The Promise of Sustainable Happiness

From ancient history to recent times, philosophers, writers, self-help gurus, and now scientists have taken up the challenge of how to foster greater happiness. This chapter discusses why some people are happier than others, focusing on the distinctive ways that happy and unhappy individuals construe themselves and others, respond to social comparisons, make decisions, and self-reflect. We suggest that, despite several barriers to increased well-being, less happy people can strive successfully to be happier by learning a variety of effortful strategies and practicing them with determination and commitment. The sustainable happiness model (Lyubomirsky, Sheldon, & Schkade, 2005) provides a theoretical framework for experimental intervention research on how to increase and maintain happiness. According to this model, three factors contribute to an individual\u27s chronic happiness level: (a) the set point, (b) life circumstances, and (c) intentional activities, or effortful acts that are naturally variable and episodic. Such activities, which include committing acts of kindness, expressing gratitude or optimism, and savoring joyful life events, represent the most promising route to sustaining enhanced happiness. We describe a half-dozen randomized controlled interventions testing the efficacy of each of these activities in raising and maintaining well-being, as well as the mediators and moderators underlying their effects. Future researchers must endeavor not only to learn which particular practices make people happier, but how and why they do so.https://digitalcommons.chapman.edu/psychology_books/1010/thumbnail.jp

It\u27s for Their Health: Encouraging Autonomy During Emerging Adulthood

Improving health behaviors, especially among emerging adults, is no easy task. The present research sought to develop an intervention to improve health behavior by harnessing emerging adults’ desire for autonomy. Ninety-one participants between the ages of 18 and 25 years (M = 19.36 years) were randomly assigned to a control condition (n = 43) or an experimental condition (n = 48) in which they described ways in which they, rather than others, were in control of their health. We hypothesized that, compared to those in the control condition, those in the experimental condition would feel more in control of their health and make healthier food and drink choices when presented with a variety of options. Results indicated that postintervention internal health locus of control scores did not differ between those in the experimental and control conditions. However, there was an effect of the intervention on snack choice such that those in the experimental condition selected significantly fewer unhealthy snacks than those in the control condition, t(89) = -2.02, p = .046. These results suggest that encouraging emerging adults to think about ways in which they are in control of their health may translate into healthier food-related behaviors

Psychological Well-Being in Childhood and Cardiometabolic Risk in Middle Adulthood: Findings From the 1958 British Birth Cohort

Childhood adversity is linked to poor cardiometabolic outcomes, but less is known about positive childhood factors. Using data from 4,007 members of the 1958 British Birth Cohort, we investigated whether children with greater psychological well-being had lower adulthood cardiometabolic risk. At age 11, participants wrote essays about their future. Two judges rated each essay for nine psychological well-being items (Finn’s r = .82–.91), which were combined into a standardized overall score (Cronbach’s α = .91). When participants reached age 45, nurses assessed their blood pressure, heart rate, lipids, glycosylated hemoglobin, fibrinogen, and C-reactive protein, which were standardized and summed for total cardiometabolic risk. Regressions indicated that children with greater psychological well-being had lower cardiometabolic risk (b = −0.14, 95% confidence interval [CI] = [−0.28, −0.006]): specifically, healthier total cholesterol (b = −0.04, 95% CI = [−0.07, −0.003]) and triglycerides (b = −0.06, 95% CI = [−0.09, −0.02]). Childhood psychological well-being may promote adulthood cardiometabolic health

The Coronavirus Pandemic: Associations of College Students\u27 Financial Situations and Optimism with Mental & Physical Health

The coronavirus pandemic has led to a turbulent environment, putting college students and their families in unprecedented situations. The rise in unemployment and concerns about the overall economy may be impacting student finances. Increased depression and anxiety are common responses to such stressful situations. However, certain psychosocial factors, such as optimism, may be a valuable resource for coping with stress. Individuals who are more versus less optimistic tend to show less distress and have better physical functioning. Thus, the purpose of this study was to examine how college students’ financial situation during the coronavirus pandemic is related to mental and physical health, as well as how optimism moderates this relationship. We hypothesized that worse financial situations would be associated with higher levels of depression, anxiety, and physical symptoms, but that optimism would buffer against worse outcomes. To investigate these hypotheses, students at a private university in Southern California were recruited through their university email addresses to complete an online questionnaire in the spring of 2020. Nearly 300 students self-reported their financial situation, depression, anxiety, physical symptoms (e.g., nausea, headaches), and optimism. Linear regression models tested associations. Results indicated that, as expected, a worsening financial situation and an increase in worry about paying for school were significantly associated with higher levels of depression, anxiety, and physical symptoms (ps \u3c 0.05). By contrast, greater optimism was associated with lower levels of depression, anxiety, and physical symptoms (ps \u3c 0.05). However, the effect of financial situation on students’ mental and physical health did not depend on optimism (ps \u3e 0.05). This may be because students in this study had lower optimism scores relative to pre-pandemic cohorts, suggesting they struggled to be optimistic during the pandemic. Further investigation on how financial situations and optimism relate to mental and physical health is crucial to not only improve the quality of life for college students, but to also help in creating and implementing effective mental and physical health interventions

