents on a community sample of teens. Specifically, we explored the effects of mindfulness training on emotional well-being outcomes. Also, we examined the relationship between mindfulness and self-compassion at baseline-predicted outcome measures. This design was a pre-/post-pilot intervention study. Paired t-tests were conducted to examine change in outcome measures before and after the mindfulness intervention. Multiple regression was also conducted to investigate the influence of baseline mindfulness and self-compassion on outcome measures. The study took place after school in a classroom at a local university. Overall 28 adolescents age 10-18 years from two different cohorts participated in this study. Learning to BREATHE, a mindfulness curriculum designed specifically for adolescents and taught in six 1.5h sessions, was implemented. The outcome measures, life satisfaction and perceived stress, were included in an online survey before and after the mindfulness intervention. Results indicated that mindfulness, self-compassion, perceived stress, and life satisfaction improved from pre-intervention to post-intervention. Further, self-compassion (taught within the mindfulness intervention) was negatively related to perceived stress post-intervention while controlling for baseline stress. These findings suggest that mindfulness may be an effective intervention for improving indicators of emotional well-being among an adolescent population. Additionally, self-compassion may be a pathway through which youth can lower stress. Future research should examine self-compassion as a potential factor in promoting emotional well-being.

Effects of a standard provision versus an autonomy supportive exercise referral programme on physical activity, quality of life and well-being indicators: a cluster randomised controlled trial

BackgroundThe National Institute for Health and Clinical Excellence in the UK has recommended that the effectiveness of ongoing exercise referral schemes to promote physical activity should be examined in research trials. Recent empirical evidence in health care and physical activity promotion contexts provides a foundation for testing the feasibility and impact of a Self Determination Theory-based (SDT) exercise referral consultation.MethodsAn exploratory cluster randomised controlled trial comparing standard provision exercise referral with an exercise referral intervention grounded in Self Determination Theory. Individuals (N = 347) referred to an exercise referral scheme were recruited into the trial from 13 centres.Outcomes and processes of change measured at baseline, 3 and 6-months: Minutes of self-reported moderate or vigorous physical activity (PA) per week (primary outcome), health status, positive and negative indicators of emotional well-being, anxiety, depression, quality of life (QOL), vitality, and perceptions of autonomy support from the advisor, need satisfaction (3 and 6 months only), intentions to be active, and motivational regulations for exercise.Blood pressure and weight were assessed at baseline and 6 months.ResultsPerceptions of the autonomy support provided by the health and fitness advisor (HFA) did not differ by arm. Between group changes over the 6-months revealed significant differences for reported anxiety only. Within arm contrasts revealed significant improvements in anxiety and most of the Dartmouth CO-OP domains in the SDT arm at 6 months, which were not seen in the standard exercise referral group. A process model depicting hypothesized relationships between advisor autonomy support, need satisfaction and more autonomous motivation, enhanced well being and PA engagement at follow up was supported.ConclusionsSignificant gains in physical activity and improvements in quality of life and well-being outcomes emerged in both the standard provision exercise referral and the SDT-based intervention at programme end. At 6-months, observed between arm and within intervention arm differences for indicators of emotional health, and the results of the process model, were in line with SDT. The challenges in optimising recruitment and implementation of SDT-based training in the context of health and leisure services are discussed.Trial registrationThe trial is registered as Current Controlled trials ISRCTN07682833.

The Emotional Wellness of Radiology Trainees: Prevalence and Predictors of Burnout

Burnout is a complex phenomenon characterized by emotional exhaustion, social detachment, and feelings of low personal achievement. In this study, we aim to establish the prevalence of burnout among radiology trainees and to explore the factors influencing its development. Survey data were collected from 266 trainee members of the Association of University Radiologists to assess financial status, attitudes toward money and compensation, and burnout symptomology. Descriptive and inferential statistics were used to analyze these data. Most radiology residents reported high levels of personal achievement but routine symptoms of emotional exhaustion and depersonalization. Although increasing levels of household debt were correlated with symptoms of depersonalization and lower reported quality of life, we found that the subjective financial experience was a more reliable indicator of emotional well-being. Specifically, higher subjective self-assessments of financial strain were the best predictors of symptoms of depersonalization (P < .0001), emotional exhaustion (P < .0001), and lower self-reported quality of life (P < .0001). Additionally, residents with recent moonlighting activity reported higher levels of personal achievement (P < .05), lower levels of emotional exhaustion (P < .05), and greater quality of life (P < .05) when compared to non-moonlighters. The unique nature of radiology training could mean that traditional assumptions regarding the development of trainee burnout do not necessarily apply. Finances may be an underappreciated influence on resident burnout, and subjective feelings of financial scarcity could outweigh the impact of objective indebtedness. Further study is needed to ensure that the emotional well-being of radiology trainees is optimally supported.

