Abstract
Recent literature suggests that people increase their life satisfaction over time as a result of developing positive psychological resources (e.g. benefit finding). However, this hypothesis has not yet tested in children. Since suffering from illness is usually associated with challenge and growth, we hypothesized that changes in life satisfaction in a sample of ill children would depend on to what extent they developed resources. Children with a life threatening illness (N = 67 at T1 and N = 49 at T2, ages 7–18 years) completed the Student Life Satisfaction Scale, a measure of health-related functioning problems, a measure of positive emotions (PE), the Benefit Finding Scale for Children, and a measure of strengths from the Values in Action Inventory of Character Strengths for Youth. The same measures were assessed 6 months after the first assessment. Using structural equation modeling techniques, results revealed that health-related functioning problems were associated with negative changes in life satisfaction over time. Moreover, increases in benefit finding and character strengths (i.e., love and gratitude) predicted positive changes in LS over time. Finally, PE predicted changes in benefit finding over time through several personal strengths (i.e., vitality and gratitude). The development of positive psychological resources in children experiencing high levels of stress may promote desirable psychological outcomes. Therefore, in order to help clinicians prevent negative outcomes, future research should strive to better understand life satisfaction and its underlying predictors in children experiencing difficult life circumstances.
Similar content being viewed by others
Notes
Authors defined “BF” as “the positive effects that result from a traumatic event” (Meyerson et al. 2011), while resilience has been defined as “a dynamic developmental process reflecting evidence of effective coping and adaptation despite significant life adversity” (Masten 2001). BF does not necessarily reflect positive adjustment. Despite the differences, these terms have conceptual correspondence and, thus, both constructs are mentioned in this introduction.
The present study was part of a larger longitudinal study on the work of organizations and foundations working with children in hospitals. Children, aged 5–18, and their parents were contacted. 118 families were initially contacted. Nine of them declined to participate and nine showed difficulties in making an appointment. Finally, 100 families were considered to conduct different studies on well-being in children with life-threatening illnesses. For this study, we specifically focused on children from 7 to 18 as there are some variables that require a level of cognitive development that cannot be evaluated properly in younger children (such as BF).
References
Bennett, D. S. (1993). Depression among children with chronic medical problems: A meta-analysis. Journal of Pediatric Psychology, 19, 149–169.
Bentler, P. (2005). EQS structural equations program manual. Encino: Multivariate Software.
Block, J., & Kremen, A. M. (1996). IQ and ego-resiliency: Conceptual and empirical connections and separateness. Journal of Personality and Social Psychology, 70, 349–361. doi:10.1037/0022-3514.70.2.349.
Bono, G., & McCullough, M. E. (2006). Positive responses to benefit and harm: Bringing forgiveness and gratitude into cognitive psychotherapy. Journal of Cognitive Psychotherapy, 20, 147–158. doi:10.1891/jcop.20.2.147.
Bower, J. E., Moskowitz, J. T., & Epel, E. (2009). Is benefit finding good for your health? Pathways linking positive life changes after stress and physical health outcomes. Current Directions in Psychological Science, 18, 337–341. doi:10.1111/j.1467-8721.2009.01663.x.
Byrne, B. M. (2001). Structural equation modeling with amos, eqs, and lisrel: Comparative approaches to testing for the factorial validity of a measuring instrument. International Journal of Testing, 1, 55–86. doi:10.1207/S15327574IJT0101_4.
Calhoun, L. G., Tedeschi, R. G., Cann, A., & Hanks, E. (2010). Positive outcomes following bereavement: paths to posttraumatic growth. Psychologica Belgica, 50, 125–143.
Canning, E. H., Canning, R. D., & Boyce, W. T. (1992). Depressive symptoms and adaptive style in children with cancer. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 1120–1124. doi:10.1097/00004583-199211000-00021.
Chaves, C., Vázquez, C., & Hervás, G. (2013). Benefit finding and well-being in children with life threatening illnesses: An integrative study. Terapia Psicologica, 31, 7–18. http://dx.doi.org/10.4067/S0718-48082013000100006
Cohen, S., Alper, C. M., Doyle, W. J., Treanor, J. J., & Turner, R. B. (2006). Positive emotional style predicts resistance to illness after experimental exposure to rhinovirus or influenza A virus. Psychosomatic Medicine, 68, 809–815. doi:10.1097/01.psy.0000245867.92364.3c.
Cohn, M. A., Fredrickson, B. L., Brown, S. L., Mikels, J. A., & Conway, A. M. (2009). Happiness unpacked: Positive emotions increase life satisfaction by building resilience. Emotion, 9, 361–368. doi:10.1037/a0015952.
