Subjective wellbeing: An Integration of Depression, Stress, and Homeostasis Theory Vanessa Cook B.Sc. (Deakin University) B.Sc. (Psychology) (Hons.) (RMIT) Submitted in fulfillment of the requirements for the degree of Doctor of Psychology (Health) Deakin University November 2003 Acknowledgements i A New Direction for Subjective Wellbeing Table of Contents TABLE OF CONTENTS .................................................................II LIST OF TABLES .......................................................................... XI LIST OF FIGURES .................................................................... XIII ABSTRACT.................................................................................... XV SECTION ONE – SUBJECTIVE WELLBEING AND HOMEOSTASIS............................................................................................ 1 SECTION 1 OVERVIEW ..................................................................... 2 CHAPTER 1 ...................................................................................... 4 Quality of Life and Subjective Wellbeing ................................... 4 1.1 Nomenclature ................................................................ 5 1.2 An Overview of Subjective Wellbeing ......................... 6 1.3 An Operational Definition of Subjective Wellbeing ..... 8 CHAPTER 2 .................................................................................... 11 Homeostasis Theory ................................................................. 11 2.1 A Model of SWB Homeostasis ................................... 16 CHAPTER 3 .................................................................................... 18 1st Order Determinants of Subjective Wellbeing ...................... 18 1st Order Determinants of SWB ........................................... 19 3.1 Personality Factors ...................................................... 20 3.1.1 3.2 The Relationship Between Personality and SWB 21 Affective Factors ......................................................... 25 3.2.1 Affect Measurement Issues .................................. 26 ii A New Direction for Subjective Wellbeing 3.2.2 Independence Versus Bipolarity of Affect ........... 27 3.2.3 The Evolution of Affect Conceptualization ......... 29 3.2.4 Affect as a Trait or a State .................................... 34 3.3 Link Between Personality and Affect ......................... 37 3.4 Influence of Personality and Affect on SWB .............. 39 CHAPTER 4 .................................................................................... 43 2nd Order Determinants of Subjective Wellbeing ..................... 43 4.1 Cognitive Buffers ........................................................ 43 4.1.1 Self-Esteem .......................................................... 44 4.1.2 Control .................................................................. 48 4.1.3 Optimism .............................................................. 50 4.2 The Adaptive Outcomes of Positive Cognitive Biases 53 CHAPTER 5 .................................................................................... 55 Depression ................................................................................ 55 5.1 Prevalence ................................................................... 56 5.2 Depression Assessment ............................................... 57 5.3 Models of Depression .................................................. 59 5.4 SWB and Depression................................................... 66 5.5 Theory of SWB Homeostasis and Depression ............ 68 5.5.1 Personality, Affect and Depression ...................... 68 5.5.2 Cognitive Buffers and Depression ....................... 69 5.5.3 Hypothesised Model of SWB Homeostasis Breakdown 5.5.4 70 Rationale for the use of SWB indicators in depression diagnosis and treatment evaluation ............................ 77 iii A New Direction for Subjective Wellbeing 5.6 Summary ..................................................................... 82 CHAPTER 6 .................................................................................... 85 Study 1 Methodology ................................................................ 85 6.1 Aim .............................................................................. 85 6.2 Research Hypotheses ................................................... 86 6.3.1 Materials ............................................................... 87 6.4.2 Demographic Data ................................................ 87 6.3.3 Australian Unity Wellbeing Index ....................... 87 6.3.4 Hospital Anxiety and Depression Scale ............... 89 6.3.5 NEO Five-Factor Inventory.................................. 90 6.4 Procedure ..................................................................... 91 6.4.1 Recruitment of Participants .................................. 92 CHAPTER 7 .................................................................................... 93 Study 1 - Data Analysis ............................................................ 93 7.1 Assumptions of Normality Testing ............................. 94 7.1.1 Demographic Data ................................................ 94 7.1.2 Personal Wellbeing Index .................................... 95 7.1.3 NEO Five-Factor Inventory.................................. 96 7.1.4 HAD Scale ............................................................ 97 7.2 General Data Set Comparison ..................................... 98 7.3 Exploring Relationships ............................................ 100 7.3.1 Pearson Product-Moment Correlation – Data Set B 100 7.3.2 Standard Multiple Regression – Data Sets A & B 102 iv A New Direction for Subjective Wellbeing 7.3.3 B Hierarchical Multiple Regression – Data Sets A & 105 7.4 Testing the Homeostatic Regulation of SWB – The Relationship Between SWB and Depression ................................. 107 7.5 Summary ................................................................... 110 CHAPTER 8 .................................................................................. 112 Discussion .............................................................................. 112 8.1 Data Set Characteristics............................................. 112 8.2 Variable Correlations ................................................ 114 8.3 Prediction of SWB..................................................... 115 8.3.1 8.4 Influence of Demographic Data ......................... 117 The Homeostatic Mechanism .................................... 119 SECTION TWO – THE CIRCUMPLEX MODEL OF AFFECT .................................................................................................................... 123 SECTION TWO OVERVIEW ........................................................... 124 CHAPTER 9 .................................................................................. 126 Measurement of the Circumplex............................................. 126 9.1 Revisiting the Circumplex Model ............................. 126 9.2 Early Affect Measurement ........................................ 127 9.3 The 4-Dimensional Mood Scale ................................ 128 9.4 Conclusions ............................................................... 130 CHAPTER 10 ................................................................................ 132 Study 2 Methodology .............................................................. 132 10.1 Aim .......................................................................... 132 10.2 Rationale .................................................................. 132 v A New Direction for Subjective Wellbeing 10.3 Research Hypotheses ............................................... 133 10.4 - Method ..................................................................... 133 10.4.1 Materials ........................................................... 133 10.4.2 4-Dimensional Mood Scale .............................. 134 10.5 Procedure ................................................................. 135 10.5.1 Recruitment of Participants .............................. 135 CHAPTER 11 ................................................................................ 136 Study 2 Data Analysis............................................................. 136 11.1 – Study 2 - Assumptions of Normality Testing .......... 136 11.2 Replicated Principle Components Analysis with Varimax Rotation ........................................................................... 138 11.3 Final Solution and Reliability Analysis ................... 140 11.4 Revised Affect Sub-Scales ...................................... 142 11.4.1 High Negative Affect (Negative Arousal) ........ 143 11.4.2 High Positive Affectivity (Positive Energy) .... 145 11.4.3 Low Negative Affectivity (Tiredness) ............. 146 11.4.4 Low Positive Affectivity (Relaxation) ............. 148 11.5 Subscales Factor Analysis and Reliability Analysis of Revised 148 11.5.1 Subscales 149 11.5.2 11.6 High Negative and High Positive Affect Low Negative Affect Subscale ......................... 151 Summary ................................................................. 158 CHAPTER 12 ................................................................................ 160 Discussion .............................................................................. 160 vi A New Direction for Subjective Wellbeing 12.1 Replication of the 4-Dimensional Mood Scale ....... 160 12.2 Three Proposed Affect Subscales ............................ 162 SECTION THREE – INTEGRATION OF SWB AND STRESS THEORY .................................................................................................... 165 SECTION THREE OVERVIEW ........................................................ 166 CHAPTER 13 ................................................................................ 168 Conservation Of Resources Theory (Hobfoll, 1988) .............. 168 13.1 Stress ....................................................................... 170 13.2 Resources................................................................. 173 13.2.1 Object Resources .............................................. 175 13.2.2 Personal Characteristic Resources .................... 175 13.2.3 Condition Resources......................................... 177 13.2.4 Energy Resources ............................................. 179 13.3 Summary ................................................................. 180 CHAPTER 14 ................................................................................ 182 Integration of Homeostasis and CoR Theory ......................... 182 CHAPTER 15 ................................................................................ 191 Study 3 Methodology .............................................................. 191 15.1 Aim .......................................................................... 191 15.2 Research Hypotheses ............................................... 192 15.3 Method..................................................................... 193 15.3.1 Materials ........................................................... 193 15.3.2 Demographic Data ............................................ 194 15.3.3 Australian Unity Wellbeing Index ................... 194 15.3.4 NEO-Five Factor Inventory (NEO-FFI)........... 195 vii A New Direction for Subjective Wellbeing 15.3.5 Affect Scale ...................................................... 195 15.3.6 Life Orientation Test-Revised (LOT-R)........... 195 15.3.7 Self-Esteem Scale (SES) ................................. 196 15.3.8 Perceived Control of Internal States Scale (PCOISS:12) 15.3.9 196 Depression Anxiety Stress Scale (DASS-21) ... 197 CHAPTER 16 ................................................................................ 198 Study 3 Data Analysis............................................................. 198 16.1 Assumptions of Normality Testing ......................... 199 16.1.1 Demographic Data ............................................ 199 16.1.2 Personal Wellbeing Index ................................ 200 16.1.3 NEO Five-Factor Inventory.............................. 201 16.1.4 Depression Anxiety Stress Scale (DASS) ........ 202 16.1.5 Self-Esteem Scale ............................................. 203 16.1.6 Life Orientation Test (LOT) ............................. 203 16.1.7 Perceived Control of Internal States Scale (PCOISS) 16.2 204 Exploring Relationships .......................................... 204 16.2.1 Pearson Product-Moment Correlation .............. 204 16.2.2 Standard Multiple Regression .......................... 208 16.3 Comparison of Groups ............................................ 213 16.4 Testing the Homeostatic Regulation of SWB – The Relationship Between SWB and Depression ................................. 215 16.5 Structural Equation Modelling ................................ 219 16.6 Summary ................................................................. 225 viii A New Direction for Subjective Wellbeing CHAPTER 17 ................................................................................ 228 Study 3 Discussion.................................................................. 228 17.1 Relationship Between Variables ............................. 228 17.2 Characteristic Differences Between Individuals with Normal and Sub-Average SWB. .................................................... 229 17.3 Prediction of SWB................................................... 230 17.4 The Homeostatic Mechanism .................................. 231 17.5 Testing the Hypothesised Integrated Model ............ 233 17.6 Summary ................................................................. 236 CHAPTER 18 ................................................................................ 238 General Discussion ................................................................ 238 18.1 The Normative SWB Range .................................... 239 18.2 The Homeostatic Mechanism .................................. 241 18.2.1 Prediction of SWB............................................ 242 18.2.2 Homeostatic Failure ......................................... 247 18.2.3 Rationale for the Use of SWB Inventories for Depression 18.3 251 The Conceptualisation and Measurement of Affect 254 18.3.1 Proposed Affect Subscales ............................... 254 18.3.2 Recommendations for Scale Improvement ...... 256 18.4 The Integration of Homeostasis, Stress and Depression Theory ......................................................................... 257 18.4.1 Evaluation of the Hypothesised Models ........... 258 18.4.2 Justification for an Integrated Model ............... 259 18.5 Limitations............................................................... 261 ix A New Direction for Subjective Wellbeing 18.5.1 Study 1 .............................................................. 261 18.5.2 Study 2 .............................................................. 262 18.5.3 Study 3 .............................................................. 263 18.6 Conclusions ............................................................. 264 18.6.1 Brief Overview of Findings .............................. 264 18.6.2 Future Research and Practical Applications ..... 266 REFERENCES.............................................................................. 269 APPENDICES ............................................................................... 292 APPENDIX A ................................................................................ 293 Deakin University Human Research Ethics Committee Approval ............................................................................................. 293 APPENDIX B ................................................................................ 294 Study 1 Questionnaire ............................................................ 294 APPENDIX C .................................................................................. 15 Study 3, Questionnaire One...................................................... 15 APPENDIX D .................................................................................. 20 Study 3, Questionnaire Two ..................................................... 20 APPENDIX E................................................................................... 25 Means and Standard Deviations of all Study 1 items ............... 25 x A New Direction for Subjective Wellbeing List of Tables Table 1 - Mean and Standard Deviation of PWI Variables in Data Sets A and B .................................................................................................. 96 Table 2 - Pearson Product-Moment Correlations Between Measures of PWI and Neuroticism, Extraversion, Anxiety and Depression (Set A N=224; Set B N=240) ................................................................................ 101 Table 3 - Standard Multiple Regression of Extraversion, Neuroticism, Depression and Anxiety on PWI (Personal Domain SM) Scores ......................................................................................................... 104 Table 4 - Hierarchical Regression Equations Predicting PWI Scores Controlling for Demographic Variables .................................................... 106 Table 5 - Means and Standard Deviations of PWI Scores of Nine Groups of Increasing Depression Scores ................................................... 108 Table 6 - Affect factors and items loadings in the replication of the 4-DMS ........................................................................................................ 141 Table 7 Subscale Correlations of the Replicated 4-DMS.............. 142 Table 8 - Two-Factor Affect Solution for Data Sets A and B ......... 150 Table 9 - Four-Factor Affect Solution ............................................ 154 Table 10 – Scale Reliability of the Three-Factor Affect Scale ....... 155 Table 11 Subscale Correlations of the Proposed Scale ................ 157 Table 12 Comparison of Subscale Correlations Between the 4-DMS and the Proposed Scale .............................................................................. 161 Table 13 - Mean and Standard Deviation of PWI variables .......... 201 xi A New Direction for Subjective Wellbeing Table 14 - Pearson Product-Moment Correlations Between Measures of PWI and Neuroticism, Extraversion, Anxiety and Depression .................................................................................................................... 205 Table 15 - Pearson Product-Moment Correlations Between Measures of PWI and Affect, and Neuroticism, Extraversion, Optimism and Control........................................................................................................ 206 Table 16 - Pearson Product-Moment Correlations Between Measures of PWI and Affect, and Depression, Anxiety, Stress, and SelfEsteem ........................................................................................................ 207 Table 17 - Standard Multiple Regression of Extraversion, Neuroticism, Control, Optimism and Affect on PWI Scores ...................... 210 Table 18 - Standard Multiple Regression of Depression, Anxiety, Stress, Self-Esteem and Affect on PWI Scores ........................................... 212 Table 19 Summary of MANOVA for differences between Two Groups of PWI Scores and Affect, Optimism, Control, Neuroticism and Extraversion 214 Table 20 Summary of MANOVA for differences between Two Groups of PWI Scores and Affect, Stress, Anxiety, Depression and Self-Esteem ... 215 Table 21 ......... Means and Standard Deviations of PWI Scores of Ten Groups of Increasing Depression Scores ................................................... 216 Table 22 ...................... Goodness of Fit Indices for Structural Models 225 xii A New Direction for Subjective Wellbeing List of Figures Figure 1 The Normal Distribution of Subjective Wellbeing (Cummins et al., 2002) ________________________________________ 15 Figure 2 A Homeostatic Model for Subjective Wellbeing. ______ 16 Figure 3 Comparison of Bipolar and Independence Models of Affect __________________________________________________________ 29 Figure 4 Russell’s (1980) Original Cirumplex Model of Affect ___ 31 Figure 5 Watson & Tellegen’s (1985) Model of Affect _________ 32 Figure 6 The Relationship Between SWB and Extrinsic Conditions (Cummins et al., 2002) ________________________________________ 71 Figure 7 Hypothesised Model of Depression Based on the SWB Homeostasis Theory __________________________________________ 75 Figure 8 Beck’s Negative Thought Cycle ___________________ 76 Figure 9 - Curvilinear Relationship Between SWB and Depression86 Figure 10 Mean PWI Scores for Depression in Incrementing Groups of Ten ______________________________________________ 109 Figure 11 The normal distribution of subjective quality of life with reference to mean satisfaction scores for Data Sets A and B _________ 113 Figure 12 - Integrated Model of Homeostasis and COR Theory: Homeostasis Regulation ______________________________________ 186 Figure 13 Integrated Model of Homeostasis and COR Theory: Homeostasis Failure_________________________________________ 188 Figure 14 Mean PWI Scores for Depression in Incrementing Groups of Ten ______________________________________________ 217 xiii A New Direction for Subjective Wellbeing Figure 15 Mean PWI Scores for Depression Groups: Comparison of Normal and Sub-Average PWI Groups ________________________ 218 Figure 16 Integrated Model of SWB Homeostasis and COR Theory: Hypothesised Model 1 _______________________________________ 220 Figure 17 Revised Model 1 _____________________________ 222 Figure 18 Hypothesised Model 2 ________________________ 222 Figure 19 Revised Model 2 _____________________________ 224 xiv A New Direction for Subjective Wellbeing Abstract This thesis investigates the maintenance of subjective wellbeing, and the relationship of subjective wellbeing to theoretical models of depression and stress. The thesis is divided into three sections, exploring the proposed theory of Subjective Wellbeing Homeostasis, the conceptual structure and measurement of affect, and the integration of the Subjective Wellbeing Homeostasis and Conservation of Resources Theories, respectively. The rationale for the proposed research is that a test of subjective wellbeing should be used in conjunction with depression inventories for the detection of depression within the community. It is predicted that depression assessment based on Subjective Wellbeing domains will lead to the increased specificity of depression intervention available to clients. Furthermore, the homeostasis of subjective wellbeing is closely tied to the concept of stress, thus the integrated model of homeostasis and conservation of resources theory presented operationalizes the process of subjective wellbeing regulation. The first section of this thesis investigates the relationship between subjective wellbeing and depression, and explores the rationale for the use of a subjective wellbeing inventory for depression detection and treatment evaluation. Individual differences in personality and affect influence the level of subjective wellbeing experienced, and these have been proposed to act as major components in a homeostatic mechanism that regulates and maintains levels of subjective wellbeing. Subjective wellbeing levels are xv A New Direction for Subjective Wellbeing held for each person at an idiosyncratic value that lies between 50-100 percent of maximum. Therefore, the first study of this thesis explores the relationship between personality, depression, anxiety and subjective wellbeing. Results indicated that neuroticism and depression tend to be the strongest predictors of subjective wellbeing, however extraversion may be a stronger predictor for individuals or groups with higher depression symptomatology or lower subjective wellbeing levels. This study also aimed to test for the hypothesised curvilinear relationship between depression and subjective wellbeing. The findings lent some tentative support for this hypothesis. In the second section of this thesis, the circumplex model of affect is reviewed, followed by a critical analysis of the 4-Dimensional Mood Scale devised by Huelsman, Nemanick and Munz (1998). Two alternative affect sub-scales are then formed via factor analysis according to the theoretical circumplex model. These subscales, consisting of High Activation Negative Affect and High Activation Positive Affect, were found to be as reliable and statistically significant as the original subscales. Moreover, the new subscales provide a more thorough measurement of affect, as based on the conceptualisation of the circumpelx, due to the affective breadth of the items. The final section of the thesis reviews literature on the Conservation of Resources Theory (Hobfoll, 1988). An integrated model of subjective wellbeing homeostasis and Conservation of Resources theory is then xvi A New Direction for Subjective Wellbeing presented. Study 3 aimed firstly to test the relationships between the variables within the proposed model. The relationships between the model variables, which include subjective wellbeing, depression, anxiety, stress, personality, affect, self-esteem, control and optimism, were tested. The results indicated that the were consistently stronger predictors of Personal Wellbeing Index scores than depression and neuroticism. A second aim was to test for differences between variable mean scores between groups with normal and sub-average Personal Wellbeing Index scores. A Multivariate Analysis of Variance was performed, with results indicating that there were significant differences on all variables between individuals within the normal Personal Wellbeing Index range, and those within the sub-average range. The third aim was to re-test the hypothesised curvilinear relationship between subjective wellbeing and depression. In this study, there was stronger support for the curvilinear relationship, which may be a result of the use of a different depression inventory (the Depression Anxiety Stress Scale as opposed to the Hospital Anxiety Stress Scale), or the higher average Personal Wellbeing Index score of the participant group. Finally, the study aimed to test the proposed integrated model through Structural Equation Modelling. As Study 3 was based on two questionnaires, two separate hypothesised models were generated and tested in AMOS. The hypothesised models did not initially provide a good fit to the data, however the models were then revised according to the Modification Indices. After modification, both models provided a good fit to the data, and explained 43% to 88% of the variance in PWI and depression, anxiety and stress xvii A New Direction for Subjective Wellbeing scores. These results provide justification for an integrated subjective wellbeing and stress theory. xviii Section One – Subjective Wellbeing and Homeostasis 1 Subjective Wellbeing and Homeostasis Section 1 Overview The conceptualization of subjective wellbeing has evolved from an immense body of literature on the related topics of quality of life, happiness and life satisfaction. While traditionally used as a measure of societal wellbeing in social indicator research, in the last two decades subjective wellbeing has been applied to psychological research, and viewed as an individual difference factor. Thus, subjective wellbeing is commonly measured alongside factors such as personality and affect, and used to explain the ways in which people conduct and perceive their lives. In this section, literature on subjective wellbeing is reviewed, followed by the presentation of a model of subjective wellbeing homeostasis. The review then focuses on the factors that are hypothesized to contribute to subjective wellbeing, which are personality (extraversion and neuroticism), affect (positive and negative affect) and cognitive buffers (optimism, control and self-esteem). Literature on depression is then reviewed, with an emphasis on cognitive models of depression. The aim of Study 1 was to test the relationships between the variables of personality (extraversion and neuroticism), anxiety, depression and subjective wellbeing, within two comparable data sets. The hypothesis that depression, neuroticism and anxiety would be negatively correlated, and extraversion would be positively correlated with subjective wellbeing, was supported. However, interesting differences were found in the prediction of subjective wellbeing. The results of the first data set support the hypothesis that depression and neuroticism are the strongest predictors, whereas extraversion was the 2 Subjective Wellbeing and Homeostasis strongest predictor within the second data set. This study also aimed to test for the hypothesized curvilinear relationship between depression and subjective wellbeing. The findings lent some tentative support for this hypothesis, however further research into the relationship between depression and subjective wellbeing is recommended 3 Subjective Wellbeing and Homeostasis Chapter 1 Quality of Life and Subjective Wellbeing Literature on Subjective Quality of Life and related constructs is expansive, growing out of an historical desire to understand the experience and evaluation of life. Due to the complex and philosophical nature of Quality of Life, there are many different ways it can be perceived, and many fields of study, and purposes, to which it can be applied. Although terms relating to Quality of Life are colloquially synonymous, the academic study of Quality of Life requires clear definitions that differentiate between these similar terms. The concept of Quality of Life has undergone much evolution, and after four decades of research there still exists a lack of uniformity or consensus regarding the academic definition and theoretical structure of Subjective Quality of Life. Historically, the concept of quality of life arose from American research on social indicators during the 1960’s, when it was recognised that subjective indicators of social wellbeing were as important for measuring social change and the prosperity of nations as objective economic indicators of national wealth (Land, 2000). The concept of quality of life then evolved from an indicator of social wellbeing to an indicator of individual wellbeing. This evolution coincided with the introduction of synonymous yet conceptively distinct constructs related to quality of life. The term ‘life satisfaction’ became popular, measured either through a single, generic question such as “How satisfied are you with your life as a whole” (Andrews & Withey, 1976), or a set of questions measuring satisfaction 4 Subjective Wellbeing and Homeostasis within specific life areas (Cummins, 1997a). Over time, literature relating to quality of life has been published using alternative or historically ambiguous terms such as; subjective wellbeing, satisfaction, psychological wellbeing, and happiness. Thus, the initial chapter will first clarify and define quality of life-related terminology. 1.1 Nomenclature The literature tends to use the word ‘happiness’ in relation to current affect or the emotional aspect of subjective wellbeing (Heaven, 1989). ‘Happiness’ emphasizes the affective element involved in an individual’s evaluation of life. It is experienced as the emotional state of joy (Argyle & Martin, 1991), and has been conceptualized as a balance between positive and negative affect (Bradburn, 1969). ‘Life satisfaction’, on the other hand, is perceived as reflecting a broad cognitive judgment of how satisfied an individual is with their life (Heaven, 1989); a cognition that is the result of reflection (Argyle & Martin, 1991). This cognitive judgment is based on a comparison of the evaluation of current circumstances with internally imposed standards (Diener, Larsen, Levine & Emmons, 1985; Headey & Wearing, 1987). In contrast, ‘subjective wellbeing’ (or subjective quality of life) is generally considered a combination of happiness (encompassing positive and negative affect) and life satisfaction (Andrews & Withey, 1976; Diener & Diener, 1995; Heaven, 1989; Headey & Wearing, 1989) across specific life areas or domains. 5 Subjective Wellbeing and Homeostasis Subjective wellbeing (SWB) is, thus, the most global term to describe how people feel about their lives, and is based on both an emotional reaction and cognitive judgement. According to Diener (1984), an assessment of subjective wellbeing involves the subjective experience of the individual, as the integrated judgment of the person’s life both within specific domains and as a global assessment. SWB reflects the integration of a high sense of satisfaction with life at the cognitive level, within specific areas of life, and a propensity to experience positive emotions at the affective level (Myers & Diener, 1995). To avoid confusion between similar concepts, the term ‘subjective wellbeing’ will be used herein, to represent the evaluation of life quality as the integrated cognitive judgment (Lewinsohn et al., 1991) and composite of affective satisfaction in life domains. 1.2 An Overview of Subjective Wellbeing There are two broad perspectives when conceptualizing SWB. In one, SWB is a global, unitary entity (Andrews & Withey, 1976), and in the other it is composed of discrete domains (Cummins, 1996). These approaches relate to evaluations of SWB using top-down theory or bottomup theory respectively (Shmotkin, 1998). Top-down theory assumes that global assessments of SWB and happiness are influenced by the trait-like factors of personality and attitude, enabling a person to enjoy pleasures because they are happy, not vice versa (Diener, 1984). Top-down SWB influences the satisfaction one perceives in various life domains (Mallard et al., 1997). 6 Subjective Wellbeing and Homeostasis Andrews and Withey (1976) defined this construct from a broad topdown perspective in which quality of life is a unitary concept. A single item questionnaire was used to gauge overall perceptions of quality of life (Andrews & Withey, 1976), measured with a Likert scale response format of satisfaction to dissatisfaction. This measurement is crude. Firstly, there is only a small area of discrimination between different satisfaction levels presented by the scale. Secondly this method of assessment provides no understanding of the factors that contribute to subjective wellbeing. Finally, this global measure has limited utility for small group comparisons (Cummins, 1996). In contrast, according to bottom-up theory, SWB is the accumulation of happy moments, and is judged via the summation of many happy experiences (Diener, 1984; Mallard, Lance & Michalos, 1997). In this conceptualization, SWB is the combination of satisfaction levels in a number of smaller domains (Brief, Butcher, George & Link, 1993; Mallard et al., 1997). Finally, the top-down and bottom-up models of SWB have been integrated to form the bi-directional model (Gerhart, 1987), which presupposes that both influences may be present simultaneously. SWB then both results from satisfaction in life domains, and influences satisfaction in those domains (Lance, Lautenschlager, Sloan & Varca, 1989). The three models of the relationship between overall SWB and satisfaction within life domains were tested in a study conducted by Mallard, Lance and Michalos (1997). These authors found overwhelming 7 Subjective Wellbeing and Homeostasis support for the bi-directional model, with some support for the top-down models and the least support for the bottom-up model. While theories of SWB continue to evolve, researchers are now less inclined to view it from a solely top-down or bottom-up perspective. As Brief and colleagues (1993) concluded, it is not necessary to choose the better of the two theories (bottom-up vs. top-down) as SWB displays both bottom-up and top-down effects. SWB exists both as a product of satisfaction in specific domains of life, and as a distinct, separate entity within its own rite. Likewise, satisfaction within life domains is both the outcome of cognitive assessment, and influenced by our predetermined experience of SWB (Brief, Butcher, George & Link, 1993; Mallard et al., 1997). 1.3 An Operational Definition of Subjective Wellbeing Both objective and subjective factors are considered important to Quality of Life, however recent studies have concluded that objective and subjective measures of quality of life are only weakly correlated (Cummins, 2000; Veenhoven, 2000). Therefore Quality of Life can be defined as a three-factor model, incorporating a) objective measures of life domains, b) domain weighting according to importance, and c) subjective satisfaction self-ratings. This model recognizes the influence of objective and subjective satisfaction, as well as the influence of individual weighting of domains by importance. This model specifies that objective quality of life should reflect cultural norms of objective wellbeing that are valued by society, such as wealth and physical health, while recognizing that people 8 Subjective Wellbeing and Homeostasis weight the importance of these objective measures differently (Cummins, 2000). Thus, the importance of objective measures is relative to the individual. Likewise, Brief et al (1993) stated that an individual’s interpretation of objective life conditions, and the weighting of importance placed on objective conditions, directly influences SWB. The fifth edition of the Comprehensive Quality of Life Scale (ComQol) was devised by Cummins in 1997, and operated on the procedure of weighting levels of satisfaction within discrete domains of life by importance. While this process is conceptually reasonable, the procedure of multiplying importance and satisfaction is invalid. Therefore, through the development of the scale’s conceptual construction, the seven domains of satisfaction from the ComQol have formed the basis for a new scale called the Personal Wellbeing Index (PWI). This scale comprises seven domains of satisfaction rated on an 11-point Likert response scale. The PWI conforms to the operational definition proposed by Cummins (2002), stating that: “Quality of life is both objective and subjective. Each of these two axes comprises several domains which, together, define the total construct. Objective domains are measured through culturally relevant indices of objective wellbeing. Subjective domains are measured through questions of satisfaction.” (Cummins, 2003). This definition incorporates both the objective and subjective elements of quality of life. An operational definition such as above enables the 9 Subjective Wellbeing and Homeostasis separation of the subjective from the objective components of quality of life, so research can be focused clearly on the experience, or subjectivity of wellbeing. The nature of SWB can therefore be studied. For example, whether it is changeable or stable over time, if there are social or population wide patterns, and what factors or components influence or control SWB levels. This research focuses on subjective wellbeing rather than objective determinants of wellbeing. Thus the Personal Wellbeing Index is utilized as the measure of SWB. 10 Subjective Wellbeing and Homeostasis Chapter 2 Homeostasis Theory It is a common misconception that the amount of SWB that can be experienced is limitless. This ideology has been challenged, and it has been found that the experience of happiness is confined within set boundaries (Cummins, 1995; Veenhoven, 1994). Literature focusing on the SWB level of populations has found that the data do not fit a normal curve, but are instead consistently negatively skewed (Andrews & Withey, 1976; Campbell, Converse & Rodgers, 1976; Cummins, 1998, 2000, Cummins, Gullone & Lau, 2002; Diener & Diener, 1996; Heady & Wearing, 1989). Moreover, despite the variety of approaches used to operationalize and measure SWB, different scales show relatively high correlations with one other (Costa & McCrae, 1980), showing that SWB lies in the positive range regardless of the definition guiding the measurement. The consistent negative skew associated with SWB has led to the proposition that a ‘homeostatic mechanism’ governs and regulates the SWB of individuals, maintaining satisfaction levels within the positive range (Cummins, 1995; 1998; Cummins et al., 2002). The application of the concept of adaptation from biology to psychology occurred around the 1950s in an attempt to explain the phenomenon of behavioural adaptation to the environment (Helson, 1964). Study into the related physiological concepts of homeostasis and equilibrium then led to Helson’s (1964) Adaptation Level Theory, which asserts that we are capable of adapting to changing levels of stimulus. The most general principle of adaptation level theory, stated by Brickman, 11 Subjective Wellbeing and Homeostasis Coates and Janoff-Bulman (1978, p918), is that “people’s judgments of current levels of stimulation depend upon whether this stimulation exceeds or falls short of the level of stimulation to which their previous history has accustomed them”. The process of adaptation occurs through contrast and habituation. Contrast occurs when, for instance, experiencing an extremely positive event such as winning the lottery causes other ordinary events to seem less pleasurable. Habituation occurs when the thrill of winning the lottery wears off (Brickman et al., 1978). The same principles apply to the reverse situations, in extreme negative situations. Adaptation Level Theory formed the basis of homeostatic theories of SWB. The ofiginal form is Headey and Wearing’s (1989) Dynamic Equilibrium Model. This model proposed that each person has a ‘normal’ level of SWB and a normal pattern of life events, both of which are predictable by personality characteristics. Carver (2000) also created a model that stemmed from the general framework of Adaptation Level Theory (Helson, 1964) in which SWB is continually recalibrated and thus maintained homeostatically. The presence of a ‘set-point’ for SWB was first proposed by Headey and Wearing (1989), who suggested that SWB levels (under normal conditions) are maintained within a restricted range, akin to the process of equilibrium. The discovery that subjective wellbeing levels are constrained to a certain range via floor and ceiling effects (rather that the full 0 to 100% range) has inspired a growing scientific consensus that SWB levels are homeostatically regulated to predetermined levels (Cummins, 1995, 1998; Headey & Wearing, 1989). 12 Subjective Wellbeing and Homeostasis SWB homeostasis theories in general purport that the level of SWB experienced is stable and maintained at a set point, and any conditions that increase or decrease SWB are adapted to over a short period of time, restoring the stable SWB level. These models guided Cummins (1995) to further investigate the maintenance of SWB, leading to the coining of the term ‘SWB homeostasis’, and the formulation of a model depicting the mechanism of SWB homeostasis (Cummins, 1998). According to this model of SWB homeostasis, SWB levels deviating from the set-point level are regulated through the process of adaptation, whereby cognitive buffers restore SWB levels to a normal range (Cummins, et al., 2002). Homeostatic breakdown can occur, for instance, under conditions of prolonged chronic negative circumstances that are too severe or lengthy to be successfully moderated by internal homeostatic mechanisms. Support for this concept is found within Headey and Wearing’s (1989) Dynamic Equilibrium Model, wherein SWB is predicted to remain stable when the normal pattern of events is maintained, however, deviations from normal events may change the normal level of SWB. This occurrence is known as homeostatic breakdown within Cummins, Gullone and Lau’s (2002) model, and will be explored further in the following section. Homeostasis breakdown can be hypothesized to precipitate or increase the predisposition to dysthymia and depression. The SWB homeostasis theory was tested Cummins (1995; 1998; 2000) by reviewing a large number of studies by different researchers, and confirmed the stability of subjective wellbeing with both Western and nonWestern populations. This research resulted in the development of a “gold 13 Subjective Wellbeing and Homeostasis standard” for SWB, which could be expressed as 75.0 ± 2.5% Scale Maximum for Western populations (Cummins, 1995). The percentage of scale maximum (%SM) score integrates the results of normative population studies using different SWB scales, standardizing the Likert scale data to a range from 0 to 100%. This statistic is calculated, where a Likert scale has been coded 1 to x, with the formula: %SM = (scale score – 1) 100 / (x-1) For instance, a score of 4 on a scale coded from 1 to 7 would produce (4-1) 100 /(7-1) = 50%SM (Cummins, 1998). Using two standard deviations to describe the normative range, it was concluded that the population norms for life satisfaction lay within the 70-80%SM range. A later review of two hundred and six articles concerning the topic of life satisfaction using Western and non-Western population means was conducted, finding a life satisfaction value of 70 ± 5% SM (Cummins, 1998). Therefore, world population life satisfaction scores were found to predictably fall within the two standard deviation range of 60-80%SM, with an adaptive range of 50 to 100% SM. When examining the distribution of life satisfaction scores within population samples, Cummins (2002) found that the standard deviations from Western populations, when combined, produce a mean of 12 ± 1%SM. Thus, using two standard deviations to describe a normal distribution around a mean of 75%SM, the normal range within a general population sample is 50-100% (Cummins, 2000). Therefore, SWB is maintained within a predictable range, with the homeostatic control of SWB creating a floor and ceiling effect, see Figure 1. 