Self-reported Emotional Well-being Research Articles

Psychological and physical factors related to social integration of older adults in Ghana

BackgroundGlobally, older adults aged 60 years and over are outnumbering children under 5 and young people aged 15–24. Much evidence exists on the importance of high social integration and positive quality of life and health outcomes. However, evidence on how older adults are socially integrated in Ghanaian communities is limited. This study examined how self-reported well-being and quality of life (psychological and physical (psycho-physical) factors) predict the social integration of older adults in Ghana.MethodsA secondary analysis of longitudinal survey data of the 2014/15 Study on Global Ageing and Adult Health (SAGE Wave 2) conducted by the World Health Organization was applied. Older adults aged 60 years and older (n = 1,927) were included in this study. Multilevel logistic regression analyses were used to examine psycho-physical factors associated with high social integration among older adults. The output was reported as odds ratios (OR).ResultsIn general, social integration varied based on older adults’ demographic characteristics. Those in rural communities had lower odds of having high social integration (OR = 0.76, 95% CI = 0.56,1.03) when compared with older adults in urban areas. Having high physical and psychological well-being was associated with high social integration (OR = 1.90, 95% CI = 1.41, 2.57), (OR = 2.05, 95% CI = 1.56, 2.69). However, older adults with high levels of emotional and spiritual well-being were 9% and 7% (respectively) less likely to experience a high level of social integration (OR = 0.94, 95% CI = 0.71,1.24), (OR = 0.79, 95% CI = 0.60,1.04).ConclusionThe higher the level of self-reported psychological and physical well-being, the higher the social integration for older adults aged 60 years and over. However, the higher the level of self-reported emotional well-being and spiritual well-being, the less likely to have high social integration. Improved social integration or participation in society for older adults with high emotional and spiritual well-being is needed. The findings of this study highlight the need for policymakers and stakeholders to consider psycho-physical factors as an important public health tool and metric to encourage more research on the well-being of older adults in Ghana.

A Study on the Impact of Technology on Human Emotions Authors

This study investigates the complex interaction between technology and human emotions, to provide insights into how technological improvements affect numerous aspects of emotional experiences in today's society. The study investigates the complexity of this connection using a mixed-methods approach that includes quantitative surveys as well as qualitative interviews, providing light on both the positive and negative aspects. Quantitative analysis indicated a disturbing pattern, demonstrating a negative relationship between high levels of technology use and participants' self-reported emotional well-being. Excessive screen time was linked to increased tension, anxiety, and feelings of social isolation, emphasizing the negative consequences of technology-induced social separation. Qualitative interviews revealed further levels of this phenomenon, as individuals recounted personal stories of loneliness and emotional alienation caused by an overreliance on technology, particularly social media platforms. Interpersonal relationships suffered dramatically, with disagreements and misunderstandings resulting from digital diversions and emotional distance infiltrating real-life ties. Furthermore, participants reported experiencing technostress and digital exhaustion as a result of modern technology's constant connectedness and information overload. Despite these bad experiences, some individuals reported positive emotional results such as enjoyment, connection, and productivity, highlighting the complexities of the link between technology and human emotions. Based on these findings, numerous recommendations are made to encourage healthier technology use and emotional well-being. These include educational campaigns to promote awareness about digital well-being, advocating for balanced technology use, developing digital literacy skills, creating technology with emotional well-being in mind, and supporting offline activities and meaningful human interactions. Finally, this study contributes to a better understanding of the impact of technology on human emotions, influencing interventions and strategies for using technology to improve rather than subtract from emotional well-being in an increasingly digital society.

Outdoor Activity Associated with Higher Self-Reported Emotional Well-Being During COVID-19

Shifts in activity patterns during the COVID-19 pandemic might have impacted the benefits of outdoor activities for mental health. By leveraging an existing mobile application, we collected self-reported data on daily outdoor activities, emotional well-being, and the influence of COVID-19 on participant’s outdoor activity levels during April–July 2020. Individuals reporting outdoor activities, in greenspaces or in their residence, had higher well-being scores and this effect increased with age. Self-reported impacts of COVID-19 on emotional well-being were associated with lower well-being scores. This work suggests that outdoor activities may have improved mental health during the COVID-19 pandemic.Supplementary InformationThe online version contains supplementary material available at 10.1007/s10393-022-01598-4.

