Measures Of Well-being Research Articles

Assessing the Impact of the Way of Saint James on Psychological Distress and Subjective Well-being: The Ultreya Study

This study aimed to examine the impact of a pilgrimage on the Way of St. James on psychological distress and subjective well-being, and to compare these outcomes with a control group on non-pilgrimage vacations. Additionally, the study explored psychological process variables that may mediate the pilgrimage's beneficial effects. A nonrandomized pretest-posttest design was used, involving 444 pilgrims and 124 controls. Participants completed baseline and post-experience self-reported measures of psychological distress, subjective well-being, and psychological processes (i.e., mindfulness, nonattachment, engaged living). A 3-month follow-up was conducted only in the pilgrim group. Mediation analyses examined psychological processes as potential mediators of pre-post change in the pilgrim group (vs. control). Within-group analyses revealed that the pilgrim group experienced improvements in psychological distress, subjective well-being, and psychological processes immediately post-experience, with most measures sustaining improvement at the 3-month follow-up. Compared to the control group, pilgrims showed significantly greater increases in positive affect, life satisfaction, and valued living, alongside greater reductions in anxiety, depression, and perceived stress. Valued living partially mediated the relationship between pilgrimage and positive affect, and fully mediated the effects on perceived stress, negative affect, life satisfaction, and subjective happiness. Pilgrimage on the Way of St. James effectively reduced psychological distress and enhanced subjective well-being, with greater benefits observed compared to a non-pilgrimage vacation control group. Consistent with the concept of pilgrimage as a transformative experience, significant improvements in valued living were noted, which mediated some of the positive outcomes post-pilgrimage. The Way of St. James may serve as a valuable complementary approach for alleviating distress and promoting well-being. Further studies exploring the effects of this pilgrimage on specific populations and using more robust study designs are warranted.Trial Registration ClinicalTrials.gov Identifier NCT04141813.

Social Control and Health Behaviors Among Individuals Living with Parkinson's Disease: A Pilot Study.

Positive health behaviors (e.g., exercise, healthy eating habits, good sleep hygiene, treatment adherence) are important in ensuring optimal symptom management and health outcomes among individuals living with Parkinson's disease (PD). While multiple factors may influence engagement in health behaviors, little is known about the occurrence of social control, or relationship partners' attempts to influence and regulate another's behavior, and its potential role in the adoption of health behaviors among individuals with PD. To better understand the types of social control attempts employed and begin to explore the association between social control attempts and behavioral responses (e.g., engage in the targeted health behavior, hide the behavior) to those attempts, survey data were drawn from a cross-sectional, pilot study of married/partnered Veterans diagnosed with idiopathic PD (n = 25). Participants completed self-reported measures of sociodemographics, physical and mental well-being, relationship functioning, and both the frequency of and behavioral responses to positive and negative social control attempts. Although the majority of individuals reported their partners engaged in positive social control attempts, half also reported negative attempts. Bivariate analyses revealed more frequent positive social control attempts from one's partner were related to both positive and negative behavioral responses, and negative social control attempts were related to negative behavioral responses. However, when adjusting for covariates, positive social control attempts were related to positive behavioral responses, while negative social exchanges with one's partner (e.g., general conflict), rather than exposure to negative social control attempts, were related to negative behavioral responses. Findings lend preliminary evidence of the relationship between social control and exchanges and health behavior that may inform future, adequately powered observational and intervention studies that target interpersonal processes and health behaviors among individuals living with PD and their relationship partners.

Investigating the impact of a multicomponent positive participatory organisational intervention on burnout in New Zealand emergency department staff: a prospective, multisite, before and after, mixed methods study.