14 Subjective Wellbeing and Homeostasis Lower threshold for individuals Lower and upper thresholds for general population samples F r e q u e n c y 0 10 20 30 40 50 60 70 80 90 Population Mean Percentage of Scale Maximum (%SM) Figure 1 The Normal Distribution of Subjective Wellbeing (Cummins et al., 2002) There is now a consensus that SWB levels are relatively stable over time, with growing support for the model of homeostasis proposed by Cummins (1995). To emphasize this point, Argyle and Martin (1991) suggest that SWB may involve three partially independent components; including the frequency and degree of positive affect experienced at the time, the absence of severe negative feelings such and depression and anxiety, and the average level of satisfaction over a period, which may be interpreted as one’s homeostatically maintained set-point level of satisfaction. The mechanism responsible for the regulation of SWB homeostasis has been depicted in a model by Cummins, Gallone and Lau (2002), which is explored in the following section. 15 100 Subjective Wellbeing and Homeostasis 2.1 A Model of SWB Homeostasis The theory of SWB homeostasis states that subjective wellbeing is maintained within a predictable range around a set-point, and has become commonly accepted within the research. A proposed model devised by Cummins, Gallone and Lau (2002) depicts the influence of personality, affect and positive cognitive biases as the regulating mechanisms of SWB. This model is presented in Figure 2. FIRST ORDER SECOND ORDER DETERMINANTS DETERMINANTS AS PERSONALITY AS INTERNAL BUFFERS OUTPUT AND AFFECT (POSITIVE INPUT) EXTROVERSION NEUROTICISM POSITIVE AFFECT CONTROL SELF-ESTEEM SUBJECTIVE WELL-BEING OPTIMISM NEGATIVE AFFECT (NEGATIVE INPUT) Figure 2 A Homeostatic Model for Subjective Wellbeing. This model describes a system that combines primary genetic (personality) and stable affective factors with a secondary buffering system (cognitive buffers). Neuroticism, extraversion and positive and negative affect together create an individual predisposed level, or set-point, for subjective wellbeing, which is on average 75%SM. Positive cognitive biases constitute a regulatory system that ‘buffer’ or reduce the 16 Subjective Wellbeing and Homeostasis psychological impact of external events, and restores equilibrium or homeostasis to the system allowing the neutral set-point level of SWB to be reestablished (Cummins & Nistico, 2002). The theory presumes that SWB can only be elevated beyond set-point levels for a short period of time, and that personality factors and cognitive buffers will reinstate the homeostatically regulated set-point level of SWB. Therefore, higher levels of SWB are more likely consequences of frequent ‘happiness bursts’ due to positive extrinsic conditions, rather than the effect of one positive event maintained over a longer period of time. The individual components of the SWB homeostasis model will be explored in the two following chapters, with reference to the link between each factor and their relationship with SWB. 17 Subjective Wellbeing and Homeostasis Chapter 3 1st Order Determinants of Subjective Wellbeing The model of SWB homeostasis is compelling, but prior to an explanation of its components, the necessity for such a device as ‘SWB homeostasis’ is explored. The reality of the world can be harsh and depressing. In the Western world people’s lifestyles and opportunities are somewhat dependent on their wealth. People need money to afford food and shelter, and are judged and influenced by how much money and therefore social status they have, and most people spend the majority of their lives trying to earn as much money as possible. On a global level, the world is filled with disease, war, famine and tragedy, and in many ways it can be said that humans are their own worst enemies. We live in a reality where children starve in the streets whilst others cruise in luxury cars; where a huge proportion of the nation’s health care budget is used to remedy the consequences of almost epidemic proportions of our self-imposed sloth and gluttony; and where there is such hate and mistrust in the world that tragedies such as September 11 are becoming common threats. How can we live in this reality without becoming incapacitated by the depressiveness and futility of life? It is herein argued that we are not doomed to become a race of realistic, fatalistic, depressed people who see the world as it is. Instead, we are able to don our rose-coloured glasses and see what we want to see. We see the miracle of life, not the misfortune. We are capable of appreciating what we have as a result of tragedy, and we believe that the future is bright 18 Subjective Wellbeing and Homeostasis and fulfilling. It is the combined effect of our cognitive buffers, through personality and affective factors, that provide the homeostatic regulation of our SWB. Our positive cognitive buffers supply a counterbalancing force that ensures the maintenance of SWB and motivation (Cummins & Nistico, 2002). This homeostatic regulation enables us to view life as positive, which in turn makes life worth living. “It seems intuitive that, in evolutionary terms, the human organism would benefit from the maintenance of a fairly predictable and moderately high level of satisfaction” (Cummins & Nistico, 2002:41). Satisfaction with life is presumed necessary to support adequate levels of motivation toward life (Veenhoven, 1994) and to avoid the debilitating motivational consequences of depression (Cummins & Nistico, 2002). This chapter will review literature on personality and affect, and the link between these constructs. The relationship between personality, affect and SWB will then be discussed. The cognitive buffers briefly mentioned in this introduction will be further discussed in the following chapter. 1st Order Determinants of SWB In order to understand SWB, it is necessary to conceptualise and define its determining factors. Cummins (2000) outlined a model of homeostasis in which the psychological processing that leads to SWB comprises two levels of determinants. The first order determinants refer to the genetic capacity of an individual to achieve SWB through personality. Due to the traditional theoretical link between affect and SWB and their trait-like properties, positive and negative affect is also considered a first- 19 Subjective Wellbeing and Homeostasis order determinant of SWB, as affect incorporates the propensity to experience positive and negative mood states. A secondary tri-partite system of cognitive buffers, it is proposed, further influences SWB, and is itself affected by positive and negative input or experiences of the environment (Cummins 2000). Cognitive buffers influence patterns of thinking and the processing of positive and negative experiences. The interaction between these determinants gives rise to individual level of SWB. A diagram of this model of SWB is provided in Figure 2. This section of the paper will focus on the role of affect and personality in relation to SWB. 3.1 Personality Factors Theories of the relationship between personality and SWB were devised in an attempt to answer the classic question regarding why some people are consistently happier than others (Lu & Shih, 1997). Personality refers to ‘characteristic response tendencies’, which are considered to have both genetic and environmental components (Diener, 1988). The demographic variables of age, sex, race and income give little indication of one’s SWB. Income is a relatively poor predictor of SWB assuming the person can afford life’s necessities. Studies reveal that age is relatively unimportant as no time of life is notably happier or unhappier than any other. Furthermore, although women tend to experience bad circumstances more negatively, and good circumstances more positively than men, overall, gender explains a mere 1% of SWB variance (Myers & Diener, 1995). Race gives little clue as to a person’s SWB, and only seems to influence levels of 20 Subjective Wellbeing and Homeostasis wellbeing when it is scarce, in conditions of poverty (Myers & Diener, 1995). Therefore, several theories of SWB have proposed that personality factors are involved in the individual disposition and maintenance (or homeostasis) of SWB level. The five-factor personality model is a popular typology of personality (Goldberg, 1992; McCrae & Costa, 1992), and conceptualizes personality as comprising Extraversion, Neuroticism, Openness to Experience, Conscientiousness and Agreeableness. Extraversion and Neuroticism have the strongest influence over SWB, with extraversion being originally linked to personality traits such as sociability, liveliness, assertiveness, activity and being carefree, and neuroticism being linked to the traits of anxiety, depression, guilt, irrationality and tension (Eysenk, 1981). Extraversion traits contribute to positive enjoyment without reducing the unpleasantness of adverse circumstances, and neuroticism traits predispose one to suffer more acutely from misfortunes, without diminishing positive experiences (Costa & McCrae, 1980). 3.1.1 The Relationship Between Personality and SWB The NEO-Personality Index-Revised (Costa & McCrae, 1992), which is a personality inventory based on the Big-Five model, measures six separate facets of extraversion: activity (need to keep busy); assertiveness (leadership, dominance), excitement-seeking (craving stimulation); gregariousness (companionship and social enjoyment); positive emotion (optimism, joyfulness); and warmth (capacity for interpersonal relationships). In a study examining the relationship between each of the six 21 Subjective Wellbeing and Homeostasis facets of extraversion with SWB, Herringer (1998) found that overall, total extraversion was significantly positively correlated with SWB as expected. Of the six facets of extraversion, the two most strongly correlated with SWB were assertiveness and positive emotion. Of particular interest was the finding that significant differences exist between the facets of extraversion that influence SWB for men and for women. The two most influential facets for women were positive emotion and warmth, whereas for men the two facets included assertiveness and gregariousness (Herringer, 1998). Adding significance to this finding was the discovery that the influential facets for women had no correlation with the SWB level of men, and vice versa. Therefore, although extraversion as a general factor is related to high SWB, this research shows that the personality factors may not exert their influence on SWB in the same way across gender (Herringer, 1998). Despite potential gender differences, personality is considered a substantial predictor of SWB. Extraversion correlates with SWB between .35 and .49, and neuroticism correlates with SWB between -.31 to -.57 (Costa & McCrae, 1980; Francis, 1999; Lu & Shih, 1997). Furthermore, the dynamic equilibrium model (Heady & Wearing, 1989) and the temperamental predisposition model (Diener, Suh, Lucas & Smith, 1999), depicts SWB levels as regulated to levels predetermined by stable personality traits (neuroticism and extraversion). These theories assume that individuals are predisposed to experience life events as positive or negative relative to their personality ‘makeup’ or inherited genetic dispositions. 22 Subjective Wellbeing and Homeostasis It is thought that genetic variance accounts for about 40% of the variance in positive emotionality and 55% of the variance in negative emotionality, and that overall, 80% of long-term SWB is heritable (Tellegen, Lykken, Bouchard, Wilcox, Segal & Rich, 1988). Furthermore, monozygotic twins reared apart have been found to be more alike in regards to SWB scores than dizygotic twins reared separately or reared together (Tellegen et al., 1988). Although these figures tend to lend great support to the theory of SWB disposition and hereditability, Diener and colleagues (1999) stated that the estimates for the size of this influence has varied widely throughout the literature, from 27% to 80%, depending on the environment, the particular component of SWB being considered, and the methodology of the research. Longitudinal research has shown that there is strong evidence of the stability of personality dispositions (Costa & McCrae, 1986), and that wellbeing seems to be a disposition rather than merely an indicator of an individual’s current situation, as personality traits are strong predictors of SWB (Costa & McCrae, 1980). Other researchers concur, stating that the level of SWB experienced is caused by the interaction between the individual (personality and affective characteristics) and the environment (life events, etc) (Lu, 1999). Personality traits are significantly correlated with SWB, and positive life events are positively correlated with SWB, whereas negative life events are negatively correlated with SWB (Lu, 1999). “It seems that extraversion not only predisposes people to encounter certain types of life situations but also serves to retain the stability of SWB rather 23 Subjective Wellbeing and Homeostasis than depressing or inflating it to correspond with these various life situations” (Lu, 1999:79). Personality not only contributes significantly to the variance in SWB levels, but also predicts SWB 20 years later (Costa & McCrae, 1980), and these findings are generalizable to diverse populations (Pavot, Diener & Fujita, 1990). Regarding the three less-influential personality dimensions, correlations between Conscientiousness, Openness to experience and Agreeableness with SWB tend to be low (Watson & Clark, 1992). Caution is warranted, however, in assuming the Big-Five personality factors account for all there is to say about personality. Not every personality factor can be mapped distinctly within the popular personality model (Funder, 2001). Furthermore, the importance of extraversion to SWB may have been overemphasized as neuroticism has a stronger correlation with SWB than extraversion (DeNeve & Cooper, 1995; Costa & McCrae, 1980; Headey & Wearing, 1989; Heaven, 1989; Schmutte & Ryff, 1997). Therefore, despite the high correlation between neuroticism and extraversion and SWB, researchers also note that SWB cannot be solely explained in terms of personality factors (DeNeve, 1999; DeNeve & Cooper, 1998). Some critics have called into question what SWB inventories are really measuring, by stating that these assessments are confounded by the influence of personality factors (Muldoon, Barder, Flory and Manuck, 1998). They state that “subjective quality of life indices ideally should not be influenced by patient characteristics that are outside the domain of disease and health care” (Muldoon et al., 1998:544), suggesting that the SWB measures are limited as they inadvertently measure enduring 24 Subjective Wellbeing and Homeostasis dispositional personality characteristics. This line of argument, and the suggestion that personality factors confound the measurement of SWB, seems unlikely to be of value. Factors such as personality, self-esteem and cognitive biases act as the very filter through which we perceive our world. These factors both contribute to, and are necessary for, the maintenance of SWB, and seeking to remove this influence would change its very nature. The influence of personality or other factors cannot be removed from the measurement of SWB, as they do not just correlate with SWB, but they are actually an integrated and inseparable part of SWB – that is to say that if these factors were changed somehow, ones appraisal of their life (SWB) would also change. Personality and affect influence our disposition to experience emotion and partly determines the set-point level of SWB (Headey and Wearing, 1989), while cognitive buffers cause the effects of extreme life events to be moderated, thus regulating SWB levels (Cummins, 2002). The role of affect in the SWB homeostatic system is now considered. 3.2 Affective Factors The conceptualization of SWB involves the two-factor model of positive and negative affectivity, wherein the level of “happiness” results from the balance between positive and negative affect (Shmotkin, 1998). Positive affect represents the extent to which a person avows a zest for life and is enthusiastic and optimistic, whereas negative affect is the extent to which a person feels unpleasantly aroused (Watson & Tellegen, 1985). Individuals high in positive affect are said to be consistently more enthusiastic, 25 Subjective Wellbeing and Homeostasis confident, excited and positive in self-regard than those low in positive affect; individuals high in negative affect are said to be more guilty, fearful, nervous and negative in self-regard than those with low negative affect (Berry & Hansen, 1996; Watson & Clark, 1984). Affect is considered to be based on genuine subjective feelings and moods rather than thoughts or cognitions about specific events (Russell & Carroll, 1999). The conceptual structure of affect has been the topic of much debate among researchers in this area. Before these debates are explored, some issues regarding the measurement of affect must be noted. 3.2.1 Affect Measurement Issues The way in which affect is measurement can vastly effect conclusions drawn about the structure of affect. Firstly, measurement error associated with different affect scales can influence whether the construct of affect fits a bipolar or independent model (which will be discussed in the following section). The particular affect scale used, and the measurement error associated with it, impacts on the correlation found between the two dimensions of positive and negative affect (Egloff, 1998; Green & Salovey, 1999). Furthermore, the independence or bipolarity of affect depends on the precise definition of independence (Cacioppo & Berntson, 1994), the degree to which terms are antonyms (Green & Salovey, 1999), the measures used (Egloff, 1998; Green & Salovey, 1999), and the time period over which it is measured (Egloff, 1998; Veenhoven, 1998). Studies using the original positive affect and negative affect scales designed by Bradburn in 1969 were expected to find affect to be bipolar, 26 Subjective Wellbeing and Homeostasis however their results forced researchers to question the assumption of bipolarity (Russell & Carroll, 1999). These scales have been found to have relatively poor reliability, and the more unreliable two scales are, the more independent they appear (Russell & Carroll, 1999). This suggests either that there was significant error within the methodological process that led to the masking of true bipolarity, or that the positive and negative affective factors are indeed independent of each other (Russell & Carroll, 1999). In fact, much of the argument regarding the bipolarity versus the independence of affect is based on the existence of measurement error. Secondly, the effect of time on affect must be considered (Schimmack, 2001). People’s affect can change significantly in short spaces of time, such that it is possible to be sad in one moment and happy in the next. The time period must be specified clearly for the reliable measurement of affect. Thirdly, as affect is extremely multidimensional in nature, it is important that the measurement of affect is based on clear definitions of positive and negative affect. With these measurement issues in mind, the debate regarding the independence versus the bipolarity of affect will be explored. 3.2.2 Independence Versus Bipolarity of Affect The still unresolved issue regarding the independence of affect involves the argument that on one hand, negative affect and positive affect are bipolar opposites, and that on the other they are independent constructs only weakly correlated with each other (Russell & Carroll, 1999). The term ‘affective bipolarity’ means that affective space is bipolar, and therefore 27 Subjective Wellbeing and Homeostasis opposite feelings move in opposite directions in proportional magnitude (Green, Salovey & Truax, 1999). For instance, some view the relationship between positive and negative affectivity as analogous to temperature, in that cold is the polar opposite of hot. Temperature can be measured as a bipolar variable as cold signifies the absence of heat. The model of affective independence depicts positive and negative affect as two separate and independent constructs. See Figure 3 for a comparison of the two models. The assumption of bipolarity is not necessarily applicable to psychological concepts such as affect, as one dimension of affect may co-exist with the other (Huelsman, Nemanick & Munz, 1998). For instance, one factor may not increase at the same rate as the other decreases. While the states such as hot and cold or short and tall are mutually exclusive, pleasure and displeasure can be viewed as two distinct qualities, just as hunger and thirst are two distinct feelings that can be experienced concurrently (Cacipoop & Bernston, 1994; Schimmack, 2001). Using an example iterated by Huelsman and colleagues (1998), as tiredness (an element of negative affect) decreases, one’s level of energy (an element of positive affect) may not increase at the same rate, leaving individuals neither tired nor energetic, but neutral. 28 Subjective Wellbeing and Homeostasis PA NA Low PA High Low NA High Bipolar model of affect Independence model of affect Figure 3 Comparison of Bipolar and Independence Models of Affect 3.2.3 The Evolution of Affect Conceptualization As was shown in the previous example, the semantic terminology we use to describe related phenomenon are antonyms (happy vs. sad; depressed vs. elated), and we hold the belief that the presence of one such state is contingent upon the absence of the other (Barrett & Russell, 1998). Due to the opposing semantic quality of affect terminology, it is common to assume that affect is bipolar in nature (Russell & Carroll, 1999). Beginning with Nowlis (Nowlis & Nowlis, 1956, in Russel, 1980), investigators have typically concluded that there are between six and twelve independent monopolar factors of affect, such as sadness, anxiety, elation and tension. Research has since concluded, however, that affect states are related to each other in a highly systematic fashion. 29 Subjective Wellbeing and Homeostasis The view that affective states are systematically related is illustrated in Schlosberg’s (1952, in Russell, 1980) proposal that emotions are organized in a circular arrangement, which means that they are adequately represented by two bipolar dimensions rather than six to twelve monopolar ones. The two dimensions that invariably emerge are pleasantness/ unpleasantness and arousal/activation (Watson & Tellegen, 1985). While affect was initially believed to be bipolar in nature, the pioneering writers of Nowlis and Nowlis (1956), Bradburn (1969), and Costa and McCrae (1980) made the counter-intuitive and controversial claim that opposing states of affect are in fact independent. These writers questioned the bipolarity of affect, arguing that one’s level of positive affect (happiness) did not predict one’s level of negative affect (sadness), even at the same point in time (Barrett & Russell, 1998; Russell & Carroll, 1999). These conclusions were based on psychometric evidence that what had been assumed to be bipolar opposites in fact correlated only weakly, and therefore are better represented as independent of one another. The two dimensions of valence and activation were represented in a model created by Russell in 1980, see Figure 4. When plotted against this dimensional conceptualization, the myriad of affect terms used in his research fell meaningfully around the perimeter of the space defined by the axes. 30 Subjective Wellbeing and Homeostasis AROUSAL High NA (Distress) MISERY Low NA (Depression) High PA (Excitement) Activation Valence SLEEP PLEASURE Low PA (Relaxation) Figure 4 Russell’s (1980) Original Cirumplex Model of Affect In 1985, Watson and Tellegen suggested that positive affect and negative affect appeared as two separate factors of the construct ‘affect’ using a Varimax rotated orthogonal factor analysis. They presented a model in which positive and negative affect are two separate dimensions within affective space that lie at 90 of one another, thus being “descriptively bipolar but affectively unipolar dimensions” (Zevon & Tellegen, 1982, p 112) which are in fact independent and uncorrelated (Watson & Tellegen, 1985). This model is similar to that of Russell (1980), however the two major dimensions are positive and negative affect, and the activation of affect is implied rather than represented as a separate axis (see Figure 5). This model was used as the theoretical framework for Watson & Tellegen’s (1985) Positive and Negative Affect Schedule (PANAS) (Huelsman, Nemanick & Munz, 1998). 31 Subjective Wellbeing and Homeostasis High NA Engagement Unpleasantness Low PA High PA Pleasantness Disengagement Low NA Figure 5 Watson & Tellegen’s (1985) Model of Affect The exclusion of the activation dimension in Watson & Tellegen’s (1985) model (and indeed in the PANAS) has been criticized by several authors (Huelsman et al., 1998; Bunk, Brief, George, Roberson & Webster, 1989). These critics suggest that the construct of mood is best measured as four monopolar dimensions rather than two bipolar dimensions, so the low poles of mood can be adequately represented. Their rationale is that the low poles of affect must be measured along with the high poles (the PANAS measures only high negative and high positive affect), as increases in high positive affect are not necessarily contingent upon decreases in low negative affect (Huelsman et al., 1998). Although there is still disagreement in the field, some consensus is emerging. Affect appears to be best represented by a circumplex similar to that proposed by Russell (1980), wherein positive and negative affect is not merely composed of a set of oppositely-worded mood items, but represents the correlated but independent interplay between affect direction (positive or negative) and activation (high or low). Yik, Russell and Feldman Barrett 32 Subjective Wellbeing and Homeostasis (1999) sought to integrate the various conceptual circumplex structures of affect, including Russell’s (1980) circumplex, Watson & Tellegen’s (1985) positive and negative affect and Larsen & Diener’s eight combinations of pleasantness and activation, thereby taking a large step towards unifying dimensional approaches to affect. They argued that in previous affect research, the emphasis of affect measurement has been either on valence (subjective pleasure-displeasure) or activation (also known as arousal or energy) (Yik, Russell & Barrett, 1999). This approach to conceptualizing affect, representing both the valence and the activation of affect as two dimensions within a circumplex, has become commonly accepted. This model, rather than measuring positive affect and negative affect with two bipolar dimensions, uses a twodimensional model of affect, covering high and low positive affect (positive energy and tiredness) and high and low negative affect (negative arousal and relaxation). While several authors have valiantly argued their various viewpoints of affective structure and tested these through complex statistical analyses, it may be that a simple argument for the circumplex model can be drawn from the perspective of a psychologist. While affect certainly has a bipolar nature, such that a person who is happy is generally not sad, the human psyche and our propensity to experience emotion is undoubtedly more complex. Emotion cannot be likened to a hypothetical ‘box’ in which only one affective reaction can fit at one time; in fact there is no evidence to suggest that a person could not experience every emotion we can label at 33 Subjective Wellbeing and Homeostasis once. The argument for the circumplex can be demonstrated with a simple example: A man has been working around the clock and all through the weekend to finish an important project at work before taking long service leave. Although exhausted, he is now able to relax and enjoy his time. The hospital calls, and tells him his wife and his mother are there. His wife has just given birth to a beautiful healthy baby boy. His mother was involved in a burglary and has died. How does he feel? This vignette illustrates that while affect is descriptively bipolar, the experience of emotion is best accounted for when measured as four separate unipolar dimensions. In concluding the bipolarity versus independence of affect argument, Barrett and Russell (1998) stated that one can argue for both perspectives, and that we need not choose one above the other, but that a consensus must be reached in order to look beyond this theoretical block. It is now accepted that affect is best represented by a circumplex model, as this most accurately reflects the properties and true structure of affect through the dimensions of valence and activation (Russell & Carrol, 1999; Yik, Russell & Barrett, 1999). The circumplex model of affect is explored in greater detail in Section 2, Chapter 9. 3.2.4 Affect as a Trait or a State A second long-standing argument between researchers has concerned the property of ‘happiness’ as a trait or a state (Veenhoven, 34 Subjective Wellbeing and Homeostasis 1998). This issue parallels the contentious debate between top-down versus bottom-up theories of SWB (Diener, 1984). The perspective that happiness is a trait suggests that happiness and the propensity to feel happy is predisposed, fitting with the top-down approach (Diener, 1984). The bottom-up approach suggests that a happy person is one with many happy moments (Diener, 1984), and that the strength of positive emotion experienced is equal to their collective positive or negative experiences. Although there is very interesting and abundant literature on the trait-state issue (Stones, Hadjistavopolous, Tuuko & Kozma, 1995; Veenhoven, 1994, 1998), my response is to dissolve this argument with a revisitation of the nomenclature. The term ‘happiness’ has been criticized, as this term refers to a subjective state, and fails to meet the three criteria of a trait, being 1) temporal stability, 2) cross-situational consistency, and 3) inner causation (Veenhoven, 1994). Thus, by viewing ‘happiness’ as dependent on one’s current affective condition, it is logical and consistent with research findings that happiness has state-like properties. However, subjective wellbeing is viewed from a long-term perspective and has close ties with personality variables, therefore SWB is trait-like in nature. Therefore, using the term SWB instead of happiness removes some of the semantic ambiguity and controversy regarding the trait/state argument. The property of affect as a trait or state can also be clearly investigated, as much of the literature on the debate stems from this area of research. It would seem that, as similar affective states seem related over short periods of time and independent over long periods, affect is a state rather than a trait (Veenhoven, 1994). Furthermore, the argument regarding the 35 Subjective Wellbeing and Homeostasis independence of affective states may in fact be an argument of whether affect is a trait or a state, as positive affect and negative affect can appear state-like or trait-like depending on the timeframe of measurement and across situations (Stones et al., 1995). Adding complexity to this assumption, longitudinal research investigating positive affect and negative affect over the lifespan seems to be fairly uniform in finding that there is a general decrease in negative affect over time (as people become older) and that positive affect remains relatively stable in older adults (Charles, Reynolds & Gatz, 2001; Mroczek & Kolarz, 1998). Therefore, a conclusion could suggest that it may be possible that individuals have a pure and momentary state of affect, whilst also having a dispositional and stable affect level trait (Kozma, Stone, Stones, Hannah & McNeil, 1990). In agreement with this conclusion, Kammann and Flet (1983) commented on the state-like and trait-like properties of general happiness as measured by the Affectometer 2. They stated that happiness is both a rapidly changing state and a lasting stable trait, with scores reflecting both short-term and long-term components of SWB. Across multiple studies, the relationship between positive affect and extraversion, and between negative affect and neuroticism, has been both at the state level (David, Green, Martin & Suls, 1997) and at the trait level (Costa & McCrae, 1980, Watson & Clark, 1984, 1992). Diener (1984, p.550) qualified that “happiness can be considered both a trait and a state. The trait is a predisposition to experience certain levels of affect. Such a trait should be measured as independently from current mood as possible”. 36 Subjective Wellbeing and Homeostasis Up to this point, affect and personality have been discussed separately and treated as discrete constructs, as they are in much of the literature. However, emotion and personality are linked in so many ways and have such similar effects on SWB, it is important to also consider how they interact and exert their effect on SWB. 3.3 Link Between Personality and Affect Commonality is noticeable between extraversion and neuroticism traits, and positive affect and negative affect descriptors (Watson & Clark, 1992). The boundary between the definition and measurement of personality and affect is certainly blurred. Some affect and personality items on scales are nearly identical (McCrae & Costa, 1992), for example, both the neuroticism and the negative affect scales have items that represent depression, anxiety and distress (Schmutte & Ryff, 1997). Extraversion is characterized by positive affect, and neuroticism is very closely linked with negative affectivity (Ryan & Deci, 2001). Affect and personality have been described as an emotional state and an emotional trait respectively (Schmutte & Ryff, 1997). The distinction between them thus lies in the current experience of affect verses enduring tendencies to experience affect (Schmutte & Ryff, 1997). Negative affect has repeatedly been found to correlate with neuroticism but not with extraversion, and likewise positive affect has been found to correlate with extraversion but not with neuroticism (Berry & Hansen, 1996; Furnham & Brewin, 1990;Watson & Clark, 1992). Watson and Clark (1992) attribute this finding to the theory that neuroticism and 37 Subjective Wellbeing and Homeostasis extraversion are personality dimensions that reflect the propensity of the individual to experience negative and positive affect respectively. Thus, there seems to be independence between the positive and negative personality and affective factors (Berry & Hansen, 1996; Rusting & Larsen, 1997; Watson & Clark, 1992). Extraversion and neuroticism most likely play direct roles in fostering positive and negative affect, whereas the three other personality traits (conscientiousness, agreeableness and openness to experience) most likely play an indirect role in influencing SWB (McCrae & Costa, 1980). Hence, people who experience positive affectivity are generally high on extraversion, and those who experience negative affectivity are generally high on neuroticism. The high correlation between personality measures and affect has been explained with the rationalization that both ultimately reflect the same common underlying constructs (Watson & Clark, 1992). Personality and affect measures are intimately linked, as they are highly correlated, they relate to individual differences that influence our outlook on life, and their measurement is often based on very similar items. The major discriminating factor, however, is that affect refers to an emotional or mood-based and highly subjective state, whereas personality refers to a more stable trait. Whilst these constructs have many commonalities, their separation is important in the investigation of their influence on SWB. 38 Subjective Wellbeing and Homeostasis 3.4 Influence of Personality and Affect on SWB Many researchers concur that there is an interaction between personality and affect with regard to their role in determining SWB levels. While the presence of an interaction between personality, affect and SWB is unchallenged, much of the data investigating these variables are correlational, that therefore the direction of influence is unclear. A model of SWB proposed by Cummins, Gallone and Lau (2002) depicts the personality dispositions of extraversion and neuroticism directly influencing the level of positive affect and negative affect, where the balance of these personality and affective factors determines the set-point level of SWB. These authors consider that personality is substantially linked to affect, and both are linked to SWB. This is consistent with the finding that people with high SWB are generally high on extraversion and people with low SWB are generally high on neuroticism (Emmons & Diener, 1985; Headey & Wearing, 1989). The predisposition to neuroticism seems to enhance the negative mood experienced, thus resulting in decreased SWB levels. As SWB is influenced by both trait factors (personality) and state factors (affect), SWB is likely to have both stable and changeable components. The appraisal of ongoing life events can change, and therefore hedonic level can change. Emotion, however, returns to an average baseline level, which is set by trait characteristics (Diener, 1993). The trait characteristics of extraversion and neuroticism appear influential in baseline SWB levels, and thus far, only these two main personality dimensions have been the focus. The remaining three personality factors in the Big-Five model, Conscientiousness, Agreeableness 39 Subjective Wellbeing and Homeostasis and Openness to experience, do not command as much research focus as the primary two, however, these factors have also shown a significant positive relationship with positive affect (Watson & Clark, 1992). People high on Openness tend to be more susceptible to experience the good and the bad more intensely; therefore Openness correlates with both positive affect and negative affect and is unrelated to differences in SWB (McCrae & Costa, 1980). Agreeableness and Conscientiousness both increase positive affect and decrease negative affect, therefore having a SWB-enhancing effect (McCrae & Costa, 1980). McCrae and Costa (1980) concluded that although there is substantially more evidence of the influential nature of neuroticism and extraversion in SWB than for agreeableness and conscientiousness, there are both theoretical and empirical grounds for the inclusion of all five personality measures in studies on personality and SWB (McCrae & Costa, 1980). Although extraversion and neuroticism have consistently been linked to SWB levels by many researchers, it is possible that this link has been over-interpreted. One hypothesis that potentially complicates the perceived link between extraversion and SWB, states that the higher levels of SWB of extraverts is due to higher amounts of social interaction, rather than withinperson, temperamental differences (Pavot, Diener & Fujita, 1990). This hypothesis, however, does not seem to provide an adequate alternative explanation as, in the absence of social interaction, extraverts tend to find other rewards in the environment, hence their high SWB seems more due to a personality disposition that causes them to experience more happiness, regardless of the social features of the situation. As the positive affect 40 Subjective Wellbeing and Homeostasis between extraverts and neurotics in non-social environments did not differ significantly, Pavot and colleagues concluded that time spent in social situations is not accountable for the increased positive affect in extraverts. If personality is accepted as a stable individual difference variable unrelated to situational or behavioural factors, an interesting conundrum concerning the relationship between personality and affect with regard to their respective roles in SWB is then revealed. Are affect and personality essentially the same traits, being measured and labelled differently, or are indeed separate constructs involving distinct processes (Nemanick & Munz, 1997)? Research conducted by Nemanick and Munz (1997) demonstrated a mediational relationship between trait mood and personality, whereby personality is the most basic unit of explaining behaviour, and affect is closer to the state level. These findings suggest that affect and personality are in fact conceptually distinct, existing at different hierarchical levels. On the premise that affect and personality are in fact distinct, there has also been some controversy as to which is the higher order construct, or which construct influences the other. For instance, Watson and Walker (1996) argue that personality factors influence affectivity, whereas Tellegen (1985) suggests that affective factors are higher order traits that either replace or influence neuroticism and extraversion. Nemanick and Munz (1997) reported that there is a mediational relationship between trait mood (affectivity), personality traits (extraversion and neuroticism) and state mood. They found support for their hypothesis that trait mood and personality factors exist at different levels, whereby it is through trait mood 41 Subjective Wellbeing and Homeostasis that extraversion and neuroticism have their relationship with an individual’s state, and that therefore trait mood is a mediator between personality and current mood. Other researchers perceive affect and personality to be grouped together, combining their effect on SWB (Cummins, Gullone & Lau, 2002). Further research is required to confirm the direction of this relationship. To conclude, personality factors are known to influence SWB and explain more variance in SWB than demographic variables (Myers & Diener, 1995). Similarly, affect, both as a momentary state and as an enduring trait, is also known to influence SWB levels (Diener, 1984). Current research takes these findings one step further in proposing that both personality and affective factors are involved in determining individual setpoint levels of SWB. Although this line of research is still in progress, the conclusion can be reached that if personality and affective factors determine SWB levels, then they must likewise influence the predisposition to chronic lowered SWB, or depression. 