Being as Having, Loving, and Doing: A Theory of Human Well-Being.

ACADEMIC ABSTRACT: Stronger theory on the nature of human well-being is needed, especially as well-being indicators are increasingly utilized in policy contexts. Building on Erik Allardt, who argued that a theory of well-being is, in essence, a theory of human nature, I propose four modes of existence each capturing one dimension central to human well-being: Having recognizes humans as biological creatures requiring certain material resources for survival. Loving captures human social nature and our dependence on others for well-being. Doing highlights the active and agentic nature of human existence. Being acknowledges humans as experiencing their existence. Each mode of existence gives rise to a few more specific needs, and a full assessment of human well-being requires both subjective and objective indicators tapping into these needs. The proposed theory integrates psychological well-being research with sociological and philosophical traditions and contributes to debates about how the progress of nations and sustainability should be measured. PUBLIC ABSTRACT: Well-being is something we all value individually, and it is also a key political goal. Accordingly, how we define and measure well-being influences what physicians, managers, policy-makers, politicians, and international organizations aim to improve through their work. Better theories of well-being make better measurement of well-being possible, which makes possible more effective and evidence-based advancement of human well-being. In this spirit, the present article argues that there are four fundamental dimensions to human well-being: Having highlights that as biological creatures, we have physical needs, loving highlights human social needs, doing highlights that we are active and agentic beings with goals and strivings, and being highlights that we feel and evaluate our lives. To assess well-being, we need measures tapping into all four of these dimensions. And to assess the sustainability of well-being, we need to examine how to provide well-being for all humanity while remaining within planetary boundaries.

Psychosocial correlates of flourishing in the late lifespan.

BACKGROUND: Flourishing is a primary dimension of psychological well-being that contributes massively to the development of an active, purposeful, and respectful life, full of meaning, values, and personal interests that nurture social ties. AIMS: This study primarily intended to examine the contribution of satisfaction with family relations, resilience, metacognitive efficiency, and crystallized intelligence in predicting a flourishing measure in cognitively healthy older adults. Moreover, the impact of gender was investigated on flourishing, satisfaction with family ties, resilience, and metacognitive efficiency. METHODS: One hundred and eighty 65-94-year-old community dwellers were recruited in Sardinia (Italy). Participants self-rated their flourishing, satisfaction with their family connections, psychological hardness (i.e., a dimension of resilience), and cognitive function, whereas global cognitive efficiency and vocabulary were assessed through two internationally validated objective tests. RESULTS: A hierarchical regression analysis revealed that 30% of the variance in the flourishing condition was explained by satisfaction with family ties, resilience, and metacognitive efficiency. In addition, males exhibited higher flourishing and satisfaction with family ties than females, and the former group also reported being more autonomous and acting proactively to influence its destiny. CONCLUSION: Emotional support and rewarding relations with family members, the ability to face stressful events, and a good perception of one's cognitive efficiency play a crucial role in promoting flourishing in late adulthood.

Purpose in Life and Cognitive Function in the Malaysian Ageing and Retirement Study.

OBJECTIVES: Evidence for the association between purpose in life and cognitive health is primarily from North American and European samples. This study evaluates this association in a large sample from Malaysia, an upper-middle-income country in Southeast Asia. METHODS: Participants (N = 5,579) from the Malaysian Ageing and Retirement Study reported on their purpose in life and subjective memory and were administered tasks that measured episodic memory, verbal fluency, and overall cognitive function. RESULTS: Purpose was associated with better subjective memory (ß=.13), episodic memory (ß=.06), verbal fluency (ß=.12), and overall cognitive function (ß=.07) (ps < .001). The associations were similar across sex and retirement status; purpose was more strongly related to subjective memory and overall cognitive function among older participants. Behavioral/social factors accounted for up to one-third of the associations, but all associations remained statistically significant. CONCLUSIONS: The positive association between purpose and cognition generalizes to a middle-income country in Southeast Asia. Similar to Western samples, behavioral and social factors accounted for part but not all the association. More research is needed in lower- and other middle-income countries to fully evaluate generalizability. CLINICAL IMPLICATIONS: Purpose may help support healthier cognitive aging across diverse populations and be a useful target to improve cognitive aging outcomes.