Collins, J. J., Byrnes, M. E., Dunkel, I. J., Lapin, J., Nadel, T., Thaler, H. T., & Portenoy, R. K. (2000). The measurement of symptoms in children with cancer. Journal of Pain and Symptom Management, 19, 363–377.
Compas, B. E., Jaser, S. S., Dunn, M. J., & Rodriguez, E. M. (2012). Coping with chronic illness in childhood and adolescence. Annual Review of Clinical Psychology, 8, 455–480. doi:10.1146/annurev-clinpsy-032511-143108.
Cremeens, J., Eiser, C., & Blades, M. (2007). Brief report: Assessing the impact of rating scale type, types of items, and age on the measurement of school-age children’s self-reported quality of life. Journal of Pediatric Psychology, 32, 132–138. doi:10.1093/jpepsy/jsj119.
Cummins, R. A., & Lau, A. D. L. (2005). Personal wellbeing index: School children (PWI-SC) (3rd ed.). Melbourne: Deakin University. Retrieved from http://www.deakin.edu.au/research/acqol/instruments/wellbeing_index.htm
Currier, J. M., Hermes, S., & Phipps, S. (2009). Children’s response to serious illness: Perceptions of benefit and burden in a pediatric cancer population. Journal of Pediatric Psychology, 34, 1129–1134. doi:10.1093/jpepsy/jsp021.
Diener, E., Suh, E. M., Lucas, R. E., & Smith, H. E. (1999). Subjective well-being: Three decades of progress. Psychological Bulletin, 125, 276–302.
Emmons, R. A., & McCullough, M. E. (2003). Counting blessings versus burdens: An experimental investigation of gratitude and subjective well-being in daily life. Journal of Personality and Social Psychology, 84, 377–389. doi:10.1037/0022-3514.84.2.377.
Folkman, S., & Moskowitz, J. T. (2000). Positive affect and the other side of coping. American Psychologist, 55, 647–654. doi:10.1037/0003-066X.55.6.647.
Frankl, V. (1946). Man’s search for meaning. New York: Washington Square Press.
Fredrickson, B. L. (1998). What good are positive emotions? Review of General Psychology, 2, 300–319. doi:10.1037/1089-2680.2.3.300.
Fredrickson, B. L. (2001). The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. American Psychologist, 56, 218–226. doi:10.1037/0003-066X.56.3.218.
Fredrickson, B. L. (2002). Positive emotions. In C. R. Snyder & S. J. López (Eds.), Handbook of positive psychology (pp. 120–134). New York: Oxford University Press.
Fredrickson, B. L. (2013). Love 2.0. New York: Hudson Street Press.
Fredrickson, B. L., Tugade, M. M., Waugh, C. E., & Larkin, G. (2003). What good are positive emotions in crises? A prospective study of resilience and emotions following the terrorist attacks on the United States on September 11th, 2001. Journal of Personality and Social Psychology, 84, 365–376. doi:10.1037/0022-3514.84.2.365.
Froh, J. J., Yurkewicz, C., & Kashdan, T. B. (2009). Gratitude and subjective well-being in early adolescence: Examining gender differences. Journal of Adolescence, 32, 633–650. doi:10.1016/j.adolescence.2008.06.006.
Gillham, J., Adams-Deutsch, Z., Werner, J., Reivich, K., Coulter-Heindl, V., Linkins, M., & Seligman, M. E. P. (2011). Character strengths predict subjective well-being during adolescence. Journal of Positive Psychology, 6, 31–44.
Gimenez, M. (2010) La medida de las fortalezas psicológicas en adolescentes (VIA-Y): Relación con Clima Familiar, psicopatología y bienestar psicológico (Doctoral dissertation). Complutense University, Madrid Retrieved from http://eprints.ucm.es/11578/
Greenspoon, P. J., & Saklofske, D. H. (2001). Toward an integration of subjective well-being and psychopathology. Social Indicators Research, 54, 81–108.
Hazan, C. (2004). Love. In C. Peterson & M. E. P. Seligman (Eds.), Character strengths and virtues: A handbook and classification (pp. 303–324). Washington: American Psychological Association and Oxford University Press.
Hedstrom, M., Haglund, K., Skolin, I., & von Essen, L. (2003). Distressing events for children and adolescents with cancer: Child, parent, and nurse perceptions. Journal of Pediatric Oncology Nursing, 20, 120–132.
Hedström, M., Skolin, I., & von Essen, L. (2004). Distressing and positive experiences and important aspects of care for adolescents treated for cancer: Adolescent and nurse perceptions. European Journal of Oncology Nursing, 8, 6–17. doi:10.1016/j.ejon.2003.09.001.
