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Eudaimonic well-being, inequality, and health: Recent findings and future directions

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Abstract

The theoretical and philosophical underpinnings of a eudaimonic model of well-being are examined, and its empirical translation into distinct dimensions of well-being is described. Empirical findings have documented aging declines in eudaimonic well-being, but there is considerable variability within age groups. Among older adults who remain purposefully engaged, health benefits (reduced morbidity, extended longevity) have been documented. Eudaimonic well-being also appears to offer a protective buffer against increased health risks among the educationally disadvantaged. Neural and genetic mechanisms that may underlie eudaimonic influences on health are briefly noted, and interventions designed to promote eudaimonic well-being are sketched. Needed future research directions include addressing problems of unjust societies wherein greed among privileged elites may be a force compromising the eudaimonic well-being of those less privileged. Alternatively, and more positive in focus, is the need to better understand the role of the arts, broadly defined, in promoting eudaimonic well-being across all segments of society.

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References

  • Adler NE, Marmot MG, McEwen BS, Stewart J (1999) Socioeconomic status and health in industrialized nations: Social, psychological, and biological pathways. Vol. 896. Annals of the New York academy of sciences. New York Academy of Sciences, New York

    Google Scholar 

  • Allport GW (1961) Pattern and growth in personality. Holt, Rinehart, & Winston, New York

    Google Scholar 

  • Antonovsky A (1979) Health, stress, and coping. The Jossey-Bass social and behavioral science series, 1st edn. Jossey-Bass, San Francisco

    Google Scholar 

  • Antonovsky A (1987) Unraveling the mystery of health. Jossey-Bass, San Francisco

    Google Scholar 

  • Aristotle (1925) The Nicomachean ethics. Oxford University Press, New York

    Google Scholar 

  • Balot RK (2001) Greed and injustice in classical Athens. Princeton University Press, Princeton

    Google Scholar 

  • Becker LC (1992) Good lives: prolegomena. Soc Philos Policy 9:15–37. doi:10.1017/S0265052500001382

    Article  Google Scholar 

  • Boyle PA, Barnes LL, Buchman AS, Bennett DA (2009) Purpose in life is associated with mortality among community-dwelling older persons. Psychosom Med 71:574–579. doi:10.1097/PSY.0b013e3181a5a7c0

    Article  Google Scholar 

  • Boyle PA, Buchman AS, Barnes LL, Bennett DA (2010) Effect of a purpose in life on risk of incident Alzheimer disease and mild cognitive impairment in community-dwelling older persons. Arch Gen Psychiatry 67:304–310. doi:10.1001/archgenpsychiatry.2009.208

    Article  Google Scholar 

  • Boyle PA, Buchman AS, Wilson RS, Yu L, Schneider JA, Bennett DA (2012) Effect of purpose in life on the relation between Alzheimer disease pathologic changes on cognitive function in advanced age. Archiv Gen Psychiatry 69:499–506. doi:10.1001/archgenpsychiatry.2011.1487

    Article  Google Scholar 

  • Bruni L, Smerilli A (2009) The value of vocation: the crucial role of intrinsically motivated people in values-based organizations. Rev Soc Econ 67:271–288

    Article  Google Scholar 

  • Bühler C (1935) The curve of life as studied in biographies. J Appl Psychol 43:653–673. doi:10.1037/h0054778

    Google Scholar 

  • Cohen P (2013) A new survey finds drop in art attendance. The New York Times, 26 September

  • Cole SW, Levine ME, Arevalo JMG, Ma J, Weir DR, Crimmins EM (2015) Loneliness, eudaimonia, and the human conserved transcriptional response to adversity. Psychoneuroendocrinology 62:11–17. doi:10.1016/j.psyneuen.2015.07.001

    Article  Google Scholar 

  • Côté S, Piff PK, Willer R (2013) For whom do the ends justify the means? Social class and utilitarian moral judgment. J Personal Soc Psychol 104:490–503. doi:10.1037/a0030931

    Article  Google Scholar 

  • Crawford P, Brown B, Baker C, Tischler V, Abrams B (2015) Health humanities. Palgrave Macmillan, New York

    Book  Google Scholar 

  • Dante (2006/1308) The divine comedy. Translated by Longfellow HW, edited by Amari-Parker A. Chartwell Books, Inc., New York

  • de Botton A (1997) How Proust can change your life: not a novel. Vintage, Visalia

    Google Scholar 

  • de Botton A, Armstrong A (2013) Art as therapy. Phaidon Press, London

    Google Scholar 

  • Dewey J (1899) The school and society. Southern Illinois University Press, Carbondale

