Numerous studies show that happy individuals are successful across multiple life domains, including marriage, friendship, income, work performance, and health. The authors suggest a conceptual model to account for these findings, arguing that the happiness-success link exists not only because success makes people happy, but also because positive affect engenders success. Three classes of evidence--crosssectional, longitudinal, and experimental--are documented to test their model. Relevant studies are described and their effect sizes combined meta-analytically. The results reveal that happiness is associated with and precedes numerous successful outcomes, as well as behaviors paralleling success. Furthermore, the evidence suggests that positive affect--the hallmark of well-being--may be the cause of many of the desirable characteristics, resources, and successes correlated with happiness. Limitations, empirical issues, and important future research questions are discussed.

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The Benefits of Frequent Positive Affect: Does Happiness Lead to Success?

https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(07)61415-9.pdf

Depression, chronic diseases, and decrements in health: results from the World Health Surveys

Depression, chronic diseases, and decrements in health : results from the world health surveys. Commentary

This article reports the development and validation of a 10-item international Positive and Negative Affect Schedule (PANAS) Short Form (I-PANAS-SF) in English. A qualitative study (N = 18) and then an exploratory quantitative study (N = 407), each using informants from a range of cultural backgrounds, were used to identify systematically which 10 of the original 20 PANAS items to retain or remove. A same-sample retest study (N = 163) was used in an initial examination of the new 10-item international PANAS's psychometric properties and to assess its correlation with the full, 20-item, original PANAS. In a series of further validation studies (N = 1,789), the cross-sample stability, internal reliability, temporal stability, cross-cultural factorial invariance, and convergent and criterion-related validities of the I-PANAS-SF were examined and found to be psychometrically acceptable.

Development and Validation of an Internationally Reliable Short-Form of the Positive and Negative Affect Schedule (PANAS)

Background:Falls are the main cause of accidental death in persons aged 65 years or older.Methods:Using MEDLINE and previous reviews, we searched for prospective studies investigating risk factors for falls among community-dwelling older people. For risk factors investigated by at least 5 studies in

Risk Factors for Falls in Community-dwelling Older People: A Systematic Review and Meta-analysis

A review of past research reveals apparent gaps in many current measures of positive affect (PA) and negative affect (NA) including the Bradburn (1969) Affect Balance subscales popular among gerontologists and other social scientists. In many cases, the measures produce PA/NA correlations so high that some researchers claim subjective well-being is unidimensional. A viable alternative measure of positive and negative affect is the PANAS (Watson, Clark, and Tellegen 1988), which appears to distinguish clearly between these two emotional dimensions of subjective well-being. Unfortunately, however, only younger samples have served as subjects in research on the PANAS. Accordingly, the current study assessed the psychometric qualities of the PANAS applied to a sample of the old-old. Consistent with prior studies of younger samples, the results here clearly support the viability of the measure among the elderly. Of particular significance, the PA and NA dimensions appear completely independent of each other. M...

Assessing Subjective Well-Being in the Old-Old The PANAS as a Measure of Orthogonal Dimensions of Positive and Negative Affect

Caregiver burden is one of the most commonly used variables in caregiving research, both as a predictor and as an outcome. It has been suggested that caregiver burden can be measured in terms of discrete dimensions of well-being and that burden and well-being represent opposite sides of the same coin. The goal of this study was to explore this issue further by comparing commonly used dimensions of burden with parallel dimensions of well-being, both as outcome variables and as predictors of other outcomes, in a sample of caregivers. The findings suggest that burden may tap a unique domain of caregiving outcomes that is not represented by more objective indicators of these effects. Dismissing burden as an unnecessary or redundant construct seems premature.

Caregiver Burden and Generic Well-Being: Opposite Sides of the Same Coin?.