Beyond sustainable consumption practices: Linking organic food consumption to hedonic and eudaimonic well-being.

The organic food industry has significantly gained currency due to consumers being increasingly health conscious. However, more insight is needed to decipher the impact of organic food consumption on consumer well-being. Quantitative methods using a cross-sectional design were applied to collect data from 578 organic food consumers residing in South Africa. The results revealed that organic food consumption plays a central role in providing pleasure, positive emotions, a sense of accomplishment and personal growth to consumers. Moreover, the findings indicate that consumers' health consciousness significantly influences the interplay between dimensions of well-being. These findings shed important light on the scholarly debate around the influence of sustainable consumption on well-being. The study also provides crucial insights into new strategies that actors in the organic food industry as well as policymakers will use to effectively promote sustainable consumption and a healthy lifestyle.

Older Canadians' Identity and Well-Being in Retirement.

Retirement can be a time of identity disruption for many older adults. Identity process theory (Whitbourne et al., 2002) states that age-related changes, such as retirement, can prompt an individual to incorporate new information about themselves into their personal identity using one of three identity process: assimilation, accommodation, and balance. Additionally, individual identity and the manner in which individuals retire-voluntary or involuntary-are associated with post-retirement well-being (Newton et al., 2018). The current study examined the relationship between identity processes, planned/unplanned retirement, and hedonic (life satisfaction) and eudaimonic (meaning in life) well-being in a sample of retired Canadians. Results indicated that identity accommodation and balance were associated with both types of post-retirement well-being, whereas unplanned retirement was consistently only related to life satisfaction. This study emphasizes the importance of including individual difference factors when examining older adults' well-being and the utility of measuring well-being in multiple ways.

The Impact of the COVID-19 Pandemic on Trajectories of Well-Being of Middle-Aged and older Adults: A Multidimensional and Multidirectional Perspective.

The COVID-19 pandemic has resulted in profound changes of individuals' everyday lives. Restrictions in social contacts and in leisure activities and the threatening situation of a spreading virus might have resulted in compromised well-being. At the same time, the pandemic could have promoted specific aspects of psychosocial well-being, e.g., due to intensified relationships with close persons during lockdown periods. We investigated this potentially multidimensional and multi-directional pattern of pandemic-specific change in well-being by analyzing changes over up to 8 years (2012-2020) in two broad well-being domains, hedonic well-being (life satisfaction) and eudaimonic well-being (one overarching eudaimonic well-being indicator as well as environmental mastery, personal growth, positive relations with others, and self-acceptance), among 423 adults who were aged 40-98 years in 2012. By modelling longitudinal multilevel regression models and allowing for a measurement-specific intra-individual deviation component from the general slope in 2020, i.e. after the pandemic outbreak, we analyzed potential normative history-graded changes due to the pandemic. All mean-level history-graded changes were nonsignificant, but most revealed substantial interindividual variability, indicating that individuals' pandemic-related well-being changes were remarkably heterogeneous. Only for personal growth and self-acceptance, adding a pandemic-related change component (and interindividual variability thereof) did not result in a better model fit. Individuals with poorer self-rated health at baseline in 2012 revealed a pandemic-related change toward lower life satisfaction. Our findings suggest that not all well-being domains - and not all individuals - are equally prone to "COVID-19 effects", and even pandemic-associated gains were observed for some individuals in certain well-being domains.

The Scales of Psychological Well-Being - a validation, usability and test-retest study among community-dwelling older people in Finland.

Objectives: To validate the Finnish version of the 42-item Scales of Psychological Well-Being among community-dwelling older people. The study also examined the test-retest reliability and usability, i.e. user experience, of the scales in this age group.Method: The 42-item version of the SPWB was administered as part of a face-to-face interview among 968 men and women aged 75, 80 or 85 years. The subsample for test-retest analyses comprised 42 participants, who in addition to 11 interviewers also answered questions concerning the usability of the scales. Exploratory and confirmatory factor analyses, Cronbach's alpha coefficients, Pearson and intra-class correlation coefficients, and Kendal's Tau B were used in the analyses.Results: The factor analyses did not support the theory-based six-factor structure of the scales. The Cronbach's alphas showed high internal consistency reliability for the total scale, but modest for the subscales. The intercorrelations between the subscales were moderate. The total score and the subscale scores of the SPWB correlated positively with quality of life and life satisfaction, and negatively with depressive symptoms. The interviewers reported that while most of the participants responded to the scales without marked difficulties, others could only answer after clarifications of some statements.Discussion: The reliability of the 42-item version of the SPWB was modest. The factor structure was inconsistent among the three age groups studied, but the scales were feasible to use. The current results call for further methodological consideration to optimize assessment of eudaimonic well-being in old age.