A Prospective Study of Positive Psychological Well-Being and Coronary Heart Disease

Objective: Research suggests that positive psychological well-being is associated with cardiovascular health. However, much of this research uses elderly samples and has not determined the pathways by which psychological well-being influences cardiovascular disease or whether effects are similar for men and women. This study investigates the association between two aspects of well-being (emotional vitality and optimism) and coronary heart disease (CHD) in a sample of middle-aged men and women, and considers potential mediating factors. Method: Between 1991 and 1994, well-being and coronary risk factors were assessed among 7,942 individuals without a prior cardiovascular event from the Whitehall II cohort. Incident CHD (fatal CHD, first nonfatal myocardial infarction, or first definite angina) was tracked during 5 person-years of follow-up. Results: Positive psychological well-being was associated with reduced risk of CHD with an apparent threshold effect. Relative to people with the lowest levels of well-being, those with the highest levels had minimally adjusted hazard ratios of 0.74, 95% confidence interval [0.55, 0.98] for emotional vitality and 0.73, 95% confidence interval [0.54, 0.99] for optimism. Moreover, the association was strong for both genders and was only weakly attenuated when accounting for ill-being. Neither health-related behaviors nor biological factors explained these associations. Conclusions: Positive psychological well-being was associated with a modest, but consistent reduced risk of incident CHD. The relationship was comparable for men and women, and was maintained after controlling for cardiovascular risk factors and ill-being. Additional research is needed to identify underlying mechanisms and investigate whether interventions to increase well-being may enhance cardiovascular health

Becoming Happier Takes Both a Will and a Proper Way: An Experimental Longitudinal Intervention to Boost Well-Being

An 8-month-long experimental study examined the immediate and longer term effects of regularly practicing two assigned positive activities (expressing optimism and gratitude) on well-being. More important, this intervention allowed us to explore the impact of two metafactors that are likely to influence the success of any positive activity: whether one self-selects into the study knowing that it is about increasing happiness and whether one invests effort into the activity over time. Our results indicate that initial self-selection makes a difference, but only in the two positive activity conditions, not the control, and that continued effort also makes a difference, but, again, only in the treatment conditions. We conclude that happiness interventions are more than just placebos, but that they are most successful when participants know about, endorse, and commit to the intervention

Sense of Purpose in Life and Five Health Behaviors in Older Adults

Accumulating evidence shows that a higher sense of purpose in life is associated with lower risk of chronic conditions and premature mortality. Health behaviors might partially explain these findings, however, the prospective association between sense of purpose and health behaviors is understudied. We tested whether a higher sense of purpose at baseline was associated with lower likelihood of developing unhealthy behaviors over time. Prospective data were from the Health and Retirement Study, a national sample of U.S. older adults. Our sample included 13,770 adults assessed up to five times across eight years. Among people who met recommended guidelines for a given health behavior outcome at baseline, those in the top versus lowest quartile of purpose in life had 24% lower likelihood of becoming physically inactive (95% CI: 0.68–0.85), 33% lower likelihood of developing sleep problems (95% CI: 0.58–0.79), and 22% lower likelihood of developing unhealthy body mass index (BMI) (95% CI: 0.69–0.87) in sociodemographic-adjusted models. Further there was a marginal reduction in smoking relapse (HR = 0.65, 95% CI: 0.41–1.03) and no association with heavy alcohol use (HR = 1.02, 95% CI: 0.81–1.29). Findings for physical inactivity, sleep problems, and unhealthy BMI remained evident after further adjusting for baseline health status and depression. Our results, suggest that a sense of purpose in life might emerge (with further research) as a valuable target to consider for interventions aimed at helping older adults maintain some health behaviors

Knowledge, Attitudes, and Intentions Toward Fertility Awareness and Oocyte Cryopreservation Among Obstetrics and Gynecology Resident Physicians