    Google Scholar 

  • Dewey J (1934) Art as experience. Penguin, New York

    Google Scholar 

  • Dubois D, Rucker DD, Galinsky AD (2015) Social class, power, and selfishness: when and why upper and lower class individuals behave unethically. J Personal Soc Psychol 108:436–449. doi:10.1037/pspi0000008

    Article  Google Scholar 

  • Edmondson M (2004) Why read?. Bloomsbury, NY

    Google Scholar 

  • Edmundson M (2015) Self and soul: a defense of ideals. Harvard University Press, Cambridge

    Book  Google Scholar 

  • Erikson EH (1959) Identity and the life cycle: selected papers. Psychol Issues 1:1–171

    Google Scholar 

  • Fava GA (1999) Well-being therapy: conceptual and technical issues. Psychother Psychosom 68:171–179. doi:10.1159/000012329

    Article  Google Scholar 

  • Fava GA, Rafanelli C, Cazzaro M, Conti S, Grandi S (1998) Well-being therapy: a novel psychotherapeutic approach for residual symptoms of affective disorders. Psychol Med 28:475–480

    Article  Google Scholar 

  • Fava GA, Ruini C, Rafanelli C, Finos L, Conti S, Grandi S (2004) Six-year outcome of cognitive behavior therapy for prevention of recurrent depression. Am J Psychiatry 161:1872–1876

    Article  Google Scholar 

  • Fava GA, Ruini C, Rafanelli C, Finos L, Salmaso L, Mangelli L, Sirigatti S (2005) Well-being therapy of generalized anxiety disorder. Psychother Psychosom 74:26–30. doi:10.1159/000082023

    Article  Google Scholar 

  • Fava GA, Ruini C, Belaise C (2007) The concept of recovery in major depression. Psychol Med 37:307–317. doi:10.1017/s0033291706008981

    Article  Google Scholar 

  • Frankl VE (1959) Man’s search for meaning: An introduction to logotherapy. Beacon Press, Boston

    Google Scholar 

  • Fredrickson BL et al (2013) A functional genomic perspective on human well-being. Proc Natl Acad Sci USA 110:13684–13689. doi:10.1073/pnas.1305419110

    Article  Google Scholar 

  • Fredrickson BL, Grewen KM, Algoe SB, Firestine AM, Arevalo JMG, Ma J, Cole SW (2015) Psychological well-being and the human conserved transcriptional response to adversity. PLoS ONE 10:17. doi:10.1371/journal.pone.0121839

    Article  Google Scholar 

  • Friedman EM, Ryff CD (2012) Living well with medical comorbidities: a biopsychosocial perspective. J Gerontol B Psychol Sci Soc Sci 67:535–544. doi:10.1093/geronb/gbr152

    Article  Google Scholar 

  • Friedman EM, Ruini C, Foy R, Jaros L, Sampson H, Ryff CD (2015) Lighten up!. Aging Ment Health, A community-based group intervention to promote psychological well-being in older adults. doi:10.1080/13607863.2015.1093605

    Google Scholar 

  • Fuller-Rowell TE, Doan SN, Eccles JS (2012) Differential effects of perceived discrimination on the diurnal cortisol rhythm of African Americans and Whites. Psychoneuroendocrinology 37:107–118. doi:10.1016/j.psyneuen.2011.05.011

    Article  Google Scholar 

  • Hadot P (1995) Philosophy as a way of life. Blackwell, Oxford

    Google Scholar 

  • Hanson VD, Health J (1998) Who killed Homer? The demise of classical education and the recovery of Greek wisdom. Encounter Books, New York

    Google Scholar 

  • Harward DW (2016) Well-being and higher education: a strategy for change and the realization of education’s greater purposes. Bringing Theory to Practice, Washington DC

    Google Scholar 

  • Heller AS, van Reekum CM, Schaefer SM, Lapate RC, Radler BT, Ryff CD, Davidson RJ (2013) Sustained ventral striatal activity predicts eudaimonic well-being and cortisol output. Psychol Sci 24:2191–2200. doi:10.1177/0956797613490744

    Article  Google Scholar 

  • Hill PL, Turiano NA (2014) Purpose in life as a predictor of mortality across adulthood. Psychol Sci 25:1482–1486. doi:10.1177/0956797614531799

    Article  Google Scholar 

  • Jackson DN (1967) Personality research form manual. Research Psychologists Press, Goshen

    Google Scholar 

  • Jackson DN (1976) Jackson personality inventory manual. Research Psychologists Press, Goshen