Instruments to evaluate mental well-being in old age: a systematic review.

OBJECTIVE: The aim of this study is to identify and appraise existing instruments to evaluate mental well-being in old age. METHOD: Systematic literature searches in PubMed, PsycINFO, ProQuest Research Library, AgeLine and CINAHL databases were performed. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guideline was used to assess the measurement properties, reported according to the Preferred Reporting Items for Systematic Reviews and meta-Analysis (PRISMA) statement. For each measurement property, results were classified as positive, negative or indeterminate. The quality level of evidence was rated as high, moderate, low or very low following the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. RESULTS: A total of 28 instruments were found. Most instruments evaluated different dimensions of mental well-being, including various subscales. The quality was adequate overall. Six instruments showed high quality (Perceived Well-Being Scale-PWB, Salamon-Conte Life Satisfaction in the Elderly Scale-SCLSES, Herth Hope Scale-HHS, Life Satisfaction Index Third Age-LSITA, Meaning in Life Scale-MLS, and SODdisfazione dell'Anziano-SODA), and other six a moderate level (Scale of Happiness of the Memorial University of Newfoundland-MUNSH, Six Scales of Psychological Well-Being-PWBS, Valuation Of Life-VOL, Life Satisfaction Scale for Chinese Elders-LSS-C, Meaningful Activity Participation Assessment-MAPA and Will To Life-WTL). CONCLUSION: This review provides the first comprehensive synthesis of instruments assessing mental well-being in older populations. The PWB, SCLSES, HHS, LSITA, MLS and SODA were the most appropriated instruments. An instrument that specifically measures mental well-being in the oldest old age group (aged 80 plus) and that considers its multidimensional nature is needed.

Sources of well-being for older adults with and without dementia in residential care: relations to presence of meaning and life satisfaction.

OBJECTIVES: To explore what sources of well-being are rated meaningful by older adults in residential care and how they are related to two important well-being outcomes. METHOD: Two cross-sectional questionnaire studies were conducted in a sample of care residents without cognitive disability (n = 329) and with Alzheimer's disease (n = 104). Structural equation modelling was used to test a hypothesized and exploratory model of different sources as predictors of presence of meaning in life (POM) and satisfaction with life (SWL). RESULTS: Family and Health were rated most meaningful by residents with and without dementia. In both studies, the hypothesized model showed adequate fit with the data. For cognitively intact residents, Personal Growth, Spirituality/Religion, and Interpersonal Relationships predicted POM, while Family and Leisure predicted SWL. Exploratory testing identified Leisure as a possible additional predictor of POM. For residents with Alzheimer's disease, Personal Growth and Society/Community predicted POM, while Family predicted SWL. CONCLUSION: For older adults in residential care, many sources of well-being remain highly meaningful and some are directly related to the experience of meaning and life satisfaction. Both for residents with and without dementia, continued or increased investment in moments that foster personal growth and family relationships might be especially valuable.

Self-worth and bonding emotions are related to well-being in health-care providers: a cross-sectional study.