Helgeson, V. S., Reynolds, K. A., & Tomich, P. L. (2006). A meta-analytic review of benefit finding and growth. Journal of Consulting and Clinical Psychology, 74, 797–816. doi:10.1037/0022-006X.74.5.797.
Helliwell, J. F., Layard, R. & Sachs, J. (Eds.). (2013). World happiness report. (Mandated by the General Assembly of the United Nations). New York: The Earth Institute, Columbia University.
Hu, L., & Bentler, P. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55. doi:10.1080/10705519909540118.
Huebner, E. S. (1991). Initial development of the Students’ Life Satisfaction Scale. School Psychology International, 12, 231–240. doi:10.1177/0143034391123010.
Huebner, E. S., Suldo, S. M., & Valois, R. F. (2005). Children’s life satisfaction. In K. A. Anderson & L. H. Lippman (Eds.), What do children need to flourish? Conceptualizing and measuring indicators of positive development (pp. 41–59). New York: Springer.
Huebner, E. S., Valois, R. F., Suldo, S. M., Smith, L. C., McKnight, C. G., Seligson, J. L., & Zullig, K. J. (2004). Perceived quality of life: A neglected component of adolescent health assessment and intervention. Journal of Adolescent Health, 34(4), 270–278.
Joseph, S., Murphy, D., & Regel, S. (2012). An effective–cognitive processing model of posttraumatic growth. Clinical Psychology and Psychotherapy, 19, 316–325.
Klassen, A. F., Anthony, S. J., Khan, A., Sung, L., & Klaassen, R. (2011). Identifying determinants of quality of life of children with cancer and childhood cancer survivors: A systematic review. Supportive Care in Cancer, 19, 1275–1287. doi:10.1007/s00520-011-1193-x.
Kok, B. E., Coffey, K. A., Cohn, M. A., Catalino, L. I., Vacharkulksemsuk, T., Algoe, S. B., & Fredrickson, B. L. (2013). How positive emotions build physical health: Perceived positive social connections account for the upward spiral between positive emotions and vagal tone. Psychological Science, 24, 1123–1132.
Larsen, J. T., Hemenover, S. H., Norris, C. J., & Cacioppo, J. T. (2003). Turning adversity to advantage: On the virtues of the coactivation of positive and negative emotions. In L. G. Aspinwall & U. M. Staudinger (Eds.), A psychology of human strengths: Perspectives on an emerging field (pp. 211–226). Washington: American Psychological Association.
MacKinnon, D. P., Lockwood, C. M., & Williams, J. (2004). Confidence limits for the indirect effect: Distribution of the product and resampling methods. Multivariate Behavioral Research, 39, 99–128.
Masten, A. S. (2001). Ordinary magic: Resilience processes in development. American Psychologist, 56, 227–238. doi:10.1037/0003-066X.56.3.227.
McCraty, R., Atkinson, M., Tiller, W. A., Rein, G., & Watkins, A. D. (1995). The effects of emotions on short-term heart rate variability using power spectrum analysis. American Journal of Cardiology, 76, 1089–1093.
Meyerson, D. A., Grant, K. E., Carter, J. S., & Kilmer, R. (2011). Posttraumatic growth among children and adolescents: A systematic review. Clinical Psychology Review, 31, 949–964.
Otake, K., Shimai, S., Tanaka-Matsumi, J., Otsui, K., & Fredrickson, B. L. (2006). Happy people become happier through kindness: A counting kindnesses intervention. Journal of Happiness Studies, 7, 361–375. doi:10.1007/s10902-005-3650-z.
Park, N., & Peterson, C. (2006). Moral competence and character strengths among adolescents: the development and validation of the Values in Action Inventory of Strenghts for Youth. Journal of Adolescence, 29, 891–909. doi:10.1007/s10902-005-3648-6.
Peterson, C., Park, N., Pole, N., D’Andrea, W., & Seligman, M. E. P. (2008). Strengths of character and posttraumatic growth. Journal of Traumatic Stress, 21, 214–217.
Peterson, C., Park, N., & Seligman, M. E. P. (2006). Greater strengths of character and recovery from illness. The Journal of Positive Psychology, 1, 17–26. doi:10.1080/17439760500372739.
Peterson, C., & Seligman, M. E. P. (2003). Character strengths before and after September 11. Psychological Science, 14, 381–384. doi:10.1111/1467-9280.24482.
Phipps, S., Long, A. M., & Ogden, J. (2007). Benefit finding scale for children: Preliminary findings from a childhood cancer population. Journal of Pediatric Psychology, 32, 1264–1271. doi:10.1093/jpepsy/jsl052.
Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36, 717–731. doi:10.3758/BF03206553.
Pressman, S. D., & Cohen, S. (2012). Positive emotion word use and longevity in famous deceased psychologists. Health Psychology, 31(3), 297.