The well-being of healthcare workers (HCWs) is critical to providing excellent care. Recent evidence concerns the well-being of emergency department (ED) HCWs in New Zealand, with high levels of burnout found in a 2020 survey. This threat to providing high-quality acute care warrants improvement interventions. The causes of burnout are complex and multifactorial, the solutions are not straightforward. A prospective, multisite, before and after, mixed methods study assessing a multicomponent intervention, adaptable to local context, that targets three organisation levels (the individual, the group and the system levels) and meaningfully involves frontline HCWs may reduce HCW burnout and improve HCW well-being. Individual HCWs will choose from three individual-level psychological interventions and participate in those most appropriate for them. Local champions will decide which group-level intervention their ED will use. The system-level intervention will build capacity and capability for quality improvement (QI) with QI training and the establishment of a Quality Improvement Learning System. This system-level intervention has several important features that may ultimately empower HCWs to contribute to improving the quality of ED healthcare.We will enrol nine EDs, from which there will be at least 900 HCW participants. EDs will be enrolled in three waves from March 2023 to April 2024, with interventions taking place in each ED over 12 months.Methods of assessment will include baseline and repeat survey measures of burnout and well-being. Process evaluation at each ED will provide details of context, the intervention and the fidelity of the implementation. Ethics committee approval was provided, with locality approval at each site.Individual site feedback will be provided to each ED and executive leadership. Dissemination of findings will be through publication in peer-reviewed journals, presentation at national and international scientific meetings and through national healthcare quality bodies. Australia New Zealand Clinical Trials Registry (ACTRN12623000342617).

Pilot implementation of an evidence-based online cognitive behavioural therapy for perfectionism in university students: Lessons learnt.

Higher Education Institutes (HEIs) have been met with an unprecedented demand on their student counselling and wellbeing services in recent years with the impacts of COVID-19 and high rates of mental health concerns amongst student populations. Online mental health programs offer one solution by providing students with quick and easy access to effective therapeutic content. The Focused Minds Program is an evidence-based eight-module online self-guided cognitive behavioural intervention that targets the transdiagnostic risk factor of perfectionism and has been shown to decrease depression, anxiety, and disordered eating. The program was implemented at a UK university between 2021 and 2023. Recruitment occurred via departmental emails, academic staff, and the university's counselling staff and website. Participants were provided with access to the intervention for 6-weeks and completed weekly surveys of psychosocial measures. The trial's implementation was assessed using the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework: reach (uptake via the recruitment channels), effectiveness (outcomes on psychometric measures of mental wellbeing), adoption (staff and organisational support), implementation (intervention engagement and attrition), and maintenance (continued implementation across the trial period). Key barriers to successful implementation, as well as proposed solutions, are discussed to guide future online mental health interventions provided in HEIs.

Sedentary Behavior Intervention During Pregnancy Does Not Impact Measures Of Psychological Wellbeing

Sedentary Behavior Intervention During Pregnancy Does Not Impact Measures Of Psychological Wellbeing

A Self-led Self-management Intervention Supporting Teens with IBD (ASSIST-IBD): protocol for a feasibility study of a novel digital treatment adherence intervention

IntroductionTreatment non-adherence is common in young people with inflammatory bowel disease (IBD), yet support is lacking. A self-led self-management intervention supporting teens with IBD (ASSIST-IBD) is a new theory-based digital...

Ethnic-racial identity latent profiles protect against racial discrimination in Black American adults.

This study examined how ethnic-racial identity (ERI) profiles moderate the relationship between racial discrimination and mental health among Black American adults. Black American adults (n = 247) recruited from a community-based sample completed self-report measures of ERI, racial discrimination, depression, psychological distress, and emotional well-being. Latent profile analysis (LPA) identified four distinct ERI profiles, corresponding to the ERI status theorized in prior research-Diffusion, Moratorium, and Achievement-and a fourth profile, which corresponded to an ERI status for High Achievement. Hierarchical multiple regression analyses indicated that greater racial discrimination was significantly related to worse mental health for all outcomes and that having an ERI profile of High Achievement was significantly associated with lower depression. Moderation analysis indicated that the ERI profile for Achievement protected against depression and psychological distress in the context of high racial discrimination. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Are Danes really happier than Swedes and Australians? A comparative analysis of subjective well-being measurement issues in Denmark, Sweden, and Australia