BACKGROUND: Interacting with patients can elicit a myriad of emotions in health-care providers. This may result in satisfaction or put providers at risk for stress-related conditions such as burnout. The present study attempted to identify emotions that promote provider well-being. Following eudaimonic models of well-being, we tested whether certain types of emotions that reflect fulfilment of basic needs (self-worth, bonding with patients) rather than positive emotions in general (as suggested by hedonic models) are linked to well-being. Specifically, we hypothesized that well-being is associated with positive emotions directed at the self, which reflect self-worth, and positive as well as negative emotions (e.g., worry) directed at the patient, which reflect bonding. However, we expected positive emotions directed at an object/situation (e.g., curiosity for a treatment) to be unrelated to well-being, because they do not reflect fulfilment of basic needs. METHODS: Fifty eight physicians, nurses, and psychotherapists participated in the study. First, in qualitative interviews, they reported their emotions directed at the self, the patient, or an object/situation during distressing interactions with patients. These emotions were categorised into positive emotions directed towards the self, the patient, and an object/situation, and negative emotions directed towards the patient that reflect bonding. Second, providers completed questionnaires to assess their hedonic and eudaimonic well-being. The well-being scores of providers who did and did not experience these emotions were compared. RESULTS: Providers who experienced positive emotions directed towards the self or the patient had higher well-being than those who did not. Moreover, for the first time, we found evidence for higher well-being in providers reporting negative patient-directed emotions during distressing interactions. There was no difference between providers who did and did not experience positive object/situation-directed emotions. CONCLUSIONS: These findings may point towards the importance of "eudaimonic" emotions rather than just positive emotions in interactions with patients. Emotions such as contentment with oneself, joy for the patient's improvement, and, notably, grief or worry for the patient may build a sense of self-worth and strengthen bonding with the patient. This may explain their association with provider well-being.

Individual values and well-being: The moderating role of personality traits.

This study examined the role of values, traits and their interactions for the experience of eudaimonic and hedonic well-being. First wave studies on value and well-being relationships yielded inconsistent results suggesting that these relationships are moderated by other factors, possibly by personality traits. We asked a representative sample of adult Poles (N = 1161) to report on their personality traits (according to five-factor theory), values (conceptualised by Schwartz) and well-being (hedonic and eudaimonic). Results showed, that higher Extraversion, Emotional stability, Intellect, Agreeableness and Conscientiousness were related to higher well-being, confirming and expanding claims from personality theory of subjective well-being: stable predispositions are related not only to subjective, but also to eudaimonic well-being. Values expressing Openness to change, Self-transcendence and Conservation were also positively correlated with well-being, while the role of Self-enhancement was unclear. This confirmed that growth needs expressed in Openness to change and Self-transcendence values promote well-being, but also that values expressing deficiency needs can be positively related to well-being, possibly in specific circumstances. Finally, the two levels of personality (traits and values) proved to have a joint relationship to well-being: higher Conscientiousness and Agreeableness enhanced positive relationships of Openness to change and Self-transcendence with some aspects of well-being.

Assessing Children's Eudaimonic Well-Being: The PROMIS Pediatric Meaning and Purpose Item Banks.

OBJECTIVE: To describe the development of the Patient-Reported Outcome Measurement Information System (PROMIS) Pediatric Meaning and Purpose item banks, child-report and parent-proxy editions. METHODS: Data were collected from two samples. The first comprised 1,895 children (8-17 years old) and 927 parents of children 5-17 years old recruited from an Internet panel, medical clinics, and schools. The second comprised a nationally representative sample of 990 children 8-17 years old and 1,292 parents of children 5-17 years old recruited from a different Internet panel. Item pool evaluation was done with Sample 1 and analyses were used to support decisions about item retention. The combined sample was used for item response theory (IRT) calibration of the item bank. Both samples were used in validation studies. RESULTS: Eleven items were deleted from the item pool because of poor psychometric performance. The final versions of the scales showed excellent reliability (>0.90). Short form scales (4 or 8 items) had a high degree of precision across over 4 SD units of the latent variable. The item bank positively correlated with extant measures of positive psychological functioning, and negatively correlated with measures of emotional distress, pessimism, and pain. Lower meaning and purpose scores were associated with adolescence and presence of a special healthcare need. CONCLUSION: The PROMIS Pediatric Meaning and Purpose item banks and their short forms are ready for use in clinical research and practice. They are measures of children's eudaimonic well-being and indicative of children's hopefulness, optimism, goal-directedness, and feelings that life is worth living.

Survive or Thrive? Longitudinal Relation Between Chronic Pain and Well-Being.