Aging and emotion regulation during the COVID-19 pandemic

Objectives: Self-reported emotional well-being tends to increase with age (Charles & Carstensen, Annual Review of Psychology, 61, 383–409, 2010), and this has remained true during the COVID-19 pandemic (e.g. Bruine de Bruin, The Journals of Gerontology: Series B, 76(2), e24–e29, 2021) despite older adults being disproportionately affected by the virus (CDC, Coronavirus disease 2019 (COVID-19): Older adults, 2020). This study aimed to investigate how younger and older adults are regulating their emotions during the current pandemic. Specifically, this study measured potential age differences in acceptance (broken down into situational and emotional acceptance), because it has been identified as a possible underlying mechanism of the relationship between aging and reduced negative affect (Shallcross et al., Journal of Personality and Social Psychology, 104(4), 734–749, 2013). Methods: Younger (N = 150) and older (N = 150) adults completed trait-level questionnaires of emotional and situational acceptance, and completed a task where they reacted to 24 negative, arousing COVID-19 news headlines, half of which were old-age focused, to capture trial-level acceptance use. Results: Older adults reported greater trait-level acceptance and used emotional acceptance more frequently than younger adults during the headlines task, especially on trials containing old-age focused headlines. Interestingly, younger adults reported reduced trial-level subjective arousal when engaging in emotional acceptance compared to active emotion regulation (suggesting beneficial affective outcomes of acceptance), while older adults reported no differences in arousal between trials when they engaged in acceptance and when they engaged in more active emotion regulation. Conclusion: We discuss potential explanations for these findings as well as present future research directions on acceptance across the lifespan.

‘Watson’ the Wellness Dog: Impact of a Wellness Dog on Emotional Wellbeing in Undergraduate Paramedicine Students

Introduction University life can be daunting, especially for those transferring directly from high school. Previous research has found higher education students are at increased risk of mental health issues than the general population. Paramedic students have the usual concerns regarding study, in addition to the potential to be exposed to confronting emergency medical situations during clinical placements. The study aim was to examine whether the presence of a wellness dog had any impact on paramedicine undergraduate students self-reported emotional wellbeing. Methods A wellness dog (named ‘Watson’) was available on alternating weeks for 15 minutes at the beginning of lectures for three individual units. Each unit corresponded to a different year group of paramedic undergraduate students. A brief emotional experience scale was completed at the beginning of each lecture. Comparisons were made between Watson being present versus absent to gauge differences in students’ emotional wellness. Focus groups were run at the end of semester to further explore perceptions of Watson's impact on emotional wellbeing. Results A total of 89 participants were included in the study. Participant emotional wellbeing was found to be higher on ‘Watson present’ weeks compared to ‘Watson absent’ weeks (p<0.001). Focus group data strongly supported Watson's presence in clinical and non-clinical classes, improving self-reported wellbeing and cohort connectivity. Conclusion The presence of a wellness dog appears to have a beneficial impact on undergraduate paramedic students’ emotional wellbeing. Further research is required to explore whether the presence of a wellness dog affects physiological indicators of stress, attrition rates and class attendance.