This study examines the reliability of cross-national subjective well-being (SWB) survey data, by corroborating the persistently high SWB-rankings of Denmark through a comparison to Sweden and Australia, two countries with similar or superior social, economic, and health indicators. Our research focuses on both the affective and the cognitive component of SWB, with a special emphasis on the affective component. We investigate four potential measurement issues that could contribute to Denmark’s elevated SWB scores: linguistic inconsistencies in survey translations, variations in answering scale usage, recall bias of affect, and positivity bias in life satisfaction judgments. To address these concerns, we utilize multi-group confirmatory factor analysis, analyse emotion-focused anchoring vignettes, examine affect items across varying time frames, and contrast overall life satisfaction assessments with those of domain-specific satisfaction. Despite accounting for various potential measurement issues, our results reveal that Danes consistently report higher SWB than their Swedish and Australian counterparts, although the differences are small for several of the measures. This finding implies that the SWB survey-data is reliable in this case, and that Denmark's high SWB rankings are not attributable to measurement biases but may indeed signify genuinely high levels of SWB. This paper adds to the growing body of literature on cross-national SWB comparisons and might provide insights for researchers aiming to compare well-being across countries.

Workplace Violence and Worker Well-Being: A Preliminary Cross-Sectional Study.

To investigate the prevalence of workplace violence (WPV) in home health care and long-term care facilities (LTCFs) and explore the relationship between WPV and worker well-being. A cross-sectional survey was conducted with health care workers in an agency that provided care in homes or LTCFs. Six measures of worker well-being were collected: satisfaction with work and life, work-related rumination, work/family conflict, burnout, and turnover intention. Surveys also assessed type and frequency of WPV. Seventeen participants completed surveys. Verbal abuse by patients was the most often experienced type of WPV. Employees who reported experiencing WPV had higher burnout and lower satisfaction with work and life. WPV routinely occurs in home health care and LTCFs and appears to be related to worker well-being. Facility managers who can control WPV will likely impact the well-being of employees. [Journal of Gerontological Nursing, xx(x), xx-xx.].

Clinical effects of CYP2D6 phenoconversion in patients with psychosis.

Pharmacogenetics is considered a promising avenue for improving treatment outcomes, yet evidence arguing for the use of pharmacogenetics in the treatment of psychotic disorders is mixed and clinical usefulness is under debate. Many patients with psychosis use multiple medications, which can alter the metabolic capacity of CYP enzymes, a process called phenoconversion. In clinical studies, treatment outcomes of drugs for psychosis management may have been influenced by phenoconversion. Here we evaluate the impact and predictive value of CYP2D6 phenoconversion in patients with psychotic disorders under pharmacological treatment. Phenoconversion-corrected phenotype was determined by accounting for inhibitor strength. Phenoconversion-corrected and genotype-predicted phenotypes were compared in association with side effects, subjective well-being and symptom severity. Phenoconversion led to a large increase in poor metabolizers (PMs; 17-82, 16% of sample), due to concomitant use of the serotonin reuptake inhibitors fluoxetine and paroxetine. Neither CYP2D6-predicted nor phenoconversion-corrected phenotype was robustly associated with outcome measures. Risperidone, however, was most affected by the CYP2D6 genotype. Polypharmacy and phenoconversion were prevalent and accounted for a significant increase in PMs. CYP2D6 may play a limited role in side effects, symptoms and well-being measures. However, due to the high frequency of occurrence, phenoconversion should be considered in future clinical trials.