42 Subjective Wellbeing and Homeostasis Chapter 4 2nd Order Determinants of Subjective Wellbeing 4.1 Cognitive Buffers People tend to view their life positively and rate themselves as ‘above average’, possessing what Headey and Wearing (1986) labeled the “human sense of relative superiority”. This positive perception has been called ‘positive cognitive bias’ or ‘positive illusions’. Positive cognitive bias is the general term used to describe the phenomenon of holding a positive view toward life, however this phenomenon is defined more specifically as relating to three factors that comprise the cognitive buffers hypothesized by Cummins and Nistico (2002). Although personality and affect act as first order determinants of SWB and determine the set-point of individual normative level of SWB experienced, it is clear that the maintenance of SWB involves more than simply these factors. Perceived SWB is a product of cognition as well as affect, and thus the regulatory cognitive processes involved in SWB homeostasis should be identified in models of SWB maintenance. The second order determinants of SWB depicted by Cummins and Nistico (2002) incorporate the three separate variables of self-esteem, control and optimism, otherwise known as cognitive buffers. Positive cognitive biases have been associated with SWB, and specifically, research suggests that self-esteem, control, and optimism contribute to the maintenance of SWB. In the model of SWB homeostasis, the ‘mechanism’ or SWB-maintaining factors proposed by Cummins and 43 Subjective Wellbeing and Homeostasis Nistico (2002) incorporate a tri-partate system of cognitive buffers that involve self-esteem, perceived control and optimism. These cognitive buffers will now be considered individually. 4.1.1 Self-Esteem Self-esteem is an extensively researched area (Cast & Burke, 2002; Lucas, et al.., 1996; Rosenberg, 1979), and academics and laymen alike are becoming increasingly aware of the importance of this factor in the healthy development of individuals. Due to the popularity of this area of study, there are many definitions and conceptualizations of the construct available. Self-esteem has been investigated as an outcome (focusing on processes that produce or inhibit self-esteem), a self-motive (in which people behave in ways that maintain positive evaluations of the self), and as a buffer (providing protection from experiences that are harmful) (Cast & Burke, 2002). For the purposes of this study, self-esteem is identified as a cognitive buffer. It is generally agreed that self-esteem is a cognition, and can be defined as “liking and respect for oneself” (Rosenberg, 1979:45), and is composed of the evaluations of both competence and worth. The competence dimension, or efficacy-based self-esteem, refers to the degree to which people see themselves as capable, whereas the worth dimension refers to the degree to which individuals feel they are of value (Cast & Burke, 2002). Cummins and Nistico (2002) have extensively researched the area of self-esteem and satisfaction with the self, and propose that such positive cognitive reference to the self generates a feeling of satisfaction. 44 Subjective Wellbeing and Homeostasis Furthermore, self-esteem has been found to have a strong positive correlation with SWB (Boschen, 1996; Hong & Giannakopoulos, 1994; Lucas, et al.., 1996), and may be the strongest predictor of SWB overall (Cummins & Nistico, 2002). People with high self-esteem display a pervasive tendency to cast themselves in more positive and less negative terms than they portray other people (Brown, 1986), and identify significantly more with positive characteristics and reject or dismiss negative characteristics (Taylor & Brown, 1988). In contrast, individuals with low self-esteem (or moderately depressed) are more ‘even-handed’ or realistic, and make accurate judgments of their positive and negative personal characteristics (Coyne & Gotlieb, 1983; Taylor & Brown, 1988; Watson & Clark, 1984). Although individuals with high self-esteem can be seen as having an unrealistically positive bias toward the self, Taylor and Brown (1988) claim that such positive biases are necessary in order to become a happy and well-adjusted person, and hence necessary for psychological wellbeing. There is an emerging consensus that a high degree of self-esteem variability is associated with negative psychological consequences, as compared with low-variability or more stable levels of self-esteem (Oosterwegel, Field, Hart & Anderson, 2001). It has been hypothesized that individuals with highly variable self-esteem may experience large plunges in self-esteem rather than small decrements, in response to social cues of problematic social interaction. The substantial negative affect triggered by a plunge in self-esteem may overwhelm the system of internal regulation (SWB homeostasis) leading to avoidance of social interactions 45 Subjective Wellbeing and Homeostasis (Oosterwegel, et al., 2001). These authors suggest that individuals with highly variable self-esteem experience episodes where the self is sometimes judged very highly and also sometimes very negatively, where the negative episodes lead to extremely negative self evaluations, producing the patterns of cognitions associated with depression and prolonged periods of dysphoria. In contrast, an individual who experiences low variability of self-esteem is less likely to experience the episodes of profoundly negative self-appraisals that create the susceptibility to depressogenic thoughts (Oosterwegel, et al., 2001). Thus, self-esteem is firstly related to SWB regulation, and furthermore low or unstable self-esteem appears linked to (with direction of causality unknown) a breakdown of SWB homeostasis, leaving the individual vulnerable in a depressogenic state. The consistently high correlation between self-esteem and SWB (Diener & Diener, 1995) can lead to two conclusions. Firstly, it could be that having high SWB (based on satisfaction in different life areas such as work and relationships) leads individuals to viewing the self in a positive light, giving rise to high self-esteem. Alternatively, it may be that being in a state of high self-esteem induces a more positive view of life, and motivates individuals to engage more actively and positively with life. These different perspectives argue the direction of causality between self-esteem and SWB. Self-esteem is most often perceived as a determinant of SWB (Cummins & Nistico, 2002; Pugliesi, 1988), as self-esteem has been found to be the strongest single predictor of SWB. Self-esteem tends to act both as a buffer and as a resource, as it buffers the effect of negative life events thereby acting to enforce the 46 Subjective Wellbeing and Homeostasis homeostasis of SWB (Cummins & Nistico, 2002), and can be depleted and thus lead to lowered SWB or satisfaction (Cast & Burke, 2002). Viewing self-esteem, alongside perceived control and optimism, as a part of the SWB homeostasis mechanism suggests that the failure or decrease of self-esteem may coincide with homeostasis breakdown, which would have important consequences for SWB and depression levels. In line with this speculation, Cast and Burke (2002) have found that whilst positive self-esteem increases feelings of competency and worth, disruption of selfesteem has negative emotional consequences, such as distress, in the form of depression and anxiety. “Self-esteem can buffer the individual from such negative effects both directly and indirectly. Not only should self-esteem be associated with higher levels of well-being (direct buffering effect), but selfesteem should also moderate the effects of a lack of self-verification (indirect buffering effect)” (Cast & Burke, 2002, p1048). Self-esteem not only gives rise to positive evaluations of the self, but also acts as part of a system that maintains the homeostasis of SWB. Thus, self-esteem can be viewed as both an important individual difference, and as a buffer of SWB that influences resilience to negative life events. In the model of SWB homeostasis, Cummins and Nistico (2002) depict selfesteem as one of the three cognitive buffers, along with control and optimism, that regulate SWB levels within a predictable range. Control will now be discussed. 47 Subjective Wellbeing and Homeostasis 4.1.2 Control The topic of ‘control’ spans a broad conceptual area, and as such, can be defined in a number of different ways. Control can be depicted as a positive cognitive bias that takes the form of a generalized belief in personal competence (Golin, Terrell & Johnson, 1977), a situational appraisal of personal competence (Folkman, 1984), and as a coping mechanism once a stressful encounter has taken place (Folkman, 1984). These three functions of control are now discussed in more detail. Control as a generalized belief in personal competence can be thought of as a belief concerning the extent to which outcomes of importance can be controlled. In a specific stressful encounter, control can also be thought of as a situational appraisal of the possibilities for control. From the first perspective, the belief in control exists when a person’s expectancy of success in a chance-determined event is higher than would be warranted by the objective probabilities associated with that event (Golin, et al., 1977). Existing as a belief, control does not need to be exercised for it to be effective and control does not need to be real, just perceived, for it to influence the impact of a stressful encounter (Thompson, 1981). Originally labeled cognitive illusions of control, in recent years it has been found that unrealistically positive beliefs of control are associated with mental health, whereas realistic and low belief in personal control is associated with depression (Cummins & Nistico, 2002; Golin et al., 1977; Golin, Terrell, Weitz & Drost, 1979). In exploring the second perspective, control as a situational appraisal of personal competence can be thought of as comprising two forms; 48 Subjective Wellbeing and Homeostasis “primary appraisal, through which the person evaluates the significance of a specific transaction with respect to wellbeing, and secondary appraisal, through which the person evaluates coping resources and options. Primary and secondary appraisals converge to shape the meaning of every encounter” (Folkman, 1984:840). Thus, generalized beliefs and situational appraisal of control affect whether situations are perceived as controllable or uncontrollable, and thus as positively challenging, or threatening and stressful. In the final perspective, control as a coping mechanism can be viewed as a cognitive mediator of a stressful transaction and its adaptational outcome (Folkman, 1984). Thus, once a situation is appraised as stressful, coping efforts mediate the effect of this stressor on subjective quality of life. Coping can be defined as “constantly changing cognitive and behavioural efforts to manage specific external and or internal demands that are appraised as taxing or exceeding the resources of the person” (Lazarus & Folkman, 1984:141). Previous research has identified many different ways that individuals cope with stressful situations. Various typologies have been proposed to describe the functioning of control, including the process of primary control and secondary control. Primary control can be generally defined as a belief that one can influence existing realities so that they fit the needs of the self (Rothbaum, Weisz & Snyder, 1982), and it is akin to the aforementioned positive cognitive bias of control. An example of this is the belief that one will lose weight by exercising. Secondary control, on the other hand, can be defined as accepting or adjusting to one’s situation, such as when one is having 49 Subjective Wellbeing and Homeostasis trouble loosing weight. Secondary control involves cognitive strategies such as goal disengagement and social comparison. For example, a secondary control approach may involve telling oneself that loosing weight is not important, or comparing oneself to heavier individuals. A sense of personal control is integral to the self-concept and selfesteem of an individual (Taylor & Brown, 1988), and thus it follows that people with depression are less vulnerable to the illusion of control (Abramson & Alloy, 1981). They also show less optimism for outcome success when they are in control of circumstances and more optimism for outcome success when circumstances are controlled by chance (Golin, Terrell & Johnson, 1977). 4.1.3 Optimism Optimism refers to a positive belief regarding oneself in the future. Most people believe that the present is better than the past and that the future will be even better (Brickman, Coates & Janoff-Bullman, 1978). Robinson and Ryff (1999) claim that perceptions of future wellbeing, or optimism, are particularly subject to self-enhancement biases, and that selfdeception is greatest under conditions of information uncertainty and high motivation. Thus, relatively concrete information about the future will serve to minimize such enhancement. An absence of relatively concrete information about the future provides an ideal opportunity for envisioning the best possibilities for oneself. As well as envisioning positive external circumstances and events, optimists may also be motivated by their ‘possible selves’, or the vision of 50 Subjective Wellbeing and Homeostasis the achievement of their ideal self that encapsulates the person they would like to become (Markus & Nurius, 1986). Possible selves are important because they function as incentives for future behaviour and provide an evaluative and interpretative context for the current view of self. Optimism can be viewed as an artifact of personality. Scheier and Carver (1992) studied a personality variable they identified as dispositional optimism; the global expectation that good things will be plentiful in the future and bad things scarce. In another perspective on optimism, Seligman and his colleagues approached optimism in terms of an individual’s explanatory style. Consistent with Beck’s (Beck, Rush, Shaw & Emery, 1979) cognitive theory, negative events are attributed to external, unstable and specific causes by optimists, and attributed to internal, stable and global causes by pessimists. A final perspective on optimism involves the process of little optimism and big optimism. ‘Little’ (specific) optimism subsumes specific expectations about positive outcomes, such as the expectation that a convenient parking space will be found quickly, whereas ‘big’ (global) optimism refers to larger and less specific expectations, such as the expectation that the human race will achieve world peace (Peterson, 2000). Research has documented diverse benefits of optimism. Optimism has been negatively related to depression (Alloy & Ahrens, 1987, Brown, 1985), and positively related to adjustment and wellbeing in people with coronary heart disease (Scheier et al., 1989) and other people affected by chronic illness (Aspinwall & Taylor, 1992). It has been proposed that optimism exerts its influence both directly on wellbeing (Aspinwall & Taylor, 1992), and through coping efforts. In relation to this, optimism has 51 Subjective Wellbeing and Homeostasis most commonly been associated with a higher use of primary control strategies (Aspinwall & Taylor, 1992; Friedman et al., 1992; Scheier et al., 1989, Strutton & Lumpkin, 1992). Thus, optimists adopt adaptive coping strategies dependent on the controllability of the situation. Consistent with this, Scheier, Weintraub and Carver (1986) found that optimists tend to adopt strategies that are more effective when coping with stress. Although optimism is correlated with the absence of depression, failure and illness, and pessimism with their presence (Peterson, 2000), psychological wellbeing cannot be simply defined as the absence of distress any more than physical health is the absence of disease. Optimism has, however, been linked to SWB and other signs of positive psychological status (Scheier & Carver, 1992). For instance, when people are optimistic, they experience positive affect, and pessimistic views give rise to negative affect (Scheier & Carver, 1992). Optimism is negatively correlated with several measures of poor psychological wellbeing such as neuroticism and anxiety, as one might expect, and optimism is also positively correlated with measures of positive psychological health, such as self-mastery, internal locus of control and self-esteem (Scheier & Carver, 1992), as well as positive evaluations of an individual’s expected self (Carver, Reynolds & Scheier, 1994). Therefore optimism is not merely based on unjustified beliefs about future outcomes, but can be viewed as a vital mechanism of positive mental health that aids the regulation of SWB. 52 Subjective Wellbeing and Homeostasis 4.2 The Adaptive Outcomes of Positive Cognitive Biases The three factors that form the cognitive buffers that are hypothesized to regulate SWB according to the SWB homeostasis theory (Cummins & Nistico, 2002) have been found to have a positive relationship with SWB. Furthermore, studies on positive cognitive biases in general have found that this instinctive positive perception fosters mental health (Taylor & Brown, 1988; 1994). Thus, it seems that an unrealistically positive perception of life is necessary for psychological wellbeing, and that perhaps a realistic, unbiased view of life would cause people to dwell on the negative aspects, proving detrimental to our wellbeing. While research discussed above has demonstrated the benefits of positive cognitive biases, Colvin and Block (1994) argue that there is insufficient evidence that cognitive biases such as unrealistic optimism are positively related to mental health. They claim that cognitive distortions about oneself and one’s social surroundings cannot result in adaptive behaviour over long periods of time in a world that provides feedback or reacts on the individual. Baumeister (1989) suggested a compromise between these seemingly incommensurable views in his ‘Optimal Margin Hypothesis’. He proposed that optimal psychological functioning is associated with a slight to moderate degree of distortion in one’s perception of the self and the world, such that there is an optimal range for positively biased cognitions. Provided that cognitive biases are maintained within some homeostatic range that prohibits the emergence of delusions (defined as being beyond the normal adaptive range and severely incongruent with reality), they 53 Subjective Wellbeing and Homeostasis constitute an adaptive mechanism for the maintenance of subjective quality of life. It is possible, therefore, that such positively biased cognitions constitute an adaptive mechanism that creates and maintains mean population life satisfaction in the range of 50-100% Scale Maximum. In summary, positive cognitive biases in self-esteem, primary control, and optimism have been proposed to constitute an adaptive mechanism for the maintenance of subjective wellbeing. 54 Subjective Wellbeing and Homeostasis Chapter 5 Depression Clinical depressive disorders appear in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV, 1994) within the category of Mood Disorder. This category also includes disorders that relate to mania, however for the purpose of this paper, only the two conditions specifically implicating depression, being Major Depressive Disorder and Dysthymic Disorder, will be discussed. Dysthymic Disorder and Major Depressive Disorder are differentiated on the basis of their severity, chronicity and persistence (APA, 1994). The diagnosis of Major Depressive Disorder is contingent upon the presence of a depressed state for most of the day, nearly every day, for a period of at least two weeks. In contrast, a diagnosis of Dysthymic Disorder specifies that symptoms must be present for more days than not over a period of at least two years (APA, 1994). Major Depressive Disorders are usually differentiated from Dysthymia in that they involve a discrete major depressive episode that can be distinguished from a person’s usual functioning, whereas dysthymia indicates the presence of a less severe but more pervasive depression that is more typical of the person’s usual behaviour. In fact, in dysthymic disorder, complaints of depression may become such a fixture of people’s lives that is seems to be intertwined with their personality structures (Klein, Taylor, Dickstein & Harding, 1988). Depression is currently diagnosed according to the presence of signs, symptoms and functional impairment (APA, 1994). The symptomatology 55 Subjective Wellbeing and Homeostasis of dysthymia and a major depressive episode are fairly similar, including criteria such as markedly diminished interest or pleasure in almost all activities, appetite and sleeping pattern changes, feelings of worthlessness, low self-esteem and recurrent suicidal ideation (APA, 1994). 5.1 Prevalence According to the lifetime prevalence statistics for major depression, 10% to 25% of women and 5% to 12 % of men are affected by the condition, with up to 15% of individuals dying by suicide (DMS-IV, 1994). A consistent finding in the depression literature is the preponderance of depression in females, which can be as significant as 2:1 (Amenson & Lewinsohn, 1981). Furthermore, women who have suffered from depression in the past are more susceptible to becoming depressed again (22%) than men with a similar history (13%). The artefact hypothesis explains the sex difference in depression by stating that the actual prevalence of depression is equal among the sexes, but that women perceive, acknowledge, report and seek help for depression more freely than men (Amenson & Lewinsohn, 1981). If this is indeed the case, the true prevalence of depression may be higher due to unreported incidents of depression within the community. Depression is the most common mental disorder in industrialised societies (Flynn & Cappeliez, 1993). Depression is, in fact, about ten times more prevalent than it was 50 years ago, as shown by lifetime prevalence studies and the relative absence of depression in pre-modern cultures. These facts point to the conclusion that there seems to be something about 56 Subjective Wellbeing and Homeostasis modern life that creates fertile soil for depression (Seligman, 1990). Thus, it is imperative that we, as a community, be aware of the most effective methods of diagnosing and treating these individuals if we are to make a significant impact on the overall SWB of our society. 5.2 Depression Assessment The fundamental tool of psychological assessment is the clinical interview. The clinical interview can be structured or unstructured, and serves the purpose of gathering information such as behavioural observations, idiosyncratic features of the client, and the person’s reaction to his or her current life situation (Groth-Marnat, 1999). It is also a means for building rapport and can serve as a check against the meaning and validity of test results. The Schedule for Affective Disorders and Schizophrenia (SADS, Endicott & Spitzer, 1978) is an extensive semi-structured interview that is commonly used in a clinical setting for the diagnosis of depression and other affective disorders. The adult version of the SADS contains over 200 items, which fall into eight summary scales including: mood and ideation; depressive-associated features; and suicidal ideation and behaviour. The clinical interview is often used in conjunction with self-rated questionnaire inventories. These inventories allow for confirmation of conclusions drawn from clinical interviews, and also provide a means of brief psychological evaluation in situations where clinical assessment is time limited or not available (i.e., for the purpose of research, etc). 57 Subjective Wellbeing and Homeostasis The Beck Depression Inventory (BDI, Beck, Ward, Mendelson, Mock & Erbaugh, 1961) and the Hospital Anxiety and Depression Scale (HAD, Zigmond & Snaith, 1983) are two popular self-rated inventories of depression. These inventories comprise a set of items supposedly reflective of depression symptomatology. The BDI has been widely used for the assessment of cognitions and physiological symptoms associated with depression, and has been found to do so just as effectively as longer and more costly structured interviews (Stukenberg, Dura & Kiecolt-Glasser, 1990). The HAD scale is a questionnaire designed to detect the presence and severity of depression and anxiety in medical outpatients and the general community. The items in this scale make no reference to physical problems, ensuring that scores are independent of physical illness (Bowling, 2001). Three criticisms of depression inventories follow. Firstly, only negative items are listed. Therefore, inventories have a disease-focus rather than representing a continuum of depression through to happiness, therefore a low score is merely indicative of a lack of depressive symptoms. Furthermore, responding to a list of negatively worded leading items may have the effect of depressing the subjects further than their previous baseline level, rendering the score less valid. Secondly, a proportion of the items on many depression inventories are representative of physical symptoms of depression, such as sleeping and eating patterns. Although these items do reflect depression symptoms and address DSM-IV (1994) criteria, they blur the boundary between physical and psychological aspects of depression. The HAD scale is one of the few 58 Subjective Wellbeing and Homeostasis inventories that has addressed this limitation by separating the psychological from the physical symptoms of depression, and only measures the psychological aspects. Finally, the items in depression questionnaires are not focused on different areas of life. Thus the scores gained in the diagnostic process from these inventories only indicate a level of depression, generally being none, mild, moderate and severe. Without the specification of the area of life in which a person is depressed or experiences the highest level of depression, the inventories merely assist the diagnostic process rather than guide treatment. 5.3 Models of Depression To ensure that this review of depression is as brief and relevant to the thesis topic as possible, only the biological and cognitive aetiological framework and diathesis-stress perspective will be covered. The biological model of depression states that abnormal genetic or biochemical processes predispose some individuals to depression. Genetic factors appear to play a substantial role in depression, however psychosocial and environmental factors, such as exposure to stressful life events, may play an equal or even greater role than genetics in determining the risk of the disorder (Kendler, Neal, Kessler & Heath, 1993). The dominant biological model of depression during the past 30 years involves the Catecholamine Hypothesis (Schildkraut, 1965), and focuses on the role of norepinephrine. The catecholamine hypothesis proposes that depression results from deficiencies in one of the catecholamines, norepinephrine, and 59 Subjective Wellbeing and Homeostasis as such, antidepressant medication acts on depression by increasing brain levels of neurotransmitters such as norepinephrine and serotonin. In contrast, the cognitive perspective purports that the way people typically interpret or understand events in their lives (i.e., their cognitive styles) has an important effect on their vulnerability to depression (Alloy, Abramson & Francis, 1999). The two major cognitive models of depression are Beck’s theory (1967; 1987) and the Hoplessness theory (Abramson, Metalksy & Alloy, 1989; 1995; Alloy, Abramson, Metalsky & Hartlage, 1998). Beck’s Theory of Depression According to Beck’s theory of depression, three sets of cognitive concepts explain aspects of depression: 1) maladaptive self-schemata; 2) cognitive distortions; and 3) the cognitive triad (negative views about the self, the world and the future) (Alloy & Abramson, 1999; Coyne & Gotlib, 1983). The first major ingredient in Beck’s (Beck et al., 1979) cognitive model consists of the concept of schemas. This concept is used to explain why a depressed patient maintains pain-inducing and self-defeating attitudes despite objective evidence of positive factors in life (Beck et al., 1979). Schemas constitute the basis for screening out, differentiating and coding the stimuli that confront the individual. In this theory, maladaptive schemata containing dysfunctional beliefs involving themes of loss, inadequacy, failure and worthlessness, constitute the cognitive vulnerability to depression. When these hypothesised depressogenic self-schemata are activated by the occurrence of negative life events (stress), they generate 60 Subjective Wellbeing and Homeostasis specific negative cognitions (cognitive distortions) that take for form of overly pessimistic views of oneself, the world, and the future (Alloy & Abramson, 1999). In the absence of activation by negative events, however, the depressogenic self-schemata remain latent and less accessible to awareness, and do not directly lead to negative automatic thoughts or depressive mood and symptoms (Beck et al., 1979). Cognitive distortions are systematic errors in thinking that maintain the patient’s belief in the validity of negative concepts despite the presence of contradictory evidence. Specific negative thought patterns include (Beck et al., 1979, p14): 1. Arbitrary inference - refers to the process of drawing a specific conclusion in the absence of evidence to support the conclusion 2. Selective abstraction – consists of focusing on a detail taken out of context, ignoring other more salient features of the situation and conceptualising the whole experience on the basis of this fragment 3. Overgeneralisation – refers to the pattern of drawing a general rule or conclusion on the basis of one or more isolated incidents and applying the concept across the board to related and unrelated situations. 4. Magnification and minimisation – are reflected in errors in evaluating the significance or magnitude of an event that are so gross as to constitute a distortion 61 Subjective Wellbeing and Homeostasis 5. Personalisation – refers to the patient’s proclivity to relate external events to themself when there is no basis for making such a connection 6. Absolutistic, dichotomous thinking – is manifested in the tendency to place all experiences in one of two opposite categories; for example, flawless or defective, immaculate or filthy, saint or sinner. In describing himself, the patient selects the extreme negative categorisation. The cognitive triad consists of three major cognitive patterns that induce the patient to regard themself, their future, and their experiences in an idiosyncratic manner. The first component of the triad revolves around the patient’s negative view of himself. They see themself as defective, inadequate or deprived. They tend to attribute his unpleasant experiences to a psychological, moral or physical defect in themself (Beck et al., 1979). The second component relates to the patient viewing the world as making exorbitant demands on them and presenting insuperable obstacles to reaching their life goals. The third component consists of a negative view of the future. As the depressed person makes long-range projections, they anticipate that their current difficulties or suffering will continue indefinitely. They expect unremitting hardship, frustration and deprivation. When they consider undertaking a specific task in the immediate future, they expect to fail (Beck et al., 1979). 62 Subjective Wellbeing and Homeostasis The Learned Hopelessness Model of Depression The learned hopelessness model of depression (Alloy & Abramson, 1999), offers the prediction that depressed individuals deny responsibility for positive outcomes, but see themselves as accountable for negative outcomes (Ruehlman, West & Pasahow, 1985). According to this theory, the expectiation that highly desired outcomes will not occur and that highly aversive outcomes will occur, and that one cannot change this situation – hopelessness – is a proximal sufficient cause of the symptoms of depression (Alloy & Abramson, 1999). This theory purports that negative life events (or the non-occurrence of positive life events) set the occasion for people to become hopeless. “Hopelessness and, in turn, depressive symptoms are likely to occur when negative life events are attributed to stable (ie., enduring) and global (ie., likely to affect many outcomes) causes and viewed as important, or likely to lead to other negative consequences, or as implying that the person is unworthy or deficient” (Alloy & Abramson, 1999, p228). In the absence of negative life events, it is predicted that people exhibiting the depressogenic inferential style should be no more likely to develop hopelessness and, in turn, depressive symptoms, than people not exhibiting this style. While the two major cognitive models of depression differ in the specific components that describe the relationship between negative life events, cognitive style and depression, they have essentially the same underlying conceptualisation. “While the focus of each of these models varies, they all share a primary emphasis on cognitive factors that play a role in vulnerability to depression and/or in the maintenance of depression” 63 Subjective Wellbeing and Homeostasis (Ruehlman et al., 1985, p47). Beck’s theory and the learned hopelessness theory both state that negative cognitions play a causal role in depression. This contrasts with more traditional conceptualisations, that consider negative thinking a symptom or consequence of depressed affect (Coyne & Gotlib, 1983). Both models emphasise the importance of idiosyncratic causal schemata in the development of an expectation of hopelessness, which makes individuals vulnerable to depression (Alloy & Ahrens, 1987). Diathesis-Stress Perspective These contemporary cognitive perspectives of depression are articulated in terms of diathesis-stress models (Flynn & Cappeliez, 1993; Simons, Angell, Monroe & Thase, 1993). The major depression models (Beck, 1964; Abramson, Metalsky & Alloy, 1989) are built on the basic notion that depression can occur when a specific cognitive vulnerability (diathesis) interacts with a specific negative life event (stress) that matches the domain of the cognitive vulnerability (Simons, Angell, Monroe & Thase, 1993). According to the diathesis-stress model, depression is only a likely outcome if the diathesis (cognitive vulnerability) and stress (life event) match. This presupposition was articulated by Simons and colleagues (1993, p584), who stated that “Neither the presence of the cognitive vulnerability factor in the absence of a domain-congruent life stress nor the occurrence of negative life events in the absence of a cognitive vulnerability in the same domain are deemed sufficient to initiate an episode of depression”. 64 Subjective Wellbeing and Homeostasis Cognitions may influence the perception of stress and experience of SWB/depression in a variety of ways. Firstly, cognitive factors, such as dysfunctional attitudes and attributional style, may influence the definition of negative life events by lowering the threshold for defining an experience as stressful. Second, cognitive factors may influence the rating or evaluation of stress (Simons, Angell, Monroe & Thase, 1993). This was illustrated with the example that individuals with strong beliefs about performance as an index of self-worth may be more likely to rate workrelated events as very stressful (Simons, Angell, Monroe & Thase, 1993). Some evidence has been found for the cognitive model of depression (Alloy et al., 1999). Firstly, Alloy and colleagues (1999) found that negative cognitive styles indicated risk for both first onset and recurrences of clinically significant depression. Furthermore, the association between cognitive vulnerability and the development of suicidality was completely mediated by hopelessness, as only those participants who became hopeless about their futures developed suicidality (Alloy et al., 1999). It is important to note, however, that the authors did not establish a causal link between cognitive style and depression. However, cognitive therapy, which aims to change the cognitions and irrational beliefs held by depressed clients, has been found to be an effective treatment for depression (DeRubeis & Hollon, 1995). This alludes to a causal mechanism whereby altering (improving) cognitions results in reduced depression. 65 Subjective Wellbeing and Homeostasis 5.4 SWB and Depression There is substantial evidence that SWB is inversely related to depression (Barge-Schaapveld, Nicolson, Berkhof & deVries, 1999; de Leval, 1999; Hansson, 2002; Holloway & Carson, 1999; Kammann & Flett, 1983; Koivumaa-Honkanen, Honkanen, Hintikka, & Honkalampi, 2001; Pyne, Patterson, Kaplan, Gillin, Koch & Grant, 1997). SWB levels are markedly reduced during a current state of depression (Pyne et al., 1997), and increase concurrently as symptoms of depression subside (Hansson, 2002; Holloway & Carson, 1999; Koivumaa-Honkanen et al., 2001). There is a strong link between SWB and depression, such that people with depression have a worse SWB than people with other psychiatric disorders, and depression accounts for greater reductions in SWB than common physical illnesses such as hypertension and cardiac diseases (Hansson, 2002). In fact, depression accounts for approximately 21% of the variance in SWB (Holloway & Carson, 1999). The relationship between a self-rated four-item SWB scale and the Beck Depression Inventory was tested by Koivumaa and colleagues (2001). The four items of their SWB scale comprised: Do you feel that your life at present is: 1) very interesting (1), fairly interesting (2), fairly boring (4) or very boring (5),? 2) very happy (1), fairly happy (2), fairly sad (4), or very sad (5),? 3) very easy (1), fairly easy (2), fairly hard (4), or very hard (5),? Do you feel at the present moment you are: 4) very lonely (5), fairly lonely (4), or not at all lonely (1)? 66 Subjective Wellbeing and Homeostasis They found that this SWB measure correlated strongly with the widely used 21-item BDI, as well as the Hamilton Depression Rating Scale. Secondly, SWB improved concurrently with recovery from depression, regardless of the severity of depression. SWB scores remained low in those people whose depression scores did not improve, however SWB showed a pronounced improvement and reached the normal general population level in those whose depression scores improved (Koivumma-Honkanen et al., 2001). As reflected both in epidemiological and clinical studies it is quite evident that persons with major depression have a substantially lower SWB than those with no depression, and that SWB is severely affected in a number of life domains (Hansson, 2002). While the onset of an episode of depression co-occurs with pronounced decreases in SWB (Barge-Schaapveld, et al. 1999), the direction of causality between lowered SWB and depression is as yet unknown. Thus, there is some controversy regarding the extent to which satisfaction is the opposite of depression. Although they are negatively correlated, it is still unknown to what extent these states are due to different causes (Argyle & Martin, 1991). Overall, depressed individuals have a reduced SWB (BargeSchaapveld et al., 1999; de Leval, 1999). SWB scores are negatively correlated with depression scores (de Leval, 1999; Pyne et al., 1997), and depression has been found to significantly predict low SWB (BargeSchaapveld et al., 1999; Hong & Giannakopoulos, 1994; Valiant, 1993), 67 Subjective Wellbeing and Homeostasis however the direction of causality between depression and SWB cannot be determined from the observed high correlations. 5.5 Theory of SWB Homeostasis and Depression The theory of SWB homeostasis (Cummins, 1998) was discussed in earlier chapters, and refers to the systematic regulation of SWB that is maintained by 1st order and 2nd order determinants, being personality and affect, and cognitive buffers respectively (model presented in Figure 2). As SWB has a strong relationship with depression, it is important to investigate the relationship between depression and factors that are proposed to regulate SWB. Therefore, this section of the chapter will do this and, moreover, present a model of depression based on the SWB theory, and rationale for the use of SWB inventories in depression diagnosis and treatment. 5.5.1 Personality, Affect and Depression There is robust evidence of the related but separable relationships between SWB and positive and negative affect (Huebner & Dew, 1996). Likewise, there is evidence that personality and affective factors similarly influence depression (Huebner & Dew, 1996). The interplay between depression and SWB has been primarily studied through the correlation between personality, positive affect and negative affect (Lewinsohn, Redner & Seeley, 1991). Studies have found evidence of the relationship between personality and depression. From the original works of Eysenck (1981), high neuroticism scores have been linked with depression, and low extraversion 68 Subjective Wellbeing and Homeostasis with dysthymia. The personality factors of high neuroticism and low extraversion appear to correlate with, and predict depression (Valiant, 1993). Thus, while there is not a depressed personality style as such, people who are high on neuroticism and low on extraversion tend to perceive the world more negatively, and may be more susceptible to depression. Likewise, there is a relationship between affect and depression. People high in duration and intensity of negative affect will often experience depression, whereas people high in duration and low in intensity of negative affect will be better characterized as melancholic or dysthymic most of the time (Diener, 1984; Elliott, Marmarosh & Pickelman, 1994). Affectivity is also individually associated with depression (Roberts & Kassel, 1996). High negative affect appears to be associated with both depression and anxiety, whereas low positive affect is uniquely associated with depression, and represents anhedonia (Roberts & Kassel, 1996). Thus, depression may result from a combination of high negative and low positive affect. The combination of high negative affect and low positive affect may also be potentially associated with vulnerability to depression (Roberts & Kassel, 1996). 5.5.2 Cognitive Buffers and Depression Depression coincides with a failure of the cognitive buffers, including: diminished levels of perceived control (Abramson & Alloy, 1981; Alloy, Abramson & Viscusi, 1981; Benassi & Mahler, 1985; Golin, Terrell & Johnson, 1977; Golin, Terrell, Weitz & Drost, 1979; Schwartz, 69 Subjective Wellbeing and Homeostasis 1981); decreased self-esteem (Alloy & Ahrens, 1987); and decreased optimism (Pyszczynski, Holt & Greenberg, 1987). Lowered self-esteem, lowered control and lowered optimism are all implicated in people with depression (Alloy & Ahrens, 1987), which lends support to the SWB homeostasis theory, which depicts these three factors as part of the tri-partite cognitive buffer system. Cognitive factors may also influence the generation of negative life events. Dysfunctional styles may shape behaviour thus creating circumstances in which negative life events are more likely to occur (Simons, Angell, Monroe & Thase, 1993). 5.5.3 Hypothesised Model of SWB Homeostasis Breakdown According to the SWB homeostasis theory, SWB is managed, for each individual, within a set-point range (Cummins, 2000). The SWB level for population mean scores lie between 70-80%SM, and it is estimated that the threshold for each individual is 10%SM around their set point. The threshold is proposed to exist at the margins of the set-point-range (Cummins et al., 2002). As SWB approaches these margins, the homeostatic system resists further change, and if the threshold is exceeded, attempts to bring SWB levels back within the normal range for the individual person (Cummins et al., 2002). The theory predicts that people who suffer some event that depresses their SWB below threshold should experience increases in their SWB levels over time until homeostasis is regained. However, all homeostatic systems have their limitations. Severe or chronic conditions to which a person cannot adapt, such as extreme poverty, can precipitate homeostatic defeat. 