“There’s A Little Bit of That Magic Where I’m Becoming Something Else”: LGBT+ Furry Identity Formation and Belonging Online

Active and open identi cation with animals and the creation of anthropomorphic (or zoomorphic) fursonas have become infamous on the internet, yet published research on the subculture is lacking. This ethnographic study explores this under-examined subculture by considering how individuals who identify as LGBT+ and as furry nd and experience community online in ways that contribute to feelings of belonging, inclusion, and overall well-being. Through a series of semi-structured interviews, it was found that participating LGBT+ furries experienced an increase in self-reported emotional well-being when allowed to engage with online furry fandom. Given that furry identity is inherently non-normative, the fandom becomes an accepting space for other non-normative identities, like LGBT+ identities. By creating accepting online communities, those without access to supportive communities in their o -line lives can learn about and explore non-normative identity without judgement. These spaces may allow for the accumulation of multiple non-normative identities, all of which are in relative harmony within online furry fandom, which serves as a “catch-all” identity. Existing within this space had positive a ects on the well-being of the participants.

The role of place, people and perception in law student well-being

There is a growing body of international research examining psychological distress in law students. Generally, the studies have tended to be either very narrow, focussing on a single law school, or very broad, targeting all law students regardless of their institutional affiliation. This study adds to the existing literature by examining the levels of psychological distress of law students at two quite different law schools in Australia. An online survey was used to assess self-reported emotional well-being, university appraisal, university belongingness, perceptions of competitiveness and supportiveness, perceived sources of pressure, and motivations for studying law in 225 law students. Consistent with prior research, the data reflect lower levels of well-being in law student participants compared to the general public. However, the factors that appear to affect the students' well-being differed slightly between the two participant cohorts. For the law school that caters more to mature age and online students, the students' perception of their overall law school experience, belongingness, and support are important factors. Whereas for the law school that caters more to high achieving younger students, the competitiveness and perceived lack of support within the law school environment appear to have a greater influence on the students' self-reported well-being. In addition, across both participant cohorts, self-imposed pressure was notably high. Overall, the results of the study reported in this article provide valuable insights into the external and internal factors underpinning the well-established heightened levels of psychological distress in Australian law students.

Effects of a high-DHA multi-nutrient supplement and exercise on mobility and cognition in older women (MOBILE): a randomised semi-blinded placebo-controlled study.

There is a complex interplay between mobility and cognition in older adults. We have previously shown that a high-DHA multi-nutrient supplement improves habitual walking speed, verbal memory and psychomotor response latency in older women. Exercise also improves mobility and cognition in older adults, and n-3 fatty acids and exercise share a range of overlapping biological effects. This study examined for the first time the effects of the high-DHA multi-nutrient supplement and aerobic exercise on mobility and cognition in older women. Women (mean age 67 (sd 8) years) were assigned to the following groups: multi-nutrient (1 g DHA, 160 mg EPA, 240 mg Ginkgo biloba, 60 mg phosphatidylserine, 20 mg d-α tocopherol, 1 mg folic acid and 20 µg vitamin B12 per d, n 13), multi-nutrient and exercise (spin class twice per week, n 14), exercise and placebo (n 12) or placebo (n 12). The multi-nutrient was given for 24 weeks and exercise for 12 weeks. No treatment effects were observed for the primary outcome, habitual walking speed. Improvements in verbal memory and executive function were seen for all treatments groups v. placebo (all, P < 0·05). Significant improvements in self-reported emotional well-being were seen with multi-nutrient and exercise groups v. placebo (P = 0·03). The results suggest that the high-DHA multi-nutrient supplement produces similar improvements in cognitive function to aerobic exercise, offering the intriguing prospect that supplementation may be able to mitigate some of the effects of low physical activity on cognitive function in the elderly.

Emotional Well-Being in Adults Born With Cleft Lip and/or Palate: A Whole of Life Survey in the United Kingdom.