Measuring the Realisation of Well-Being Needs of Adolescents: Validation of the Social Production Function Instrument for the Level of Well-Being–Short (SPF-ILs)

Adolescent well-being is increasingly scrutinized due to its decline. This study was conducted to validate a theory-driven instrument for the measurement of well-being needs with a sample of Dutch adolescents. The short (15-item) Social Production Function Instrument for the Level of well-being (SPF-ILs) measures whether a person’s needs for stimulation, comfort, behavioural confirmation, affection and status are met. In this study, its psychometric properties for adolescents were examined. Data collected in spring 2018 (T1) and spring 2019 (T2) from 1,304 Dutch adolescents (53.0% girls) aged 11–17 (mean, 13.7 ± 1.1) years were used. The instrument’s factor structure, internal consistency, construct validity, and gender and age factorial invariance were evaluated. The results showed that the SPF-ILs is valid and reliable for the assessment of adolescents’ well-being needs realisation. Confirmatory factor analyses supported the five-factor (stimulation, comfort, behavioural confirmation, affection and status) model, showing good internal consistency (α = 0.86 at T1, 0.88 at T2), convergent/divergent validity, as well as gender and age factorial invariance. Comparison across groups revealed the expected differences in the realisation of physical (comfort and stimulation) and social (behavioural confirmation, status and affection) well-being needs between girls and boys and over time. SPF-ILs use increases our understanding of how adolescents achieve well-being via the fulfilment of well-being needs. The maintenance of adolescents’ well-being is a global challenge, and this study revealed clear differences in adolescents’ realisation of well-being needs, increasing our understanding of what interventions are needed to support such realisation.

Abstract C034: Impact of survivorship care plans on self-reported health and functional well-being

Abstract Introduction: Cancer survivors have varying physical, psychosocial, and informational needs. Organizations such as American Society of Clinical Oncology have developed survivorship care plans (SCP) for cancer screening, treatment side effect management, and care coordination. There is a need to better understand SCP utilization among underserved and diverse patient communities. Methods: Adults ages 18+ years with breast or colorectal cancer diagnosed between 2019 and 2021 were recruited from the Greater Bay Area Cancer Registry. Participants completed a 30-minute survey about their survivorship plans, quality of life, health behaviors, and social support. Analysis: Overall comparisons between groups were evaluated with chi-square tests. Associations between demographic characteristics and receipt of any type of survivorship plan were evaluated with univariate binomial logistic regression models, and associations between receipt of any type of survivorship plan and health/well-being outcomes were assessed using univariate ordinal regression models. Multivariable models will be built using relevant variables. Results: Participants (n=872) were on average 59 years (range=24-95) and mostly female (70.2%). Participants had either breast (41.3%) or colorectal cancer (58.7%). Participants were American Indian/Alaska Native (AIAN) (1.0%), Asian American (18.2%), NH Black (12.8%), NH White (38.0%), LatinX (29.0%), and Native Hawaiian or Pacific Islander (0.8%). Receipt of a SCP was reported by 258 (29.6%) participants, 328 (37.6%) had another type of post-treatment guide provided to them, and 224 (25.7%) were not offered any kind of survivorship plan. There were no differences in race/ethnicity, nativity status, non-English language spoken at home, marital status, or educational attainment between those who received any kind of survivorship plan vs. no plan. Being female was associated with 40% lower odds of receiving any kind of survivorship plan (OR=0.60, 95%CI=0.42-0.87). Being on public insurance was also associated with lower odds of receiving a survivorship plan than being on private insurance (OR=0.59, 95%CI=0.43-0.81). Receipt of a survivorship plan was associated with 52% higher odds of reporting a higher level of overall current health (OR=1.52, 95%CI=1.14-2.02) compared to those who did not receive any plan. Receiving a survivorship plan was also associated with higher odds of reporting a higher level of ability to work (OR=1.58, 95%CI=1.18-2.11), more fulfilling work (OR=1.69, 95%CI=1.27-2.23), ability to enjoy life (OR=1.55, 95%CI=1.17-2.06), ability to sleep well (OR=1.35, 95%CI=1.03-1.79), and contentment with their current quality of life (OR=1.51, 95%CI=1.14-1.99). Conclusion: Receipt of any survivorship plan was associated with higher levels of self-reported current overall health and measures of functional well-being. Women, as well as people on public insurance, are less likely to receive a survivorship plan, highlighting disparities in survivorship care planning for these populations. Citation Format: Aly M. Cortella, Katarina Wang, Debby Oh, Niharika Dixit, Zinnia Loya, Kathie Lau, Michelle Wadhwa, Chris Duffy, Salma Shariff-Marco, Kristan Olazo, Vlad Honcharov, Marika Dy, Urmimala Sarkar, Scarlett Lin Gomez. Impact of survivorship care plans on self-reported health and functional well-being [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr C034.