Prevalence of Severe Obesity among New Zealand Adolescents and Associations with Health Risk Behaviors and Emotional Well-Being

To describe the prevalence of severe obesity among New Zealand young people attending secondary school and the associations of severe obesity with health risk behaviors and emotional well-being. A random sample of 9107 secondary school students in New Zealand participated in a 2007 health survey. Participants had their height and weight measured and answered an anonymous survey on multiple aspects of their health and well-being. Overall, 2.5% of students met the International Obesity Task Force definition of severe obesity. Students with severe obesity had more weight-related concerns, were more likely to have used unhealthy weight control strategies, and were more likely to experience bullying compared with healthy weight students. For example, students with severe obesity were 1.7 times more likely to have been bullied at school (95% CI 1.2-2.7) and 1.9 times more likely to vomit for weight loss (95% CI 1.1-3.3) than were healthy weight students. Indicators of emotional well-being and most health risk behaviors were similar among young people with severe obesity and a healthy weight. Clinicians who work with young people with severe obesity should prioritize discussing issues of bullying and healthy weight control strategies with families and their children.

Associations between received social support and positive and negative affect: evidence for age differences from a daily-diary study.

Recent evidence suggests negative associations between received social support and emotional well-being. So far, these studies mainly focused on younger adults. Quantity and quality of social support changes with age; therefore, this study investigated whether there are age differences regarding the association between received social support and positive affect (PA) and negative affect (NA). Moreover, it was tested whether these age effects might be due to a differential effectiveness of different sources of support for younger and older individuals. Forty-two individuals (21 younger adults, aged 21-40 and 21 older adults, aged 61-73) completed 30-daily diaries on their received social support, PA/NA and the sources of support provision. Data were analyzed using multilevel modeling. Results indicated age-related differential effects: for younger individuals, received social support was negatively associated with indicators of emotional well-being, whereas these associations were positive for older respondents. Regarding NA, these effects held when testing lagged predictions and controlling for previous-day affect. No age differences emerged regarding the associations between different sources of support and indicators of affect. Conceptual implications of these age-differential findings are discussed.

Promoting emotional well-being through the use of humour

Humour skills programmes are believed to assist in improving emotional well-being by increasing self-efficacy, positive thinking, optimism and perceptions of control, while decreasing negative thinking, perceptions of stress, depression, anxiety and stress. The study aims to evaluate a programme investigating this possibility. Volunteers from the community (37 females and 18 males, aged M = 38 years) were randomly assigned to a humour group, a social group or a non-intervention control group. The programme, consisting of a manual and a booklet of measures assessing indices of well-being, was administered over an 8-week period. Data were collected at baseline, post programme and at 3-month follow-up. Results revealed that unlike the control and social groups, the humour group demonstrated a significant increase in several indices of emotional well-being. Specifically, increases occurred with self-efficacy, positive affect, optimism and perceptions of control, while decreases were found in perceived stress, depression, anxiety and stress levels.

Trajectories of emotional well-being in mothers of adolescents and adults with autism.

Raising an adolescent or adult child with a developmental disability confers exceptional caregiving challenges on parents. We examined trajectories of 2 indicators of emotional well-being (depressive symptoms and anxiety) in a sample of primarily Caucasian mothers (N = 379; M age = 51.22 years at Time 1) of adolescent and adult children with an autism spectrum disorder (ASD; M age = 21.91 years at Time 1, 73.2% male). We also investigated within-person associations of child context time-varying covariates (autism symptoms, behavior problems, residential status) and maternal context time-varying covariates (social support network size and stressful family events) with the trajectories of emotional well-being. Data were collected on 5 occasions across a 10-year period. Average patterns of stable (depressive symptoms) and improved (anxiety) emotional well-being were evident, and well-being trajectories were sensitive to fluctuations in both child and maternal context variables. On occasions when behavior problems were higher, depressive symptoms and anxiety were higher. On occasions after which the grown child moved out of the family home, anxiety was lower. Anxiety was higher on occasions when social support networks were smaller and when more stressful life events were experienced. These results have implications for midlife and aging families of children with an ASD and those who provide services to these families.