    Google Scholar 

  • Jahoda M (1958) Current concepts of positive mental health. Basic Books, New York

    Book  Google Scholar 

  • Jung CG (1933) Modern man in search of a soul. Harcourt, Brace & World, New York

    Google Scholar 

  • Kasser T, Ryan RM (1993) A dark side of the American dream: correlates of financial success as a central life aspiration. J Personal Soc Psychol 65:410–422

    Article  Google Scholar 

  • Keyes CLM (2002) The mental health continuum: from languishing to flourishing in life. J Health Soc Behav 43:207–222

    Article  Google Scholar 

  • Keyes CLM (2009) The Black–White paradox in health: flourishing in the face of social inequality and discrimination. J Personal 77:1677–1706. doi:10.1111/j.1467-6494.2009.00597.x

    Article  Google Scholar 

  • Keyes CLM, Dhingra SS, Simoes EJ (2010) Change in level of positive mental health as a predictor of future risk of mental illness. Am J Public Health 100:2366. doi:10.2105/AJPH.2010.192245

    Article  Google Scholar 

  • Kim ES, Sun JK, Park N, Kubzansky LD, Peterson C (2013a) Purpose in life and reduced risk of myocardial infarction among older U.S. Adults with coronary heart disease: a two-year follow-up. J Behav Med 36:124–133. doi:10.1007/s10865-012-9406-4

    Article  Google Scholar 

  • Kim ES, Sun JK, Park N, Peterson C (2013b) Purpose in life and reduced stroke in older adults: the health and retirement study. J Psychosom Res 74:427–432. doi:10.1016/j.jpsychores.2013.01.013

    Article  Google Scholar 

  • Kim ES, Strecher VJ, Ryff CD (2014) Purpose in life and use of preventive health care services. Proc Natl Acad Sci USA 111:16331–16336. doi:10.1073/pnas.1414826111

    Article  Google Scholar 

  • Kreutz G, Bongard S, Rohrmann S, Hdapp V, Brebe D (2004) Effects of choir singing and listening on secretory immunoglobulin A, cortisol, and emotion state. J Behav Med 27:623–635. doi:10.1007/s10865-004-0006-9

    Article  Google Scholar 

  • Lewis GJ, Kanai R, Rees G, Bates TC (2014) Neural correlates of the “good life”: eudaimonic well-being is associated with insular cortex volume. Soc Cogn Affect Neurosci 9:615–618. doi:10.1093/scan/nst032

    Article  Google Scholar 

  • Lomas T (2016) Positive art: artistic expression and appreciation as an exemplary vehicle for flourishing. Rev General Psychol 20:171–182

    Article  Google Scholar 

  • Magasin MiD (2015) Why museums? 32. Marts, Museumformidlere i Danmark

    Google Scholar 

  • Marmot M (2005) Social determinants of health inequalities. Lancet 365:1099–1104. doi:10.1016/s0140-6736(05)71146-6

    Article  Google Scholar 

  • Maslow AH (1968) Toward a psychology of being, 2nd edn. Van Nostrand, New York

    Google Scholar 

  • Morozink JA, Friedman EM, Coe CL, Ryff CD (2010) Socioeconomic and psychosocial predictors of interleukin-6 in the MIDUS national sample. Health Psychol 29:626–635. doi:10.1037/a0021360

    Article  Google Scholar 

  • Neugarten BL (1973) Personality change in late life: A developmental perspective. In: Eisodorfer C, Lawton MP (eds) The psychology of adult development and aging. American Psychological Association, Washington, DC, pp 311–335

    Chapter  Google Scholar 

  • Nikelly A (2006) The pathogenesis of greed: causes and consequences. Int J Appl Psychoanal Stud 3:65–78. doi:10.1002/aps.50

    Article  Google Scholar 

  • Norton DL (1976) Personal destinies: a philosophy of ethical individualism. Princeton University Press, Princeton

    Google Scholar 

  • Nussbaum MC (1997) Cultivating humanity: A classical defense of reform in liberal education. Cambridge University Press, Cambridge, MA

    Google Scholar 

  • Nussbaum MC (2010) Not for profit: why democracy needs the humanities. Princeton University Press, Princeton

    Google Scholar 

  • Phelan CH, Love GD, Ryff CD, Brown RL, Heidrich SM (2010) Psychosocial predictors of changing sleep patterns in aging women: a multiple pathway approach. Psychol Aging 25:858–866. doi:10.1037/a0019622

    Article  Google Scholar 

  • Piff PK (2014) Wealth and the inflated self: class, entitlement, and narcissism. Personal Soc Psychol Bull 40:34–43. doi:10.11770/0146167213501699