70 Subjective Wellbeing and Homeostasis Thus, provided that the homeostatic system is not overly challenged, the system will adapt to the presence of negative circumstances with little discernable influence on SWB. However, as the strength of an extrinsic influence increases, at some value it will exceed the adaptive capacity of the homeostatic system and will be defeated (Cummins et al., 2002). This curvilinear relationship between the strength of the extrinsic agent and the value of SWB is depicted in Figure 6. Dominant Source of SWB Control Extrinsic Conditions Homeostasis Extrinsic Conditions High SWB Lower Threshold Low Strong Negative Upper Threshold Neutral Strong Positive Strength of the Extrinsic Conditions Figure 6 The Relationship Between SWB and Extrinsic Conditions (Cummins et al., 2002) The theoretical understanding of the relationship between extrinsic conditions and SWB homeostasis allows the following specific predictions, as presented by Cummins Gullone & Lau (2002): 71 Subjective Wellbeing and Homeostasis 1. Under maintenance conditions, where no threat to homeostasis can be recognised, there should be no systematic relationship between the objective circumstances of people’s lives and their SWB. This is because homeostasis, not the extrinsic conditions, are controlling levels of SWB. 2. Under non-maintenance conditions, where the homeostatic system is facing defeat, the relative strength of the relationship between extrinsic condition and SWB changes. Here, the extrinsic conditions are the dominating force, defeating homeostasis, and thereby, wresting control of SWB by causing it to rise or fall. Under these conditions, the correlation between SWB and the extrinsic condition is much enhanced. 3. There will be a law of diminishing returns in the ability of improved objective conditions to cause an increase in SWB. That is, in conditions of marked deficit, many of the objective indicators will have the power to control SWB. For example, chronic poverty, friendlessness, lack of safety, etc. However, if such circumstances are improved to the point that they are no longer instrumental in causing homeostatic defeat, further improvements are predicted to have little further effect on SWB for two reasons. First, control has been returned to the homeostatic system, and so further improvements will be absorbed by the system, effectively holding the SWB output constant. Second, if a sudden, 72 Subjective Wellbeing and Homeostasis marked improvement occurs that exceeds the upper threshold, the processes of adaptation will quite rapidly diminish the impact of this new experience, and, once again, return control to homeostasis. The first and second predictions are evidenced with the finding that SWB scores tended to be independent of events, whereas depression was more closely related to events (Valiant, 1993). This finding can be related to the hypothesised model of SWB homeostasis breakdown in the following manner: SWB is generally stable and resistant to fluctuations caused by external events due to the effect of the cognitive buffers that moderate the impact of events. However, if depression is accepted as a state of homeostatic breakdown, depression may be more related to external events because the cognitive buffers are unable to operate in conditions of homeostatic breakdown. Likewise, evidence has been found for the third prediction. The stress associated with chronic poverty (involving life conditions such as inadequate housing, inability to meet basic needs, and financial uncertainty) can be hypothesised to be a significant risk factor for SWB homeostasis breakdown, which could lead to depression. Poverty is, in fact, one of the most consistent correlations of depression. High levels of depression are common amongst those with low incomes (Belle, Longfellow & Makosky, 1982; Kaplan, Roberts, Camacho & Coyne, 1987), and in fact rates of depression have been estimated to be twice as high amongst low income earners and homeless individuals. 73 Subjective Wellbeing and Homeostasis One of the most consistent findings regarding the onset of depression is that stressors precede an episode of depression (Lewinsohn et al., 1988). In fact, even ‘microstressors’ or minor daily unpleasant events have been associated with depression. The SWB homeostasis model predicts that the level of one’s set-point range relates to the extent to which an individual is robust to negative life events, in that a high set point range indicates a high level of resistance, and a low set point range indicates that an individual has a fragile homeostatic system and is therefore prone to depression. Consistent with the finding that neuroticism and negative affect are correlated to dysthymia and depression, individuals with high levels of these factors can be expected to have a predisposition toward homeostatic failure, and therefore to suffer depression. The occurrence of depression can be conceptualised within the SWB homeostasis framework, and is depicted in the hypothesised model in Figure 7. The original model of SWB homeostasis (Cummins, 1998) depicts personality and affect as 1st order determinants, and cognitive buffers as 2nd order determinants, of SWB. The hypothesised model builds on the original by indicating the direction of influence both from the cognitive buffers to SWB (note: depression is also acknowledged here as a form of psychological wellbeing), and also from SWB to the cognitive buffers. This identifies the cyclic or bi-directional relationship between our cognitions and our level of wellbeing. 74 Subjective Wellbeing and Homeostasis Positive Events Personality Cognitive SWB Affect Biases Depression Negative Events Figure 7 Hypothesised Model of Depression Based on the SWB Homeostasis Theory As the feedback arrows between SWB and the cognitive biases is the only change from the original model of SWB homeostasis, it is necessary to discuss the reasoning for this addition. According to Beck’s Cognitive Model of Depression, core beliefs or schemata, in combination with the extrinsic events we experience, influences our tendency to generate negative automatic thoughts, which may lead to a vulnerability to depression. These negative automatic thoughts then influence our emotional and behavioural reactions, which reinforce the negative cognitive bias and the generation of negative automatic thoughts. This process is illustrated in Figure 8 adapted from Beck (1995). 75 Subjective Wellbeing and Homeostasis ‘Schemas’ / Core Beliefs Incident Automatic thoughts Physiological response Emotional reaction Anxious / Depressed Behavioural response Figure 8 Beck’s Negative Thought Cycle Furthermore, there is a bi-directional relationship between cognitions and psychological wellbeing, in that our cognitive evaluations of specific events or domains of life can influence our overall level of SWB (or lack of SWB), and our general feeling of happiness and satisfaction with our lives (or lack of), influences our specific cognitive evaluations. The bi-directional nature of SWB and potential relationship between SWB and depression is illustrated with the statement by Weerasinghe & Tepperman (1994, p202): “Often, when we are satisfied with life as a whole, we feel satisfied with particular domains of life. At other times, when we feel dissatisfied with a particular domain of life, we come to feel dissatisfied with life as a whole. Our feelings about one domain ‘spill over’ into our feelings about life and we may even come to feel like everything is falling 76 Subjective Wellbeing and Homeostasis apart”. This statement emphasises the reciprocal process between domainbased satisfaction and the general feeling of happiness. It also infers the potential of unhappiness in one (or several) domain/s to incite a general feeling of unhappiness, which could potentially lead to depression. As this is the case, the arrows indicating a relationship between SWB/depression and the cognitive biases were included to represent the feedback loop between the overall level of psychological wellbeing and cognitive evaluation of events. This model of depression causality appears more robust, though it is yet to be tested, as it accounts for the individuality of each person regarding their sensitivity and resilience to homeostatic failure. As the mean SWB level for individuals is 75% out of 100% and normal SWB set-point range spans between 50% and 80%, it can be hypothesized that depression occurs within the lower range of SWB. Due to the lack of testing, it is not known precisely at what level depression is indicated, however it can be assumed that most people with a SWB level below 50% would be depressed. It is on this premise that the conclusion is made that measures of SWB could be used to indicate depression. 5.5.4 Rationale for the use of SWB indicators in depression diagnosis and treatment evaluation The main application of subjective wellbeing scales in the literature to date has been around social indicators research and population comparative studies, whereby results have been used to make broad statements about national or sub-population wellbeing levels. While this 77 Subjective Wellbeing and Homeostasis literature has provided invaluable information about different populations and cultures in relation to SWB, there is justification to steer SWB research to a new direction, wherein the focus is on the individual rather than populations. There is a recognised need for a continuous measure of happiness and depression to assess mood, that is, for a measure to span the breadth of emotional state from deep depression to high subjective wellbeing (Kammann & Flett, 1983; Pyne et al., 1997). Depression inventories used to indicate and monitor depression do not adequately address quality of life issues (Pyne et al., 1997). A carefully constructed measure of SWB is advantageous over traditional measures of depression because it reflects affective experience along both ends of the continuum, including positive feelings and life enjoyment (Kammann & Flett, 1983). Although clinical and medical research aims to describe and classify sickness, psychologists and social scientists are often more interested in quantifying a continuum of affect (McGreal & Joseph, 1993). Depression inventories have the ability to indicate the level of depression, but not the level of happiness or SWB. Traditionally, depression rating scales have indicated high levels of depression with high scores, and low levels of depression with low scores. The lowest possible score, 0, represents merely the absence of depression, but not the level of SWB. Although this was precisely the purpose for which these tests were designed, we now understand that health and wellbeing do not merely consist of the absence of illness (Ryan & Deci, 2001). An absence of depression could occur at different levels of positive wellbeing (Kammann & Flett, 1983:261), and the absence of psychological 78 Subjective Wellbeing and Homeostasis symptoms does not guarantee happiness at all (Lu & Shih, 1997). Therefore, it is both the level of depression and the level of SWB that is of interest to practitioners. It should be stated that the hypothesis that depression is the opposite of SWB is not supported in this paper. It is instead assumed that happiness is not merely the absence of depression, or vice versa, but that these states are distinctly different experiences from each other (Valiant, 1993). However, it is argued herein that practitioners need to recognise and measure both depression and SWB in order to gain a holistic perception of, and effective treatment plan for, the individual. In further recognition of the need to evaluate both depression and SWB levels, researchers have discovered that domain compensation may assist the homeostasis of SWB (Best, Cummins & Lo, 2000). This means that it is possible for an individual to have low SWB in certain domains of life, with high SWB levels in other areas, thereby maintaining the overall SWB level in the normal range. A measure of SWB based on judgments of satisfaction within different life domains would thus be able to detect depression as well as detecting the areas of life that are associated with an individual’s depression. With this consequence at hand, it would be possible to distinguish between a general depression indicated by depressed levels of SWB in all domains of life, and a specific depression in which few life domains are implicated. Best, Cummins and Lo’s (2000) hypothesis of domain compensation could be tested through analysis of depression and SWB levels in each domain. An inventory created by McGreal and Joseph (1993), the Depression-Happiness Scale, compensates for the conceptual division 79 Subjective Wellbeing and Homeostasis between depression and SWB by adding reverse-scored inverse items mirroring the Beck Depression Inventory items, thus quantifying the continuum of affect. However, a measure such as the DepressionHappiness scale can only provide researchers with a participant’s overall score. Although this is useful for gaining an overall indication of an individual’s level of satisfaction with their life, it does not indicate in which area the individual is satisfied/depressed. The research proposed for the current thesis extends McGreal and Joseph’s (1993) investigations. SWB inventories that measure satisfaction in particular life domains, as does the Personal Wellbeing Index (Cummins, 2002), may be sensitive to important differences among depressed individuals that are overlooked by the usually employed depression measures (De Leval, 1999). The Personal Wellbeing Index could therefore be expected to screen for and assign a score of SWB, and levels of SWB lower than a certain point could be found to be indicative of depression. Furthermore, the scale could also indicate the life domains that are associated with the depression. This information would be extremely beneficial for the selection of specific treatment options for the individual. An implication of the proposed research is that SWB measures used to screen for depression could lead to better understanding of the nature of depression in an individual, therefore enabling more specific and efficacious treatment options to be devised. SWB measures could be used in clinical settings to ensure that the focus is placed on the patient and their ideographic and phenomenological experience of their condition (whether physical or psychological), rather than on the disease or condition itself 80 Subjective Wellbeing and Homeostasis (Higginson & Carr, 2001). Some of the recognised advantages of SWB measures used in clinical practice include the ability to prioritise problems and treatment preferences, and monitor SWB changes in response to treatment (Higginson & Carr, 2001). In a study conducted by Rudolf and Priebe (1999), depressed women expressed dissatisfaction both with life as a whole and in four out of eight specific life domains. Their results indicated clinical utility of using SWB measures with clients with depression, both for diagnostic specificity and to evaluate symptom improvement over time (Rudolf & Priebe, 1999). The efficacy of SWB inventories used as both a depression screening tool and basis for treatment was tested by Frisch (1994). The theoretical conceptualisation of ‘dissatisfaction depression’, an etiologically distinct subtype of clinical depression, is caused by a combination of negative self-evaluation and hopelessness, which in turn are based on repeated failures to fulfil aspirations and meet personal standards in highly valued areas of life (Grant, Salcedo, Hynan, Frisch & Puster, 1995). Based on this hypothesis, Frisch and colleagues (Frisch, 1992, 1994; Frisch, Cornell, Villanueva & Retzlaff, 1992) devised an integrative, cognitivebehaviourally based ‘Quality of Life Therapy’. This depression therapy offers specific treatment strategies for each life domain assessed by the Quality of Life Inventory, including health, self-esteem, relatives, home, neighbourhood, love, community and others. This therapy was 75% effective in reducing depression, clearly exceeding the approximate 50% improvement rate associated with antidepressant medication (Grant et al., 1995). These results suggest that 81 Subjective Wellbeing and Homeostasis depression treatment may be more effective for the individual if their depression is examined in the context of specific life domains, enabling treatment to target the most affected areas. Following from this research, it is foreseeable that the concurrent analysis of depression and SWB may lead to the assessment of depression within specific life domains, which may then lead to the development of specialised treatments for each depression classification. As well as being potentially used as a depression screening tool, significant evidence suggests that SWB inventories may be used to evaluate the efficacy of depression treatment and the alleviation of depression symptoms (Koivumma-Honkanen et al., 2001). “Recognition of the burden that depression creates in major life domains has led to increased efforts to assess QoL in clinical research. In addition to clarifying the impact of the illness on patients’ lives, QoL instruments provide a way of determining the value of new and existing therapies, beyond their ability to relieve depressive symptoms” (Barge-Schaapveld et al., 1999, p174). 5.6 Summary Depression and dysthymia, both clinical disorders within the category of mood disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV, 1994), significantly impact our society, with up to 25% of women and 12% of men affected by these conditions. Self-rated depression inventories such as the Beck Depression Inventory (Beck et al., 1961) and Hospital Anxiety and Depression Scale (Zigmond & Snaith, 1983) are commonly used in depression assessment. 82 Subjective Wellbeing and Homeostasis While self-rated inventories are effective indicators of depression, several criticisms can be made about this method of assessment. The inventories follow a medical model and are disease-focused, thus they only measure the presence or absence of depressive symptoms rather than the continuum of psychological wellbeing. Many of these inventories contain items that measure physical symptoms of depression, thereby blurring the boundary between the physical consequence and the psychological experience of depression. Moreover, depression inventories yield a general score that is indicative of overall depression severity but does not indicate depression levels within specific areas of life. The most common psychological treatment of depression involves cognitive therapy. This therapy is based on theoretical conceptualisations of depression including Beck’s Cognitive Theory of Depression (Beck et al., 1979) and the Learned Helplessness Model of Depression (Alloy & Abramson, 1999). These perspectives are both essentially diathesis-stress models, whereby depression results from the interaction between stress, being negative life events (or the lack of positive life events), and the diathesis, or cognitive vulnerability to depression. Research has confirmed the relationship between SWB and depression, as well as the contribution of the stable factors of affect and personality, and the transient cognitive factors of optimism, self-esteem and control, in relation to SWB and depression. The relationship between these individual difference factors and depression can be depicted through the model of SWB homeostasis. The level at which SWB is normally maintained, one’s set-point range, is determined by personality and affective 83 Subjective Wellbeing and Homeostasis factors. People with high neuroticism and negative affectivity may have a depressogenic attributional style, making them prone to homeostatic breakdown resulting in depression. While SWB is normally regulated to a set-point-range around 75%SM, chronic or severe negative extrinsic events may cause a breakdown of the homeostatic system, thereby leaving an individual vulnerable to depression. As this is the case, extrinsic events tend to be uncorrelated with high SWB scores, but significantly correlated with low SWB and depression scores. This indicates that the homeostatic system that buffers the effect of extrinsic events is not able to do so below a theoretical threshold point that indicates homeostatic failure. As depression can be conceptualised within the model of SWB homeostasis, the efficacy and possible utility of SWB inventories within the depression field was considered. It is apparent that SWB inventories may serve a threefold function, in: screening for depression along a continuum of psychological wellbeing within specific domains of life; evaluating depression treatments and indicating the alleviation of depression symptomatology, and potentially guiding treatment for depression within specific life domains. 84 Subjective Wellbeing and Homeostasis Chapter 6 Study 1 Methodology 6.1 Aim Many studies within the subjective wellbeing and quality of life literature have demonstrated a relationship between SWB and psychological variables such as personality and depression, as was reviewed in Chapter 3. Therefore, this first study was designed to test the relationship between subjective wellbeing and the psychological variables of depression, anxiety and personality. Based on the research reviewed previously, it is expected that subjective wellbeing will correlate positively with extraversion, and negatively with neuroticism, depression and anxiety. Additionally, the study aimed to discover which of the psychological variables is the strongest predictor of SWB. Previous research has found high negative correlations between depression and SWB, and neuroticism tends to have a stronger correlation with SWB than extraversion. Furthermore, anxiety correlates highly with depression, but is not expected to correlate highly with SWB, as it is possible to be satisfied as well as anxious (Headey, Kelley & Wearing, 1993). Therefore, it is expected that depression will be the strongest predictor of SWB, followed by neuroticism. The study also aims to map the interaction between SWB and depression in order to generate hypotheses about the ability of SWB inventories to be used as indicators of depression. The scales used in this first study include the Personal Wellbeing Index (Cummins, Eckersley, Pallant, Van Vugt & Misagon, 2003), the Hospital Anxiety and Depression 85 Subjective Wellbeing and Homeostasis Scale (Zigmond & Snaith, 1983), and the neuroticism and extraversion subscales of the NEO Five Factor Inventory (Costa & McCrae, 1992). 6.2 Research Hypotheses The hypotheses for study 1 were: 1. That depression, neuroticism and anxiety would negatively correlate with SWB, whereas extraversion would positively correlate with SWB. 2. That depression and neuroticism will be the strongest predictors of SWB. 3. That a curvilinear relationship, such as displayed in Figure 9, exists between SWB and depression, in that SWB levels remain relatively stable with increasing depression, until SWB levels drop sharply. Figure 9 - Curvilinear Relationship Between SWB and Depression Threshold Subjective Wellbeing Depression 86 Subjective Wellbeing and Homeostasis 6.3 6.3.1 Method Materials Approval to conduct this research was sought and approved by the Deakin University Ethics Committee. The letter of ethics approval is attached in Appendix A. Participants completed a questionnaire package (see Appendix B) that was mailed to their residential address. This package included a plain language statement, see Appendix B, and consent was assumed on return of the questionnaire. Detailed descriptions of the instruments, reliability statistics and rationale for the use of each instrument are reported below. 6.4.2 Demographic Data The participants were asked to tick one of the five boxes of the income bracket in which their current household income falls. The income brackets included <15,000; 16,000-30,000; 31,000-60,000, 61,000-90,000 and >91,000. The demographic data for gender and age were collected by matching the identification code with the information on the Australian Unity database that had been collected on the original telephone interview. Specific details relating to the demographic data are reported in the following data analysis chapter. 6.3.3 Australian Unity Wellbeing Index The Australian Unity Wellbeing Index (Cummins et al., 2003) is a multilevel measure of wellbeing in Australia, and comprises the Personal 87 Subjective Wellbeing and Homeostasis Wellbeing Index and the National Wellbeing Index. The Personal Wellbeing Index (PWI) is based on the Comprehensive Quality of Life Scale (Cummins, 1997), and comprises seven domains of personal wellbeing. Satisfaction levels in each of the seven life domains are measured individually, and then averaged to give the Personal Wellbeing Index score. The seven domain of life measured within the PWI include Standard of Living, Health, Achievements in Life, Personal Relationships, How Safe You Feel, Community Connectedness, and Future Security. The respondents rate their satisfaction on an 11-point Likert scale, ranging from 0 (extremely dissatisfied) to 10 (extremely satisfied). The National Wellbeing Index, which comprises six individual measures of national wellbeing, was not analysed within the current research. A factor analysis conducted by Cummins and colleagues (2003) indicated that the Australian Unity Wellbeing Index yielded two clear factors consistent with the personal and national sub-scales. The seven items of the PWI loaded .51 to .72 on the PWI factor and explained 38.3 percent of the variance. In order to validate the domains of the PWI, the seven domains were regressed against the variable ‘life as a whole’. The Standard of Living domain made the largest unique contribution to the prediction of life as a whole, followed by Achievements in Life and Relationships. All other domains made a significant contribution of unique variance with the exception of Safety (Cummins et al., 2003). 88 Subjective Wellbeing and Homeostasis 6.3.4 Hospital Anxiety and Depression Scale This scale is designed to detect anxiety and depression in general medical outpatient populations. Despite the use of the word ‘hospital’, the scale is valid for use with community samples. The Hospital Anxiety and Depression (HAD, Zigmond & Snaith, 1983) scale consists of seven depression items and seven anxiety items. These items measure psychological symptoms of anxiety and depression, and do not measure physical symptoms of these disorders. These items were selected to distinguish the effects of physical illness from mood disorders, and so symptoms likely to be present in both (e.g. headaches) were not included. Only psychological symptoms of depression and anxiety were included in the scale, so as to separate the detection of mood disorder from physical health problems. This is important in a blind survey such as this, as the health status of the participants is not known to the researcher and could otherwise confound results. The 14 items in the HAD scale are usually rated on a four-point Likert scale, ranging from the absence of a symptom (‘not at all’; scoring 0) to maximal symptomatology or the absence of positive features (‘most of the time’; scoring 3). Permission from the publishers, The NFER-NELSON Publishing Company Ltd, was sought and granted for the use of the scale, and to alter the rating format to an 11-point Likert scale. This alteration broadens the response possibilities and thus allows for a more sensitive measurement of symptom severity. Due to clerical oversight, the response format was also altered from a frequency rating (‘not at all’ to ‘most of the time’) to the more standard ‘Strongly Agree’ to ‘Strongly Disagree’. 89 Subjective Wellbeing and Homeostasis Therefore, the data collected reports only the degree to which a participant agrees that depression and anxiety symptomatology applies to them, and cannot be used to detect clinical anxiety or depression levels. The internal consistency of the HAD scale is good, ranging between 0.76 and 0.41 for the anxiety items, and between 0.60 and 0.30 for the depression items. Zigmond and Snaith (1983) reported good results for initial tests of reliability and validity, and scale scores were not affected by the presence of physical illness. There was evidence to suggest that the anxiety and depression items were tapping different dimensions. The correlations between the HAD scale and other well-known depression and anxiety scales range from 0.67 to 0.77. The HAD scale was chosen for this study because it measures depression as well as anxiety, both of which can be expected to influence SWB levels, and because this scale separates out the physical symptoms of these conditions and focuses on the psychological symptomatology. 6.3.5 NEO Five-Factor Inventory This scale is based upon the five-factor model of personality discussed in Chapter 3, which has been a consistently popular taxonomy of personality. The NEO Five-Factor Inventory (Costa & McCrae, 1992) is an abridged version of the longer NEO Personality Inventory- Revised (NEOPI-R), and consists of 12 items in each of the five personality domains, Neuroticism, Extraversion, Openness to experience, Agreeableness and Conscientiousness. 90 Subjective Wellbeing and Homeostasis The original item format of the NEO-FFI consists of a five-point Likert scale that ranges from Strongly Disagree to Strongly Agree. Permission was sought and granted from the publisher, Psychological Assessment Resources Inc, to use the scale for research purposes, and to alter the rating format to an 11-point Likert scale (ranging from 0 to 10, Strongly Disagree to Strongly Agree). The NEO-FFI was developed as a short form of the NEOPersonality Inventory-Revised. The original sample of 983 men and women from the 1986 administration of the NEO-FFI provided data for item selection. For each domain, the 12 items with the highest positive or negative loadings were selected, and some substitutions were made to diversify items content. The NEO-FFI correlated with the NEO-PI-R between .75 and .89 across the five subscales. Internal consistency for the NEO-FFI Neuroticism and Extraversion subscales was .92 and .90 respectively. As is true in all cases where abbreviated scales are formed, some precision is traded for speed and convenience, however, the NEO-FFI is psychometrically sound, widely used and favourably received by participants. The Neuroticism and Extraversion subscales of this scale were used in the present study due to its brevity, and popularity of its theory and use in the field of subjective wellbeing. 6.4 Procedure Two samples of participants agreed to participate in this study by completing self-administered questionnaires sent to their residential 91 Subjective Wellbeing and Homeostasis addresses. Reply-paid envelopes were included in the questionnaire package for the participant’s convenience. 6.4.1 Recruitment of Participants The study was integrated into the follow-up phase of a collaborative study between Australian Unity and Deakin University that has led to the development of the Australian Unity Wellbeing Index. In this original study, data collection occurred over a period of three weeks during April and May of 2001. A firm was contracted to provide 15,000 names and telephone numbers that collectively represented the national population on a geographically proportional basis. A call centre at Australian Unity was then used to ring people drawn randomly from the supplied list until the target of 2,000 respondents was reached. These participants were asked if they would like to participate in further studies, and if they answered in the affirmative, they were mailed the survey for the current study in late 2001. The data for the current study originated from two separate questionnaire mailouts. The first mailout for study 1 took place in November 2001, and was sent to 1,000 participants with 247 returned (25% return rate). Due to an error, the identification codes were not transferred to the questionnaires, so the returned questionnaires could not be linked to the demographic information of participants in the Australian Unity database. Therefore, a second mailout occurred and the questionnaire (with identification code) was sent to 800 participants from the database with 253 returned (32% return rate). Thus, the results refer to both Data Set A and Data Set B, but demographic information is available only for Data Set B. 92 Subjective Wellbeing and Homeostasis Chapter 7 Study 1 - Data Analysis The two data sets were screened using the FREQUENCIES option in SPSS before commencing analysis. Three clerical errors in Set B were located and corrected. Three cases were deleted due to the dichotomous nature of the data. These cases had scores of perfect 10 for all of the satisfaction domains, and had scores of either 0 or 10 for most of the remaining items of the questionnaire. As the sample sizes are fairly large, a further eight variables from Set A and three variables from Set B were deleted rather than substituted, due to incomplete Personal Wellbeing Index data. Overall, eleven cases were deleted from Set A (leaving N=236) and seven cases were deleted from Set B (leaving N=246). Each of the seven personal domains, the six societal domains, and the composite PWI scores in both data sets were converted to percent scale maximum (%SM) scores by creating syntax to compute the score of each variable multiplied by 10. For example, the syntax read: COMPUTE sma1eco = a1eco * 10. This procedure re-coded the data from 0 to 100. Several NEO Five-Factor Inventory items were recoded as they are reverse-scored (items 1,7,13 & 19 of the Neuroticism and items 6, 12, 18 & 24 of the Extraversion scales), and then ‘total neuroticism’ and ‘total extraversion’ variables were created by computing the addition of the neuroticism and extraversion scores. These total scores then have a possible range of 0-120. Similarly, the reverse-scored items of the HAD scale were recoded (item 7 of anxiety and items 2, 4, 6, 12 and 14 of depression), and 93 Subjective Wellbeing and Homeostasis ‘total anxiety’ and ‘total depression’ variables were created by computing the addition of the anxiety and depression scores. These total scores have a possible range of 0-70. It was expected that many of the assumptions of normality would not be met for several reasons. The PWI scores are predicted to be negatively skewed, as multiple studies have found that PWI scores are most common between 70% and 100%. Also, the HAD scale scores are expected to be positively skewed as the majority of the population do not suffer from anxiety or depression symptoms. 7.1 7.1.1 Assumptions of Normality Testing Demographic Data The only demographic information relating to Data Set A is income. The annual household income of the 232 participants from Data Set A was categorised into five groups as previously described. The distribution of income was normal on inspection of the histogram and normal and detrended plots. The significance of skew and kurtosis statistics were within acceptable ranges, suggesting the income variable meets the assumption of normality. The proportion of males to females in Data Set B (N=235) was somewhat uneven, with 84 males (36%) and 151 females (64%). Age ranged from 18 to 82 years (M=50, SD=15). The skewness statistics for the gender and age variables were within the acceptable range of –4 to +4, and the histograms show a roughly normal distribution pattern, indicating that these variables meet the assumption of normality. 94 Subjective Wellbeing and Homeostasis The majority of the 246 participants within Data Set B had a household income between $15,000 and $60,000. The distribution of income across these groups was normal, with no skew or kurtosis. 7.1.2 Personal Wellbeing Index Within the seven PWI domains of both sets, ‘Satisfaction with Personal Relationships’ had the most non-normal curve, and other domains had either normal or only slightly non-normal distributions. The ‘Satisfaction with Personal Relationships’ variable was found to have negative skew and positive kurtosis (S=-8.46, K=5.4), suggesting that most people are very satisfied with the quality of their personal relationships (M = 75.0 %SM). Five of the seven PWI domains within Set A displayed significant negative skew. These were ‘standard of living’, ‘health’, ‘achievements in life’ ‘personal relationships’ and ‘how safe you feel’. The Personal Wellbeing Index (%SM) score was also negatively skewed. Only the ‘achievements in life’ and ‘personal relationships’ domains were significantly leptokurtic. The skewness of these variables was within the acceptable range, and they were not significantly influenced by outliers. In Data Set B, all seven of the PWI domains were negatively skewed. On inspection of the boxplots, the variables ‘Standard of Living’ and ‘Achievements is Life’ in Data Set B both contained one extreme outlier. On inspection of the z-scores, all values were less than 3.29, and thus not significantly influenced by outliers. Therefore, no cases were deleted. 95 Subjective Wellbeing and Homeostasis The Personal Wellbeing Index (PWI) score is the average of the seven PWI domain scores. The overall PWI scores were found to have a significantly negatively skewed distribution (S=-4.17) with a mean score of 71.11 %SM in Data Set A, while Data Set B had a negative skewed distribution (S=-3.39) with a mean score of 69.31 %SM. Table 1 contains the mean and standard deviation statistics for both data sets. Table 1 - Mean and Standard Deviation of PWI Variables in Data Sets A and B M Data Set A N=236 SD Data Set B n=246 M SD St. of Living 73.77 18.56 71.71 20.09 Health 68.60 20.36 65.69 22.68 Achievements 71.31 17.49 70.12 19.64 Personal R’ships 75.59 21.58 74.43 22.19 Safety 75.25 17.85 74.84 18.13 Community 67.71 19.13 64.59 21.51 Future Security 65.51 21.20 63.78 23.40 PWI 71.11 13.60 69.31 14.58 All statistics calculated from the Scale Maximum PWI scores 7.1.3 NEO Five-Factor Inventory The majority of the NEO-FFI variables in Data Set A produced normally distributed results. Only three of the 24 variables displayed a significant level of skewness; items 4, 21 and 23; “I laugh easily” (S=-6.1), “I often feel helpless and want someone else to solve my problems” (S=6.9) and “At times I have been so ashamed I just want to hide” (S=12.65, K=11.56) respectively. 96 Subjective Wellbeing and Homeostasis Item 23 had the most significant skew of the NEO-FFI variables in both sets. Observation of the boxplot for this item in Data Set A revealed an extreme outlier, and contained a case with a z-score of 4.04, which is in excess of the acceptable limit of 3.29. This case was deleted from the data set. In Data Set B, this variable had no extreme outliers, and the z-scores were acceptable. Overall, the NEO-FFI variables show fairly normal distribution within both data sets. The 12 Neuroticism items and 12 Extraversion items were each added to form ‘Total Neuroticism’ and ‘Total Extraversion’ scores respectively. The significance of skew and kurtosis statistics were acceptable for both sets, the z-scores were acceptable, the boxplots revealed no extreme outliers, and the normal and detrended pots were normal. In addition, the Kolmogorov-Smirnov statistics were non-significant for these variables. Therefore, the total neuroticism and total extraversion variables meet the assumptions of normality. 7.1.4 HAD Scale Observations of HAD scale histograms from both sets revealed varying levels of skew and non-normality of normal and detrended plots in some variables. Twelve of the 14 HAD scale variables in Data Set A had significant skew, and ten of the 14 variables were skewed in Data Set B. However most had a fairly low level of skew, with significance statistics from 4.6 to 9.6. In both sets, item 14 (‘I can enjoy a good book or radio or TV programme’), was extremely negatively skewed (S= -12.7, K= 16.3). 97 Subjective Wellbeing and Homeostasis On examination of the HAD scale boxplots in Data Set A, one extreme outlier was observed within HAD item 4, and three extreme outliers were observed within item 14 (‘I can laugh and see the funny side of things’ and ‘I can enjoy a good book or radio or TV programme’). Only item 14 contained extreme outliers in Data Set B. Four of the 14 HAD variables in Data Set A produced z-scores in excess of 3.29 (items 2, 6, 13 & 14), three of these being depression items, and one an anxiety item. In Data Set B three depression variables (items 4, 12 & 14) produced z-scores in excess of 3.29. As expected, the only item with a significantly deviant z-score was item 14 (z=4.6). As this scale is used to indicate depression and anxiety, it was expected that these variables would appear skewed with some outliers. Removal or transformation would make the important outlying cases less detectable and interpretation less sensitive, thus none was carried out. Both the Total Anxiety and Total Depression scores for both sets met the assumptions of normality, with a bell-shaped distribution and no skew or kurtosis. 7.2 General Data Set Comparison The two data sets were compared so that a prediction could be made as to whether the variables should behave the same in the analyses to follow. The number of participants in both data sets is similar (236 in A, 246 in B). Differences between the mean scores for each of the five psychological variables (subjective wellbeing, neuroticism, extraversion, 98 Subjective Wellbeing and Homeostasis anxiety and depression) and the demographic variable income between the data sets were tested using independent samples t tests. The mean Personal Wellbeing Index score in set A was 71.1, and 69.3 in set B. The homogeneity of variance assumption was met (Levene’s statistic p<.05), and the independent samples t test found that this difference was not statistically significant, p (480) = .162. However, it is important to note that the Set B PWI mean falls under the theoretically significant threshold of 70%SM, whereas the PWI mean for Set A is over this threshold. The normative SWB range for Western populations is 7080%SM, and the 70%SM point represents a lower threshold, beyond which point it is hypothesised that homeostasis failure occurs. Thus, while the mean SWB scores of the data sets in this study were not significantly different statistically, it is possible that statistical analyses of difference underestimate the implications of this difference as the Set B SWB mean falls under the 70%SM threshold. Extraversion means did not differ, 68.7 and 68.1. Likewise, income was not found to be significantly different, p (474) = .546. The mean depression scores between the data sets differed (17.9 and 19.8) and was significant, p (466) = .038. Although the same test found the variable neuroticism to be significantly higher in Set B, p (464) = .027, the homogeneity of variance assumption was violated. Therefore, the nonparametric equivalent of the independent samples test was conducted. The Mann-Whitney U test revealed that the mean neuroticism scores are not significantly different, z=-1.85, p=.065. Once again the assumption of equal variance was violated when the independent samples test was applied to the 99 Subjective Wellbeing and Homeostasis anxiety variable. The Mann-Whitney U test found a significant difference between mean anxiety scores, z=-2.50, p=.012, with the higher value again being found in Set B. The significantly higher mean scores for anxiety and depression in Data Set B are consistent with the lower, albeit non-significant, mean PWI score in this set. Therefore, these samples appear to be different, as Set B seems to be a more depressed and anxious, and slightly less satisfied sample. Thus, these samples may behave differently and lead to different results when analysed. 7.3 Exploring Relationships The effects of the demographic variables gender, age and income, will be presented for Data Set B. The data from Set A will be used to validate the findings where this is possible. 