An idiographic Approach to Measuring Subjective Well-Being

AbstractWhile aggregate, national measures of wellbeing may be useful for developing national policies and making international comparisons, they are less helpful when it comes to the more prosaic matter of developing policies at the project or programme level. This is because wellbeing is multi-dimensional and variable in terms of the relative importance of domains, the attributes and indicators used to evaluate domains, and the relative importance of those attributes and indicators. Consequently, people’s preferences regarding the trade-offs that must be made between domains, and between attributes within domains, are exceptionally diverse. We use an idiographic approach, Judgement Analysis, to quantify people’s preferences regarding trade-offs within, and between, well-being domains using green space, water quality, cultural identity, social connectedness. We show that Judgement Analysis has the potential at the programme or project scale to usefully quantify differences in the relative importance people place on well-being domains and to quantifying differences in the relative importance of the cues they use to evaluate well-being with respect to a domain. Our results make explicit the extensive diversity in people’s perspectives on well-being that is often hidden in the popular nomothetic approaches to measuring well-being.

The complex affective and cognitive capacities of rats

For several decades, although studies of rat physiology and behavior have abounded, research on rat emotions has been limited in scope to fear, anxiety, and pain. Converging evidence for the capacity of many species to share others’ affective states has emerged, sparking interest in the empathic capacities of rats. Recent research has demonstrated that rats are a highly cooperative species and are motivated by others’ distress to prosocial actions, such as opening a door or pulling a chain to release trapped conspecifics. Studies of rat affect, cognition, and neural function provide compelling evidence that rats have some capacity to represent others’ needs, to instrumentally act to improve their well-being, and are thus capable of forms of targeted helping. Rats’ complex abilities raise the importance of integrating new measures of rat well-being into scientific research.

Ontological Analysis to understand the Interplay between Ecosystem Services, Human Well-being, and Climate Change

This study employs an ontological analysis to critically examine the integration of ecosystem services and human well-being within the context of climate change. The principal objective is to identify research gaps within the existing literature and to propose potential avenues for future research. Our findings reveal significant deficiencies in policy, legal, and procedural frameworks, with a predominant focus on local-level case studies and objective measures of well-being. Notably, cultural and supporting services remain underexplored. These gaps highlight the need for comprehensive research incorporating diverse stakeholder perspectives, adaptive capabilities, and robust policy frameworks to enhance resilience against climate change. The study underscores the urgent need for broader and more inclusive investigations to effectively inform policy-making and sustainable management practices.

Temporary Setback or Lasting Challenge? The Impact of Transient and Persistent Functional Disability on Later-Life Well-Being.

Although most people spend the last years of their life with health limitations, these do not arise at the same time point for everyone or have the same consequences for our well-being. The aim of this study is to investigate how well-being trajectories evolve after the onset of functional disability, comparing affective, cognitive, and eudemonic dimensions, while also assessing how they are influenced by temporary functional disability, distinguishing between persistent and transient cases. We reordered longitudinal panel data from Waves 4 to 8 of the Survey of Health, Ageing and Retirement in Europe, from more than 3,500 Europeans to align on the transition from no limitation to at least 1 limitation in activities of daily living. We used linear spline growth models separately for each of the 3 well-being measures used (EURO-D, CASP, life satisfaction) to examine trajectories. We observed a substantial decline in all 3 well-being measures at functional disability onset, with life satisfaction less affected (standardized mean differences = -0.11) than quality of life (-0.23) and depression (-0.27). Short-term disability on average led to a return to the initial well-being level within, whereas long-term disability led to a pronounced decline during the transition with much less adaptation. Our findings highlight the significant impact that functional disability can have on well-being, revealing distinct patterns across various dimensions. Persistent disability often marks a crucial stage in the well-being of older people, whereas transient cases are characterized by a subsequent return to previous levels of well-being.