Previous research with adults born with cleft lip and/or palate (CL/P) has identified a range of concerns regarding mental health and quality of life, concluding that overall emotional functioning is poorer compared to the general population. The aim of the current study was to build on this previous work by investigating the self-reported emotional well-being of adults born with CL/P in the United Kingdom. An online, mixed methods survey was designed by the Cleft Lip and Palate Association in collaboration with the Centre for Appearance Research at the University of the West of England. A total of 207 eligible responses were received between July and October 2018. Qualitative data were analyzed using inductive content analysis, while quantitative data were analyzed using descriptive statistics and independent t tests. Almost half of the sample reported a diagnosis of a mental health condition. Scores on standardized measures indicated significantly lower global self-worth, higher levels of fear of negative appearance evaluation, and lower self-perceived job competence compared to normative data. Scores of overall body esteem were in line with the general population. Most participants had not received psychological support from their regional CL/P team and 41% were unaware of their entitlement to treatment from the National Health Service. Individuals with CL/P may be at risk of emotional distress persisting into adulthood. The integration of routine psychological support from an early age is highly recommended, as is information for young adults about to complete routine treatment. Comprehensive psychological screening for adults returning to the service later in life is also strongly advised.

Long-Term Favorable Effects of Physical Exercise on Burdensome Symptoms in the OptiTrain Breast Cancer Randomized Controlled Trial.

Purpose: We evaluate longitudinal changes in symptom clusters and core burdensome symptoms in breast cancer patients who participated in the OptiTrain trial. Methods: 240 women were randomized to 16 weeks of supervised exercise (RT-HIIT or AT-HIIT) or usual care (UC) during adjuvant chemotherapy. Symptom clusters were composed using the Memorial Symptom Assessment Scale (MSAS), assessed at baseline, 16 weeks and 12 months later. Three symptom clusters were formed. Results: Three symptom clusters were identified: “emotional,” “treatment-related toxicity,” and “physical,” with core burdensome symptoms present over time. At 16 weeks, the reported burdens of “feeling sad” (RT-HIIT vs UC: effect size [ES] = −0.69; AT-HIIT vs UC: ES = −0.56) and “feeling irritable” (ES = −0.41 RT-HIIT; ES = −0.31 AT-HIIT) were significantly lower in both intervention groups compared with UC. At 12 months, the AT-HIIT group continued to have significantly lower scores for the core burdensome symptoms “feeling sad” (ES = −0.44), “feeling irritable” (ES = −0.44), and “changes in the way food tastes” (ES = −0.53) compared with UC. No between-group differences were found for physical symptoms. Conclusion: We identified 3 symptom clusters in breast cancer patients during and after adjuvant chemotherapy, composed of “emotional,” “treatment-related toxicity,” and “physical” symptoms. After treatment completion up to 12 months post-baseline, patients in the physical exercise groups reported lower symptom burden scores for emotional symptoms, compared with UC. Our findings indicate a preserved and long-term beneficial effect of physical exercise on self-reported emotional well-being in chemotherapy-treated breast cancer patients.

The general health questionnaire as a measure of emotional wellbeing in pregnant women

Purpose The purpose of this paper is to measure reliability, validity and accuracy of the 12-item General Health Questionnaire (GHQ-12) as a measure of emotional wellbeing in pregnant women; utility and threshold in particular. Design/methodology/approach The authors measured self-reported emotional wellbeing responses of 164 low-risk pregnant Dutch women with the GHQ-12 and a dichotomous case-finding item (Gold standard). The authors established internal consistency of the 12 GHQ-items (Cronbach’s coefficient α); construct validity: factor analysis using Oblimin rotation; convergent validity (Pearson’s correlation) and discriminatory ability (area under the receiver operating characteristics curve and index of union); and external validity of the dichotomous criterion standard against the GHQ-12 responses (sensitivity, specificity, likelihood ratios and predictive values), applying a cut-off value of ⩾ 12 and ⩾ 17, respectively. Findings A coefficient of 0.85 showed construct reliability. The GHQ-12 items in the pattern matrix showed a three-dimensional factorial model: factor 1, anxiety and depression; factor 2, coping; and factor 3, significance/effect on life, with a total variance of 59 per cent. The GHQ-12 showed good accuracy (0.84; p=&lt;0.001) and external validity (r=0.57; p=&lt;0.001) when the cut-off value was set at the ⩾ 17 value. Using a cut-off value of ⩾ 17 demonstrated higher sensitivity (72.32 vs 41.07 per cent) but lower specificity (32.69 vs 55.77 per cent) compared to the commonly used cut-off value of ⩾ 12. Research limitations/implications Findings generally support the reliability, validity and accuracy of the Dutch version of the GHQ-12. Further evaluation of the measure, at more than one timepoint during pregnancy, is recommended. Practical implications The GHQ-12 holds the potential to measure antenatal emotional wellbeing and women’s emotional responses and coping mechanisms with reduced antenatal emotional wellbeing. Social implications Adapting the GHQ-12 cut-off value enables effective identification of reduced emotional wellbeing to provide adequate care and allows potential reduction of anxiety among healthy pregnant women who are incorrectly screened as positive. Originality/value A novel aspect is adapting the threshold of the GHQ-12 to ⩾ 17 in antenatal care.