7.3.1 Pearson Product-Moment Correlation – Data Set B One of the aims of the study was to investigate the relationship between subjective wellbeing, personality, depression and anxiety. Specifically, it was hypothesised that scores on the Personal Wellbeing Index would correlate positively with extraversion, and negatively with neuroticism, depression and anxiety. It was further hypothesised that the observed relationships between the variables would remain significant after accounting for the influence of gender. These relationships were investigated using Pearson productmoment correlation coefficient. Preliminary analyses of scatter plots were 100 Subjective Wellbeing and Homeostasis performed to ensure no violation of the assumptions of normality, linearity and homoscedasticity. Table 2 - Pearson Product-Moment Correlations Between Measures of PWI and Neuroticism, Extraversion, Anxiety and Depression (Set A N=224; Set B N=240) PWI Neuroticism Extraversion Anxiety Depression PWI Set A r Set B r 1 1 -.553*** -.512*** .346*** .439*** -.498*** -.472*** -.575*** -.533*** Neuroticism Set A r Set B r - 1 1 -.309*** -.239*** .672*** .778*** .558*** .560*** Extraversion Set A r Set B r - - 1 1 -.271*** -153* -.552*** -.519*** Anxiety Set A r Set B r - - - 1 1 .611*** .536*** 71.11 69.31 38.96 43.03 68.67 68.07 20.46 24.12 17.86 19.79 13.60 14.58 18.13 21.31 15.63 15.95 12.02 14.34 9.64 9.67 Mean Set A Set B Standard Deviation Set A Set B * *** Correlation is significant at the .05 level Correlation is significant at the .001 level There were strong negative correlations between PWI scores and both depression and neuroticism, with high PWI scores associated with low levels of depression and neuroticism. The correlation matrix also revealed that neuroticism and anxiety are highly positively correlated with depression, and extraversion is highly negatively correlated with depression, 101 Subjective Wellbeing and Homeostasis with these variables contributing between 27% and 31% of shared variance. The highest correlation between the five entered variables occurred between neuroticism and anxiety (r=.78, n=236 p=<.001), with 60.5% of shared variance. A comparison of the same correlation coefficients by gender was performed in order to investigate the possibility of gender differences. The significance of the difference between the correlation coefficients with and without gender was calculated. This was done using a process whereby the r scores are converted to z scores using the observed value of z (zobs value), wherein scores falling between –1.96 and +1.96 are not statistically different (Pallant, 2001). None of the correlation coefficients were found to be statistically different, indicating there were no gender differences. 7.3.2 Standard Multiple Regression – Data Sets A & B A second aim of the study was to determine which of the variables is most predictive of PWI scores. It was hypothesised that depression scores would be the strongest predictors of PWI scores, followed by neuroticism scores as the second most predictive variable. A standard multiple regression was performed between Personal Wellbeing Index scores as the dependent variable, and Neuroticism, Extraversion, Depression and Anxiety as independent variables. Analysis was performed using SPSS REGRESSION and SPSS FREQUENCIES for evaluation of assumptions. With at least 232 respondents in each of the two data sets and four IVs, the number of cases is well above the minimum requirement of 108 102 Subjective Wellbeing and Homeostasis (104 + 4, Tabachnick & Fidell, 2001:117) for testing individual predictors in standard multiple regression. The standardised residual values scatterplots were examined, and revealed no outliers. The normal regression plots showed no deviations from linearity, and the residual values on the scatterplot were distributed in a central and roughly rectangular fashion, indicating that the assumptions of normality, homoscedasticity and independence of residuals were met. Multivariate outliers were sought using the IVs as a part of an SPSS REGRESSION run in which the Malhalanobis distance of each case to the centroid of all cases is computed. Malhalanobis distance is distributed as a chi-square (χ2) variable, with degrees of freedom equal to the number of IVs. To determine which cases were multivariate outliers, the critical χ2 was calculated at the most stringent alpha level for four degrees of freedom (χ2 at α= .001 for 4df = 18.467). No cases were identified as multivariate outliers. The correlations between the variables in the regression model all show a substantial relationship (at least .3) with the dependent variable, Personal Wellbeing Index scores (See Table 3). The collinearity tolerance diagnostics are quite respectable (ranging from .37 to .71), indicating that the assumption of multicollinearity has been met. Table 3 displays the unstandardized regression coefficients (B) and intercept, the standardized regression coefficients (β) and R2 for both data sets. The R2 for regression was significantly different from zero, F(4, 218) = 36.83, p<.0005 for Data Set A, and F(4, 230) = 38.99, p<.0005 for Data Set B. For the three regression coefficients that differed significantly from zero, the 95% confidence limits were calculated. 103 Subjective Wellbeing and Homeostasis Table 3 - Standard Multiple Regression of Extraversion, Neuroticism, Depression and Anxiety on PWI Scores Variables Extraversion Set A Set B Neuroticism Set A Set B Depression Set A Set B Anxiety Set A Set B PWI (DV) Extrav Neu Dep .37 .44 -.57 -.51 -.31 -.23 -.55 -.53 -.55 -.51 .56 .55 -.47 -.48 -.27 -.15 .67 .78 .61 .53 2 R Adjusted R2 B β .08 .25 .09 .27*** -.28 -.16 -.37*** -.22* -.38 -.29 -.27*** -.19* -.03 -.17 -.03 -.16 Set A .40 .39 Set B .40 .39 * Correlation is significant at the .05 level Correlation is significant at the .01 level *** Correlation is significant at the .001 level ** Three of the IVs made significant unique contributions to the prediction of PWI levels, however only two of these were consistent predictors in both sets of results, and there were some interesting differences in the predictive ability of the four independent variables across the data sets. In Set A, depression was the most significant predictor of PWI scores, followed by Neuroticism. Neither Anxiety nor Extraversion were found to provide unique predictive ability. In contrast, the results from Set B show Extraversion as the most significant predictor (at the p<.001 level), followed by Neuroticism (p<.05) and Depression (p<.05). Although Depression correlated most highly with 104 Subjective Wellbeing and Homeostasis PWI scores, Extraversion and Neuroticism were found to be better predictors. Therefore it can be assumed that (in this set) Depression does not make as strong a unique contribution to PWI scores. The influence of depression on the PWI may be mediated by the relationship between extraversion and neuroticism. In conclusion, anxiety was not found to be independently predictive of PWI scores in either data set. Depression and neuroticism were significant predictors in both data sets, and fairly close in standardized beta weights and significance levels. The most confounding finding was that extraversion, whilst not providing any unique contribution in Data Set A, was the most significant predictor in Set B. The possible reason for this discrepancy will be analysed within Chapter 8, the discussion of Study 1. 7.3.3 Hierarchical Multiple Regression – Data Sets A & B Hierarchical regression was employed to determine whether the addition of demographic details (age, gender and income) improved prediction of PWI beyond the levels shown in 7.3.2. Income is the only demographic variable in Data Set A. After step 1, income was found to be a non-significant predictor, explaining only 1.6% of PWI scores, F(1, 221)=3.52, p=.062. A hierarchical regression was also performed with Data Set B, controlling for the variables age, gender and income in the first step, see Table 4. 105 Subjective Wellbeing and Homeostasis Table 4 - Hierarchical Regression Equations Predicting PWI Scores Controlling for Demographic Variables Predictors Step 1 Income Set A Set B Gender (Set B) Age (Set B) Step 2 Income Set A Set B Gender (Set B) Age (Set B) Depression Set A Set B Extraversion Set A Set B Neuroticism Set A Set B β Beta 1.51 1.72 2.56 .12 1.25 .15* .08 .12 .74 1.3 2.0 .02 .06 .12* .07 .02 -.54 -.29 -.37*** -.19** .03 .22 .03 .24*** -.26 -.24 -.33*** -.35*** Step 1 R2 Adjusted R2 Step 2 R2 Adjusted R2 Set A Set B .02 .01 .04 .03 .41 .40 .41 .39 * Correlation is significant at the .05 level Correlation is significant at the .01 level *** Correlation is significant at the .001 level ** As with the previous regression, there were some inconsistencies between the results of Set A and Set B. In Data Set B, model 1 was found to be significant, R2 =.05, F(3, 211) = 3.02, p=.031. Age and gender were not found to influence PWI scores, however income was a significant predictor, β=.15, p<.05. After step 2, with the three psychological variables entered, the model explains 41% of variance, R2 =.41, F(6, 208) = 24.06, p=<.0005. Four variables entered in step 2 made a significant unique 106 Subjective Wellbeing and Homeostasis contribution, including Neuroticism (β=-.35, p<.0005), Extraversion (β=.24, p<.0005), Depression (β=-.19, p<.009), and finally income (β=.11, p<.039) respectively. Interestingly, extraversion was the most predictive variable in the initial standard multiple regression, but it becomes the second most predictive variable, after neuroticism, when the influence of income is controlled for. Interesting differences between Data Sets A and B have been identified. Not only is extraversion a unique predictor of PWI score in Set B and not in Set A, but income significantly explains variance in PWI scores in Set B, but not in Set A. Furthermore, when income is statistically controlled for, extraversion becomes less predictive of PWI scores than neuroticism. These findings will be discussed in the following chapter. 7.4 Testing the Homeostatic Regulation of SWB – The Relationship Between SWB and Depression Finally, the current study aimed to test the hypothesis of SWB homeostasis. This hypothesis states that SWB is maintained within an idiosyncratic range controlled by homeostasis, until the degree of challenge or negative load placed upon the system exceeds an individual’s threshold for effective management. Therefore, depression ratings on the HAD scale may not significantly decrease SWB unless the depression is strong enough to overwhelm the capacity of the homeostatic system. If this hypothesis were to be supported, a curvilinear relationship between SWB and depression would be found, wherein SWB levels remain stable with increasing depression scores, until a certain level of depression is reached 107 Subjective Wellbeing and Homeostasis (signifying homeostatic breakdown), whereupon SWB levels would sharply drop. This hypothesis was tested by splitting the participant’s depression scores into groups, then calculating the mean PWI scores for each depression group, and graphing these PWI scores. The depression scores in both sets ranged from 0-47. The two data sets were pooled, and depression groups were formed on the basis of incrementing scores of 5 (see Table 5). The two highest depression groups (36-40 and 41-44) were combined to increase reliability due to the low numbers in these groups. The PWI means for each depression group were then calculated using SPSS COMPARE MEANS command, and these values were plotted graphically, as seen in Figure 10. Table 5 - Means and Standard Deviations of PWI Scores of Nine Groups of Increasing Depression Scores Depression Group 0-5 6-10 11-15 16-20 21-25 26-30 31-35 36-44 Mean N 81.05 79.11 74.30 70.78 70.11 64.29 55.71 50.18 Total N 42 48 90 97 80 44 40 23 Std. Deviation 10.63 10.05 12.25 12.01 11.90 11.28 13.53 13.12 485 108 Subjective Wellbeing and Homeostasis Subjective Wellbeing Homeostasis Data Sets A & B Combined 85 10.63 80 75 10.05 12.25 12.01 11.90 PWI 70 11.28 65 60 55 50 45 40 * SD value above data points 13.53 13.12 2 R = 0.9844 1 2 3 4 5 6 7 8 Depression Figure 10 Mean PWI Scores for Depression in Incrementing Groups of Ten In Figure 10, there is a fairly linear relationship between SWB and depression as PWI scores range from around 81% to 70%SM. A plateau occurs at the 70%SM level, where an increase in depression produces no drop in PWI score. Finally, further increases in depression precipitate a steeper drop in PWI scores. The mean PWI scores for the first five depression groups (including scores from 0-25, representing no depression to moderate depressive symptomatology) varies only by 10.95%SM. In contrast, the mean PWI scores for the last four depression groups (indicating scores of 26-44 and severe depressive symptomatology) varies by 19.93%SM. 109 Subjective Wellbeing and Homeostasis A third order polynomial curvilinear trendline was added to the graph (in red). This curvilinear model (r2=.98) fit the data slightly better than a linear model trendline (not pictured, r2=.95). These results suggest two implications; firstly that scores below the PWI 70%SM threshold point may indeed be indicative of depression, and secondly, PWI scores are more sensitive to depression than the depression inventory itself. Depression scores that ranged from an absence of depression symptoms to moderate depression scores only affected SWB to a small degree, however at the 70%SM threshold point, the more severe depression scores overwhelms the SWB homeostatic mechanism, and a rapid decline in PWI scores is seen. While these figures present only tentative evidence of a curvilinear relationship between SWB and depression, there is enough evidence within these findings to argue that the lower 70%SM point of the normative SWB range is the crucial point of homeostatic failure. The unexpected finding that the relationship between PWI scores and depression is not well explained by a curvilinear model will be discussed in the following chapter. 7.5 Summary To briefly summarize this chapter: The data sets A and B differed on several variable means. Set A was higher in PWI scores, whereas set B was higher in neuroticism, anxiety and depression scores, with the latter two variables differing significantly from those in set A. These differences were not 110 Subjective Wellbeing and Homeostasis explained by differences in income or the number of participants in each set. Both data sets displayed high correlations between anxiety and neuroticism, anxiety and depression, and PWI and depression scores respectively A standard multiple regression indicated that depression and neuroticism were the strongest predictors of PWI scores in Set A, whereas extraversion, neuroticism and depression were the strongest predictors in Set B. A hierarchical regression indicated that depression and neuroticism remained the strongest predictors of PWI in Set A after the addition of demographic details. In comparison, neuroticism, extraversion, depression and income were the strongest predictors of PWI scores in Set B respectively. The relationship between depression and PWI scores was plotted. This graph indicated a slightly linear relationship between the factors, with a shallow slope from 80-70%SM, a plateau at 70%SM, and a steeper slope between 70-50%SM. These results will be discussed further in the following chapter. 111 Subjective Wellbeing and Homeostasis Chapter 8 Discussion 8.1 Data Set Characteristics Arguably, one of the most interesting findings within the data analysis of Study 1 was that the data sets differed significantly on mean PWI and psychological variable scores (Neuroticism, Anxiety and Depression). Although the data sets contained a similar number of participants and were collected using the same methodology, the participants in Data Set B can generally be describes as less satisfied, more depressed, more anxious and higher in neuroticism. The analyses established that only depression and anxiety differed significantly between the data sets. The PWI mean score was lower in Data Set B, but this difference did not reach statistical significance. It is possible to argue, however, that the slight deviation observed between these scores does in fact reach clinical significance. While the PWI scores only differed by 1.7% (Data Set A = 71.11, Data Set B = 69.31), the lower score falls under the theoretical threshold point of 70%SM (Cummins et al., 2002). While we do not as yet know what a 1.7% mean score difference means in relation to the psychological functioning or wellbeing of a population, the significant discrepancies in variable scores of the two data sets does lead to the conclusion that slight deviations in PWI mean scores may hold clinical importance. From the many subjective wellbeing research studies that have been conducted in Western populations, a consistent finding is that the level of satisfaction of these populations falls within the range of 70-80% of the 112 Subjective Wellbeing and Homeostasis satisfaction Scale Maximum (Campbell, Converse & Rodgers, 1976; Cummins, 1995). This range is based on a calculation of two standard deviations on either side of the mean, 75 ± 2.5%SM (Cummins, 1995). Therefore, it appears that floor and ceiling effects operate to regulate the experience of population-wide satisfaction levels within 70 and 80% of Scale Maximum. The mean PWI score for Set A fell within the 70-80%SM normative range, whereas the mean score for Set B fell just under the 70%SM threshold point, as depicted in Figure 11. Mean PWI Data Set B Mean PWI Data Set A Lower and upper thresholds for general population samples F r e q u e n c y 0 10 20 30 40 50 60 70 80 90 100 Population Mean Percentage of Scale Maximum (%SM) Figure 11 The normal distribution of subjective quality of life with reference to mean satisfaction scores for Data Sets A and B The theory of SWB homeostasis holds that SWB levels below the normal range indicate an increased probability of homeostatic failure (Cummins et al., 2002). The finding that participants in Set B have a mean 113 Subjective Wellbeing and Homeostasis satisfaction score only slightly below the 70% threshold and significantly higher scores on depression and anxiety is evidence that SWB homeostasis appears to be very sensitive, with slight deviations below the norm resulting in exponential reductions in psychological wellbeing. Moreover, given these critical sample differences, the variables may behave differently in further statistical analysis. 8.2 Relationship Between Variables The Pearsons product moment correlation coefficients revealed that, as predicted, neuroticism, anxiety and depression were negatively correlated with PWI scores (-.55, -.50, and -.58 respectively for Set A; -.51, -.47 and .53 respectively for Set B), and extraversion was positively correlated with PWI scores (.35 in Set A, .44 in Set B). The correlation coefficients for both data sets were very close, with both data sets ordering the variables depression, neuroticism, anxiety and extraversion according to correlation strength. The largest discrepancy between the data sets occurred between extraversion and PWI correlation scores, (.44 for Data Set B as opposed to .35 for Data Set A). While the higher correlation between extraversion and PWI scores in Data Set B seems fairly insignificant at this point as the discrepancy is not very large, the importance of the correlation discrepancy becomes more evident with the interpretation of further results. 114 Subjective Wellbeing and Homeostasis 8.3 Prediction of SWB Multiple regression was used to test the ability of the four psychological variables to predict PWI scores. This analysis revealed some initially confounding discrepancies between Set A and Set B results. Neuroticism and depression were found to be the respective strongest predictors of PWI scores within Set A, with no unique variance contributed by extraversion or anxiety (meeting the initial hypothesis). These findings support previous research that indicates that neuroticism correlates with SWB more strongly than extraversion (Costa & McCrae, 1980; DeNeve & Cooper, 1995; Headey & Wearing, 1989; Heaven, 1989; Schmutte & Ryff, 1997), and that depression is inversely related to SWB (Barge-Schaapveld et al., 1999; de Leval, 1999; Hansson, 2002; Holloway & Carson, 1999; Kammann & Flett, 1983; Koivumaa-Honkanen et al., 2001; Pyne et al., 1997). However, extraversion was found to be the strongest predictor for Set B, followed by neuroticism and depression. Therefore, despite the fact that extraversion was the least correlated with PWI scores for both sets, it was the best predictor of satisfaction for participants in Set B. Extraversion was more highly correlated with PWI in Set B rather than Set A, however extraversion still had the lowest correlation coefficient of the four variables in Set B. In order to interpret these unexpected results, it is necessary to relate back to the fundamental differences between the two data sets. Firstly, the mean extraversion scores for the two data sets were near identical (68.6 in Set A, 68.1 in Set B). Secondly, extraversion had a higher correlation with 115 Subjective Wellbeing and Homeostasis PWI scores in set B than set A. Finally, extraversion was the least correlated with PWI scores of the four psychological variables in both sets. Therefore it is assumed that extraversion is not the strongest predictor of PWI scores per se, but rather it seems that extraversion may be an important determinant of satisfaction in Set B because this is a more depressed, anxious and neurotic group than the other. It may be that when measures of psychological ill-health (such as depression and anxiety) are higher or unstable, positive psychological measures such as extraversion perform a stronger predictive role. For instance, within a group of normally satisfied people, measures of positive psychological indicators may not provide much discriminative ability, whereas measures of psychological ill-health, due to their infrequency, provides a more sensitive measure of satisfaction. Alternatively, within a less satisfied population group with higher depression etc, measures of psychological ill-health could be expected to be less sensitive and reliable in satisfaction prediction, whereas positive psychological measures could be more sensitive and discriminative. While this is a hypothetical explanation, it seems to fit with the finding that extraversion moves from being nearly the least predictive variable in samples with PWI scores within the normal range, to the most predictive variable when used with populations with lower than normal SWB. 116 Subjective Wellbeing and Homeostasis 8.3.1 Influence of Demographic Data When a hierarchical multiple regression was performed to control for the demographic variables of income, age and gender, it was found that income was not a significant predictor of PWI scores in Set A, but was in Set B. This discrepancy can be interpreted with the explanation that income is not a significant predictor of satisfaction when PWI scores are within the normative range, but income is predictive of PWI scores at lower levels of satisfaction. That is, income is a significant factor for people that have a lower level of satisfaction. The relationship of income to SWB was explored by Cummins (2000), who stated that personal income is an important element in the maintenance of SWB, particularly for people who are experiencing homeostatic defeat. The conclusion from his research indicated that income is generally unrelated to the level of SWB provided that people have sufficient money to purchase the resources required for adaptation to their life circumstances. However, this relationship becomes more significant when the financial resources become insufficient to support adaptation (Cummins, 2000). These conclusions support the third prediction proposed by Cummins et al (2002, predictions presented in Chapter 5.5.3) in relation to the theory of SWB homeostasis. This prediction purports that in conditions of marked deficit, objective indicators such as chronic poverty will have the power to control SWB. Moreover, if marked improvements in objective conditions, such as increases in wealth, occur that exceed the upper 117 Subjective Wellbeing and Homeostasis threshold of SWB, the process of adaptation will diminish the impact of this experience and return control to homeostasis. With these theoretical hypotheses in mind, the results from the Study 1 hierarchical regression would have made sense if the mean income scores of Set A and Set B had been significantly different. This would indicate that income does not predict SWB within the normal, homeostatically regulated range, but is predictive of SWB scores below the 70%SM threshold. However, the mean income scores of Set A and Set B were not significantly different, so these conclusions cannot be drawn. As the income level of participants in both sets was comparable (not significantly different), but the predictive ability of income differed across data sets, the above discrepancy produces and interesting hypothesis. It was once believed that wealthier people are happier, and that objective measures of wellbeing that focus on material wealth were adequate measures of quality of life. However, these data suggest that wealth does not predict the subjective wellbeing of people who are satisfied (whose PWI levels are within a normal range), but wealth can predict the SWB of people who are less satisfied that normal. This statement does not mean that lower SWB is caused by income, however, as the mean income level is the same across both data sets. It may simply be that income is more relevant or influential to people with lower satisfaction, whereas wealth is not important to someone who is happier and whose homeostatic mechanisms are regulating a high subjective wellbeing. 118 Subjective Wellbeing and Homeostasis 8.4 The Homeostatic Mechanism Finally, the theory of subjective wellbeing was tested. The hypothesis states that SWB is maintained within an idiosyncratic range controlled by homeostasis, until the degree of challenge or negative load placed upon the system exceeds an individual’s threshold for effective management. Thus, homeostasis serves a dual function, in maintaining SWB levels within a high positive range (which is normally within 7080%SM for Western populations), and serving as a buffer against negative life conditions. While SWB is normally regulated within a narrow range, severe or chronic negative life conditions can cause homeostatic mechanisms to fail. Therefore, the experience of depression may not significantly decrease SWB levels unless the depression is strong enough to overwhelm the functioning of the homeostatic system. Thus, when depression scores were plotted against PWI scores for participants in both data sets, it was expected that a negative curvilinear relationship would be found. A linear negative relationship between depression and SWB would simply indicate that as depression increases, SWB decreases by a consistent degree. In contrast, a curvilinear negative relationship would indicate the presence of a threshold. The graph displaying the plotted PWI and depression scores showed evidence of a non-linear relationship. PWI scores decreased at a slower rate with increasing depression at first (between the 81-70%SM range), then the PWI scores remained stable as depression scores increased (at 71-70%SM), followed by a more rapid decrease in PWI scores with increasing depression. 119 Subjective Wellbeing and Homeostasis Homeostasis predicts that SWB levels remain stable with increasing depression until the threshold (70%SM) is reached, with sharp decreases in SWB coinciding with higher depression rates, thus forming a curvilinear relationship. The graph generated from the data did not indicate a stable level of SWB above the 70%SM threshold point, but instead indicated that SWB decreases contingent upon increasing depression symptomatology. This finding does not lend much support to the hypothesis that a curvilinear relationship (as depicted in Figure 9) exists between SWB and depression. Still, the occurrence of a plateau at the 70%SM threshold point followed by a sharp decline in PWI scores suggests that the homeostatic mechanisms attempt to regulate SWB and buffer against depression, but at a certain level of stress, homeostasis is defeated. This finding supports the theory of SWB homeostasis, which predicts that as SWB approaches the lower threshold (of 70%SM), the homeostatic system resists further change and works to bring SWB levels back within the normal range. Furthermore, the graph provides support to the hypothesised lower threshold of 70%SM, beyond which homeostatic mechanisms cannot maintain SWB levels. SWB levels decline steeply from this lower threshold point as depression scores rise, indicating that people with PWI scores below 70%SM are at risk of homeostatic failure. There are several possible explanations for the failure to find strong evidence of a curvilinear relationship between PWI and depression scores. Firstly, the mean PWI scores, particularly for set B, were under the normative mean score of 75%SM expected of Western populations. It is not known whether this difference may impact on the relationship between PWI 120 Subjective Wellbeing and Homeostasis scores and depression. Similarly, the participants in set B were described as higher in depression, anxiety and neuroticism than the other, and this may have affected the PWI-depression relationship. Finally, the depression measurement format was altered from a 0-4 point Likert scale to a 0-10 point response format. It may be possible that the addition of response options results in a more gradual slope between PWI and depression scores, thus making the relationship appear more linear. The clinical implication of the above finding is that subjective wellbeing measures be a better measure of depression than depression indicators. If depression indicates a loss of SWB, then necessarily SWB is a better measure than are they symptoms of SWB loss, which is what depression scales measure. For example, a client may receive a depression score indicative of moderate clinical severity, but their PWI score may be well within the normal range, indicating that they are currently coping and able to manage their depressive symptomatology. Conversely, it may be that another person with very mild depression has a PWI score well under the normal range, and is not able to cope. The findings discussed above lead to the potential hypothesis that the PWI could be used as a sensitive measure of psychological wellbeing, in that slight deviations in satisfaction below the normative population range of 70-80%SM represent a dramatic increase in the probability of poor psychological wellbeing. Furthermore, the PWI could be effectively employed to evaluate depression treatment. Research suggests that SWB is sensitive to change in depression symptomatology, whereby SWB decreases with the onset of depression and increases to the normal, pre-morbid level, 121 Subjective Wellbeing and Homeostasis with the alleviation of depression (Barge-Schappveld et al., 1999; (Koivumma-Honkanen et al., 2001). The finding that PWI scores related to depression scores, and that there was evidence of a 70%SM lower threshold point, indicates that the Personal Wellbeing Index would indeed be an efficacious evaluation tool used in conjunction with depression therapy. The relationship between depression and SWB will be more thoroughly explored in Study 3. This study will be based on an integration of the SWB Homeostasis theory and the Conservation of Resources theory (Hobfoll, 1988), allowing for an investigation of the impact of personal and environmental resources that influence the ability to manage stress and therefore avoid homeostatic failure and depression. 122 Section Two – The Circumplex Model of Affect 123 The Circumplex Model of Affect Section Two Overview There has been tremendous growth in research on the construct of affect, and much evolution of its conceptualisation. Historically viewed as a bipolar construct, affect was believed to involve the mutually exclusive states of positive affect and negative affect. These were typically measured with inventories such as the popular and longstanding Positive and Negative Affect Schedule (Watson & Tellegen, 1985). In 1980, Russell made a major contribution to the literature by proposing that the dimensions of positive and negative affect define a circumplex, in which mood description can be systematically arranged around the perimeter of a circle. This model depicts affect valence and activation as orthogonal constructs, and measures the four unipolar dimensions of high activation positive affect, low activation positive affect, high activation negative affect, and low activation negative affect. Huelsman, Nemanick and Munz (1998) developed their 4Dimensional Mood Scale in order to operationalise the circumplex model by augmenting the Positive and Negative Affect Schedule with a set of items from the Affective Lexicon (Clore, Ortony & Foss, 1987). This scale contains four subscales representing the quadrants of the affective circumplex. The aim of this study was to replicate the factor analysis for the 4Dimensional Mood Scale conducted by Huelsman and colleagues (1998), and to evaluate the appropriateness of the items in each factors used therein to describe affective experience. While the replication was successful and 124 The Circumplex Model of Affect the factors were strong and reliable within the Australian sample, there was concern that the items used in the scale do not broadly define the quadrants of the circumplex model. Therefore, this study tested the hypothesis that alternative items, chosen for their statistical strength and ability to represent the circumplex model, would prove equally as statistically powerful in factor analysis as those in the original 4-DMS. Alternative items were used to represent the high activation positive and negative subscales. The original low activation positive affect items from the 4-DMS were retained. Alternative items for the fourth factor, which was originally ‘Tiredness’ in the 4-DMS, were sought, however the high and low activation negative factors could not be reliably separated through factor analysis when low activation negative affect was broadly defined. The subscale reliability of the two revised subscales were comparable with the original subscales, with Cronbach’s Alpha statistics of .88 and .89, as compared to .91 and.87 for the high activation negative and positive subscales respectively. It was concluded that a four-factor model best represents the circumplex model, acknowledging the conceptual limitations of the fourth factor. Affect measurement should be supplemented with a brief depression inventory, such as the Beck Depression Inventory, in order to encapsulate the breadth of the low activation negative affect quadrant. 125 The Circumplex Model of Affect Chapter 9 Measurement of the Circumplex 9.1 Revisiting the Circumplex Model In the past two decades, there has been tremendous growth in research on the construct of affect. Over this time, the conceptualisation of affect has evolved from a bipolar model to the currently accepted circumplex model, as was discussed in Chapter 3. The circumplex, as presented in Russell’s (1980) original model, made a major contribution to the literature by proposing that affect can be represented by valence (positive and negative affect) and activation, with mood descriptors systematically arranged around the perimeter of a circle (Watson, Weise, Vaidya & Tellegen, 1999). In a circumplex model, affect valence and activation are orthogonal dimensions. While each dimension is bipolar, spanning positive to negative affect and high to low activation with each dimension, they are measured as four independent, unipolar dimensions. Therefore, the circumplex measures high activation positive affect (e.g. active, energetic, strong), high activation negative affect (e.g. hostile, nervous, guilty), low activation positive affect (e.g. relaxed, calm, serene), and low activation negative affect (e.g. tired, drained, drowsy). A circumplex structure is typically derived from a dimensional analysis (e.g. factor analysis or multidimensional scaling) of proximity ratings for a set of stimuli (e.g. affect terms) (Feldman Barrett & Fossum, 2001; Remington, Fabrigar & Visser, 2000). When plotted against this 126 The Circumplex Model of Affect dimensional conceptualisation, affect terms are visually represented meaningfully around the perimeter of the space defined by the axes, where ‘like’ terms (such as anger and agitation) fall close together, and dissimilar terms fall in opposing quadrants of the circumplex. The affective circumplex is highly robust and emerges whenever individuals label or communicate their own or others’ affective experiences (Feldman Barrett and Fossum, 2001). Data clearly demonstrate that the circumplex schematic captures important properties of mood ratings, however the extent to which the data fits the model is dependent on factors such as the timeframe of affective judgement and ambiguity of affective states (Remington, Fabrigar & Visser, 2000; Watson et al., 1999). 9.2 Early Affect Measurement The most widely utilised affect measure is the Positive and Negative Affect Schedule (PANAS), which was devised by Watson and Tellegen (1985), and contains 20 adjectives, with ten each for both the positive affect and negative affect factors. Although an extremely popular affect measure, the major limitation of the PANAS is that it contains adjectives only relating to the high poles of each construct. This measure thus falls short of fully measuring Watson and Tellegen’s (1985) model, depicted in Figure 5, which implies affective activation by describing positive and negative affect as two orthogonal bipolar dimensions. The decision to include only high pole markers of each construct was based on the assumption that low poles of affect are adequately 127 The Circumplex Model of Affect measured by low ratings on the high pole items. This assumption has independently been questioned. Authors such as Diener, Smith and Fujita (1995) and Burke, Brief, George, Roberson and Webster (1989) have presented compelling evidence that positive affect and negative are separate constructs with weak negative relationships, indicating that they are largely independent. Moreover, the PANAS has been widely criticised for its inability to represent the entirety of experienced affect due to its measurement of only highly activated affect. It cannot be assumed, for instance, that the absence of the highly activated negative mood anger indicates low activated mood (such as relaxation for low activated positive mood, or tiredness for low activated negative mood), as these are relatively unrelated. Thus, while affect is descriptively bipolar (with positive affect being the semantic bipolar opposite of negative affect), it must be measured as independent unipolar dimensions. 9.3 The 4-Dimensional Mood Scale Huelsman, Nemanick and Munz (1998) created an alternative affect scale to address the limitations of the PANAS. They created a scale based on the PANAS with additional affect terms added to measure low pole positive and negative affect, thus meeting the assumptions of a circumplex structure. This scale, known as the 4-Dimensional Mood Scale, consists of 20 affect items that fall within the four unipolar dimensions of the circumplex. The items for each dimension comprise: 1. Positive Energy (High PA) – Active, Energetic, Lively, Vigorous 128 The Circumplex Model of Affect 2. High Negative Affect (High NA) – Aggravated, Agitated, Hostile, Irritable, Upset, Uptight 3. Relaxation (Low NA) - Calm, Peaceful, Relaxed, Serene, Tranquil 4. Tiredness (Low PA) - Exhausted, Fatigued, Tired, Weary, Worn Out A confirmatory factor analysis revealed that positive energy was negatively related to tiredness, and that high negative affect was strongly negatively related to relaxation and positively related to tiredness (low negative affect). Two major criticisms of the 4-Dimensional Mood Scale (Huelsman, Nemanick & Munz, 1998) are apparent. Firstly, their scale is based on Watson and Tellegen’s (1985) conceptualisation of the circumplex, rather than Russell’s (1980), wherein activation is implied, and positive and negative affect are two separate dimensions. In contrast, Russell’s model depicts affect (positive and negative) as one dimension of the circumplex, and activation as the other. The impact of this difference is seen in the description of the factor ‘Tiredness’ as low activation positive affect, and ‘Relaxation’ as low activation negative affect. This implies that tiredness indicates the absence of positive affect, and relaxation indicates the absence of negative affect. In a description of affect fitting a truly circumplex model, however, positive affect is either high or low in activation, but remains positive nonetheless, thus ‘energetic’ is high in activation, and ‘serene’ is low in activation. 129 The Circumplex Model of Affect The second criticism of the 4-Dimensional Mood Scale involves the appropriateness of the items used to represent a circumplex model. The items used by Huelsman, Nemanick and Munz (1998) were selected on the basis of statistical strength through factor analysis. Therefore, while these items form four psychometrically strong and reliable factors, it may be argued that this does not necessarily mean that the factors adequately represent the circumplex theory. For instance, the five items within the ‘tiredness’ factor have near identical meanings, and thus could be expected to clump together closely when plotted with multidimensional scaling techniques. Items adequately representing circumplex theory would be expected to fall evenly around the perimeter of each quadrant of the model. 9.4 Conclusions The circumplex model, which comprises the two orthogonal dimensions of valence and activation, is the currently accepted conceptualisation of affect. This model assumes that the experience of affect can be categorized within the four independent unipolar dimensions of high activation positive affect, high activation negative affect, low activation positive affect and low activation negative affect. Early measures of affect focused on the high poles of mood, but neglected measurement of the low poles, thus falling short of a comprehensive assessment of affective experience. Huelsman, Nemanick and Munz (1998) compensated for this limitation by expanding the original PANAS with additional affect items to measure the dimension of low activation. Their 4-Dimensional Mood Scale marks an evolution of affect 130 The Circumplex Model of Affect measurement by operationalising the circumplex model, however it is not without its limitations. In particular, the items used to represent each of the quadrants of the cirumplex may be improved in therms of their ability to represent the content of each quadrant. 131 The Circumplex Model of Affect Chapter 10 Study 2 Methodology 10.1 Aim This study aims to replicate the factor analysis conducted by Huelsman, Nemanick and Munz (1998) in order to validate the 4Dimensional Mood Scale for an Australian population. Furthermore, this study aims to conduct an experimental factor analysis with alternative affect items that represent the circumplex model of affect, in order to test the reliability of the new subscales. 10.2 Rationale It is expected that the 20 items of the 4-Dimensional Mood Scale will be explained by four constructs via factor analysis, and that these will be consistent with those extracted by Huelsman, Nemanick and Munz (1998). As the scale is based on the Positive and Negative Affect Schedule, a highly reliable and replicable measure, it predicted that a replication of the factor analysis conducted by Huelsman and colleagues (1998) will yield similar results in an Australian community sample. This study also aims to test whether the 4-Dimensional Mood Scale can be improved to more comprehensively represent the circumplex model of affect by selecting alternative items to represent the four dimensions. Four factors will be extracted from a pool of 60 affect items, including those in the 4-DMS, in an experimental factor analysis. Alternative items will be selected for the four constructs on the basis of both psychometric strength 132 The Circumplex Model of Affect and ability to represent the circumplex model. The reliability of these revised subscales will then be tested. It is expected that the four revised subscales representing high activation PA, high NA, low PA and low NA will be as reliable as those in the 4-Dimensional Mood Scale. Moreover, it is predicted that these sub-scales will more comprehensively represent the circumplex model of affect. 