    Article  Google Scholar 

  • Piff PK, Stancato DM, Côté S, Mendoza-Denton R, Keltner D (2012) Higher social class predicted increased unethical behavior. Proc Natl Acad Sci (PNAS) 109:4086–4091. doi:10.1073/pnas.1118373109

    Article  Google Scholar 

  • Piketty T (2014) Capital in the twenty-first century (trans: Goldhammer A). Belknap Press, Cambridge

  • Rand DG, Greene JD, Nowak MA (2012) Spontaneous giving and calculated greed. Nature 498:427–430. doi:10.1038/nature11467

    Article  Google Scholar 

  • Riley MW, Kahn RL, Foner A (1994) Age and structural lag. Wiley, New York

    Google Scholar 

  • Rogers CR (1961) On becoming a person. Houghton Mifflin, Boston

    Google Scholar 

  • Royal Society and Public Health Working Group (2013) Arts, health, and well-being beyond the millennium: how far have we come and where do we want to go?. Royal Society for Public Health, London

    Google Scholar 

  • Ruini C, Fava GA (2009) Well-being therapy for generalized anxiety disorder. J Clin Psychol 65:510–519. doi:10.1002/jclp.20592

    Article  Google Scholar 

  • Ruini C, Fava GA (2012) Role of well-being therapy in achieving a balanced and individualized path to optimal functioning. Clin Psychol Psychother 19:291–304. doi:10.1002/cpp.1796

    Article  Google Scholar 

  • Ruini C, Ryff CD (2016) Using eudaimonic well-being to improve lives. In: Wood AM, Johnson J (eds) The Wiley handbook of positive clinical psychology. Wiley-Blackwell, Hoboken, pp 153–166

    Chapter  Google Scholar 

  • Ruini C, Belaise C, Brombin C, Caffo E, Fava GA (2006) Well-being therapy in school settings: a pilot study. Psychother Psychosom 75:331–336. doi:10.1159/000095438

    Article  Google Scholar 

  • Ruini C et al (2009) School intervention for promoting psychological well-being in adolescence. J Behav Ther Exp Psychiatry 40:522–532. doi:10.1016/j.jbtep.2009.07.002

    Article  Google Scholar 

  • Ruini C, Albieri E, Vescovelli F (2015) Well-being therapy: state of the art and clinical exemplifications. J Contemp Psychother 45:129–136. doi:10.1007/s10879-014-9290-z

    Article  Google Scholar 

  • Ryff CD (1989) Happiness is everything, or is it? Explorations on the meaning of psychological well-being. J Personal Soc Psychol 57:1069–1081. doi:10.1037/0022-3514.57.6.1069

    Article  Google Scholar 

  • Ryff CD (2014) Psychological well-being revisited: advances in the science and practice of eudaimonia. Psychother Psychosom 83:10–28. doi:10.1159/000353263

    Article  Google Scholar 

  • Ryff CD (2016) Eudaimonic well-being and education: probing the connections. In: Harward D (ed) Well-being and higher education: a strategy for change and the realization of education’s greater purposes. Bringing Theory to Practice, Washington, DC, pp 37–48

    Google Scholar 

  • Ryff CD, Singer BH (1998) The contours of positive human health. Psychol Inq 9:1–28. doi:10.1207/s15327965pli0901_1

    Article  Google Scholar 

  • Ryff CD, Singer BH (2008) Know thyself and become what you are: a eudaimonic approach to psychological well-being. J Happiness Stud 9:13–39. doi:10.1007/s10902-006-9019-0

    Article  Google Scholar 

  • Ryff CD, Keyes CLM, Hughes DL (2003) Status inequalities, perceived discrimination, and eudaimonic well-being: do the challenges of minority life hone purpose and growth? J Health Soc Behav 44:275–291

    Article  Google Scholar 

  • Ryff CD, Friedman E, Fuller-Rowell T, Love G, Morozink J, Radler B, Tsenkova V, Miyamoto Y (2012) Varieites of resilience in MIDUS. Soc Personal Psych 6:792–806. doi:10.1111/j.1751-9004.2012.00462.x

    Google Scholar 

  • Ryff CD et al (2015a) Culture, inequality, and health: evidence from the MIDUS and MIDJA comparison. Cult Brain 3:1–20. doi:10.1007/s40167-015-0025-0

    Article  Google Scholar 

  • Ryff CD, Radler BT, Friedman EM (2015b) Persistent psychological well-being predicts improved self-rated health over 9–10 years: longitudinal evidence from MIDUS. Health Psychol Open. doi:10.1177/2055102915601582