Self-inefficacy's impact on well-being indices in students self-identifying with cluttering characteristics

IntroductionCluttering, a fluency disorder characterized by fast and irregular speech patterns, receives relatively limited research attention. Consequently, the association between cluttering and measures of well-being remains unexplored. In contrast, stuttering, another fluency disorder, has been associated with anxiety and depression. The present study examines whether an individual's experience of cluttering characteristics is related to alterations in both positive and negative measures of well-being. To achieve this, we assessed the relationship between Self-Identified Cluttering Characteristics (SICC) and measures of well-being in a sizeable sample of 1201 university students. Our main objective was to explore the potential impact of self-inefficacy on the association between SICC and well-being. MethodsConsistent with prior research, participants identified themselves as having cluttering characteristics (SICC) or no-cluttering characteristics (SINCC) based on a verbal and written explanation of the disorder. They also completed questionnaires on psychological well-being indices and self-inefficacy. ResultsIn total, 276 respondents identified themselves as having cluttering characteristics. In regression models, both SICC and self-inefficacy were predictive of greater negative well-being, increased depressive symptoms, and heightened psychosomatic symptoms. Interestingly, ADHD diagnosis was associated with less negative well-being. Positive well-being indicators (positive future orientation and subjective happiness) were solely predicted by self-inefficacy. Supporting these findings, supplementary regressions including only 56 SICC participants who reported being treated for cluttering yielded similar results. Utilizing Hayes's PROCESS computational procedures to test moderation revealed that self-inefficacy significantly moderated the association between SICC and negative well-being (depressive symptoms) as well as the association between SICC and positive well-being (positive future orientation). ConclusionsThe findings underscore alterations in well-being among individuals who identify themselves as experiencing cluttering characteristics. Primarily, heightened negative well-being was noted in those with SICC, yet individual self-inefficacy reports mitigated this effect. Overall, SICC exacerbates negative well-being rather than diminishing positive well-being. These findings point to the importance of integrating mental health assessment and intervention into clinical practice for individuals with cluttering symptoms and the potential benefits of interventions targeting self-inefficacy to improve overall well-being in this population.

205 An autosomal recessive mutation in PYGM causes myophosphorylase deficiency in composite cattle

Abstract Between 2020 and 2022, eight calves (6 heifers, 2 bulls) in a Nebraska herd (composite Simmental, Red Angus, Gelbvieh) experienced exercise intolerance during extended physical activity. These calves exhibited an inability to keep pace with the rest of the herd, with some eventually succumbing to physical collapse from which they did not recover. Increased creatine kinase, an indication of muscle degeneration, was confirmed in biopsy and necropsy samples. Available sire pedigrees revealed a common paternal ancestor within 2 to 4 generations in all the affected calves. Dam pedigrees were unavailable; however, the herd retained replacement females that occasionally shared common ancestors with breeding bulls. Thus, a de novo autosomal recessive mutation was hypothesized as the cause of exercise intolerance in these calves. Genomic data (100K SNP) from 6 affected calves and 715 herd mates were initially used for a whole genome-wide association study, pinpointing a significant region on chromosome 29. Whole-genome sequencing of 2 affected calves combined with 145 other sequenced cattle led to the identification of a nonsense mutation in the PYGM gene, also located on chromosome 29. The mutation, confirmed to be present in the skeletal muscle transcriptome, was predicted to produce a premature stop codon. The protein product of PYGM, myophosphorylase, has a crucial role in metabolizing glycogen stored within skeletal muscle to generate energy for muscle cells. As a result, the recessive genotype led to greater (P < 0.05) glycogen concentrations in affected calves (n = 2) compared with heterozygous animals (n = 3) and wild-type controls (n = 2). Immunohistochemistry and label-free quantitative proteomics analysis confirmed the absence of the PYGM protein product in skeletal muscle. Myophosphorylase is needed for efficient glycogen utilization, which is crucial for producing high-quality beef. In the 2 affected calves harvested, increased skeletal muscle glycogen persisted postmortem, resulting in increased pH and dark-cutting beef, which is associated with a negative consumer perception and economic losses to the industry. In addition to identifying the cause of exercise intolerance and welfare concerns in these cattle, this study is among the first to identify a specific genetic mutation associated with dark-cutting beef. Carriers of the mutation did not display any discernible differences in meat quality or measures of animal well-being. While cattle heterozygous for the mutation may not immediately impact the beef industry, identifying carriers is paramount for implementing proactive selection and breeding strategies to prevent the production of affected calves.