This research focuses on the coping behavior of older adult, long-term cancer survivors. Specifically, it identifies the personal (including race and gender) and illness/treatment characteristics of survivors that are significantly associated with the use of specific coping styles: planning, acceptance, venting, denial and seeking social support. It also examines the mediating role that these forms of coping play in terms of psychological distress: anxiety, depression and cancer-related worries. Multivariate analysis of data from a random sample of 321 long-term survivors in a major cancer center tumor registry is used to address the above issues. The most prominent forms of coping used by long-term survivors were planning and acceptance; least used were venting and denial. Increased age was associated with lower use of all forms of coping, but cancer type was not. Denial as a form of coping was associated with higher anxiety, depression and cancer-related worries. While race was not found to be a significant predictor of coping style, it was a significant predictor of three dimensions of psychological distress, anxiety, depression and cancer-related worries, with African Americans exhibiting lower levels of distress than Whites. The relevance of these findings for health and social service practitioners is discussed. Copyright © 2005 John Wiley & Sons, Ltd.

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Coping among older-adult, long-term cancer survivors

Objectives: To examine the potential facilitators of or deterrents to end-of-life planning for community-dwelling older adults, including personal (health-related and sociodemographic) and social (physician and family) influences.



Design: In-person interviews with older adults, telephone interviews with physicians and family members.



Setting: Cleveland, Ohio.



Participants: Two hundred thirty-one adults aged 65 to 99 who were aging in place, 99 of their primary care physicians, and 127 of their family members.



Measurements: Questions assessing older adults' discussions with others about end-of-life plans, implementation of advance directives, and physical (Older American Resources and Services) illness index and mental (Short Portable Mental Status Questionnaire) health status.



Results: Just fewer than half of older adults had executed an advance directive and discussed their wishes with others. Only personal characteristics of elderly individuals were related to end-of-life plans, with whites, unmarried individuals, and younger adults more likely to have made preparations. Older adults' health status, as evaluated by the patient, physician, and caregiver, did not relate to the tendency to have made advance care plans. Older adults' family members were much more likely to report knowledge of advance care plans than were physicians.



Conclusion: These findings suggest that many physicians are not talking with their patients about their end-of-life wishes. Furthermore, the propensity to have such discussions may relate more to the personal preferences and level of comfort of patients, physicians, and family members than on the health status of the older adult.

The personal and social context of planning for end-of-life care.

Objective This research explored the long-term benefits of engaging in proactive health promotion efforts among old-old residents of Sunbelt retirement communities to empirically test components of the Preventive and Corrective Proactivity (PCP) Model of Successful Aging. Specifically, we examined the contributions of exercise, tobacco use, moderate alcohol use, and annual medical checkups to multidimensional quality of life indicators of physical health, psychological well-being, and mortality. Method Data were obtained from a longitudinal study of adaptation to aging. Annual in-home interviews were conducted with 1000 older adults over a 9-year period. Whether health promotion behaviors at baseline predicted quality of life outcomes 8 years later was examined, controlling for the baseline outcome, sociodemographic variables, and, as an additional test, baseline health conditions. Results Exercise was predictive of fewer IADL limitations and greater longevity, positive affect, and meaning in life 8 years later. Avoiding tobacco was predictive of longevity. Before controlling for health conditions, exercise predicted decreased risk of basic activities of daily living limitations and having more goals; moderate alcohol use predicted longevity; annual health checkup predicted more IADL limitations; and having once smoked predicted having more IADL limitations and negative affect. Conclusions Among the old-old, exercise had long-term and multifaceted benefits over an 8-year period. Tobacco avoidance also contributed to long-term positive outcomes. These results lend support to the long-term preventive value of health-promoting proactivity spontaneously engaged in by old-old persons proposed in the framework of the PCP model.

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Kyle Kercher

Papers

Assessing Subjective Well-Being in the Old-Old The PANAS as a Measure of Orthogonal Dimensions of Positive and Negative Affect

Caregiver Burden and Generic Well-Being: Opposite Sides of the Same Coin?.

Coping among older-adult, long-term cancer survivors

The personal and social context of planning for end-of-life care.

Long-term impact of preventive proactivity on quality of life of the old-old.