    Google Scholar 

  • Ryff CD, Heller AS, Schaefer SM, Van Reekum C, Davidson RJ (2016) Purposeful engagement, healthy aging, and the brain. Curr Behav Neurosci Rep. doi:10.1007/s40473-016-0096-z

    Google Scholar 

  • Scambler G, Scambler S, Speed E (2014) Civil society and the Health and Social Care Act in England and Wales: theory and praxis for the twenty-first century. Soc Sci Med 123:210–216. doi:10.1016/j.socscimed.2014.07.035

    Article  Google Scholar 

  • Schaefer SM, Boylan JM, van Reekum CM, Lapate RC, Norris CJ, Ryff CD, Davidson RJ (2013) Purpose in life predicts better emotional recovery from negative stimuli. PLoS ONE 8:e80329. doi:10.1371/journal.pone.0080329

    Article  Google Scholar 

  • Small H (2013) The value of the humanities. Oxford University Press, Oxford UK

    Book  Google Scholar 

  • Smith A (1981/1776) An inquiry into the nature and causes of the wealth of nations. In: Campell RH, Skinner AS (eds) Two volumes. Reprinted by Indianapolis: Liberty Press

  • Springer KW, Pudrovska T, Hauser RM (2011) Does psychological well-being change with age? Longitudinal tests of age variations and further exploration of the multidimensionality of Ryff’s model of psychological well-being. Soc Sci Res 40:392–398. doi:10.1016/j.ssresearch.2010.05.008

    Article  Google Scholar 

  • Stuckey HL, Nobel J (2010) The connection between art, healing, and public health: a review of current literature. Am J Public Health 100:254–263. doi:10.2105/ALPH.2008.156497

    Article  Google Scholar 

  • Taylor C (1989) Sources of the self: the making of modern identity. Cambridge University Press, Cambridge

    Google Scholar 

  • Tomatis L (2005) Primary prevention of cancer in relation to science, sociocultural trends and economic pressures. Scand J Work Environ Health 31:227–232. doi:10.5271/sjweh.874

    Article  Google Scholar 

  • Tomba E et al (2010) Differential effects of well-being promoting and anxiety-management strategies in a non-clinical school setting. J Anxiety Disord 24:326–333. doi:10.1016/j.janxdis.2010.01.005

    Article  Google Scholar 

  • Tsenkova VK, Love GD, Singer BH, Ryff CD (2007) Socioeconomic status and psychological well-being predict cross-time change in glycosylated hemoglobin in older women without diabetes. Psychosom Med 69:777–784. doi:10.1097/PSY.0b013e318157466f

    Article  Google Scholar 

  • Urry HL et al (2004) Making a life worth living: neural correlates of well-being. Psychol Sci 15:367–372. doi:10.1111/j.0956-7976.2004.00686.x

    Article  Google Scholar 

  • van Reekum CM et al (2007) Individual differences in amygdala and ventromedial prefrontal cortex activity are associated with evaluation speed and psychological well-being. J Cogn Neurosci 19:237–248. doi:10.1162/jocn.2007.19.2.237

    Article  Google Scholar 

  • Wang L, Murnighan JK (2011) On greed. Acad Manag Ann 5:279–316. doi:10.1080/19416520.2011.588822

    Article  Google Scholar 

  • Wiggins LM (1973) Panel analysis: latent probability models for attitude and behavior processes. Jossey-Bass, Oxford

    Google Scholar 

  • World Health Organization (1948) Constitution of the World Health Organization: basic documents. Retrieved March 11, 2016 from http://www.who.int/about/mission/en/, Geneva, Switzerland

  • Wright JB (2005) Adam Smith and greed. J Private Enterprise 21:46–58

    Google Scholar 

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Acknowledgements

The MIDUS 1 study (Midlife in the U.S.) was supported by the John D. and Catherine T. MacArthur Foundation Research Network on Successful Midlife Development. The MIDUS 2 research was supported by grants from the National Institute on Aging (P01-AG020166, U19-AG051426) to conduct a longitudinal follow-ups of the MIDUS investigation. The biological research was further supported by the following grants M01-RR023942 (Georgetown), M01-RR00865 (UCLA) from the General Clinical Research Centers Program and UL1TR000427 (UW) from the National Center for Advancing Translational Sciences (NCATS), National Institutes of Health.

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Ryff, C.D. Eudaimonic well-being, inequality, and health: Recent findings and future directions. Int Rev Econ 64, 159–178 (2017). https://doi.org/10.1007/s12232-017-0277-4

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