Virtual reality hypnotherapy for healthcare students: a feasibility trial

PurposeThere is evidence that both hypnotherapy and virtual reality (VR) can be helpful in reducing perceived stress in the general population. This is a feasibility and acceptability trial of an intervention combining hypnotherapy and VR to establish its acceptability in students. This study aims to establish whether students found the experience acceptable, described any adverse effects and whether they reported feeling calmer after the experience.Design/methodology/approachThe study was testing the hypothesis that students would attend the sessions and find the experience acceptable. A secondary hypothesis was that preliminary qualitative and quantitative evaluation of measures of stress and wellbeing would signal potential improvements.FindingsAll participants completed all three sessions. No side effects were reported. Visual analogue scales recorded each day assessing the immediate effect improved. At the end of the intervention, there was an increase in wellbeing of 2.40 (95% CI: 1.33, 3.53, p = 0.006), and a decrease in depression of 0.73 (95% CI: 0.40, 1.07, p = 0.010), reflecting large effect sizes of 0.76 and 0.83, respectively. Qualitative feedback was generally very positive.Research limitations/implicationsThis study is small with just 15 students and was over a short period of time. The recruitment method meant there was no way to establish whether the volunteer students were representative of the general student population in terms of mental wellbeing. There was no control arm.Practical implicationsThe preliminary results suggest that a larger controlled trial is justified.Social implicationsThis VR experience may have benefit to university students and to the wider population.Originality/valueThis described the evaluation of a novel intervention for perceived stress combining hypnotherapy and virtual reality in a group of healthcare students, with promising results suggesting further evaluation is needed.

Validation of the German Purpose in Life Questionnaire (PLQ) in a healthy population and patients with cardiovascular disease

In this cross-sectional study, a German translation of the subscale “Purpose in Life” (PLQ) from the Scales of Psychological Well-being (SPWB) was validated in a representative sample of participants from healthy and cardiovascular populations. The main objectives were to assess the reliability, convergent, and discriminant validity using a large and representative sample (N = 466 healthy sample, N = 247 patients with an implanted cardioverter-defibrillator (ICD), N = 70 patients with a cardiovascular disease (CVD)).The findings indicated that the German PLQ is a reliable and valid measure of positive psychological well-being, showing a positive correlation with health-related quality of life, optimism, and positive affect. In turn, the PLQ score was significantly and negatively correlated with depressive symptom severity, anxiety, pessimism, and negative affect, while being distinct from these constructs. The comparability of the measurement properties of the German PLQ with the original English version further supports the validity of the translation. Additionally, the unidimensional structure of the German version mirrored that of the English PLQ.As this study used a large and representative sample, it provides the most up-to-date normative population value for the subscale of the SPWB. Moreover, this study represents the first known exploration of the questionnaire in a cardiovascular sample, revealing relationships between health-related quality of life, optimism, positive affect, and the German PLQ. However, in patients with ICD, the positive correlation between the PLQ and the physical component of the SF-12 did not reach significance. Despite these valuable findings, future research to enhance the understanding of the PLQ and its implications is warranted.