Proyer, R. T., Gander, F., Wellenzohn, S., & Ruch, W. (2013). What good are character strengths beyond subjective well-being? The contribution of the good character on self-reported health-oriented behavior, physical fitness, and the subjective health status. Journal of Positive Psychology, 8, 222–232.
Proyer, R., Ruch, W., & Buschor, C. (2012). Testing strengths-based interventions: A preliminary study on the effectiveness of a program targeting curiosity, gratitude, hope, humor, and zest for enhancing life satisfaction. Journal of Happiness Studies, 14, 275–292. doi:10.1007/s10902-012-9331-9.
Rodríguez, M., & Ruíz, M. (2008). Atenuación de la asimetría y de la curtosis de las puntuaciones observadas mediante transformaciones de variables: Incidencia sobre la estructura factorial. Psicológica, 29, 205–227.
Ryan, R. M., & Frederick, C. (1997). On energy, personality, and health: Subjective vitality as a dynamic reflection of well-being. Journal of Personality, 65, 529–565. doi:10.1111/j.1467-6494.1997.tb00326.x.
Scheier, M. F., & Carver, C. S. (1993). On the power of positive thinking: The benefits of being optimistic. Current Directions in Psychological Science, 2, 26–30. doi:10.1111/1467-8721.ep10770572.
Shoshani, A., & Slone, M. (2013). Middle school transition from the strengths perspective: Young adolescents’ character strengths, subjective well-being, and school adjustment. Journal of Happiness Studies, 14, 1163–1181.
Triplett, K. N., Tedeschi, R. G., Cann, A., Calhoun, L. G., & Reeve, C. L. (2012). Posttraumatic growth, meaning in life, and life satisfaction in response to trauma. Psychological Trauma: Theory, Research, Practice, and Policy, 4, 400–410. doi:10.1037/a0024204.
Tsang, J. (2006). Gratitude and prosocial behavior: An experimental test of gratitude. Cognition and Emotion, 20, 138–148. doi:10.1080/02699930500172341.
Tugade, M. M., & Fredrickson, B. L. (2002). Positive emotions and emotional intelligence. In L. F. Barrett & P. Salovey (Eds.), The wisdom in feeling (pp. 319–340). New York: Guilford Press.
Tugade, M. M., Fredrickson, B. L., & Feldman-Barrett, L. (2004). Psychological resilience and positive emotional granularity: Examining the benefits of positive emotions on coping and health. Journal of Personality, 72, 1161–1190. doi:10.1111/j.1467-6494.2004.00294.x.
Varni, J. W., Burwinkle, T. M., Katz, E. R., Meeske, K., & Dickinson, P. (2002). The PedsQLTM in pediatric cancer: Reliability and validity of the Pediatric Quality of Life Inventory TM Generic Core Scales, multidimensional fatigue scale, and cancer module. Cancer, 94, 2090–2106.
Whitaker, M. C., Nascimento, L. C., Bousso, R. S., & Lima, R. A. (2013). Life after childhood cancer: Experiences of the survivors. Revista brasileira de enfermagem, 66, 873–878.
Wood, A. M., Linley, P. A., Maltby, J., Kashdan, T. B., & Hurling, R. (2011). Using personal and psychological strengths leads to increases in well-being over time: A longitudinal study and the development of the Strengths Use Questionnaire. Personality and Individual Differences, 50, 15–19.
Yu, C. Y. (2002). Evaluating cutoff criteria of model fit Indices for latent variable models with binary and continuous outcomes. (Unpublished Doctoral Dissertation). University of California, Los Angeles, USA. Retrieved from http://www.statmodel.com/download/Yudissertation.pdf
Zebrack, B., & Chesler, M. (2002). Quality of life in childhood cancer survivors. Psycho-Oncology, 11, 132–141. doi:10.1002/pon.569.
Acknowledgments
This study was funded by Fundacion Lafourcade-Ponce. The authors would like to thank Cristina Lafuente for her continuous support and enthusiasm. We are also especially grateful to Cristina Cuadrado, Miriam Gil, Cristina Pozo, Cecilia del Valle and Elena Perez, members of Fundacion Pequeño Deseo, for providing contact with the children and for always being available to help. We would like to express our sincere gratitude to the collaborating hospitals, doctors and children who have participated in this study. Thanks to Matthew Abrams and Jessica Carney for his assistance in improving the manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Chaves, C., Hervas, G., García, F.E. et al. Building Life Satisfaction Through Well-Being Dimensions: A Longitudinal Study in Children with a Life-Threatening Illness. J Happiness Stud 17, 1051–1067 (2016). https://doi.org/10.1007/s10902-015-9631-y
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10902-015-9631-y