The late positive potential as a neurocognitive index of emotion regulatory flexibility

A growing body of research has examined regulatory flexibility as the ability to dynamically modulate emotional expression and experience (Bonanno & Burton, 2013). The late positive potential (LPP), an event-related potential reflecting processing of emotionally-evocative stimuli, is sensitive to emotion regulation (ER) or the psychological processes that underlie the experience, expression, and management of emotions. However, few studies have used the LPP to index regulatory flexibility or tested its association with self-reported emotional well-being and ER. The results of the current study showed that regulatory flexibility indexed via the LPP was associated with self-reported use of specific ER strategies. Further, greater regulatory flexibility measured as the full LPP regulatory range (indexed following prompts to enhance and suppress emotional responses to stimuli) was specifically and uniquely associated with greater self-reported coping flexibility. Findings provide preliminary support for this neurocognitive approach to conceptualizing and assessing regulatory flexibility.

Does Self-compassion Protect Adolescents from Stress?

The aim of this study was to determine whether adolescents who were high in self-compassion self-reported different levels of emotional wellbeing than adolescents who were low in self-compassion, and to determine whether those high in self-compassion responded differently under a lab social stressor than those low in self-compassion. In a lab setting, participants (age 13–18; n = 28) completed the Trier Social Stress Test (TSST) and physiological stress was assessed via salivary cortisol, heart rate, blood pressure, and heart rate variability at baseline, during the TSST, and during recovery. After completing the lab protocol, an email was sent to participants that provided a link to an online survey which was composed of emotional wellbeing measures including perceived stress, life satisfaction, positive and negative affect. After conducting repeated measure ANOVAS to determine that the TSST induced a significant stress response, the sample was split at the median of self-compassion. T tests were conducted to determine meaningful differences (Hedges’ g > .20) between the groups. Findings indicated that those in the high self-compassion group (≥the median) self-reported greater emotional wellbeing than those in the low self-compassion group (<the median). Overall, those in the high self-compassion group also had a lower physiologic stress response when exposed to the TSST than those in the low self-compassion group. Regression analyses were also conducted; baseline self-compassion predicted self-reported emotional wellbeing, but did not predict physiological response to the TSST. Findings support the potential buffering effect that self-compassion may have in protecting adolescents from social stressors; yet more research needs to be conducted in larger samples to confirm and replicate these findings.

The Role of Supportive Adults in Promoting Positive Development in Middle Childhood

The goal of this research was to examine the role of supportive adults to emotional well-being in a population of Grade 4 students attending public schools in Vancouver, Canada. Reflecting the ecology of middle childhood, we examined the extent to which perceived family, school, and neighborhood support relate to young people’s self-reported emotional well-being ( N = 3,026; 48% female; Mage = 9.75). Furthermore, we investigated the hierarchy of importance among those support factors in predicting students’ well-being. As expected, adult support in all three ecological contexts was positively related to emotional well-being. School support emerged as the most important adult support factor, followed by home and neighborhood support. All three support factors emerged as stronger predictors than socioeconomic status (SES) in our study. We discuss our findings in relation to the empirical field of relationship research in middle childhood, and how our findings can inform educational practice.