BACKGROUND: The minimal literature on the relation between chronic pain and both eudaimonic (EWB) and hedonic well-being (HWB) examines the relation cross-sectionally, and most studies have examined chronic pain's effect only on psychopathology. METHODS: Using a sample of 473 midlife and older adults with chronic pain, this study examined both the cross-sectional and longitudinal relations between chronic pain and EWB and HWB in addition to psychological distress. RESULTS: Multiple-group longitudinal structural equation modeling revealed that chronic pain was related significantly and negatively to EWB and HWB, and significantly and positively to distress among both men and women. When examined longitudinally, chronic pain at time 1 was associated significantly only with decreased EWB at time 2, suggesting chronic pain's risk to psychological functioning, especially because of its long-term effects on future EWB. CONCLUSIONS: Our study provides a comprehensive picture of the way chronic pain is associated both with EWB and HWB, in addition to psychological distress. Further, chronic pain may have a lasting influence on EWB, while it may have little predictive value for future HWB and psychological distress. Our study supports well-being's relevance to chronic pain research and has the potential to guide prevention strategies and treatment for chronic pain using a positive psychological framework.

Lighten UP! A Community-Based Group Intervention to Promote Eudaimonic Well-Being in Older Adults: A Multi-Site Replication with 6 Month Follow-Up.

Objectives: Eudaimonic well-being (EWB), increasingly recognized as a critical component of health, typically declines in later life, and there are no existing programs to sustain or increase EWB in older adults. Lighten UP! is an 8-week program to promote EWB through facilitated group sessions in community settings and at-home practice. Building on earlier pilot research, the current study assessed the effect of the Lighten UP! Program using a longitudinal, multi-site design. Methods: Men and women (N = 169) aged 60 and over were recruited from three Wisconsin communities. EWB, life satisfaction, depression, and diverse aspects of health were assessed before and after the program and at 6-month follow up. Results: Participants reported significantly increased EWB; these changes were maintained 6 months later. The specific EWB domains of self-acceptance, positive relations, and personal growth showed the most robust gains. Participants also showed significant and sustained declines in depressive symptoms, anxiety, and hostility. Conclusions: Lighten UP! Program confirmed its positive effects for enhancing EWB in older adults living in multiple community settings. Clinical Implications: Programs that sustain or enhance EWB in older adults can be expected to yield improvements in diverse aspects of mental and physical health.

The importance of national levels of eudaimonic well-being to life satisfaction in old age: a global study.

PURPOSE: The present study sought to test the hypotheses that the relationship between age and life satisfaction is moderated by five societal factors: (1) eudaimonic well-being (i.e., psycho-social functioning), (2) economic quality, (3) healthcare system efficiency, (4) globalization, and (5) national age. METHODS: This study was a cross-sectional analysis based on data from the Gallup World Poll. The sample consisted of 264,123 individuals across 133 countries. Multi-level modeling was used to analyze the data. RESULTS: The results showed that out of the five moderators, only national levels of eudaimonic well-being robustly moderated the relationship between age and life satisfaction. The relationship between age and life satisfaction was negative in countries with low and moderate levels of eudaimonic well-being, and non-significant in countries with high levels of eudaimonic well-being. CONCLUSION: It seems that a non-financial way to maintain higher levels of life satisfaction in aging populations is to enhance eudaimonic well-being. This can be achieved through interventions and policies targeted at individuals, groups, and organizations.

Directionality of the relationship between social well-being and subjective well-being: evidence from a 20-year longitudinal study.

PURPOSE: Self-determination theory suggests that psycho-social well-being prospectively predicts subjective well-being. In contrast, the broaden-and-build theory of positive emotions suggests that subjective well-being has a positive impact on subsequent levels of psycho-social well-being. The present study sought to empirically disentangle the directionality of the relationship between subjective well-being and social well-being over time. METHODS: The study used three waves of survey data, with intervals of 10 years, from the Midlife in the United States (MIDUS) project, a representative longitudinal panel study of American adults (N = 2732). Cross-lagged panel modeling was used for data analysis. RESULTS: The results revealed that social well-being predicted increases in subsequent subjective well-being, whereas subjective well-being did not prospectively predict social well-being. Social well-being also demonstrated more stability over time than did subjective well-being. CONCLUSION: These findings suggest that optimal social functioning is more likely to be an antecedent to subjective well-being, not the other way around. The results are consistent with predictions guided by self-determination theory.

Measuring subjective well-being for policy purposes: The example of well-being indicators in the WHO "Health 2020" framework.