Trait Meta-Mood and Subjective Happiness: A 7-week Prospective Study

The primary aim of the current study was to replicate and extend previous findings by examining the relationship between trait meta-mood and levels of subjective happiness in a 7-week follow-up study. Participants were 192 undergraduate students (155 females) who completed self-report measures of trait meta-mood and subjective happiness. After 7 weeks, 155 students completed the subjective happiness scale again. Focusing first on cross-sectional analysis, meta-mood dimensions were found to be moderately related to levels of subjective happiness. Next, along with initial levels of subjective happiness, we found that meta-mood dimensions independently predicted prospective levels of subjective happiness over a 7-week follow-up. These findings provide some preliminary evidence on the prospective value of meta-mood dimensions as relevant individual differences involved in the maintenance of emotional well-being indicators.

The impact of hope, self-esteem, and attributional style on adolescents’ school grades and emotional well-being: A longitudinal study

We examined the distinctiveness of three “positive thinking” variables (self-esteem, trait hope, and positive attributional style) in predicting future high school grades, teacher-rated adjustment, and students’ reports of their affective states. Seven hundred eighty-four high school students (382 males and 394 females; 8 did not indicate their gender) completed Time 1 measures of verbal and numerical ability, positive thinking, and indices of emotional well-being (positive affect, sadness, fear, and hostility), and Time 2 measures of hope, self-esteem, and emotional well-being. Multi-level random coefficient modelling revealed that each positive thinking variable was distinctive in some contexts but not others. Hope was a predictor of positive affect and the best predictor of grades, negative attributional style was the best predictor of increases in hostility and fear, and low self-esteem was the best predictor of increases in sadness. We also found that sadness at Time 1 predicted decreases in self-esteem at Time 2. The results are discussed with reference to the importance of positive thinking for building resilience.

Enhancing outcomes in an indicated drug prevention program for high-risk youth.

This study examined the net effects of refining a high school-based indicated drug prevention program. The Personal Growth Class (PGC), tailored to meet the needs of high-risk youth, was designed to increase control of drug use, school performance, and emotional well-being. The program integrates social support and life-skills training. Process evaluation revealed the need for program enhancements to address underestimated levels of depression, anger, and suicidal behaviors prevalent among high-risk youth and to ensure that core content was being emphasized consistently. Youth participating in Late cohorts received the refined PGC with enhanced skills training. Study participants (N = 280) were youth, primarily ages fifteen to-seventeen, at high-risk for school failure or dropout. Indicators of emotional well-being (e.g., depression, stress, anger, self-esteem, personal control), drug involvement, and school performance were compared for Late versus Early cohorts. Regression analyses revealed the Late versus Early cohorts showed significantly greater decreases in hard drug use, depression, perceived stress, and anger, and greater increases in self-esteem. The results support arguments that effective indicated prevention programs should target specific high-risk youth employing strategies to counteract the multifaceted risk factors they experience and enhance needed protective factors.

Relationships among illness uncertainty, stress, coping, and emotional well-being at entry into a clinical drug trial

The purpose of this cross-sectional study was to examine the relationships among illness uncertainty, stress, coping, and emotional well-being at the time of entry into a clinical drug trial. Hopefulness and mood state were included as indicators of emotional well-being. The sample included 59 clients who participated in a 2-year trial using methotrexate for progressive multiple sclerosis. Results indicated that ambulation status, education, perceived stress, and illness uncertainty were the best correlates of emotional well-being. The results suggest that clients entering a drug trial with high levels of illness uncertainty and stress are likely to experience mood disturbances and feel less hopeful about treatment effectiveness. This information may be used as a foundation for developing nursing interventions designed to foster emotional well-being at the time of entry into drug trials.