10.3 Research Hypotheses The hypotheses for the Study 2 include: 1. That the factor analysis for the 4DMS will be successfully replicated, 2. That alternative items will prove equally as statistically powerful in the factor analysis, 3. That the alternative items used to create the new subscales will better fit the theory of circumplex affect than those originally used in the 4DMS. 10.4 - Method 10.4.1 Materials The questionnaire package used in Study 1 contained the 20 items of the Four Dimensional Mood Scale (Huelsman, Nemanick & Munz, 1998), along with 40 additional mood items. The alternative affect items were taken from the Affective Lexicon (Clore, Ortony, & Foss, 1987). The additional items included: 133 The Circumplex Model of Affect Alert Drained Anxious Aroused Drowsy At ease Determin ed Lethargic Eager Ashamed Placid Inspired Sluggish Scared Strong Pleased Interested Spent Restful Tense Attentive Dull Contente d Enthusias tic Distresse d Quiet Numb Jittery Solemn Still Bored Afraid Nonchala nt Lazy Guilty Excited Sleepy Nervous Proud Untroubl ed These 60 affect items were divided into four sections within the Questionnaire package and measured on an 11-point Likert scale ranging from 0 (strongly disagree that the word represents how you feel) to 10 (strongly agree that the word represents how you feel), see Appendix B. 10.4.2 4-Dimensional Mood Scale The 4-Dimensional Mood Scale is a 20-item measure of trait mood, based on the circumplex model of affect. This scale measures the valence and activation of affect as four monopolar dimensions. The 20 items of the scale were selected from an initial item pool of 60, with 15 items representing each dimension. These items were selected from the PANAS (Watson et al., 1988), the Job Affect Scale (Burke et al., 1989), the Activation-Deactivation Adjective Check List (Thayer, 1989) and the Affective Lexicon (Clore, Ortony, & Foss, 1987). Four separate principal component analyses were performed on each of the mood dimensions. An oblique rotation was employed, and only items 134 The Circumplex Model of Affect with structure coefficients greater than or equal to .71 were considered part of a factor. After rotation, the items in each factor were as follows: Factor 1 Factor 2 Factor 3 Factor 4 High PA Low PA High NA Low NA (Positive (Tiredness) (Negative Energy) Active (Relaxation) Arousal) Exhauste Aggravat Calm d ed Energetic Fatigued Agitated Peaceful Lively Tired Hostile Relaxed Vigorous Weary Irritable Serene Worn Upset Tranquil Out Uptight The internal consistency reliability coefficients for these factors ranged from .87 to .93 (Huelsman, Nemanick and Munz, 1998). 10.5 Procedure 10.5.1 Recruitment of Participants Study 1 and study 2 results are based on the data from the same group of participants. Participant recruitment details and demographic data are outlined in Chapter 6.4.1. 135 The Circumplex Model of Affect Chapter 11 Study 2 Data Analysis 11.1 – Study 2 - Assumptions of Normality Testing It is expected that many of the 4-Dimensional Mood Scale word items will have overall scores that are positively or negatively skewed, as it is predicted that the majority of the sample will score highly on positive word/moods (such as ‘active’, ‘proud’ and ‘contented’) and low on negative word/moods (such as ‘scared’, ‘ashamed’ and ‘agitated’). To investigate the statistical significance of the degree of skewness and kurtosis affecting the 60 mood variables within the Questionnaire, the skewness and kurtosis statistics were divided by the standard error of skewness and kurtosis respectively. Tabachnick and Fidell (2001) suggest that significance of skewness and kurtosis statistics between –4 and +4 are acceptable for large samples, and that variables falling outside this range have non-normal curves. Many of the 4-Dimensional Mood Scale variables in both data sets showed significant levels of skew and kurtosis. Within Data Set A, 61% of the 4-DMS variables had some degree of skewness or kurtosis outside the acceptable –4 to +4 range, and in Data Set B, 53.3% of the variables had some degree of skewness or kurtosis. However, the skewness values were only just outside the acceptable range in the majority of variables. In both sets, only five of the 60 variables showed skewness and/or kurtosis statistics that were extremely deviant: these were ‘Ashamed’, ‘Guilty’, ‘Hostile’, ‘Scared’, and ‘Numb’. Although these variables displayed extreme positive skewness (S=11.91 to 14.9) and 136 The Circumplex Model of Affect extreme positive (leptokurtic) kurtosis (K=11.87 to 22.2), this is an anticipated and logical finding. In Set A, 16 of the 60 of the 4-DMS variables contained extreme outliers according to the boxplots, however only six of these had three or more extreme values; these were the variables ‘ashamed’, ‘guilty’ ‘hostile’, ‘numb’, ‘scared’ and ‘afraid’. The means for these items were very low (between 9%SM and 13%SM), and these variables were also highly leptokurtic, suggesting that there is a low level of variability between scores from the participants. Therefore, any case with slightly higher scores would be identified as an extreme outlier. To investigate the significance of the univariate outliers, the standardised scores (z scores) were analysed. Tabachnick and Fidell (2001) suggest that z scores in excess of 3.29 are potential outliers, but that a few standardised scores in excess of 3.29 are expected in large samples. Six of these variables were deemed to have significant outliers (with z scores over 3.9). These included the 4-DMS items previously discussed, ‘Ashamed’ (z = 4.7), ‘Guilty’ (z = 4.6) and ‘Hostile’ (z = 3.98), as well as ‘Numb’ (z =4.5), ‘Jittery’ (z =4.0) and ‘Scared’ (z =4.4). In Data Set B, an examination of the boxplots of the 4-DMS revealed the above five variables as having more than one extreme value. There were six variables with standardised scores (z scores) in excess of 3.29 indicating that they are potential outliers (the items ‘Dull’, ‘Guilty’, ‘Hostile’, ‘Numb’, ‘Jittery’ and ‘Scared’) however none of the z-scores were over 3.86. 137 The Circumplex Model of Affect No extreme cases were deleted from the data sets as this would be detrimental to the investigation of the relationship between PWI and other variables in individuals with high negative mood. Although the nonnormality of the variables with extreme outliers could be reduced with transformations, these will not be performed as transforming the data would render them less interpretable. As an alternative means of compensating for data non-normality, significance will be accepted at p=.01. Additionally, the possible limitations of retaining the non-normal cases will be summarised in the general discussion, Chapter 18.5.2. 11.2 Replicated Principle Components Analysis with Varimax Rotation The first aim was to replicate the factor structure and reliability of 60 affect items chosen by Huelsman, Nemanick and Munz (1998) representing the dimensions of high positive affectivity, low positive affectivity, high negative affectivity, and low negative affectivity. Tabachnick and Fidell (2001) suggest that it is comforting to have at least 300 cases, so the current sample size of 482 (with 236 in Data Set A and 246 in Data Set B) may be considered adequate for this analysis. The factorability of the matrix was confirmed though an inspection of the correlation matrix, which showed that all items correlated >.3 with at least one other item. Furthermore, Bartlett’s test of Sphericity statistic was significant (Bartlett’s = p <.001) and the Kaiser-Meyer-Olkin measure of sampling adequacy was .89. 138 The Circumplex Model of Affect The initial extraction yielded 11 factors with eigenvalues >1. However, there was a considerable statistical distance between the fourth factor (with eigenvalue of 2.9) and the fifth factor (with eigenvalue of 1.7) considering the eigenvalues of factors five to eleven decreased by roughly .2. Furthermore, inspection of the scree plot clearly suggests that a fourfactor solution accounts for the majority of variance (59.87%). The factor analysis was repeated with the specification of a fourfactor solution. An initial inspection of the pattern matrix showed a complex structure with some affect items cross-loading between .31 and .60 across more than one factor. The cross-loading items made meaningful interpretation of the factors difficult. In addition, the reliability of any items loading <.4 in a factor analysis is poor (Tabacknick & Fidell, 2001). Therefore, in order to achieve a simple structure, the solution was rotated using SPSS VARIMAX, and loadings <.4 were omitted from the interpretation of the factors. This procedure led to a more simple structure in the factor matrix that greatly improved interpretability and understanding of the factors. Factor 1 accounted for approximately 17% of the total variance in affect scores, and comprised negative items such as tense, nervous, hostile, guilty and distressed. These items not only reflected negative mood states, but also inferred a high level of activation, thus Factor 1 may be best described as a high activation negative affect. Factor 2 accounts for approximately 16% of the total variance, and comprised positive items such as eager, energetic, excited and interested. These items reflect both positive 139 The Circumplex Model of Affect mood state and high activation, thus Factor 2 is described as a high activation positive affect. Factor 3 accounted for approximately 13.7% of the total variance in the initial solution. It comprised negative items such as tired, worn out, sluggish, and exhausted. These items reflect negative mood states, and are low in activation. Therefore, factor 3 is described as a low (passive) negative affectivity factor. Factor 4 accounts for 12.3% of the total variance, and comprised positive items such as serene, tranquil, relaxed and calm. These items reflect both a positive mood state and a low level of activation, and as such, factor 4 reflects low activation positive affect. All factors contained at least seven pure items that load only onto one factor, and all factors accounted for an approximately equal and significant amount of shared variance (12.5 to 17%), making all factors stable and interpretable (Tabachnick & Fidell, 2001). Each of the 20 items used by Huelsman, Nemanick and Munz in 1998 as a part of their 4-Dimensional Mood Scale loaded on the appropriate factor, see Table 6. Therefore, it was decided to analyse these 20 affect variables by specifying four factors in a Varimax rotation for ease of interpretability. 11.3 Final Solution and Reliability Analysis Factor loadings for the specified four-factor solution were derived from a principle components analysis of the 20 items identified within the 4Dimensional Mood Scale (Huelsman, Nemanick & Munz, 1998). The matrix was considered factorable as indicated by a significant Bartlett’s test of Sphericity statistic (χ2 = 3384.25, p<.001) and the Kaiser-Meyer-Olkin 140 The Circumplex Model of Affect Measure of Sampling Adequacy was above .8 (KMO = .89). Varimax rotation (SPSS VARIMAX) of the solution was conducted to enhance simple factor structure and interpretability. Table 6 shows the results of the specified four-factor solution with five items loading significantly onto the Tiredness factor (Factor 1), six items leading on the Negative Arousal factor (Factor 2), five items loading on the Relaxation factor (Factor 3), and four items loading on the Positive Energy factor (Factor 4). Crossloadings above .4 are listed in the table. Table 6 - Affect factors and items loadings in the replication of the 4DMS Tired Weary Worn Out Fatigued Exhausted Agitated Aggravated Hostile Upset Irritable Uptight Serene Tranquil Relaxed Peaceful Calm Energetic Vigorous Lively Active 1 Eigenv.=8.71 .867 .856 .830 .820 .755 .416 Factor 2 3 Eigenv.=2.58 Eigenv.=2.30 .859 .840 .742 .708 .681 .634 -.435 4 Eigenv.=1.34 -.337 -.376 .869 .820 .814 .781 .684 .840 .817 .812 .796 While two items crossload on two factors, ‘upset’ and ‘calm’, the loading is significantly higher on the appropriate factor than the other. 141 The Circumplex Model of Affect The reliability analysis showed item-total correlations for all items were good (above .6). Item-total correlations overall were very high, ranging from .60 to .85. The internal consistency (Cronbach’s Alpha) for all factors was high (α = .93 for Factor 1, α = .92 for Factor 2, α = .91 for Factor 3 and α = .88 for Factor 4. The subscale correlations of the replicated 4-DMS are reported in Table 7. The highest correlation was between Negative Arousal and Relaxation, and Negative Arousal and Tiredness respectively. Equal correlations were found between Tiredness and the Relaxation and Positive Energy subscales. The lowest correlation was between Negative Arousal and Positive Energy. All correlations were significant to the .01 alpha level. Table 7 Subscale Correlations of the Replicated 4-DMS 1 1 Negative Arousal 2 Tiredness 2 3 4 .55** -.58** -.24** -.39** -.39** .39** 3 Relaxation 4 Positive Energy ** Correlation is significant at the .01 level 11.4 Revised Affect Sub-Scales This replication of the 4-Dimensional Mood Scale was successful. Four factors were indeed extracted from the initial 60 items, and each factor was composed of items that appropriately represented each of the hypothesised four dimensions of affect, being valence (positive and 142 The Circumplex Model of Affect negative) and activation (high and low). Furthermore, each item within the 4DMS loaded highly on the intended factor, and the internal consistency coefficients were high for each factor. As the psychometric properties of the 4DMS were strong, the argument for the intended supplementary subscales is based on conceptual rather than methodological issues. A discussion of each factor and the respective changes will follow. 11.4.1 High Negative Affect (Negative Arousal) Huelsman, Nemanick and Munz (1998) illustrated the conceptualisation of negatively valenced and highly active affect with the items ‘aggravated’ ‘agitated’, ‘hostile’, ‘irritable’, ‘upset’ and ‘uptight’, in a factor they labelled Negative Arousal. These adjectives certainly are indicative of negative and highly active mood states, however the meaning underlying these words is quite specific. For example, the words ‘aggravated’, ‘agitated’, ‘hostile’, and ‘irritable’ all relate to the emotional state of anger. Whilst they allude to varying degrees of anger (where irritation may lead to anger whereas hostility may be displayed in verbal and physical behaviours as a result of anger), these four items are bound together by a related concept. The remaining variables within this factor, ‘upset’ and ‘uptight’, are rather ambiguous in terms of the emotion or experience underlying these states. Although somewhat ambiguous, these two items were classified as affective conditions by Clore, Ortory and Foss (1987) on the foundations of the Affective Lexicon, as were the other four items within the factor. 143 The Circumplex Model of Affect Thus, the negative arousal factor proposed by Huelsman and colleagues (1998) measures aspects of anger and the subjective feelings of being upset and uptight. Although this certainly comprises negative affective experiences, the question to be raised is whether or not these items alone can adequately encapsulate the breadth of high negative affect. Being angry and feeling upset are surely not the only possibilities in the realm of highly negative human emotion. On revisiting the original 60 variables entered into the initial factor analysis, some of the items within this factor not used in the 4DMS include ‘nervous’, ‘scared’, ‘afraid’, ‘distressed’, and ‘ashamed’ (all with factor loadings above .63). It is thus argued that the factor of Negative Arousal presented by Huelsman and colleagues (1998) is too narrowly defined as a result of the conformity of the items used. Therefore, a different factor consisting of alternative items is proposed. The items within the high negative affectivity factor to be used in this exploratory research include ‘agitated’, ‘hostile’, ‘anxious’, ‘nervous’, ‘scared’ and ‘distressed’. It is clear that these items cover a range of highly activated negative mood states, including anger, anxiety and fear, as well as the more general and ambiguous state of distress. These adjectives broaden the measurement of high negative affectivity. Although it could be stated that broadening the measurement of the factor will render it less defined and specific, so that it becomes uncertain which emotions are indicated by a high score on this factor, it is counter argued that we are aiming to measure highly activated negative affect rather than specific emotion. The conceptualisation of this circumplex quadrant is broad, and so too must be its measurement. 144 The Circumplex Model of Affect 11.4.2 High Positive Affectivity (Positive Energy) Huelsman, Nemanick and Munz (1998) illustrated the conceptualisation of positively valenced, highly active affect, with the items ‘active’ ‘energetic’, ‘lively’ and ‘vigorous’, in a factor they labelled Positive Energy. These adjectives are quite specific in relating to the feeling of energy, which is largely based on the subjective and cognitive perception of physical state (Clore, Ortony, & Foss, 1987). The meaning of the words is very similar according to dictionary and thesaurus definitions, and these adjectives, particularly ‘active’, ‘energetic’ and ‘lively’, are commonly used interchangeably. As with the previous factor, it is clear that these items adequately represent the factor, positive energy, but the extent to which the factor of positive energy represents the intended circumplex conceptualisation of high activation positive affect is dubious. Some of the 15 items from the initial factor analysis that load onto the high positive factor not used in the 4DMS include ‘eager’, ‘enthusiastic’, ‘strong’, ‘determined’, and ‘inspired’ (all with factor loadings above .66). Hence, It is argued that the factor of Positive Energy presented by Huelsman and colleagues (1998) is too narrowly defined as a result of the conformity of the items used. Thus, once again, a different factor comprising alternative items is proposed. The items within the high negative affectivity factor to be used in this exploratory research include ‘enthusiastic’, ‘eager’, ‘determined’, ‘inspired’ and ‘excited’. This item set is intended as a supplementary factor rather than a replacement factor. It is believed that positive energy (with a 145 The Circumplex Model of Affect somewhat physical component) is an important and necessary aspect of high positive affectivity. The proposed items thus provide a measure of affective states that is more cognitive (with a somewhat psychological emphasis), so broadening the scope of the factor. Therefore, the original physiological ‘positive energy’ subscale and the new psychological ‘high positive affect’ scale could effectively be used together to broaden measurement of affect experience. The five proposed items are classified as Affective Conditions (exited, determined, inspired) and Cognitive Conditions (eager, enthusiastic) within the affective lexicon (Clore, Ortony and Foss, 1987). These items along with those in the 4DMS Positive Energy factor are expected to provide a broad measurement of high pole positive affect. 11.4.3 Low Negative Affectivity (Tiredness) Huelsman, Nemanick and Munz (1998) illustrated the conceptualisation of low activation negative affect with the items ‘exhausted’ ‘fatigued’, ‘tired’, ‘weary’ and ‘worn out’, in a factor they labelled Tiredness. According to Ortony, Clore and Foss (1987), all of these low activation negative affect items come from a subgroup called (internal conditions- nonmental) physical and bodily states. These adjectives are quite specific in relating to the feeling of tiredness, based on the subjective perception of physical state. The meaning of the words is extremely similar, to the point that only one or two could be used as effectively to explain this factor. The scale reliability analysis of Huelsman Nemanick and Munz’s (1998) Tiredness factor was very high (α=.93), due to the very high 146 The Circumplex Model of Affect correlations between the items (wherein all items correlated between .82 and .86 with at least one other item), which suggests that these items are essentially measuring the same state. On examining the remaining items from the original 60-item pool that load on this factor not used in Huelsman et al’s (1998) 4DMS, it was clear that all of them relate to tiredness (‘drained’, ‘sleepy’, ‘sluggish’, ‘drowsy’ etc), and that this factor would still only represent the physiological state of tiredness if these alternative items were used, due to their similarity. The five items used within Huelsman et al’s Tiredness factor indeed provide a good measurement of the subjective state of tiredness, but this is a very specific affective state, and one that cannot be said to represent low activation negative affect as a whole. As this is the case, it is believed that alternative (and broader) items need to be introduced into the item pool for this factor, and a subsequent factor analysis conducted. Therefore, ten new adjectives will be taken from the Affective Lexicon (Clore, Ortony & Foss, 1987) in replication of the process undertaken by Huelsman, Nemanick and Munz (1998). In contemplating the meaning and breadth of low negative affect, it was considered that this factor would best be measured across affective states including tiredness as well as symptoms of depression and dissatisfaction. Therefore, a list of words from the Affective Lexicon that fit these criteria were extracted. Along with two of the ‘tiredness’ adjectives that will be retained, the new words selected from the Affective Lexicon include: bored, sad, sleepy, depressed, gloomy, upset, exhausted, flat, and 147 The Circumplex Model of Affect discontented. These words will be added into a new affect items pool within the questionnaire for Study 3, and tested in a separate factor analysis. 11.4.4 Low Positive Affectivity (Relaxation) The items chosen by Huelsman, Nemanick and Munz (1998) to represent the low activation positive factor (serene, tranquil, relaxed, peaceful and calm) seem to suggest physical as well as psychological states and feelings of wellbeing, and suggest a fairly broad conceptualisation of the factor. Therefore, there are no recommended changes to this factor. 11.5 Factor Analysis and Reliability Analysis of Revised Subscales Factor analyses were initially undertaken with Data Sets A and B of Study 1 separately, yielding two subscales representing high activation positive affect, and high activation negative affect. These analyses were undertaken on the data sets separately so that the findings from the first analysis could be replicated and confirmed with the analysis of the second data set. As it was previously mentioned, the original ‘Tiredness’ subscale of the 4-DMS contained only items pertaining to the physiological state of tiredness, and the variables within the 60-item pool did not allow for a broader measurement of this quadrant. Therefore, additional affect items were introduced into an item pool contained in the questionnaire for Study 3, and factor analyses were performed in order to identify an alternative subscale for this quadrant. Therefore, the following analyses pertain to a 148 The Circumplex Model of Affect two-factor solution based on Study 1 data, and a three-factor solution based on Study 3 data. Principle components analysis with varimax rotation was performed through SPSS FACTOR on 60 items from the Trait Mood Scale (Huelsman, Nemanick & Munz, 1998) for the sample of 236 (Set A) and 246 (Set B) participants. The item correlation matrices were observed for singularity, multicolinearity and factorability of the items. Some singularity may exist, as some variables correlated above .8 (such as Exhausted-Fatigued, JitteryNervous, Relaxed/Restful, Tense-uptight). All other items correlated above .3 with at least one other item (Coakes & Steed, 2001). The Kaiser-MeyerOlkin Measure of Sampling Adequacy (KMO) was well above the required level of .6 for both sets, and the Bartlett’s Test of Sphericity value was significant, therefore factor analysis is appropriate. The communalities were all adequate, ranging between .59 and .85. 11.5.1 High Negative and High Positive Affect Subscales As both the high negative and high positive affective factors in the initial rotation contained up to 15 individual items (some of which crossloaded on other components), the number of items in each component was reduced to five. Items for both the high activation factors were chosen with a combination of statistical strength and ability to adequately describe the broad nature of the theoretical factors. In component 1 (High Activation Negative Affect), the variables chosen included Agitated, Hostile, Distressed, Anxious and Nervous. For component 2 (Activated Positive 149 The Circumplex Model of Affect Affect), the items Eager, Enthusiastic, Excited, Inspired and Determined were selected. In the initial trial, the item ‘Lively’ was chosen instead of Excited, but this item crossloaded on two other factors when tested on Data Set A. The item ‘Energetic’ was then tested, however this also crossloaded on one other factor. Finally, ‘Excited’ was tested, and this item was free of crossloadings in both data sets. Absolute valued below .4 were suppressed in the Varimax rotation. Each of the ten items fell into one of the two factors with no crossloadings (See Table 8). Table 8 - Two-Factor Affect Solutions for Data Sets A and B Factor Agitated Hostile Scared Distressed Anxious Nervous Eager Enthusiastic Excited Inspired Determined 1 .819 .803 .796 .792 .734 .691 Factor 2 .873 .839 .795 .794 .776 Data Set A Anxious Agitated Nervous Scared Hostile Distressed Enthusiastic Eager Determined Inspired Excited 1 .784 .769 .740 .738 .716 .702 2 .813 .804 .782 .723 .694 Data Set B Factor 1 and 2 accounted for approximately 20% and 18% of the total variance in affect scores respectively. The reliability analysis showed item-total correlations in both factors for all items were good (above .6). Item-total correlations overall were very high, ranging from .63 to .80. The 150 The Circumplex Model of Affect internal consistency (Cronbach’s Alpha) for both factors was high (α = .90 for Factor 1, α = .88 for Factor 2). Furthermore, the chosen items had a minimal correlation of .3 with at least one other, but the correlations were not so high as to suggest singularity (in factor 1 R ranged between .42 and .74, in Factor 2 R ranged from .48 to .79). 11.5.2 Low Negative Affect Subscale As discussed in the previous section 11.4, the original items used by Huelsman and colleagues (1998) to represent the low activation negative affect subscale were deemed an inappropriate representation of the circumplex model of affect. The five items used in the 4-Dimensional Mood Scale for low negative affect all related to tiredness, and do not encapsulate the breadth of low activated negative mood. Therefore, nine items were selected from the Affective Lexicon (Clore, Ortony & Foss, 1987) and added to the item pool within Study 3, along with the two original subscale items with the highest factor loadings (tired and fatigued). In order to conduct a factor analysis and replace the original items with alternative affect items that more broadly represent the circumplex model of affect, the item pool used for the factor analysis of the low activation negative affect subscale included tired, fatigued, bored, sad, sleepy, depressed, gloomy, upset, exhausted, flat, and discontented. A principle components analysis with Varimax rotation was performed through SPSS FACTOR on the 28 affect items (11 items for the low negative affect scale, five original 4-Dimensional Mood Scale items for the low activation positive affect subscale, and five and six items for the 151 The Circumplex Model of Affect high activation negative and positive affect subscales respectively) for the sample of 473 participants within the Study 3 data set. The item correlation matrix was observed for singularity, multicolinearity and factorability of the items. Singularity may exist between ‘upset’ and ‘gloomy’, as these variables correlated to .81. All other items correlated above .3 and less than .8 with at least one other item (Coakes & Steed, 2001). The Kaiser-Meyer-Olkin Measure of Sampling Adequacy (KMO) was well above the required level of .6, and the Bartlett’s Test of Sphericity value was significant, therefore factor analysis is appropriate. The communalities were all adequate, ranging between .46 and .81. The extraction yielded 4 factors with eigenvalues >1. Furthermore, inspection of the scree plot clearly suggests that a four-factor solution accounts for the majority of variance (68.54%). In order to achieve a simple structure, the solution was rotated using SPSS VARIMAX, and loadings <.4 were omitted from the interpretation of the factors. This procedure led to a more simple structure in the factor matrix that greatly improved interpretability and understanding of the factors. The rotated factor solution revealed that the fourth factor (low negative affect) solely consisted of items closely related to tiredness (tired, fatigued, exhausted, sleepy and flat), and therefore was similar with the original low negative affect subscale devised by Huelsman and colleagues (1998). Furthermore, the item ‘flat’ crossloaded heavily on the high negative affect subscale (.57 on low negative affect subscale and .51 on the high negative affect subscale), and the only item that did not crossload on 152 The Circumplex Model of Affect the high NA subscale was ‘tired’. As the aim of the factor analysis was to broaden the low negative affect subscale by utilising items depicting varied affect, a subsequent factor analysis was performed with only one measure of physical fatigue, ‘tired’. In removing the multiple items with a similar meaning to ‘tired’, the items would be unable to clump together forming a subscale representing tiredness. When the factor analysis was repeated after the subtraction of the items ‘fatigued’, ‘exhausted’, and ‘sleepy’, a four factor solution was evident according to the eigenvalues >1 and scree plot. After SPSS VARIMAX rotation, ‘tired’ was still the only item that loaded solely on the fourth factor. The only other fourth factor item with a crossloading below .4 on the high negative affect subscale was ‘bored’. The majority of the items that were chosen according to the theory of circumplex affect to represent low negative affect fell into the high activation negative affect factor, with significant crossloadings. Furthermore, the item ‘nervous’ was originally chosen to represent high activation NA, but fell into the low activation NA factor. Therefore, only two items could clearly represent low activation NA, and the addition of other items intended to represent low activation NA contaminated the original, strong subscale for high activation NA, see Table 9. 153 The Circumplex Model of Affect Table 9 - Four-Factor Affect Solution Factor 1 2 3 4 Eigenv.=5.96 Eigenv.=3.81 Eigenv.=3.80 Eigenv.=2.97 .829 Distressed .795 Hostile .768 Upset .754 Agitated .745 .406 Gloomy .711 Discontented .659 Scared .636 .484 Depressed .627 Anxious .860 Eager .802 Enthusiastic .789 Inspired .745 Determined .665 .421 Excited .840 Calm .765 Serene .764 Peaceful .726 Relaxed .707 Tranquil .712 Tired .606 Bored .492 .592 Sad .409 .580 Nervous .482 .538 Flat This factor solution is very messy due to significant crossloadings, and there is no clear fourth factor. It was decided that a fourth factor consisting of broad items representing low activation NA could not be statistically extracted. Therefore, the theoretical circumplex model of affect may best be measured using the four subscales of high and low activation PA and high and low activation NA, while acknowledging the conceptual limitations of the low activation negative affect subscale. In addition, a brief depression inventory such as the Depression Anxiety Stress Scale or 154 The Circumplex Model of Affect Beck Depression Inventory should be used in conjunction with the affect scale to cover the low activity negative mood states. A VARIMAX rotated factor analysis with a three factor solution (covering high activation PA and NA and activation low PA) was performed, and factor loadings >4 were suppressed for ease of interpretation, see Table 10. The only item with a significant crossloading was ‘excited’, which falls within the high PA subscale with a loading of .66, but crossloads to .43 on the low PA subscale. All other variables fall into the appropriate subscales without any crossloadings >.4, thus all subscales were well represented by the chosen items. Table 10 – Factor Analysis of the Three-Factor Affect Scale Distressed Anxious Agitated Scared Hostile Nervous Calm Serene Peaceful Tranquil Relaxed Eager Enthusiastic Inspired Determined Excited 1 Eigenv. =3.81 .845 .777 .776 .770 .706 .659 Factor 2 Eigenv. =3.66 3 Eigenv. =3.51 .833 .795 .757 .753 .742 .429 .864 .814 .804 .761 .661 Factor 1, 2 and 3 accounted for approximately 24%, 23% and 22% of the total variance in affect scores respectively, with the three-factor solution accounting for 69% of variance in total. The reliability analysis 155 The Circumplex Model of Affect showed item-total correlations in all factors for all items were good (above .6). Item-total correlations overall were very high, ranging from .60 to .82. The internal consistency (Cronbach’s Alpha) for all factors was high; alpha = .88 for Factor 1 (high NA), alpha = .91 for Factor 2 (low PA), and alpha = .89 for Factor 3 (high PA). Furthermore, the chosen items showed favourable correlations with each other within the correlation matrix, wherein the items had at least a .3 correlation with at least one other, but the correlations were not so high as to suggest singularity (in factor 1 R ranged between .42 and .74, in Factor 2 R ranged from .48 to .79). With regard to the item ‘excited’ that crossloaded on the low activation PA subscale, this item had a high item-total correlation score (.67) indicating that the construct measured by the item is congruent with that of the scale as a whole. Furthermore, the internal consistency statistic (Cronbach’s Alpha) would be reduced from .89 to .87 if the item were deleted. The subscale correlations were again calculated, and are reported in Table 11. The highest correlation occurred between the High Activation and Low Activation Positive Affect subscales. Correlations between the High Activation Negative and Low Activation Positive subscales were also high. The High Activation Negative and Positive Affect subscales were the least correlated. 156 The Circumplex Model of Affect Table 11 Subscale Correlations of the Proposed Scale 1 1 High Activation NA 2 High Activation PA 2 3 -.35** -.51** .64** 3 Low Activation PA ** Correlation is significant at the .01 level In conclusion, the results of these statistical analyses indicate that the factors of high and low activation negative affect cannot be reliably separated through factor analysis when low activation negative affect is broadly defined. A number of different items and item combinations were tested in the factor analysis of the low activation NA subscale, and the analyses were conducted on a respectable sample size. However, the factors of high activation negative affect and low activation negative affect can be separated via factor analysis when the latter is restricted to tiredness. Therefore, it can be concluded that the most appropriate method of measuring circumplex affect is with the four-factor scale covering high and low activation PA and high and low activation NA, taking into account the conceptual limitations of the narrowly-defined low activation negative affect subscale. It is recommended that the affect scale is used concurrently with a brief inventory (such as the Depression Anxiety Stress Scale or BDI) used to cover low activation negative affect. 157 The Circumplex Model of Affect 11.6 Summary To briefly summarize this chapter: The factor analysis of the 4-Dimensional Mood Scale was successfully replicated within an Australian community sample. All items within the 4-DMS loaded on the appropriate factors without crossloadings, with the exception of the item ‘calm’, which loaded positively on the Relaxation factor (.68), and negatively on the Negative Arousal factor (-.44), and ‘upset’, which loaded positively on the Negative Arousal factor (.71) and positively on the Tiredness factor (.42). The four subscales of the replicated 4-DMS were highly reliable, with internal consistency levels of .88 to .93. While the Negative Arousal and Positive Energy subscales of the 4DMS were statistically strong and reliable, the items within these subscales are too narrow to represent the quadrants of the circumplex model of affect. Therefore, the two high activation factors, for positive and negative affect, were reconstructed with alternative affect items from the original 60-item pool. The high activation negative affect factor comprised hostile, agitated, scared, distressed, nervous, and anxious. The high activation positive affect factor comprised eager, enthusiastic, inspired, determined and excited. The Relaxation factor of the 4-DMS was deemed an appropriate measure of low activation positive affect, and so was retained. The 158 The Circumplex Model of Affect items within this factor comprise calm, serene, peaceful, relaxed and tranquil. The Tiredness subscale was similarly found to be reliable, however the items within this factor do not broadly measure the circumplex quadrant of low activation negative affect. As all of the items from the original 60-item pool loading on this factor were associated with the physiological experience of tiredness, alternative items were selected from the Affective Lexicon in order to enable a broader measurement of this quadrant. The additional items comprise tired, fatigued, bored, sad, sleepy, depressed, gloomy, upset, exhausted, flat, and discontented. A final factor analysis was conducted specifying a four factor solution using the above 28 items. The results indicated that there was no clear factor of low activation negative affect, as items within the high and low activation negative affect factors significantly crossloaded. The circumplex model of affect can therefore be measured using the four subscales of high and low activation positive affect, and high and low activation negative affect. The high activation subscales were re-defined using alternative items, whereas the original low activation subscales from the 4-DMS were used. This measurement should be supplemented with a measure of depression to provide broader measurement of the low activation negative affect quadrant of the circumplex. 159 The Circumplex Model of Affect Chapter 12 Discussion A good deal of research has been conducted on the construct of affect, and in particular, the relationship between positive and negative affect. The currently accepted conceptualization of affect is the circumplex model. This model depicts affective states as the combination of the bipolar dimensions of valence and activation, which lie at 90 degrees of one another. Huelsman, Nemanic and Munz (1998) operationalised the theoretical circumplex model by assigning affect variables via factor analysis to the four quadrants of the circumplex. 12.1 Replication of the 4-Dimensional Mood Scale The factor analysis of the 4-Dimensional Mood Scale was successfully replicated within an Australian community sample. Two items significantly crossloaded on two factors. These included the item ‘calm’, which loaded positively on the Relaxation factor (.68), and negatively on the Negative Arousal factor (-.44), and ‘upset’, which loaded positively on the Negative Arousal factor (.71) and positively on the Tiredness factor (.42). These were not particularly concerning, as the primary loadings on the intended factors are significantly higher than the other factors. The four subscales of the replicated 4-DMS were highly reliable, with internal consistency levels of .88 to .92. These were comparable to the internal consistency levels reported by Huelsman, Nemanick and Munz (1998), which ranged from .87 to .93, see Table 12. 160 The Circumplex Model of Affect The correlations between the subscales of the replicated 4-DMS were calculated, and reported in Table 7. These subscale correlations, and the subscale reliability indices (Cronbach’s alpha) can be compared with those reported by Huelsman, Nemanick and Munz (1998), See Table 12. Table 12 Comparison of Subscale Correlations Between the 4-DMS and the Proposed Scale 1 2 3 4 1 Neg Arousal -Replication =.88 .55** -.58** -.24** Huelsman et al =.91 -.57** .61** -.31** – Replication - =.92 -.39** .39** Huelsman et al - =.93 -.46** -.43** 3 Relaxation – Replication - - =.92 -.39** Huelsman et al - - =.88 -.40** 4 Pos Energy – Replication - - - =.90 Huelsman et al - - - =.87 2 Tiredness ** Correlation is significant at the .01 level The subscale correlations of the original and the revised 4-DMS are remarkably close. Moreover, the order of correlation strength between subscales is consistent in original and replicated scales. In both analyses, the highest correlated subscales are Negative Arousal and Relaxation, and the least correlated are Negative Arousal and Positive Energy. The Tiredness subscale had the highest reliability (Cronbach’s alpha) coefficient within both the original and replicated 4-DMS. 161 The Circumplex Model of Affect Cronbach’s alpha was found to be lower for the replicated Negative Arousal subscale, and higher for the replicated Positive Energy and Relaxation subscales, than those reported by Huelsman, Nemanick and Munz (1998). 12.2 Three Proposed Affect Subscales This study expands on the work of Huelsman et al (1998) by reevaluating and refining the affect variables that were used in the 4Dimensional Mood Scale. This re-evaluation was undertaken due to a concern that the items initially used in the scale developed by Huelsman et al (1998) did not adequately encapsulate the breadth of each quadrant of the circumplex model. For this investigation, the context of the two high activation subscales (high activation positive and high activation negative affect) was changed using different affect items from Huelsman et al’s (1998) original 60-item pool using a combination of theoretical and statistical methods of selection. Following factor analysis, the items chosen for these two subscales included anxious, agitated, scared, hostile and nervous for the high activation NA subscale, and eager, enthusiastic, inspired, determined and excited for the high activation PA subscale. The original items within the low activation positive affect subscale used by Huelsman et al (1998) were retained as they appear to adequately represent this quadrant of the circumplex model. The low activation negative subscale was also retained with no item changes, as this subscale was not able to be redefined using alternative items that encapsulate this quadrant more broadly. 