AIMS: This article discusses the rationale for measuring national well-being, and examines the use of subjectively oriented well-being measures in the context of public policy. Recent years have witnessed growing attention towards the concept and measurement of well-being, both within academic disciplines, intergovernmental organizations such as the World Health Organization (WHO) as well as in many governments across Europe, including the Nordic countries. Economic indicators have commonly been regarded as proxies of societal progress of nations, but indicators of well-being have increasingly been applied in order to complement or replace these measures. METHODS: Well-being indicators of the WHO "Health 2020" framework are critically examined with particular attention given to the subjective aspects of well-being. Literature discussing the rationale for subjective indicators is reviewed. As a background, central theoretical and measurement perspectives on well-being are outlined, including hedonic, eudaimonic and objective list approaches. RESULTS: The WHO refers to well-being in definitions of health and mental health, but has primarily reported on disease. The "Health 2020" framework marked a shift in this concern. One of the main targets of "Health 2020" concerns well-being, involving six core indicators. Only one indicator refers to well-being as subjective experience. Literature supports more extensive use of subjective indicators in combination with objective measures. CONCLUSIONS: Although consensus on definitions and instruments is lacking, subjective and objective measures of national well-being may jointly contribute to a more comprehensive understanding of societal progress, as well as a broader conception of health. Further research is required, particularly with regard to eudaimonic indicators.

On the quality of adjustment to retirement: The longitudinal role of personality traits and generativity.

OBJECTIVE: Although psychological factors have been explored in relation to other life transitions, their influence on retirement adjustment quality has been largely overlooked. This study assessed the contribution of personality traits and generativity before retirement in the prediction of hedonic and eudaimonic well-being at two temporal points after retirement. METHOD: This article analyzes data from the Midlife in the United States (MIDUS) longitudinal sample. Specifically, it uses a subsample of people who were not retired at Time 1, but were 9 years after at Time 2 (n = 548) and 18 years after at Time 3 (n = 351). RESULTS: After controlling both for initial values on hedonic and eudaimonic well-being and for the effects of personal attributes and resources, higher scores on Extraversion at Time 1 significantly predicted hedonic well-being at Time 2, whereas lower scores on Neuroticism and higher scores on generativity at Time 1 significantly predicted eudaimonic well-being at Time 2. Neuroticism and generative concern at Time 1 remained significant in the prediction of eudaimonic well-being at Time 3. CONCLUSIONS: The study shows that personality traits and generative concern at midlife explain a meaningful part of the variation in individuals' quality of subsequent retirement adjustment.

Coping flexibility and eudaimonic well-being in university students.

Despite the growing interest in the relationship between coping strategies and eudaimonic well-being, few studies have examined this issue from the perspective of coping flexibility. Therefore, the present study aimed to: (1) identify approach coping profiles in the university context and (2) analyze the differences between these profiles in terms of eudaimonic well-being. A prospective ex post facto design was used and 1,402 university students were selected through convenience sampling. Data were collected using validated self-reported instruments. A latent profile analysis was conducted to identify the participants' coping profiles. The relationship between profiles and eudaimonic well-being was determined using a multivariate analysis of covariance (MANCOVA), with gender, age, and university degree as covariates. Six student profiles were identified based on the degree to which they combined positive reappraisal, support seeking, and planning strategies. The profiles that involved the use of these three strategies to a greater extent experienced more eudaimonic well-being, and vice versa. To analyze the impact of coping on eudaimonic well-being, it is necessary to consider students' ability to combine different approach coping strategies.

The mediating role of relatedness need satisfaction in the relationship between charitable behavior and well-being: Empirical evidence from China.

Based on self-determination theory, the current research aimed to explore the potential mediating effect of relatedness need satisfaction on the relationship between charitable behavior and well-being in the Chinese context. Employing a cross-sectional design, participants reported data on the aforementioned variables in Study 1. The results indicated that relatedness need satisfaction mediated the positive relationship between charitable behavior and hedonic well-being and that between charitable behavior and eudaimonic well-being. Subsequently, a field experiment was conducted in Study 2. Participants rated their levels of relatedness need satisfaction and well-being after charitable donation behaviors were primed. We again observed consistent results. Specifically, charitable behavior was positively associated with both hedonic and eudaimonic well-being, and these relationships were mediated by relatedness need satisfaction. The above findings help to clarify the association between charitable behavior and people's subjective feelings (i.e., well-being), and they deepen our understanding of the underlying mechanism from the perspective of psychological needs satisfaction.