Responsiveness of a Single-Item Indicator Versus a Multi-Item Scale

A single-item linear analogue self-assessment scale for mood was compared with a 28-item adjective checklist for emotional well-being. To confirm its concurrent validity and responsiveness to treatment and recurrence in patients with breast cancer, emotional well-being was assessed every 3 months for 2 years and at 1 and 6 months after recurrence in 1,169 patients who were premenopausal and 960 patients who were postmenopausal. These patients were enrolled in two International Breast Cancer Study Group randomized clinical trials in operable breast cancer conducted from 1986 to 1993. To assess concurrent validity, Pearson's correlation between the linear analogue self-assessment scale and the adjective checklist were calculated for each time-point within each treatment group and for the two assessments after recurrence. Responsiveness to treatment and recurrence were analyzed using paired t tests and the squared ratio of these t tests, an estimate of relative efficiency. Concurrent validity of the mood linear analogue self-assessment was consistently confirmed across four language groups. Both measures were responsive; out of 24 changes over time, 19 were in the expected direction for the linear analogue self-assessment scale (p < or = 0.05 for 9 of 19) and 17 for the adjective checklist (p < or = 0.05 for 10 of 17). The linear analogue self-assessment scale was less but significantly efficient for detection of treatment effects, with relative efficiency estimates ranging from 0.16 to 2.45 and a median of 0.66 among the comparisons with relatively stable estimates (/t/ > or = 1.0) and more efficient for recurrence than the adjective checklist. The mood linear analogue self-assessment scale is a valid indicator of emotional well-being in patients with breast cancer in large multicenter, multicultural trials in which comprehensive scales are less feasible. This investigation supports the clinical relevance of linear analogue self-assessment scales as indicators of components of quality of life in cancer clinical trials.

Divorce and sex.

Studies on the sex lives of the divorced are relatively few and somewhat dated. Although they give a rather optimistic view of the subject, this research is flawed by high respondent refusal rates and poor representativeness of samples. Further, a major gap in this literature is that the possible predictors of sexual activity of the divorced remain largely unexplored. The present study, using national data on 340 divorced people, indicates a much lower level of sexual activity than found in past research. Regression analyses find that both number of partners and sex frequency are related to religiosity, education, and political liberality. Future research can explore the impact of low sexual activity among the divorced on indicators of emotional well-being.

On the measurement of happiness. An examination of the Bradburn scale in the Canada Health Survey.

Certain characteristics of the Bradburn scale of psychologic well-being which have been criticized in recent discussions are re-examined using data from the 1978-1979 national Canada Health Survey. This large data set (N = 17,279) enabled the authors to examine the questions in a representative sample of the noninstitutionalized population. Reference standards are derived showing response frequencies by age and sex. In addition, the validity of the theoretic foundation of the scale is examined. The conclusions suggest that the items measure two dimensions of affect and are applicable in at least two different cultural groups. However, under certain circumstances the affect balance score does not provide the most adequate summary of the data, and the notion of independence between positive and negative affect does not hold for all of the questions. The authors conclude that two of the questions in particular appear weak, but that the design of the scale as a whole shows advantages over alternative instruments as an indicator of emotional well-being in general population surveys. They advocate that the scale continue to be used until a more adequate set of questions can be developed.

The relationship between androgyny and subjective indicators of emotional well-being.

The objective of this study (N = 176) was to evaluate (a) the construct validity of the revised Short Bern Sex-Role Inventory (BSRI) with respect to measures of psychological well-being; (b) the validity of the concept of androgyny conceived as an intrinsically interactive (rather than simply additive) concept, endowed as such with surplus meaning; and (c) the validity of the traditional assumption that it is the masculine male and feminine female who typify subjective wellbeing. The three hypotheses were tested concurrently by employing a hierarchical multiple regression analysis with interaction terms. Results across measures of well-being, stress reaction, and alienation taken from the Differential Personality Questionnaire (DPQ), provided only partial support for Bern's scales as markers of subjective well-being, but no support for androgyny as a concept in its own right with predictive properties distinct from femininity and masculinity. Finally, the results of a factor analysis indicate that the M and F scales of the BSRI occupy quite different locations in the space defined by certain higher-order personality dimensions. Implications for further studies of androgyny and other fulfillment or self-actuali zation concepts are also discussed.

The relationship between androgyny and subjective indicators of emotional well-being.

The relationship between androgyny and subjective indicators of emotional well-being.