162 The Circumplex Model of Affect The low activation negative affect subscale was re-developed by selecting a variety of affect items from the affective lexicon (Clore, Ortony & Foss, 1987), as the original items only accounted for the subjective physiological experience of tiredness and there were no appropriate alternative variables within Huelsman et al’s (1998) original 60-item pool. A factor analysis was performed in order to allocate the new items to the low activation NA subscale, however this factor could not be clearly defined. The only variable that loaded solely on this factor was ‘tired’, while the introduction of the additional variables intended for the low NA subscale resulted in the corruption of the high activation NA subscale. Thus, some of the variables intended for the low NA subscale were placed in the high NA subscale, and vice versa. The highest subscale correlation of the replicated 4-DMS was found between Negative Arousal and Relaxation could not be compared with the proposed scales, as the low activation negative affect factor was not included in the revised affect scale. The high activation positive and low activation positive affect subscales had the highest correlation within the new scale, correlating to .64. In both the replicated 4-DMS and the proposed scales, the high activation negative affect (Negative Arousal factor) and low activation positive affect (Tiredness factor) had the second highest correlation statistic (-.55 in the 4-DMS, -.51 in the new scale). Finally, the high activation negative affect and high activation positive affect subscales of both the original and the proposed scales were the least correlated, with statistics of -.24 and -.35 respectively. The reliability coefficients of the two revised subscales were high, with Cronbach’s alpha 163 The Circumplex Model of Affect statistics of .88 and .89 for the high activation negative and positive subscales respectively. The scale reliability of the revised high activation NA subscale was slightly lower than that in the original 4-DMS (differing by .03), and the reliability of the revised high activation PA subscale was higher than the original (differing by .02). These findings suggest that although the items in two of the subscales of the new affect scale have been changed, the subscales remain as reliable as the original, and the relationship between the subscales, according to correlation indices, remains consistent. As the high activation NA subscale contains items that broadly encapsulate this quadrant of the circumplex model, and incorporates the major affective categories of anxiety, fear, anger and distress, this factor will be retained. The high activation PA subscale also represents a broad measurement of this cirumplex quadrant, so this factor will also be retained. The original low activation positive affect subscale items from the 4-DMS adequately define this affective quadrant. However, the affective categories that are theoretically consistent with low activation NA, depression, sadness, boredom etc, could not be encapsulated in a fourth factor. Therefore, the items within the four subscales of the current affect scale measure the conceptual space of the circumplex model, as defined by the valence and activation axes. Due to the conceptual limitations of the low activation negative affect subscale, this scale is to be used in conjunction with a depression inventory, in order to provide broad measurement of all affective quadrants. 164 Section Three – Integration of SWB and Stress Theory 165 Integration of SWB and Stress Theory Section Three Overview In the final section of this thesis, the Conservation of Resources Theory (Hobfoll, 1988) is reviewed. This is an integrative theory of stress that encapsulates the relationship between stress and resources, and incorporates the environmental aspects of stress by acknowledging interrelationships between the individual, immediate social group, and the community as a whole. The four resource categories identified in this theory are reviewed, including objects, personal characteristics, conditions and energies. The conceptual similarities between the Conservation of Resources Theory and SWB Homeostasis theory are then identified, and rationale for the integration of these theories is presented. The Conservation of Resources Theory assumes that stress results when environmental demands placed on an individual exceed their external and internal resources. The SWB homeostasis theory assumes that homeostasis failure results when environmental stressors cannot be effectively managed by the individual’s cognitive buffering mechanisms. An hypothesised integrated model of homeostasis and stress is then presented, identifying the relationship between stable individual characteristics, internal and external resources, and the outcome states of stress and SWB, and the effect of environmental stressors on each of these components. The data analysis of Study 3 had a threefold aim. First, regression analyses were undertaken in order to identify the strongest predictor of SWB. The three affect subscales devised in Study 2 were found to be 166 Integration of SWB and Stress Theory stronger predictors than depression, neuroticism and extraversion, which were identified as SWB predictors in Study 1. Second, the hypothesis that a curvilinear relationship exists between SWB and depression was tested, and these results were compared to those of Study 1. There was a slightly nonlinear relationship between the variables, and a plateau occurring at the 70%SM threshold point, supporting the findings of Study 1. Furthermore, there was evidence that a curvilinear model better fits the data when SWB scores occurring within the normative range (>70%SM) are separated from those below, indicating that the relationship between depression and SWB in conditions of homeostasis regulation differs from that in conditions of homeostasis failure. Finally, some components of the hypothesised integrated model of SWB homeostasis and Conservation of Resources Theory were tested through Structural Equation Modelling. Model 1 (based on variables from Questionnaire 1) comprised affect, personality, control, optimism, and SWB. Model 2 (based on variables from Questionnaire 2) comprised affect, self-esteem, SWB, stress, anxiety and depression. The two models tested had adequate goodness of fit indices after minor modification, and explained 43% and 88% of variance in outcome variables respectively. These findings indicate that there is support for an integrated SWB and stress theory. This integrated theory promotes a deeper understanding of the process of SWB regulation and homeostasis failure. 167 Integration of SWB and Stress Theory Chapter 13 Conservation Of Resources Theory (Hobfoll, 1988) Both the relationship of psychological traits to health, and the link between stress and health, represent fundamental building blocks of health psychology (Hobfoll, Banerjee & Britton, 1994). The link between stress and illness is much stronger for some individuals than others, causing controversy regarding the nature of the stress-health relationship. However, the difference in individual susceptibility to the effects of stress can be explained by differences in individual levels of psychosocial risk factors and differences in levels of psychosocial resources (Hobfoll, Banerjee & Britton, 1994). The SWB Homeostasis theory explains some of the psychosocial risk factors that may underpin the variance in susceptibility to stress observed in individuals; namely differences in personality, affect and positive cognitive biases. Although these factors allow a comprehensive understanding of the maintenance of SWB, they do not fully account for observed individual differences in stress vulnerability and resilience. Conservation of Resources (COR) theory (Hobfoll, 1988; 1989) is an integrative theory of stress that places emphasis on both environmental and internal processes with relatively equal measure. In contrast to the exclusively cognitive nature of modern stress theories (Lazarus, 1966; Lazarus & Folkman, 1984, 1987), COR theory incorporates the environmental aspect of stress by acknowledging interrelationships between the individual, immediate social group and the community as a whole (“individual-nested in family-nested in tribe”, Hobfoll, 2001, p338). 168 Integration of SWB and Stress Theory COR theory suggests that the promotion of wellbeing and prevention of stress depend on the availability and successful management of resources (Hobfoll, 2001). A number of principles and corollaries of COR theory illustrate the relationship between stress and resources follow. Firstly, resource loss is disproportionately more salient than resource gain. This means that given equal amounts of loss and gain, loss will have significantly greater impact. Resource gains are seen as acquiring their saliency in light of loss. When resources are lacking, lost or invested without consequent gain, people become vulnerable to psychological and physical disorders and debilitated functioning (Hobfoll, 1988; Hobfoll & Jackson, 1991), and therefore, resource gain becomes important in the context of loss (Hobfoll, 2001). Second, resources must be invested to protect against resource loss, recover from losses, and gain resources. The process of resource investment may sound coldly economic, however it can be applied even to abstract resources, such as the investment of time, energy and trust for the acquisition and maintenance of love. For instance, an individual may invest their self-esteem by approaching an attractive person of the opposite sex. If the meeting is successful, the individual may gain love. While the individual risks resource loss, as rejection may result in some self-esteem loss, an individual who lacks self-esteem may not take the risk at all and avoid potential failure. Third, COR theory assumes that those individuals with greater resources are less vulnerable to resource loss and more capable of resource gain, and in contrast, those who lack resources are more vulnerable to 169 Integration of SWB and Stress Theory resources loss and less capable of resource gain. Individuals with greater resources are less likely to encounter resource loss in challenging circumstances because they can successfully mobilize their resources in response to the circumstances to prevent loss, and deploy resources in order to produce resource gain (Hobfoll, Banerjee & Britton, 1994). Within this chapter, stress and stress buffers will be briefly discussed, and each of the four categories of resources within Hobfoll’s (1988) COR theory will be explored. 13.1 Stress The traditional and arguably the most robust conceptualization of stress was posited by Lazarus (1966) and advanced more specifically by Lazarus and Folkman (1984). They depicted psychological stress as the outcome of a particular kind of relationship between person and environment, wherein the stress relationship is one in which demands, tax, or exceed the person’s resources. Each situation or event that an individual encounters is appraised as involving harm (negative), the threat of harm (potentially negative), or challenge (positive) (Lazarus, 1990). The appraisal of the situation or event is known as the primary appraisal. The individual then appraises whether they have the resources needed to meet the demands of the situation, which is known as secondary appraisal. Once a person has appraised a transaction as stressful, coping processes are brought into play to manage the troubled person-environment relationship. These processes influence the person’s subsequent appraisal and hence the kind and intensity of the stress reaction (Lazarus, 1990). 170 Integration of SWB and Stress Theory Within the COR model, stress is defined as “a reaction to the environment in which there is a perceived threat of a net loss of resources, a perceived net loss of resources, or a perception that an investment of resources is not producing a net gain (Hobfoll & Stephens, 1990, p457). This is a resource-based theory of stress, as opposed to an appraisal-based theory of stress such as that previously discussed. The basic tenet of this model is that people strive to retain, protect and build resources, and that what is threatening to them is the potential or actual loss of these valued resources. In other words, individuals strive to construct a world in which they are protected, comfortable, loved, and esteemed (Hobfoll, 1988), and the key function of the stress response is defense against resource loss (Quick & Gavin, 2001). According to COR theory, stress will occur when any of three conditions occur; 1) environmental circumstances threaten resource loss, 2) environmental circumstances result in actual resource loss, or 3) individuals invest resources without receiving adequate return on their investment (Hobfoll, Banerjee & Britton, 1994). COR theory takes an approach to stress wherein the focus is on external demands rather than internal demands. Intense or prolonged exposure to stressors, such as traffic congestion, marital disagreements and financial concerns, can contribute to distress, physiological immune response and deteriorating health (Kohn, 1996). Therefore it is important to understand the process of stress and the resource mechanisms that enable coping in the face of difficulty. The two types of stress theory; resource-based and appraisal-based, have some aspects in common, as well as some fundamental differences. 171 Integration of SWB and Stress Theory Both Lazarus’ conceptualization of stress and the COR theory emphasize the importance of resources in enabling coping. In appraisal-based theories, the outcome of a situation as stressful or not stressful is dependent on and individual’s appraisal of whether or not they have the resources to meet the demands of the situation. COR theory is more concrete, suggesting that the fit of personal, social, economic and environmental resources with external demands determines the direction of stress responding and resultant outcomes (Hobfoll, 2001). That is, the fit between the situational demand and the resources determines the level of stress encountered, regardless of appraisal. While the cognitive, appraisal-based theory of stress proposed by Lazarus and folkman (1984) is arguably still the most popular conceptualization, the COR model will be used for the purposes of this research for several reasons. Firstly, the COR theory is relatively simplistic. Stress, or lack thereof, is a product of the relationship or ‘fit’ between a situation (or demand) and the resources. This model can thus be applied to groups as well as individuals. The element of appraisal in other theories adds complexity and abstraction because the process of appraisal is influenced and confounded by subjectivity and individual differences such as personality, affect, optimism, perceived control etc. These factors are specific and measurable resources within the COR theory. Finally, the principles of COR theory fit well with the SWB homeostasis theory. They both depict a resource-based model wherein the outcome (be it level of stress or SWB) is dependent on the ability of resources to manage, buffer and meet demands. 172 Integration of SWB and Stress Theory 13.2 Resources According to COR Theory (Hobfoll, 1988), resources are objects, personal characteristics, conditions or energies that are valued by the individual or group, or a means of attaining these objects, personal characteristics, conditions or energies. Object resources are items such as houses and cars, which are valued because of some aspect of their physical nature, or because they acquire secondary status value based of their rarity or expense. Conditions are resources to the extent that they are valued and sought after, such as marriage or seniority. Personal characteristics are resources to the extent that they can generally aid stress resistance, such as self-efficacy, self-esteem and optimism. Finally, energies such as time, money and knowledge, are resources that aid in the acquisition of other kinds of resources. According to the COR model, resource gain reduces the vulnerability to immediate loss following a stressful event, and to ensuing loss that may occur in the wake of initial loss (Ford & Gordon, 1999). COR theory begins with the basic tenet that people strive to obtain, retain, protect, and foster those things they most value (Hobfoll, 1988, 1989). Those things that people value are termed resources, and these are either directly valued (such as home, family and health) or instrumental in the acquisition of basic valued resources (such as insurance, money or knowledge) (Hobfoll, Ennis & Kay, 2000). A fundamental assumption of COR theory is that individuals are cognitively biased to overestimate the weight of resource loss compared to gain (Hobfoll, Banerjee & Britton, 1994). Furthermore, COR theory 173 Integration of SWB and Stress Theory predicts that resource loss is the principal ingredient in the stress process. When chronic stressors (such as poverty) result in the depletion of resources, people are increasingly vulnerable to negative stress sequealae, that if ongoing, result in rapid and impactful loss spirals (Hobfoll, 2001). This occurs because resource loss is stressful in itself, and because people must invest resources to offset further resource loss, therefore once an initial loss occurs, people become increasingly vulnerable to ongoing loss. For instance, poverty, or the inability to meet financial demands, is a significant stressor that leads to further resource loss, such as decreased self-esteem and optimism, decreased health through inability to afford adequate health care, loss of material possessions such as home and vehicles, etc. Under normal circumstances, when individuals have sufficient resources to successfully cope with intrinsic and extrinsic stressors, resource gain is not inversely related to psychological distress, whereas resource loss is strongly and directly related to distress (Hobfoll, Lilly & Jackson, 1992). Resource gain does, however, play an important role when loss cycles have been initiated and the system is attempting to counteract the loss, or halt loss cycles by making resource gains (Hobfoll, Banerjee & Britton, 1994). Loss is a consistent negative theme within life event surveys. The major life events that have been found to be critical to psychological stress are all profound loss events, including loss of a loved one, loss of health, severe loss of income, loss of employment, loss of love and loss of freedom (Hobfoll, Banerjee & Britton, 1994). Therefore, when loss occurs, the extent to which an individual successfully copes with loss largely depends on the adequacy of the resources at their disposal. 174 Integration of SWB and Stress Theory 13.2.1 Object Resources Object resources include physical objects such as home, car, jewelry and clothing. They provide a ‘base of operations’ for coping, and can be used in a problem-solving manner (Hobfoll, Freedy, Green and Solomon, 1996). Object resources within this theory serve two main functions. Firstly, they aid in the acquisition of other resources. For example, the possession of material assets (a big house with good furniture, new car etc) may enhance confidence, self-esteem and social status. Transportation can be a key to evacuation or obtaining medical treatment (Hobfoll et al., 1996). Secondly, object resources can be transformed into other resources. Material assets can be ‘liquidated’ and turned into energy resources either through selling or borrowing against the value of the assets. 13.2.2 Personal Characteristic Resources Personal resources are characteristics or skills that individuals possess. Key personal resources include job skills, social prowess, selfesteem and sense of personal efficacy (or mastery/control) (Hobfoll, et al., 1996). Control, self-esteem and optimism are both resources and cognitive buffers within the SWB Homeostasis theory. As these factors have previously been discussed in Chapter 3, they will now be briefly explored in the context of resources. Control One of the most widely researched personal resources is that of control. Control can be broadly defined as the sense that one can affect 175 Integration of SWB and Stress Theory one’s environment with reasonable success (Hobfoll, Banergee & Britton, 1994). Regardless of the conceptualization of control (ie, as mastery, selfefficacy, locus of control, learned helplessness, primary and secondary control or hardiness), it is an important element within the COR theory, and in fact “may be a critical construct because it is a managerial resource.” (Hobfoll, Banergee & Britton, 1994, p44). Individuals high in control are more likely to use effective behaviours in managing demands (whether health and lifestyle behaviours, work habits, etc) because they believe that their behaviour can influence the outcome of their circumstance. People with a high sense of control are likely to take steps to positively manipulate the resources within their environment and engage in problem solving behaviours. Furthermore, control also has an important stress-buffering role within the psychological concept of hardiness (Kobassa, Maddi & Courington, 1981). Individuals with high control cognitively perceive positive events as controllable, whereas they perceive negative events as being changeable and unstable. If individuals believe that they can affect the environment and view negative events as challenges rather than overwhelming setbacks, they are more likely to rally resources to change events in their favour. Self-Esteem Self-esteem is a key resource within the COR theory, as is viewed both as an important individual resource, and as a basic building block from which other resources are established (Hobfoll, Banerjee & Britton, 1994). 176 Integration of SWB and Stress Theory As a resource, high self-esteem enables individuals to cope with stress in a more productive and problem-solving manner. As a building block to other resources, individuals with high self-esteem, for instance, may perceive they have a more supportive social network to go to when in need of assistance. Low self-esteem is not only implicated in illness, but is also a pivotal instigator of problems such as eating disorders and self-distructive behaviours (Hobfoll, Banerjee & Britton, 1994). Cast and Burke (2002) acknowledge that self-esteem enables people to view their life positively, and also recognize self-esteem as a personal resource that can support individuals and ensure that negative emotions do not become too overwhelming. Self-esteem operates as a type of personal resource that protects individuals from negative experiences, however, as it is a resource, self-esteem can be used up in the process, so there are limits to its ability to buffer stress (Cast & Bourke, 2002). 13.2.3 Condition Resources Condition resources are the conditions that are intrinsically valued by people or that facilitate acquisition or protection of valued resources. These include seniority at work, stable employment, social systems, a good marriage, and being a member of a family (Hobfoll, et al., 1996). Perceived social support is one of the most commonly researched resources within this category, and will be explored in more detail. 177 Integration of SWB and Stress Theory Perceived Social Support Social support, as it has been typically studied in the health literature, reflects “those social interactions or relationships that provide individuals with actual assistance or with a feeling of attachment to a person or group that is perceived as caring or loving” (Hobfoll & Stokes, 1988, p499). Social support is a pivotal resource within the COR theory as it is the principal vehicle for obtaining resources that are not possessed by the self, and is basic to the development of self-esteem and a sense of identity (Hobfoll, Banerjee & Britton, 1994). Perceived social support can act as a specific resource to cover resources that may be lost or lacking, or it can help recruit latent resources, for instance, by bolstering self-esteem (Ford & Gordon, 1999). In this regard, social support facilitates the preservation of basic resources. Perceived social support has been linked with both direct and indirect effects on health. Directly, social support is related to better health irrespective of stress levels (Cohen & Wills, 1985) by modifying health behaviour (Cassel, 1976; Thoits, 1983) and enhancing self-esteem and positive affect (Cohen & Syme, 1985). Indirectly, social support also has a stress buffering effect, by moderating emotional distress (anxiety, depression and anger) in response to stress, and thereby affecting immunological functioning (Cohen & Syme, 1985). Consistent with the stress-buffering hypothesis, perceived social support has been shown to have an impact on positive wellbeing for people under stress. People with greater perceived social support have been found 178 Integration of SWB and Stress Theory to experience less psychological distress during stressful circumstances (Bansal, Monnier, Hofoll& Stone, 2000) and higher SWB (Abbey, Abramis & Caplan, 1985; Holahan et al., 1996; Revenson, Schiaffino & Gibofsky, 1991; Schaefer, Coyne & Lazarus, 1981). This resource plays an important role in coping, in psychological adjustment for individuals with arthritis (Germano, 1996) and coronary heart disease (Holahan et al., 1996), and it also enhances recovery and adherence to treatment recommendations (Revenson et al., 1991). 13.2.4 Energy Resources Energy resources include money, credit, owed favors, and knowledge (Hobfoll, et al., 1996). Energy resources facilitate the attainment of other resources; they are only valued to the extent they allow access to other resources. There seems no doubt that wealth is significantly and directly associated with living a healthier and longer life, as socioeconomic status consistently predicts morbidity and premature mortality (Quick & Gavin, 2001). It can be argued that the higher rates of morbidity and mortality may be due to the observed findings that poorer individuals have less access to quality health care and that there is a link between wealth and poor health behaviours such as smoking, poor diet and lack of exercise (Quick & Gavin, 2001). However, it is also true that the lower the financial status of the individual, the more susceptible they are to the stressors of life, both through vulnerability to resource loss and the lack of resource reserves to survive such a loss (Quick & Gavin, 2001). 179 Integration of SWB and Stress Theory Although energy resources such as financial security are important within COR theory, once an individual has enough money to afford a good standard of living, further personal gain becomes self-serving, and does not advance one’s ability to cope or increase stress resilience (Quick & Gavin, 2001). 13.3 Summary In conclusion, the Conservation of Resources Theory (Hobfoll, 1988) is an integrative stress theory that emphasizes the need to accrue, maintain and mobilize resources in order to cope with the stressors encountered in daily life. The four categories; object, condition, personal characteristic and energy resources, allow us to cope with stress either by using investments to counteract stress, or to gain other resources. However, prolonged stress will inevitably reduce the resources that can be drawn upon, leaving the person vulnerable to a breakdown of their coping system. In a simple analogy, the COR system can be likened to a car: while rough terrain, multiple passengers (adding extra weight) and time (affecting the engine parts) act as stressors on the car’s system, breakdown will only occur when the resources of engine maintenance, petrol, water in the radiator, etc, have been depleted. A potential criticism of the COR Theory is that resources are limitless and as such the theory has circumscribed utility because it is too general. Hobfoll (1988) created an instrument that lists 74 resources that community samples identified as important, and while this is extensive, it would be potentially impossible to devise an exhaustive list of all resources. 180 Integration of SWB and Stress Theory Moreover, the importance of resources (whether small specific resources or key resources such as self-esteem) may be weighted differently by each individual, indicating that the impact of resource loss may not be predictable within a group. Finally, Hobfoll (1988, 2001) has identified several key resources such as social support, self-esteem, control and money, however there is no evidence to suggest that these are the only resources that make a significant contribution to coping and stress. Therefore, the relationship between resource loss and stress could potentially be underestimated. While Hobfoll’s (1988) theory is based within the stress literature and the Subjective Wellbeing Homeostasis Theory (Cummins et al., 2002) is based within the quality of life literature, there are many parallel ideas and much shared vision between them. Therefore, the following chapter explores the common themes between the theories, and argues the utility of an integrated and symbiotic model that encompasses both frameworks. 181 Integration of SWB and Stress Theory Chapter 14 Integration of Homeostasis and COR Theory While the Conservation of Resources (Hobfoll, 1988) and SWB Homeostasis theories have developed from different areas of literature (stress and quality of life respectively), it is apparent that the underlying framework and values of the models have much in common. As a very brief and generalised statement, the COR theory (Hobfoll, 1988) can be said to be the process by which individuals maintain the ability to cope with stressors by utilising internal and external resources. The depletion of these resources leads to the breakdown of the coping mechanism, and hence the experience of stress. In a similar fashion, the SWB Homeostasis theory (Cummins, Gullone & Lau, 2002) represents the way in which subjective wellbeing is regulated and maintained through psychological determinants that buffer wellbeing from external stressors. Experience of chronic or severe external stressors will eventually overcome the SWB regulatory system and lead to the breakdown of homeostasis. A consistent theme in these theories is that individuals are armed with ‘tools’ that allow for the defence against environmental and lifestyle stressors, and that when these tools are used up or overcome, the systems fail. While the specific wording of system failure differs between the theories, with COR theory referring to the experience of stress as the outcome, and SWB Homeostasis theory referring to homeostatic failure and dissatisfaction as the outcome, the consisted theme underlying both is that individuals cannot sustain fully functional, productive or fulfilling lifestyles when in conditions of system failure. 182 Integration of SWB and Stress Theory The similarities between the two theories are more profound than the differences. The differences stem from being borne from different circles of literature. The COR theory assumes that stress results when environmental demands placed on an individual exceed their external and internal resources. This theory is operationalised in an economic manner, whereby resources are depicted as ‘units’ of resistance that either meet or fall short of ‘units’ of demand, and where resources can be ‘invested’ to offset stressors or used to acquire other resources. In contrast, the SWB Homeostasis theory is written from a psychologically-oriented literature base, and thus focuses on internal psychological variables and subjective experience. This theory predicts that the set-point range of SWB experience differs between individuals, and that this influences how resilient or vulnerable individuals are to external stressors. The psychological factors that buffer wellbeing from stressors or provide resilience from negative circumstances are not depicted as ‘units’ that can be used up, but as a regulatory system that can be overcome. While these differences are minor, the underlying meaning is consistent. Both theories hold a conceptualisation that individuals rely on certain internal and external factors that enable them to cope with life and maintain positive wellbeing. Without these factors, the individual is vulnerable to the effect of environmental stressors. The theories can be likened to an analogy of the human immune system: People come in contact with pathogens routinely in every day life, but we are protected from their harmful effects by our immune system. When our immune system is depleted, we are then vulnerable to the viruses and bacteria in our 183 Integration of SWB and Stress Theory environment and may become sick. Similarly, the internal and external factors or resources that buffer stress and maintain wellbeing can be viewed as a ‘psychological immune system’. There is some commonality between the factors that are seen as pivotal within the COR and SWB Homeostasis theories. The first resource category within the COR theory is objects, and refers to material possessions that enhance the quality of life. The influence of these factors is acknowledged within SWB literature, however they are not incorporated into the SWB homeostasis theory, as this is a conceptualisation of a system of psychological mechanisms. Energy resources include money, credit, owed favours and knowledge. Few specific factors have been identified within this category, however household income is a common measure. Income and wealth are not incorporated within the model of SWB Homeostasis, as these are again not psychological variables. Condition resources within the COR theory relate to conditions that are valued by individuals, and involve status and relationships, such as being married, having a family, and work seniority. Perceived social support is the most common measure of condition resources within COR literature. While perceived social support is known to exert a strong and predictable influence on SWB, with a consistently demonstrated positive association between social support and SWB (Holahan et al., 1996; Revenson et al., 1991; Schaefer et al., 1981), this factor is not conceptualised within the SWB Homeostasis theory. As the quality of human relationships is such an important area, it is likely that the SWB 184 Integration of SWB and Stress Theory Homeostasis theory would benefit from the inclusion of perceived social support measurement. The resource category of personal characteristics is the most complex and widely researched of the resource categories, as this involves the internal, psychologically based factors. Self-esteem and control are two commonly measured factors within COR literature. These factors, with the addition of optimism, comprise the cognitive buffers that represent the second-order determinants of SWB homeostasis. Therefore, there is a significant overlap of measurement between the theories within this domain. The incorporation of optimism as a resource into the COR framework would be a beneficial addition. Optimism correlates highly with SWB and satisfaction (Scheier & Carver, 1992), and can be expected to influence the experience of and resilience to stressors. Optimism reflects the predisposition to perceive events or circumstances as positive or negative, and is closely linked with perceived control (Scheier & Carver, 1992). Therefore, optimism should not be overlooked with regard to its influence on stress and coping. Furthermore, the COR model does not incorporate the stable individual dispositions of personality or affect. The COR theory is simple due to its basic conceptualisation of the relationship between resources and stress (wherein resources – demand = stress level), however the influence of these individual difference factors on stress cannot be overlooked. Personality and affect play a significant role in determining other less stable factors such as optimism, control and self-esteem (Cummins et al., 2002). Moreover, these factors may also influence the perception of stressors, the 185 Integration of SWB and Stress Theory coping techniques used to deal with stressors (Scheier, et al., 1986), and the likelihood of experiencing stressors or negative life circumstances (Lu, 1999). More research is needed in this area. An integrated model of the Conservation of Resources and SWB Homeostasis theories is proposed in Figure 12. This model comprises 1st order, 2nd order and 3rd order determinants, which are influenced by environmental stressors and give rise to the experience of stress and SWB. Environmental Stressors 1st order determinants External Resources Personality & Affectivity Internal Resources 2nd order determinants Cognitive Buffers Personal Characteristic Resources SWB Condition Resources Energy and Object Resources 3rd order determinants Environmental Stressors Figure 12 - Integrated Model of Homeostasis and COR Theory: Homeostasis Regulation 186 Integration of SWB and Stress Theory Within this model, 1st order determinants are depicted as those stable and predetermined individual difference characteristics. Second order determinants are internal psychological variables, and 3rd order determinants are external objective factors. This integrated model retains the 1st order determinants of personality and affectivity, which were not represented within the COR model. The 2nd order determinants comprise the cognitive buffers of the SWB Homeostasis model and the personal characteristic and condition resources of the COR model. Finally, the 3rd order determinants represent objective resources, and comprise energy and object resources. The 1st order determinants are hypothesised to influence the less stable cognitive resources of optimism, control, self-esteem and perceived social support. An hypothesised relationship exists between the 2nd order internal resources and 3rd order external resources, in that the possession or lack of 3rd order external resources hypothetically impacts on self-esteem etc, and being optimistic or high in control hypothetically influences the wealth and material possessions that are obtainable. Environmental stressors or demands represent strain placed on the 2nd and 3rd order systems. This strain can be absorbed or buffered by internal and external resources. Finally, the ability of the 2nd and 3rd order determinants to process environmental stressors gives rise to, and is reflected in, the experienced level of subjective wellbeing. The system depicted in Figure 12 describes homeostasis regulation, where the environmental stressors impinged on the system are effectively managed, and subjective wellbeing is maintained at the set-point level. In Figure 13, homeostasis failure is described, wherein extreme or chronic 187 Integration of SWB and Stress Theory environmental stressors are net effectively managed, the homeostatic mechanisms fail, and stress is experienced, resulting in SWB loss and the potential psychological consequence of depression. Figure 13 Integrated Model of Homeostasis and COR Theory: Homeostasis Failure Two examples will be given to illustrate the hypothesised mechanisms of the integrated model. Firstly, a woman who is reasonably high in extraversion and positive affect (1st order determinants) has a car 188 Integration of SWB and Stress Theory accident and damages her vehicle (environmental stressor). She has sufficient money (energy resource) to cover the expense and is comprehensively insured (condition resource). As no-one was hurt, she remains fairly optimistic, however her sense of control is decreased (cognitive buffers). The environmental stressor is processed by the system, she suffers minimal stress, and retains a high subjective wellbeing. Alternatively, a man who is relatively high in neuroticism and negative affect (1st order determinants) loses his job (environmental stressor). The man becomes financially unstable (energy resources) and he becomes pessimistic and argumentative with family, and he progressively believes he is a worthless person. The system cannot absorb the impact of the environmental strain, and he experiences significant stress. The man’s subjective wellbeing is lowered due to homeostatic failure, and after a period of time, he becomes clinically depressed. The integrated model draws from both theories, and can be expected to explain more thoroughly the process of SWB. This model incorporates additional resource factors that are not represented within the SWB homeostasis theory. Moreover, the model expands on SWB homeostasis by exploring the process of homeostatic failure, through weighting internal and external resources with environmental stressors. A model in which factors associated with SWB homeostasis and COR are integrated is expected to better explain and predict the experience of stress and SWB. Furthermore, it can be argued that stress and SWB are fundamentally linked concepts that should be measured concurrently. After all, it is the demands and stress of 189 Integration of SWB and Stress Theory life, and the way in which we cope with these, that determines our satisfaction and happiness with life. 190 Integration of SWB and Stress Theory Chapter 15 Study 3 Methodology 15.1 Aim The first study covered in Section One aimed to test the relationship between subjective wellbeing and the psychological variables of depression, anxiety and personality in a current Australian sample. This first study also aimed to test for evidence that subjective wellbeing levels are maintained by a homeostatic mechanism. In this third study, the theories of subjective quality of life and stress (COR theory) have been integrated with the aim of discovering how the regulation of subjective wellbeing works. The study aims to identify the relationship between subjective wellbeing, psychological variables such as personality, affect, optimism, control and self-esteem, and psychological variables of ill-health, depression, anxiety and stress. Previous research, along with the results of study 1, has found a strong relationship between SWB and neuroticism (Costa & McCrae, 1980; Lu & Shih, 1997), and between SWB and depression (Barge-Schaapvels et al., 1999; Hansson, 2002). Therefore, it is expected that these factors will play an important role in the prediction of SWB levels. Prior research also suggests that SWB has a positive relationship with extraversion (Costa & McCrae, 1980; Herringer, 1998), positive affect (Diener, 1984), optimism (Aspinwall & Taylor, 1992), control (Taylor & Brown, 1988) and selfesteem (Lucas et al., 1996), and a negative relationship with negative affect (Diener, 1984), anxiety (Headey & Wearing, 1989) and stress. While these 191 Integration of SWB and Stress Theory relationships are both well-researched and intuitive, it is not known which are the stronger predictors when analysed together. This study also aims to test the relationship between the subscales of the new affect scale, devised in Section Two of this thesis, and SWB, and the ability of this scale to predict Personal Wellbeing Index scores. In this study a model is presented that conceptualises and maps the process of subjective wellbeing and the role of each of the aforementioned components. It is hoped that, when analysed together, the process of SWB homeostasis can be better understood through acknowledging the contribution of the internal and external resources and psychological factors analysed in this study. The scales used include the Personal Wellbeing Index (Cummins et al., 1993), the neuroticism and extraversion subscales of the NEO Five Factor Inventory (Costa & McCrae, 1992), the Life Orientation Test (Scheier & Carver, 1985), Rosenberg’s Self-esteem Scale (Rosenberg, 1965), Perceived Control of Internal States Scale (Pallant, 2000), the Depression, Anxiety and Stress Scale (Lovibond & Lovibond, 1995) and affect subscales (See section two). 15.2 Research Hypotheses The hypotheses for study 1 were: 1. That correlation and regression analyses would yield similar results as those found in study 1, with neuroticism and depression being the strongest predictors of PWI scores 192 Integration of SWB and Stress Theory 2. That there is a significant difference in personality, affect, optimism, control, self-esteem, depression, anxiety and stress scores between individuals with normal and sub-average levels of subjective wellbeing 3. That there is evidence of a curvilinear relationship between PWI scores and depression scores 4. That the psychological components of personality, affect, optimism, control, self-esteem and stress can be modelled and tested as a conceptualisation of an integrated subjective wellbeing and stress theory using structural equation modelling. 15.3 Method 15.3.1 Materials Two questionnaires were compiled for Study 3. As the inventories used in the study were so extensive, it was necessary to divide the inventories into two questionnaires, so as to reduce participant fatigue and increase response rate. Each questionnaire contained only 4-5 inventories. Both questionnaires contained the Personal Wellbeing Index and the affect items, and the other inventories were split between the two. Questionnaire 1 comprised the: Personal Wellbeing Index Affect Measure NEO-FFI, Life Orientation Test 193 Integration of SWB and Stress Theory Perceived Control of Internal States Scale, Questionnaire 2 comprised the: Personal Wellbeing Index Affect Measure Depression Anxiety Stress Scale and Rosenberg’s Self Esteem Scale. Questionnaires 1 and 2 are included in Appendix C and D respectively. The questionnaires were mailed to the residential addresses of each participant. Consent was assumed on return of the questionnaire. Detailed descriptions of the instruments, reliability statistics and rationale for the use of each instrument are reported below. 15.3.2 Demographic Data The demographic data for gender, age and income were collected by matching the identification code with the information on the Australian Unity database that had been collected from the original telephone interview. Specific details relating to the demographic data are reported in the following data analysis chapter. 