STUDY QUESTION What knowledge, attitudes and intentions do US obstetrics and gynecology (OB/GYN) residents have toward discussing age-related fertility decline and oocyte cryopreservation with their patients? SUMMARY ANSWER Most OB/GYN residents believe that age-related fertility decline, but not oocyte cryopreservation, should be discussed during well-woman annual exams; furthermore, nearly half of residents overestimated the age at which female fertility markedly declines. WHAT IS KNOWN ALREADY Oocyte cryopreservation can be utilized to preserve fertility potential. Currently, no studies of US OB/GYN residents exist that question their knowledge, attitudes, and intentions toward discussing age-related fertility decline and oocyte cryopreservation with patients. STUDY DESIGN, SIZE, DURATION A cross-sectional online survey was conducted during the fall of 2014 among residents in American Council for Graduate (ACOG) Medical Education-approved OB/GYN residency programs. Program directors were emailed via the ACOG Council on Resident Education in Obstetrics and Gynecology server listing and asked to solicit resident participation. PARTICIPANTS/MATERIALS, SETTING, METHODS Participants included 238 residents evenly distributed between post-graduate years 1–4 with varied post-residency plans; 90% of residents were women and 75% were 26–30 years old. The survey was divided into three sections: demographics, fertility awareness, and attitudes toward discussing fertility preservation options with patients. Descriptive and inferential statistics were conducted. MAIN RESULTS AND THE ROLE OF CHANCE A strong majority of residents (83%) believed an OB/GYN should initiate discussions about age-related fertility decline with patients (mean patient age 31.8), and 73% percent believed these discussions should be part of an annual exam. One third of residents overestimated the age at which there is a slight decline in female fertility, while nearly half of residents overestimated the age at which female fertility markedly declines. Over three-quarters of residents (78.4%) also overestimated the likelihood of success using assisted reproductive treatments (ARTs). Residents were likely to support oocyte cryopreservation in cancer patients irrespective of the woman\u27s age, but much less likely to support elective oocyte cryopreservation. For elective oocyte cryopreservation, 40% believed OB/GYNs should initiate discussions with patients (mean age 31.1), while only 20% believed this topic should be part of an annual exam. LIMITATIONS, REASONS FOR CAUTION Because the study invitation was sent through US OB/GYN residency program directors rather than directly to residents, it is possible that some residents did not receive the invitation to participate. This limits the generalizability of the findings. WIDER IMPLICATIONS OF THE FINDINGS Within the USA, there appears to be a critical need for improved education on fertility decline in OB/GYN residency programs. To promote informed reproductive decision-making among patients, efforts should be made to help OB/GYNs provide comprehensive fertility education to all women, while also respecting patient choices

The Impacts of Social Support and Loneliness on the Physical Health and Coping Styles of College Students during COVID-19

Since the beginning of the COVID-19 pandemic, there has been an increased mental health risk among college students. Recent studies have suggested that this concerning phenomenon can be attributed to social isolation and loneliness caused by preventive measures including social distancing. Being socially isolated can also have harmful effects on one’s physical health, such as a weakened cardiovascular system. Furthermore, existing literature reported that social support can promote more active coping strategies, which is associated with better psychological adjustment. Nevertheless, there hasn’t been any research on the influence of social factors and loneliness both on students’ health and their coping styles during the pandemic. The purpose of the present study is to investigate how loneliness and perceived social support are associated with the physical health and coping styles of college students during COVID-19. As for the coping measure, the study will look specifically at two types of coping strategies: active coping and self-distraction. The variables were measured through an online survey administered across five different time points in 2020 with students enrolled in Chapman University. The study will focus on the first two waves of the survey, which took place in May and July of 2020. Social support and loneliness in May will be used to predict physical health and coping styles in July. It is hypothesized that students who reported higher levels of perceived social support would show better physical health and use active coping more than self-distraction. It is also predicted that those who feel higher levels of loneliness would report poorer physical health and engage more in self-distraction than in active coping. This study may contribute to the necessary endeavor to improve the physical and psychological wellbeing of college students during the global health crisis by promoting higher social support and alleviating the sense of loneliness

Initiating Patient Discussions about Oocyte Cryopreservation: Attitudes of Obstetrics and Gynaecology Resident Physicians

This study examined the attitudes of obstetrics and gynaecology (OB/GYN) resident physicians to initiating patient discussions regarding medical and elective oocyte cryopreservation (OC). The study used a cross-sectional online survey of OB/GYN medical residents in the USA, sampled from residency programmes approved by the American Council for Graduate Medical Education. In total, 208 medical residents, distributed evenly between postgraduate years 1–4, participated in the study. Residents\u27 fertility knowledge and attitudes to initiating discussions about OC were gathered. Forty percent (n = 83) believed that OB/GYN residents should initiate discussions about OC with patients (initiators), while 60% (n = 125) did not (non-initiators). Initiators were less likely to overestimate the age at which a woman\u27s fertility begins to decline, and were more likely to believe that discussions about OC and age-related fertility decline should take place during a well-woman annual examination. Initiators and non-initiators did not differ in their attitudes towards discussing OC with patients undergoing cancer treatments; however, initiators were significantly more likely to discuss elective OC with patients who were currently unpartnered or who wished to delay childbearing to pursue a career. Given the increasing age of childbearing among women, and the fact that women prefer to receive reproductive information from their healthcare providers, it is critical that such topics are discussed in consultations to assist patients in making more informed reproductive decisions. Further research is needed to assess the existing barriers to these discussions from both physician and patient perspectives