Abstract
In a national sample of some 400 cardiac patients and their wives, changes in quality of life were investigated during an extended period of physical and psychosocial recovery. Scores on the Bradburn Affect Balance Scale were found to be strongly correlated with Pearson coefficients in the vicinity of 0.7 over a five-year period, indicating a certain stability of subjective perceptions of well-being and ill-being. just as neuroticism and extraversion have been found to discriminate between ‘happy’ and ‘unhappy’ people in several studies, the stability of well-being in our study appeared to be influenced by subjective health perceptions, a sense of self-efficacy, and relatively stable socio-environmental conditions associated with the level of spouse intimacy and marital stress. Substantial health-related and interpersonal problems appeared to be the cause of an erosion of feelings of personal competence and, therefore, to be predictive of high negative affect and ill-being. In contrast, positive health perceptions and marital intimacy were directly related to a sense of well-being. Stable socio-environmental conditions and perceived self-efficacy are suggested as salient factors in causal models of the effect of life events on well-being.
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Bibliography
Abbey A. and F.M. Andrews: 1985, ‘Modeling the psychological determinants of life quality’, Social Indicators Research 16, pp. 1–34.
Allardt E.: 1976, ‘Dimensions of welfare in a comparative Scandinavian study’, Acta Sociologica 19, pp. 111–120.
Andrews F. M. and S. B. Withey: 1976, Social Indicators of Well-Being: Americans' Perceptions of Life Quality (Plenum Press, New York).
Badura B. and M. Waltz: 1984, ‘Social support and the quality of life following myocardial infarction’, Social Indicators Research 14, pp. 295–311.
Badura B., G. Kaufhold, H. Lehmann, H. Pfaff, T. Schott, and M. Waltz: 1987, Das Leben nach dem Herzinfarkt (Springer, Berlin, Heidelberg).
Bandura A.: 1982, ‘The self and mechanisms of agency’, in J. Suls (ed.), Psychological Perspectives on the Self (Vol. 1) (Erlbaum, Hillsdale, NJ).
Beiser M.: 1974, ‘Components and correlates of mental well-being’, Journal of Health and Social Behavior 15, pp. 320–327.
Bradburn N.M.: 1969, The Structure of Psychological Well-Being, (Aldine, Chicago).
Brown G. W. and T. Harris: 1978, The Social Origins of Depression (Free Press, New York).
Campbell A.: 1981, The Sense of Well-Being in America (Sage, New York).
Cohen F. and R. S. Lazarus: 1979, ‘Coping with the stress of illness’, in G. Stone, F. Cohen, and N. Adler (eds.), Health Psychology (Jossey-Bass, San Francisco), pp. 217–254.
Costa P. T.Jr. and R. R. McCrae: 1980, ‘Influence of extraversion and neuroticism on subjective well-being: Happy and unhappy people’, Journal of Personality and Social Psychology 38, pp. 668–678.
Derogatis L. R., R. S. Lipman, K. Richels, E. H. Uhlenhuth, and L. Covi: 1974, ‘The Hopkins Symptoms Checklist (HSCL): A self report symptom inventory’, Behavioral Science 19, pp. 1–15.
Diener E.: 1984, ‘Subjective well-being’, Psychological Bulletin 95, pp. 542–575.
Gecas V.: 1982, ‘The self-concept’, Annual Review of Sociology 8, pp. 1–33.
Glatzer W. and W. Zapf: 1984, Lebensqualität in der Bundesrepublik (Campus, Frankfurt, New York).
de Haes J. and F. van Knippenberg: 1985, ‘The quality of life of cancer patients’, Social Science and Medicine 20, pp. 809–17.
Headey B.: 1981, ‘The quality of life in Australia’, Social Indicators Research 9, pp. 155–181.
Headey B., E. Holmström, and A. Wearing: 1984, ‘Well-being and ill-being: Different dimesions?’, Social Indicators Research 14, pp. 115–139.
Kammann R., M. Farry, and P. Herbison: 1984, ‘The analysis and measurement of happiness as a sense of well-being’, Social Indicators Research 15, pp. 91–115.
Kanner A., J. Coyne, C. Schaefer, and R. S. Lazarus: 1981, ‘Comparison of two modes of stress measurement: Daily hassles and uplifts versus major life events’, Journal of Behavioral Medicine 5, 1–39.
Kobasa S. C., S. R. Maddi, and S. Courington: 1981, ‘Personality and constitution as mediators in the stress-illness relationship’, Journal of Health and Social Behavior 22, pp. 368–378.
Krantz D.: 1980, ‘Cognitive processes and recovery from heart attack’, Journal of Human Stress 6, pp. 27–38.
Ladwig K. H.: 1986, Kardiovaskuläre Hyperreaktivität und Depression (Springer, Berlin, Heidelberg).
Lazarus R. S.: 1975, ‘The self-regulation of emotion’, in L. Levi (ed.), Emotions, Their Parameters and Measurement, (Raven, New York), pp. 47–68.
Lazarus R. S.: 1981, ‘The stress and coping paradigm’, in C. Eisdorfer (ed.), Theoretical Bases for Psychopathology (Spectrum, New York), pp. 173–209.
