Friends, family, and family friends:Predicting friendships of Dutch women

Friends are an important source of well-being but people differ in who they consider to be friends. With a unique quantitative test of such differences based on 17,650 social relations of 706 Dutch women (aged 18–41), of whom 40% were considered friends, we examined (a) which kind of personal relations were typically identified as friends (e.g., family, colleague), (b) how this linked to relationship closeness, face-to-face and non-face-to-face contact, and (c) whether these relationship characteristics of friendships differed with age. Most friends were met at school (>70%) and 20% of family were considered friends. Friendships were often close relationships with more non-face-to-face contact, while meeting in person was less predictive. Relatively older women reported fewer friends. Even in this homogenous sample with multiple measures of tie strength, friendships were difficult to predict and often overlapped with other social roles, meaning that researchers should be careful in using friendship as distinct category

Social Needs and Happiness:A Life Course Perspective

Both the fulfilment of affection, status, and behavioral confirmation needs and their role in happiness may differ along the adult lifespan. We examined age-graded differences in (a) the fulfilment of the need for affection, status, and behavioral confirmation, (b) disharmonious profiles of need fulfillment (e.g., high affection but low status), and (c) the associations between these needs and happiness. Data from 11,406 Dutch respondents (age range 18–87 (M = 44.82, SD = 14.62), 67% female) were collected via hoegekis.nl and categorized over six age groups (early, young, middle-aged and late adults, young-old and oldest-old). Age-graded differences in social need fulfilment and their link to happiness were examined using regression analyses. Need fulfillment profiles were identified with LCA cluster analyses. Age-graded differences in social need fulfilment were virtually absent (Cohen’s d = 0.20 or smaller) and their link with happiness was stable across the age groups. Social need fulfilment profiles were harmonious as people reported either low, middle, or high need fulfilment in general, irrespective of age. The idea that different social needs are more important in different phases of adult life received only weak support in our data. No strategic investment in specific social needs was observed (no substitution-effects).People typically differed in their capacities to fulfil their affection, status, and behavioral confirmation needs in general, regardless of age. The implications of these results for the social production function theory of wellbeing and socioemotional selectivity theory are outlined in the discussion

Interdependencies between family and friends in daily life:Personality differences and associations with affective well-being across the lifespan

Family and friends are central to human life and well-being. Most people maintain both family and friendship relationships and these relationships might show interdependencies that have scarcely been addressed. We examined the relative frequency of daily contact with family and friends (i.e. friends/family-contact) and its link with personality traits and affective well-being. In an experience sampling study with 396 participants (M-age= 40 years, range 14-88 years, 52% females), we studied how friends/family-contact was associated with Big Five traits and affective well-being across six daily measurements on nine days (average of 55 assessments). Most participants reported more daily contact with family than friends (i.e. held a family orientation), but individual differences were substantial, moderately stable over time, and largely independent from Big Five traits. With advancing age, participants were relatively more often with friends than family. Furthermore, participants were happier when they were with friends compared to family, and this effect was even stronger with higher extraversion. We discuss how examining friends/family-contact extends previous knowledge on personality differences in social relationships, and how this concept yields promising, yet challenging, future directions in personality-relationship associations

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)