Formal ventilation patient education for ALS predicts real-life choices

Our objective was to evaluate a single-session, hands-on education programme on mechanical ventilation for ALS patients and caregivers in terms of knowledge, change in affect and to determine whether ventilator decisions made after the education sessions predict those made later in life. Questionnaires were administered to 26 patients and 26 caregivers on four separate occasions. The questionnaires assessed knowledge of ventilatory support, feedback on the nature of the education programme, as well as self-reported emotional well-being. All patients were followed until their death or until initiation of invasive ventilation. Both groups demonstrated significant improvements in knowledge as a result of the education session which was retained after one month. There was no change in patient or caregiver reports' self-reported emotional well-being. The choices of ventilatory support expressed at one month (T4) accurately predicted the real-life clinical choices made by 76% of patients. Any difference resulted from choosing palliative care. Hands-on patient and caregiver education results in improved knowledge, assists in decision-making with respect to ventilatory support, and is not associated with a worsening of affect. It also provides for an accurate prediction of real-life choices and avoids undesired life support interventions and critical care admissions.

The Benefits of Reciprocated Friendships for Treatment-seeking Obese Youth

The current study examined the attributes of the reciprocated friends (RF) of a group of clinically referred obese children and the impact of these friendships on emotional well-being. Classroom visits for 87 obese youth [body mass index (BMI) >95th percentile; 8- to 16-years old) were completed to obtain peer reports of social functioning, including reciprocated friendships, and to identify a demographically similar non-overweight comparison peer (CPO, n = 76). Subsequently, data regarding self-reported emotional well-being were collected from 84 obese children and 74 CPOs. Most obese children (68%) had at least one RF in their classroom. RFs were similar socially to CPOs and functioned more adaptively in the peer environment relative to obese children. Among obese youth, having at least one reciprocated friendship moderated the effect of sensitive-isolated behavior on loneliness. Friendships may be a source of support for better psychosocial outcomes for obese youth.

Experimentally Detecting How Cultural Differences on Social Anxiety Measures Misrepresent Cultural Differences in Emotional Well-being

Previous research, statistically accounting for self-construal factors and thereby eliminating widely reported culture main effects in social anxiety scores between East Asians and European-Americans (Norasakkunkit and Kalick 2002 Culture, ethnicity, and emotional distress measures: The role of self-construal and self-enhancement. Journal of Cross-Cultural Psychology, 33(1), 56–70.) suggested that social anxiety measures penalize individuals for being low on independent self-construal; therefore, cultural differences in emotional distress according to social anxiety measures may possibly misrepresent cultural differences in emotional well-being. In the current experimental study, 127 Japanese and 126 American participants were either primed or not primed to access an independent mode of thought prior to filling out two commonly used measures of social anxiety and a measure of emotional well-being. Independent priming caused social anxiety scores to decrease. Yet, independent priming did not influence levels of self-reported emotional well-being. Furthermore, although the Japanese respondents were shown to be more distressed according to both of the standardized social anxiety measures, this finding was actually reversed with respect to self-reported emotional well-being. The evidence thus points to high scores on measurements of social anxiety being directly and causally linked to low levels of independence, while no link was found between independence and emotional well-being.

Adult attachment, parent emotion, and observed parenting behavior: mediator and moderator models.

In a middle-class sample of mothers of 2-year-olds, adult attachment classifications measured in the Adult Attachment Interview (AAI) were related to maternal self-reported emotional well-being and observed parenting behavior, and the potential mediating and moderating roles of maternal emotion were tested. Mothers classified as dismissing on the AAI reported significantly lower levels of positive affectivity. Mothers classified as preoccupied reported significantly higher levels of negative affectivity and anxiety. Preoccupied mothers were observed to be significantly higher on angry/intrusive parenting, but this association was not mediated by attachment-related differences in maternal emotion. Maternal emotional well-being did, however, moderate the associations between adult attachment and parenting behavior: Dismissing attachment was significantly associated with lower warmth/responsiveness only among mothers with higher levels of depressive symptoms.