Lefcourt H. M.: 1982, Locus of Control: Current Trends in Theory and Research (2nd. ed.) (Erlbaum, Hillsdale, NJ.).
Michalos A. C.: 1983, ‘Satisfaction and happiness in a rural northern resource community’, Social Indicators Research 13, pp. 225–252.
Michalos A. C.: 1985, ‘Job satisfaction, marital satisfaction and the quality of life’, in F. M. Andrews (ed.), Research on the Quality of Life (University of Michigan Press, Ann Arbor).
O'Connor P. and G. W. Brown: 1984, ‘Supportive relationships: Fact or fancy?’, Journal of Social and Interpersonal Relationships 1, pp. 159–175.
Pearlin L. I. and J. Johnson: 1977, ‘Marital status, life-strains, and depression’, American Sociological Review 42, pp. 704–715.
Pearlin L. I., E. G. Menaghan, M. A. Lieberman, and J. T. Mullan: 1981, ‘The stress process’, Journal of Health and Social Behavior 22, pp. 337–356.
Rabkin J. G. and E. I. Struening: 1976, ‘Life events, stress, and illness’, Science 194, pp. 1013–1020.
Rook K. S.: 1984, ‘The negative side of social interaction: Impact on psychological well-being’, Journal of Personality and Social Psychology 46, pp. 1097–1108.
Sarason I. G. and B. R. Sarason (eds.): 1985 Social Support: Theory, Research, and Applications (Nijhoff, The Hague).
Shin D. C., K. D. Kim, and H. K. Lee: 1982, ‘Perceptions of quality of life in an industrializing country: The case of the Republic of Korea’, Social Indicators Research 10, pp. 297–317.
Schunk D. H. and J. P. Carbonari: 1984, ‘Self-efficacy models’, in J. D. Matarazzo, S. M. Weiss, J. A. Herd, N. E. Miller, and S. N. Weiss (eds.), Behavioral Health. A Handbook of Health Enhancement and Disease Prevention (Wiley-Interscience, New York), pp. 230–247.
Syme L. and S. Cohen (eds.): 1985, Social Support and Health (Academic Press, Orlando, FL).
Van Dyke C. and C. Kaufman: 1983, ‘Psychobiology of berevement’, in L. Temoshok, C. Van Dyke, and L. Zegans (eds.), Emotions in Health and Illness (Grune and Stratton, New York), pp. 37–49.
Warr P., J. Barter, and G. Brownbridge: 1983, ‘On the independence of positive and negative affect’, Journal of Personality and Social Psychology 44, pp. 644–651.
Wallston B. S., S. W. Alagna B. M. DeVellis, and R.F. DeVellis: 1983, ‘Social support and physical health’, Health Psychology 4, pp. 367–391.
Waltz M.: 1986, ‘A longitudinal study on environmental and dispositional determinants of life quality: Social support and coping with physical illness’, Social Indicators Research 18, pp. 71–93.
Waltz M.: 1987, ‘Social context and adaptation to serious illness’, in T. Schmidt, T. Dembroski, and G. Blümchen (eds.), Biological and Psychological Factors in Cardiovascular Disease (Springer, New York).
Watson D. and L. A. Clark: 1984, ‘Negative affectivity: The disposition to experience aversive emotional states’, Psychological Bulletin 96, pp. 465–490.
Watson D. and A. Tellegen: 1985, ‘Toward a consensual structure of mood’, Psychological Bulletin 98, pp. 219–235.
Wells L. E. and G. Marwell: 1976, Self-Esteem: Its Conceptualization and Measurement (Sage, Beverly Hills, CA).
Wenger N. K., M. E. Mattson, C. D. Furberg, and J. Elinson (eds.): 1984, Assessment of Quality of Life in Clinical Trials of Cardiovascular Therapies (Le Jacq, Atlanta, GA).
Wills T. A.: 1982, Basic Processes in Helping Relationships (Academic Press, New York).
Wills T. A.: 1985, ‘Supportive functions of interpersonal relationships’, in S. Cohen and S. L. Syme (eds.), Social Support and Health (Academic Press, New York), pp. 61–82.
Wylie R. C.: 1974–1979, The Self-Concept: A review of Methodological Considerations and Measuring Instruments (rev. ed. Vols. 1–2) (University of Nebraska Press, Lincoln, NB).
Zautra A. J.: 1983, ‘Social resources and the quality of life’, American Journal of Community Psychology 1, pp. 275–290.
Zautra A. J. and J. W. Reich: 1983, ‘Life events and perceptions of life quality: Developments in a two-factor model’, Journal of Community Psychology 11, pp. 121–132.
Zittoun, R., J. Beckmann, and N. Aaronson (eds.): in press, Quality of Life of Cancer Patients (Plenum Medical, New York), Monograph Series of The EORTC Working Group on Quality of Life.
Zapf, W. (ed.): 1987, ‘German social report’, Social Indicators Research 19.
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Waltz, M., Badura, B. Subjective health, intimacy, and perceived self-efficacy after heart attack: Predicting life quality five years afterwards. Soc Indic Res 20, 303–332 (1988). https://doi.org/10.1007/BF00302401
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DOI: https://doi.org/10.1007/BF00302401