15.3.3 Australian Unity Wellbeing Index The Australian Unity Wellbeing Index (Cummins et al., 2003), including the National Wellbeing Index and the Personal Wellbeing Index (PWI), were again used in this study. Refer to Chapter 6.3.3 for details of 194 Integration of SWB and Stress Theory these measures. As in Study 1, only the PWI results were analysed for the purposes of this research. 15.3.4 NEO-Five Factor Inventory (NEO-FFI) The Neuroticism and Extraversion subscales of the NEO-FFI (Costa & McCrae, 1992) were used in this study. See Chapter 6.3.5 for details on this inventory. 15.3.5 Affect Scale A three-factor affect scale was constructed, based on the 4Dimensional Mood Scale (Huelsman, Nemanick & Munz, 1998), in Section Two of this thesis. The scale comprises the three subscales; high activation negative affect, high activation positive affect, and low activation positive affect. The details of the scale and its construction are outlined in Chapter 11.4. The subscale reliability was high, ranging from alpha levels of .88 to .89, and the scale explained 69% of variance in affect. 15.3.6 Life Orientation Test-Revised (LOT-R) The Life Orientation Test-Revised (Scheier & Carver, 1985) was designed to measure the extent to which individuals possess favourable expectation concerning life outcomes (e.g. “In uncertain times I usually expect the best”). In this study, responses for the 6 items are given using a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree). Scores can range from 6 to 30, with higher scores indicating higher levels of optimism. The reliability of the LOT-R is satisfactory (Cronbach’s alpha = 195 Integration of SWB and Stress Theory .78), and test-retest correlations range from .56 to .79 for periods from 4 months to two years (Scheier, Carver & Bridges, 1994). Scores on the LOT-R have been shown to correlate positively with internal control beliefs and self-esteem, and negatively with depression, hopelessness, and perceived stress (Scheier & Carver, 1985, 1987). 15.3.7 Self-Esteem Scale (SES) In the Self-Esteem Scale (Rosenberg, 1965), which is designed to measure global self-esteem, individuals are required to respond to a series of 10 statements (e.g., “On the whole I am satisfied with myself”) using a 4point response format ranging from 1 (strongly disagree) to 4 (strongly agree). Scores range from 10 to 40, with higher scores representing higher self-esteem. This scale has been used extensively and has been shown to have adequate internal consistency (Cronbach’s alphas =.77 and .88) and test-retest reliability (r=.82). 15.3.8 Perceived Control of Internal States Scale (PCOISS:12) The Perceived Control of Internal States Scale (Pallant, 2000) is a 12-item inventory designed to provide a measure of participants’ perceptions of their ability to influence their internal states and moderate the impact of aversive events on their emotions, thoughts, and physical wellbeing. The scale uses a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree). Internal consistency for this scale is good (Cronbach’s alpha = .92), and construct validity is high (r=.60). 196 Integration of SWB and Stress Theory 15.3.9 Depression Anxiety Stress Scale (DASS-21) The DASS-21 (Lovibond & Lovibond, 1995) comprises 21 items measuring the three separate components of depression, anxiety and stress. Cronbach’s alphas for the DASS Depression, Anxiety and Stress subscales were .94, .87 and .91 respectively. Concurrent validity of the DASS-21 with other depression and anxiety inventories were high, ranging from r=.79 to .85 (Antony et al., 1998). 197 Integration of SWB and Stress Theory Chapter 16 Study 3 Data Analysis The data for Study 3 originated from one mail-out, which took place in February of 2003. The questionnaires were sent to 1569 participants on the Australian Unity database. Questionnaire 1 was completed by 214 participants, and questionnaire 2 was completed by 259 participants. Together, the PWI and affect inventories were completed by 473 people. The data were screened using the FREQUENCIES option in SPSS before commencing analysis. Eight cases were deleted due to the dichotomous nature of the data. These cases had scores of perfect 10 for all of the satisfaction domains, and had the highest or lowest possible scores for most of the remaining items of the questionnaire. The seven personal domain scores of the Personal Wellbeing Index (PWI) and composite PWI scores were converted to percent scale maximum scores (%SM) by creating syntax to compute the score of each variable multiplied by 10. For example, the syntax read: COMPUTE sma1eco = a1eco * 10. This procedure re-coded the data from 0 to 100. Several NEO Five-Factor Inventory items were recoded due to reverse scoring. Details of this procedure are presented in Chapter 8. Using the RECODE command of SPSS, items 3, 5, 7, 9 and 10 of the Self-Esteem Scale, 2, 4, and 6 of the Life Orientation Test, and 1, 5, 7 and 10 of the Perceived Control Scale were reverse scored. Total scores were then computed. Items 1, 6, 8, 11, 12, 14, and 18 of the DASS were added and multiplied by 2 to produce the DASS Stress score; Items 2, 4, 7, 9, 15, 19 and 20 of the DASS were added and multiplied by 2 to produce the DASS 198 Integration of SWB and Stress Theory Anxiety total score, and; Items 3, 5, 10, 13, 16, 17, and 21 of the DASS were added and multiplied by 2 to produce the DASS Depression score, giving each subscale a range of 0-42. Total Self-Esteem scores were computed by adding all items, giving a possible range of 10-40. Total Life Orientation Test scores were computed by adding all items, giving a range of 6-30. Finally, total Perceived Control Scale scores were computed by adding all items and giving a possible range of 12-120. 16.1 Assumptions of Normality Testing 16.1.1 Demographic Data The annual household income of the 277 participants from the Data Set who answered this item was categorised into the five income groups used in Study 1 as previously described. The distribution of income was normal on inspection of the histogram and both normal and detrended plots, with the average income being between $31,000 and $60,000. The significance of skew and kurtosis statistics were within acceptable ranges, suggesting the income variable meets the assumption of normality. The proportion of males to females (N=469) was approximately even, with 203 males (43.3%) and 266 females (56.7%). Age ranged from 18 to 88 years (M=52, SD=15). The skewness statistics for the gender and age variables were within the acceptable range of –4 to +4, and the histograms show a roughly normal distribution pattern, indicating that these variables meet the assumption of normality. 199 Integration of SWB and Stress Theory 16.1.2 Personal Wellbeing Index All seven of the PWI domains displayed significant positive skewness. The ‘Satisfaction with Personal Relationships’ variable had the most non-normal curve, with negative skew and positive kurtosis (S=-10.62, K=7.47, M = 76.9%SM). The other six PWI variables had no significant kurtosis, and ranged in degree of skew from –5.76 (future security) to –9.10 (safety). The Personal Wellbeing Index (%SM) score was also negatively skewed and slightly leptokurtic (S=-8.53, K=5.52). The overall %SM score for the variable ‘How Satisfied are you with your Life as a Whole’ was also negatively skewed and leptokurtic (S=-9.36, K=7.19). On inspection of the boxplots, the variables Satisfaction with Health, Achievements in Life, Personal Relationships, Community Connectedness, Satisfaction with Life as a Whole and %SM Personal Wellbeing Index score all contained at least one extreme outlier. On inspection of the z-scores, the following variables contained standardised values in excess of 3.29: Material Standard of Living (three z values=-3.66), Health (z=-3.43), Productivity (two z values=-3.31, two z values =3.86), Personal Relationships (z=-3.79), Safety (z=-3.73), Community Connectedness (four z values=-3.34), %SM PWI scores (z=-3.73, z=-3.32), and Life as a Whole (z=-3.56, two z values = 4.14). While these extreme outliers influence the normality of the data, these cases are retained without transformation, as cases of sub-average satisfaction are a central focus in this research investigation. Table 13 contains the mean and standard deviation statistics of the Personal Wellbeing Index variables. 200 Integration of SWB and Stress Theory Table 13 - Mean and Standard Deviation of PWI variables N=473 M SD Standard of Living 72.41 20.13 Health 69.77 20.69 Achievements in Life 71.11 18.56 Personal Relationships 76.91 20.58 Safety 74.19 20.20 Community Connectedness 70.25 21.34 Future Security 66.65 22.87 Personal Wellbeing Index 71.67 14.80 Life as a Whole 72.41 17.94 All statistics calculated from the Scale Maximum PWI scores 16.1.3 NEO Five-Factor Inventory The NEO-FFI variables were expected to produce similar results in normality testing as were found from Study 1, with the majority of the 24 NEO variables producing normal distributions. The 12 Neuroticism items and 12 Extraversion items were once again added together to form ‘Total Neuroticism’ and ‘Total Extraversion’ scores respectively. The significance of skew and kurtosis statistics were acceptable for both sets, the z-scores were acceptable, the boxplots revealed no extreme outliers, and the normal and detrended pots were normal. In addition, the Kolmogorov-Smirnov statistics were non-significant for these variables. Therefore, the total neuroticism and total extraversion variables meet the assumptions of normality. 201 Integration of SWB and Stress Theory 16.1.4 Depression Anxiety Stress Scale (DASS) The Depression, Stress and Anxiety subscales of the DASS each comprise seven items, which are added and multiplied by two, giving a possible score range of 0-42. As the inventory measures clinical symptoms of negative psychological states, the normality testing was expected to produce non-normal results as the majority of the population do not experience these psychological states to a clinical degree. The mean Total Depression subscale score was 5.60 (N=258, SD=6.94), with the scores ranging from 0 to 38. The mean Total Depression score was significantly positively skewed and leptokurtic (S=15.03, K=20.73), indicating that the majority of the population have very low levels of depression with a slight minority of the population having high levels of depression symptomatology. The mean Total Anxiety subscale score was 3.36 (N=258, SD=4.58), with the scores ranging from 0 to 34. The mean Total Anxiety score was also significantly positively skewed and leptokurtic (S=19.06, K=39.45), indicating that the majority of the population have very low levels of anxiety. The mean Total Stress subscale score was 9.22 (N=257, SD=7.26), with the scores ranging from 0 to 38. The mean Total Stress score was only slightly positively skewed and leptokurtic (S=6.82, K=5.36), indicating that the majority of the population have low levels of stress, however total stress scores fall within a more varied and bell-shaped pattern than depression or anxiety. 202 Integration of SWB and Stress Theory While all of these variables were negatively skewed and leptokurtic, none were transformed as this would alter the interpretability and meaning of subsequent results. 16.1.5 Self-Esteem Scale The Self-Esteem Scale comprises ten items which are added to give a possible score range of 10-40. The mean total Self-Esteem score was 32.01 (N=259, SD=4.94). The scores ranged from 17-40, and the histogram revealed a roughly bell-shaped distribution of individual scores. There was no significant skew or kurtosis, and no extreme outliers or z scores in excess of 3.29. Therefore, the total Self-Esteem score meets the criteria of normality. 16.1.6 Life Orientation Test (LOT) The Life Orientation Test is a measure of optimism, and is comprised of six items which are added to give a possible score range of 630. The mean total LOT score was 16.51 (N=214, SD=3.63). The scores ranged from 6-22, and the histogram revealed a roughly bell-shaped distribution of individual scores. The results were slightly negatively skewed (S=-6.28), with no significant kurtosis. The normal and detrended plots showed slight abnormality of scores, and several outlying scores were present on the box plot. While these results displayed some abnormality of LOT score distribution, there were no extreme outliers according to z scores in excess of 3.29. 203 Integration of SWB and Stress Theory 16.1.7 Perceived Control of Internal States Scale (PCOISS) The Perceived Control of Internal States Scale comprises twelve items which are added to give a possible score range of 12-120. The mean total PCOISS score was 77.33 (N=214, SD=16.45). The scores ranged from 26-116, and the histogram revealed a bell-shaped distribution of individual scores. There was no significant skew or kurtosis, acceptable normal and detrended plots, and no extreme outliers or z scores in excess of 3.29. Therefore, the total PCOISS score meets the criteria of normality. 16.2 Exploring Relationships 16.2.1 Pearson Product-Moment Correlation One of the aims of the study was to investigate the relationship between subjective wellbeing and the psychological variables of personality, depression and anxiety, and to discover whether the results found are similar to that of Study 1. These relationships were investigated using Pearson product-moment correlation coefficient. Preliminary analyses of scatter plots were performed to ensure no violation of the assumptions of normality, linearity and homoscedasticity. 204 Integration of SWB and Stress Theory Table 14 - Pearson Product-Moment Correlations Between Measures of PWI and Neuroticism, Extraversion, Anxiety and Depression PWI Neuroticism Extraversion Anxiety Depression 1 -.42** .37** -.45** -.59** PWI (N) (458) (212) (212) (246) (246) -.465** a. a. Neuroticism N 211 a. a. Extraversion N .65** Anxiety N 248 71.67 42.16 69.36 3.34 5.60 Mean 14.80 21.53 16.95 4.54 6.94 Standard Deviation ** Correlation is significant at the .01 level a. Could not calculate correlations as these inventories were placed in different questionnaires In study 1 the highest correlation occurred between neuroticism and anxiety. Unfortunately, these variables could not be correlated in this study as these inventories were placed in different questionnaires, so they did not have a common data set. The highest correlation that could be observed in this study occurred between anxiety and depression (r=.65, p=.01), followed by that between PWI and depression, r=-.59, p=.01. As study 3 contained several different variables that were not tested in study 1, further correlations were produced. Two correlation matrices are presented below (Tables 15 and 16) to correspond with the inventories encapsulated in questionnaires 1 and 2. 205 Integration of SWB and Stress Theory Table 15 - Pearson Product-Moment Correlations Between Measures of PWI and Affect, and Neuroticism, Extraversion, Optimism and Control 1 2 3 4 5 6 7 8 1 -.53** .57** .60** -.42** .37** -.21** .30** -.35** -.52** .71** -.32** .19** -.42 .65** -.49** .55** -.24** .42** -.51** .32** -.10 .46** 5 Neu -.47** .24** -.54** 6 Ext 1 -.21** .35** 1 PWI 2 High NA 3 High PA 4 Low PA -.05 7 Optimism 8 Control Mean 71.67 13.99 36.93 31.55 42.16 69.36 16.49 77.49 St. Dev. 14.80 10.96 11.20 9.58 21.53 16.95 3.64 16.58 ** Correlation is significant at the .01 level In the first correlation matrix (Table 15) that was generated from the inventories in questionnaire 1, the highest correlation between all eight variables occurred between neuroticism and high activation negative affect, r= .71, p=<.01, followed by that between high activation positive affect and low activation positive affect, r= .65, p=<.01. Of the variables included in this matrix, the variable that had the strongest correlation with PWI was low activation positive affect. 206 Integration of SWB and Stress Theory Table 16 - Pearson Product-Moment Correlations Between Measures of PWI and Affect, and Depression, Anxiety, Stress, and Self-Esteem 1 1 PWI 2 3 4 5 6 7 8 -.53** .57** .60** -.59** -.45** -.47** .58** -.35** -.52** .53** .41** .52** -.56** .65** -.51** -.29** -.29** .56** -.58** -.40** -.50** -.10 .65** .64** -.68** .63** .50** 2 High NA 3 High PA 4 Low PA 5 Dep 6 Anxiety -.46** 7 Stress 8 S-E Mean 71.67 13.99 36.93 31.55 5.60 3.34 9.05 32.10 St. Dev. 14.80 10.96 11.20 9.58 6.94 4.54 7.28 4.94 ** Correlation is significant at the .01 level In the second correlation matrix (Table 16) that was generated from the inventories in questionnaire 2, the highest correlation between the eight variables occurred between depression and self-esteem, r=-.68, p=<.01, followed by that between anxiety and depression, and high activation and low activation positive affect, r=.65, p=<.01. Of the variables included in this matrix, the highest correlate of PWI was again low activation positive affect (r=.60), closely followed by the correlation with depression (r=.59) and self-esteem (r=.58). A comparison of the same correlation coefficients by gender, age and income were performed in order to investigate the possibility of differences across demographic variables. This was done using partial correlations in SPSS. None of the correlation coefficients were found to be 207 Integration of SWB and Stress Theory statistically different, indicating there were no gender, age or income differences. 16.2.2 Standard Multiple Regression An aim of this study was to test whether data analysis would result in similar outcomes as were found in Study 1. That is, depression, extraversion and neuroticism are strong predictors of PWI scores. This finding will be re-tested with the addition of the other variables in this current study. As there were a total of seven inventories (PWI, affect inventory, NEO-FFI, LOT, PCOISS, DASS, and Self-Esteem) that were divided over two questionnaires, two separate regression analyses were conducted in order to evaluate the predictive ability of all variables. The first standard multiple regression was performed between Personal Wellbeing Index scores as the dependent variable, and Neuroticism, Extraversion, Control, Optimism, High activation Negative Affect (H-NA), High activation Positive Affect (H-PA) and Low Activation Positive Affect (L-PA) as independent variables. Analysis was performed using SPSS REGRESSION and SPSS FREQUENCIES for evaluation of assumptions. With at least 213 respondents in the data set and seven IVs, the number of cases is well above the minimum requirement of 111 (104 + 7, Tabachnick & Fidell, 2001, p117) for testing individual predictors in standard multiple regressions. The standardised residual values scatterplots were examined, and revealed one outlier. This outlying case was investigated and deemed valid, so was not deleted from the data set. The 208 Integration of SWB and Stress Theory normal regression plots showed no deviations from linearity, and the residual values on the scatterplot were distributed in a central and roughly rectangular fashion, indicating that the assumptions of normality, homoscedasticity and independence of residuals were met. Multivariate outliers were sought using the IVs as a part of an SPSS REGRESSION run in which the Malhalanobis distance of each case to the centroid of all cases is computed. Malhalanobis distance is distributed as a chi-square (χ2) variable, with degrees of freedom equal to the number of IVs. To determine which cases were multivariate outliers, the critical χ2 was calculated at the most stringent alpha level for seven degrees of freedom (χ2 at α=.001 for 7df = 24.32). No cases were identified as multivariate outliers. The correlations between the variables in the regression model all show a substantial relationship (at least .3) with the dependent variable, Personal Wellbeing Index scores (See Table 14). The collinearity tolerance diagnostics are quite respectable (ranging from .37 to .88), indicating that the assumption of multicolinearity has been met. Table 17 displays the unstandardized regression coefficients (B) and intercept, the standardized regression coefficients (β) and R2. The R2 for regression was significantly different from zero, F(7, 188) = 26.74, p<.001. For the regression coefficients that differed significantly from zero, the 95% confidence limits were calculated. 209 Integration of SWB and Stress Theory Table 17 - Standard Multiple Regression of Extraversion, Neuroticism, Control, Optimism and Affect on PWI Scores Variable PWI 1 2 3 4 5 6 B β .06 .07 .10 .14 -.05 -.06 -.25 -.06 -.29 -.37*** .22 .29*** .21 .29*** (DV) 1 Ext .37 2 Neu -.42 -.47 3 Control .29 .35 -.54 4 Opt -.21 -.21 .24 -.05 5 H-NA -.53 -.32 .71 -.42 .19 6 H-PA .57 .55 -.49 .42 -.24 -.35 7 L-PA .59 .32 -.51 .46 -.10 -.52 *** .65 R2 .50 Adjusted R2 .48 Correlation is significant at the .001 level Three of the IVs made significant unique contributions to the prediction of PWI levels, however these did not include Extraversion or Neuroticism, as was found in Study 1. Therefore, the hypothesis that the regression analyses would yield similar results as those found in Study 1 was not supported. In this study, high activation negative affectivity is the strongest predictor of PWI scores, followed by low activation positive affect and high activation positive affect. While all three of these affect variables were significant at the p<.001 level, none of the other variables were close to providing a significant unique contribution to PWI scores. While Neuroticism did not prove to provide a significant contribution to PWI scores, this was the fourth strongest predictor of PWI scores after the three affect variables, β=.14, p=.089. 210 Integration of SWB and Stress Theory A second multiple regression analysis was conducted with the variables within the other questionnaire, between Personal Wellbeing Index scores as the dependent variable, and High activation Negative Affect (HNA), High activation Positive Affect (H-PA), Low Activation Positive Affect (L-PA), Depression, Anxiety, Stress and Self-Esteem as independent variables. Analysis was performed using SPSS REGRESSION and SPSS FREQUENCIES for evaluation of assumptions. The assumptions of normality, homoscedasticity and multicolinearity were again tested in the same manner as the previous analysis. As the standardised residual values scatterplots revealed two outliers and several multivariate outliers, seven cases were deleted from the data set. After these deletions, all assumptions of normality were met. Table 18 displays the unstandardized regression coefficients (B) and intercept, the standardized regression coefficients (β) and R2. The R2 for regression was significantly different from zero, F(7, 219) = 34.26, p<.001. For the regression coefficients that differed significantly from zero, the 95% confidence limits were calculated. 211 Integration of SWB and Stress Theory Table 18 - Standard Multiple Regression of Depression, Anxiety, Stress, Self-Esteem and Affect on PWI Scores Variables PWI Dep Anx Stress S-E (DV) H- H-PA B β -.55 -.20* -.32 -.08 .17 .08 .27 .09 -.28 -.20*** .25 .20** .39 .25*** NA Depression -.59 Anxiety -.40 .59 Stress -.38 .60 .57 Self-Esteem .55 .63 -.46 -.38 H-NA -.53 .55 .41 .51 -.52 H-PA .55 -.46 -.23 -.23 .53 -.30 L-PA .61 -.51 -.31 -.43 .47 -.49 .61 R2 .56 Adjusted R2 .52 * Correlation is significant at the .05 level Correlation is significant at the .01 level *** Correlation is significant at the .001 level ** In this analysis, four of the IVs made significant unique contributions to the prediction of PWI levels. These results are consistent with that of the previous multiple regression, in that the three affect variables were found to be the strongest predictors of PWI scores. Specifically, the low activation positive affect variable was the strongest predictor of affect, followed by high activation negative affect, high activation positive affect, and depression. The depression variable was hypothesised to be the strongest predictor and to thus replicate analysis results from Study 1, however this hypothesis was again not supported. 212 Integration of SWB and Stress Theory 16.3 Comparison of Groups The second hypothesis of this study states that there is a significant difference in personality, affect, optimism, control, self-esteem, depression, anxiety and stress scores between individuals with normal and sub-average PWI scores. This hypothesis was tested with a one-way between-groups multivariate analysis of variance. The independent variable, PWI scores, was divided into two groups of normal subjective wellbeing (70-100%SM) and sub-average subjective wellbeing (<69%SM). Preliminary assumption testing was conducted to check for normality, linearity, univariate and multivariate outliers, homogeneity of variance-covariance matrices, and multicollinearity, with no serious violations noted. As two questionnaires were used in this study, separate Multivariate Analysis of Variance procedures, relating to the variables in questionnaires 1 and 2 respectively, were conducted. The results of the MANOVA are displayed in Table 19. A significant multivariate effect was found. Univariate analyses revealed that there was a statistically significant difference between individuals with normal and sub-average subjective wellbeing levels on all variables. 213 Integration of SWB and Stress Theory Table 19 Summary of MANOVA for differences between Two Groups of PWI Scores and Affect, Optimism, Control, Neuroticism and Extraversion Multivariate Approx. F Hyp. DF Error DF Test (Wilks’ Lambda) 12.83*** 7 179 F-test with Univariate: DF (1,185) Normal PWI Sub-average (n=129) (n=58) Variable F 2 Power M SD M SD Low PA 46.05*** .20 1.0 68.60 17.15 50.21 17.14 High PA 52.62*** .22 1.0 68.06 15.43 50.60 14.75 High NA 60.74*** .25 1.0 18.54 14.72 38.33 18.76 Opt 38.38*** .17 1.0 23.04 3.75 19.40 3.71 Control 15.05*** .08 0.9 80.46 15.18 70.40 18.88 Neu 37.34*** .17 1.0 36.70 18.08 55.90 23.41 Ext 15.20*** .08 0.9 72.70 17.19 62.48 15.09 *** Correlation is significant at the .001 level 214 Integration of SWB and Stress Theory Table 20 Summary of MANOVA for differences between Two Groups of PWI Scores and Affect, Stress, Anxiety, Depression and SelfEsteem Multivariate Approx. F Test (Wilks’ Lambda) 19.37 F-test with Univariate: Hyp. DF Error DF 7 204 *** DF (1,210) Normal PWI Sub-average (n=129) (n=58) Variable F 2 Power M SD M SD Low PA 74.99*** .26 1.0 70.81 15.51 50.81 17.79 High PA 58.02*** .22 1.0 67.70 16.32 49.48 18.04 High NA 57.86*** .22 1.0 15.20 14.17 32.24 18.36 Stress 38.08*** .15 1.0 6.94 5.35 12.71 5.37 Anxiety 52.48*** .20 1.0 1.69 2.19 5.95 6.09 Dep 49.34*** .19 1.0 3.11 4.15 9.31 8.58 S-E 56.68*** .21 1.0 33.85 3.94 29.14 5.14 *** Correlation is significant at the .001 level An inspection of the mean scores indicated that people with subaverage levels of subjective wellbeing reported lower high and low activation positive affect, control, extraversion, optimism and self-esteem, and higher levels of high activation negative affect, neuroticism, stress, anxiety and depression. 16.4 Testing the Homeostatic Regulation of SWB – The Relationship Between SWB and Depression The third hypothesis stated that there is evidence of a curvilinear relationship between PWI and depression scores. If this hypothesis were supported, SWB levels should remain stable with increasing depression 215 Integration of SWB and Stress Theory scores, until a certain level of depression is reached (signifying homeostatic breakdown), whereupon SWB levels would sharply drop. This hypothesis was tested using the same procedure that was used in Study 1. This hypothesis was tested by splitting the participant’s depression scores into groups, then calculating the mean PWI scores for each depression group, and graphing these PWI scores. The depression scores as measured by the DASS ranged from 0-26. Depression groups were formed on the basis of incrementing scores of 2 (see Table 21). The four highest depression groups (20, 22, 24 and 26) were combined to increase reliability due to the low numbers in these groups. The PWI means for each depression group were then calculated using SPSS COMPARE MEANS command, and these values were plotted graphically, as seen in Figure 14. Table 21 Means and Standard Deviations of PWI Scores of Ten Groups of Increasing Depression Scores Depression Group 0 2 4 6 8 10 12 14 16 20-26 Mean N 80.65 55 74.47 55 70.14 40 71.77 25 66.86 15 61.55 12 54.03 11 53.02 7 46.67 3 45.24 6 Total N Std. Deviation 9.22 9.44 11.53 12.69 14.26 19.11 10.44 10.01 20.52 17.67 229 216 Integration of SWB and Stress Theory Test of Curvilinear Relationship Between PWI and Depression Scores Normal 85 80 75 70 65 60 55 50 45 40 Mild Moderate Severe SWB Mean PWI Scores r2 = 0.973 0 2 4 6 Poly. (Mean PWI Scores) 8 10 12 14 16 18 20 22 24 Depression Figure 14 Mean PWI Scores for Depression in Incrementing Groups of Ten Figure 14 displays evidence of a curvilinear relationship between PWI and depression scores. A 3rd order polynomial trend line was computed. This trend line suggests the curvilinear model explains a large proportion of the mean PWI score variance, r2 = .97, and provided a better fit to the data points than a linear model, r2 = .93 (linear trend line not pictured in Figure 14). As the curvilinear model fits the data only slightly better than the linear model, the relationship between SWB and depression illustrated in Figure 14 should be considered essentially linear. A plateau occurs at the 70%SM level, whereby PWI scores remain stable with increasing depression scores. Further increases in depression precipitate a steeper drop in PWI scores. 217 Integration of SWB and Stress Theory SWB Test of Curvilinear Relationship Between Normal and Low PWI Groups and Depression Normal 85 80 75 70 65 60 55 50 45 40 Mild Moderate Severe R2 = 1 Normal PWI Low PWI Poly. (Low PWI) R2 = 0.979 0 2 4 6 Poly. (Normal PWI) 8 10 12 14 16 18 20 22 24 Depression Figure 15 Mean PWI Scores for Depression Groups: Comparison of Normal and Sub-Average PWI Groups In Figure 15, the data points have been split at the hypothesised lower threshold point of 70%SM, thereby giving two groups of normal PWI scores and sub-average PWI scores. Third order polynomial trend lines were then added to each series of data points. This graph illustrates that a 3rd order curvilinear model perfectly fits the data within the normal PWI score group, r2 = 1, and provides a very good fit to the sub-average PWI score group, r2 = .098. Moreover, the curvilinear model is better able to fit the observed mean PWI scores when the normal and sub-average groups are separated than when applied to the PWI scores as a whole. The categories of depression severity according to the DASS manual (Lovibond & Lovibond, 1995), including normal, mild, moderate, and severe are indicated in Figure 15. The graphs (Figures 14 and 15) indicate that SWB is stable until depression scores approach the mild category, 218 Integration of SWB and Stress Theory where increasing depression scores are contingent upon rapid SWB decline. The graphs also provide evidence for the hypothesised lower SWB threshold of 70%SM, whereby no depression symptomatology is evident within the normal range of SWB, but is evident within the sub-average range of SWB. 16.5 Structural Equation Modelling Structural Equation Modelling (SEM) using AMOS 4 (Arbuckle & Wothke, 1999) was used to test the hypothesised relationship among psychological predictor variables and endogenous variables within the Integrated Model of SWB Homeostasis and COR Theory (Figure 12). As the Study 3 results are based on two separate questionnaires (due to the number of inventories used within the study), two models were generated in order to test the hypothesis. The first model tested the hypothesised relationship between the predictor variables (neuroticism, extraversion, high activation negative affect, high activation positive affect, low activation positive affect, optimism and control), and the two endogenous variables of PWI scores and PWI in two groups of normal and sub-average scores, as shown in Figure 16. 219 Integration of SWB and Stress Theory AMOS Hypothesised Model 1 Optimism Ext High NA Psych Wellbeing 2nd Order 1st Order Neu Control High PA Low PA PWB PWI group Figure 16 Integrated Model of SWB Homeostasis and COR Theory: Hypothesised Model 1 Maximum Likelihood (ML) estimation method was used to analyse the covariance matrix of the model, as this is the most frequently used estimation method in SEM (Ullman, 2000). A range of the typically reported fit indices, including two of the most frequently reported fit indices, the Comparative Fit Index (CFI) and the Root Mean Square Residual (RMSEA), were examined to determine the adequacy of the model. The other examined indices were the maximum likelihood chisquare test, the Goodness-Of-Fit Index (GFI), the Adjusted Goodness-Of-Fit Index (AGFI), the Normed Fit Index (NFI), the Incremental Fit Index (IFI), and the Expected Cross Validation Index (ECVI). The hypothesised structural model was found not to provide a good fit to the data. In order to improve the fit of the model, SEM was used as a 220 Integration of SWB and Stress Theory more exploratory and model-building technique (Ullman, 2000). An inspection of the t-tests for regression weights indicated that all variables in the model make a significant unique contribution to the model. An examination of the modification indices indicated that the model could be improved by the addition of further statistically significant pathways. Examinations of the MI for model 1 indicated that it would be improved by the addition of five pathways. The added pathways included a direct effect from high activation positive affect (High PA) to low activation positive affect (Low PA); high activation negative affect to extraversion, high activation negative affect (High NA) to neuroticism, and from control to the 1st order determinants construct. The added covariance pathways between the personality and affect variables make theoretical sense, as these constructs are highly correlated, and measure similar psychological traits. It can be hypothesised that a covariance pathway from control to the 1st order determinant construct improves the model because this variable identifies as both a cognitive process (as a positive cognitive buffer), and a stable individual characteristic, thus linked to the 1st order determinants construct. This revised model, displayed in Figure 17, was shown to provide a better fit to the data than the hypothesised model, and accounted for 43% for the variance in PWI scores. 221 Integration of SWB and Stress Theory AMOS Revised Model 1 AMOS Revised Model 1 Optimism Control Control 2nd Order 1st Order Neu 1 Neu 1Ext Ext 1NA High High NA 1 PA High PA High 1 NA Low Low PA Psych Wellbeing PWI group PWB Figure 17 Revised Model 1 The second model tested the hypothesised relationship between the predictor variables (high activation negative affect, high and low activation positive affect, and self-esteem), and the endogenous variables (PWI, depression, anxiety, and stress), as shown in Figure 18. AMOS Hypothesised Model 2 SES S-E High NA High PA Psych Wellbeing 2nd Order 1st Order Low PA anxiety stress dep PWB Figure 18 Hypothesised Model 2 222 Integration of SWB and Stress Theory Again, the goodness of fit indices were not adequate for the hypothesised model, and examination of the ML estimates indicated that the model could be improved with the addition of pathways. Examinations of the MI for model 2 indicated that it would be improved with the addition of three pathways. These included a direct effect from high activation negative affect to high activation positive affect, from PWI to the 2nd order determinants construct (cognitive buffers), and from stress to anxiety. The revised model accounted for 88% of the variance in PWI, depression, stress and anxiety scores, see Figure 19. Again, the covariance pathways between the affect variables make theoretical sense due to their high correlation. Stress and anxiety were highly correlated (.63), thus this covariance pathway makes sense. Finally, the pathway from the 2nd order determinant construct to PWI indicates that there is a direct effect between the positive cognitive buffers and SWB. 223 Integration of SWB and Stress Theory AMOS Revised Model 2 AMOS Revised Model 2 SES S-E 2nd 1NA High NA High err03 1 High PA High PA err04 Psych Wellbeing 2nd Order 1 Order res1 1st Order Low PA 1Anx anxiety err13 1 stress err12 stress dep PWB err10 PWI 1 Figure 19 Revised Model 2 After modification, the goodness-of-fit indices for both models were within the acceptable ranges, see Table 22. While further modification of the models could have been undertaken through the addition of further pathways and covariancies, these were tested and did not produce a significantly better fit to the data. Moreover, care was taken not to ‘overfit’ the data (Hoyle, 1995). The strength of fit between the models and the data, and the finding that Models 1 and 2 explain 43% and 88% of variance in PWI, depression, stress and anxiety scores respectively, indicates that the revised models provide a strong framework for the integrated SWB Homeostasis and Conservation of Resources Theory. 224 Integration of SWB and Stress Theory Table 22 Goodness of Fit Indices for Structural Models Model Hypothesised Revised Hypothesised Revised Model 1 Model 1 Model 2 Model 2 2 178.04 76.71 143.22 59.61 df 26 21 18 15 p .000 .000 .000 .000 2/df 6.85 3.65 7.96 3.97 GFI .85 .92 .85 .94 AGFI .74 .83 .70 .86 NFI .83 .93 .97 .93 CFI .85 .94 .97 .95 RMSEA .17 .11 .18 .11 IFI .85 .95 .97 .95 ECVI 1.06 .61 .87 .45 Note. GFI: Goodness-Of-Fit Index, AGFI: Adjusted Goodness-OfFit Index, NFI: Normed Fit Index, CFI: Comparative Fit Index, RMSEA: Root Mean Square Residual, IFI: Incremental Fit Index, ECVI: Expected Cross Validation Index. 16.6 Summary To briefly summarize this chapter: The results of Study 3 were based on two questionnaires. Questionnaire 1 contained measures of SWB, affect, personality, optimism and control. Questionnaire 2 contained measures of SWB, affect, depression, anxiety, stress, and self-esteem. The highest correlation between the variable in Questionnaire 1 occurred between neuroticism and high activation negative affect, 225 Integration of SWB and Stress Theory and high activation positive affect and low activation positive affect respectively. In Questionnaire 2, depression and self-esteem had the highest correlation, followed by anxiety and depression, and high activation and low activation positive affect. Low activation positive affect had the highest correlation with PWI scores in both questionnaires. The hypothesis that depression and neuroticism would be the strongest predictors of PWI scores was not supported. Using Questionnaire 1 results, high activation negative affect was the strongest predictor, followed by low activation positive affect and high activation positive affect. Using Questionnaire 2 results, low activation positive affect was the strongest predictor of PWI scores, followed by high activation negative affect, high activation positive affect, and depression. The second hypothesis, that there is a significant difference in personality, affect, optimism, control, self-esteem, depression, anxiety and stress scores between individuals with normal and subaverage PWI scores was supported. There was a significant multivariate effect, and univariate analyses revealed that the difference between mean variable scores across the two groups of normal and sub-average PWI scores differed significantly at the p=.001 level. The third hypothesis stated that a curvilinear relationship exists between depression and PWI scores. There was some evidence to 226 Integration of SWB and Stress Theory support this hypothesis, with a third order curvilinear polynomial model fitting the data well, r2=.97. Furthermore, when PWI scores are divided into the categories of normal (>70%SM) and subaverage range (<69%SM), the curvilinear polynomial models have a stronger fit with the data, r2=1 for the normal range PWI group, and r2=.98 for the sub-average range group. Structural equation modelling was used to test the hypothesised integrated model of SWB Homeostasis and Conservation of Resources Theory. While the hypothesised AMOS models did not initially provide a good fit to the data, minor modifications (consisting of additional covariance pathways) improved the models. The revised models had adequate goodness-of-fit indices, and explained 43% and 88% of the data. 227 Integration of SWB and Stress Theory Chapter 17 Study 3 Discussion 17.1 Relationship Between Variables One of the purposes of Study 3 was to test whether some of the findings from Study 1 would be supported. Specifically, it was expected that the variables neuroticism and anxiety would have the highest correlations of the variables in the study. As variables used in Study 3 were divided into two separate questionnaires, neuroticism and anxiety could not be correlated due to the lack of a common data set. However, the highest correlation between the variables used in Study 3 occurred between anxiety and depression (r=-.65), and PWI and depression (r=.59) respectively. These results were comparable to that of Study 1, although the correlation coefficients between the variables were slightly higher in the present analysis. Pearson Product Moment correlations were also conducted for the variables within Questionnaires 1 and 2 of Study 3. The highest observed correlation between variables in Questionnaire 1 occurred between neuroticism and high activation negative affect. This result concurs with previous research, which finds that these variables are typically highly correlated, owing to the similar nature of the personality and trait affect constructs (Berry & Hansen, 1996; McCrae & Costa, 1991; Watson & Clark, 1992). The highest observed correlation in variables of Questionnaire 2 occurred between depression and self-esteem. This finding concurs with 228 Integration of SWB and Stress Theory previous research, in that self-esteem tends to have a strong positive correlation with SWB (Boschen, 1996; Hong & Giannakopoulos, 1994), and may be the strongest predictor of SWB overall (Cummins & Nistico, 2001). 17.2 Characteristic Differences Between Individuals with Normal and Sub-Average SWB. The hypothesis that there is a significant difference in the mean scores of the tested variables between individuals with normal and subaverage range PWI scores was supported using Multivariate Analysis of Variance. The normal range PWI group (70-100%SM) were significantly higher in low activation positive affect, high activation positive affect, control, self-esteem, optimism and extraversion, and lower in high activation negative affect, neuroticism, stress, anxiety, and depression. This result is intuitive, as the literature in the initial chapters of the thesis indicates that individuals high in SWB tend to be higher in measures of positive psychological factors, and lower in psychological illbeing. The finding that the mean scores of the variables were significantly different to the .001 alpha level supports the hypothesised lower threshold of 70%SM. The SWB homeostasis theory depicts the normative SWB range as occurring between 70-80%SM, with 70%SM being the hypothesised lower threshold, beyond which adaptive capacity is exceeded and defeated (Cummins et al., 2002). It is possible that if the 70%SM point was not indicative of a lower threshold, beyond which homeostasis fails and SWB decreases, the reported significant differences may not have been found. 229 Integration of SWB and Stress Theory 17.3 Prediction of SWB Multiple regression was performed to test whether data analysis results would be consistent with those in Study 1, which found that depression, extraversion and neuroticism are the strongest predictors of SWB. In both regression analyses performed of the variables of Questionnaires 1 and 2, the three affect subscales were found to be stronger predictors of PWI scores than the expected variables. The affect subscales correlated more strongly to PWI scores than neuroticism or extraversion, so it could be argued that the stronger predictive ability of affect was anticipated. It is interesting to note, however, that high activation negative affect correlated reasonably highly with PWI scores (r=-.53), and neuroticism has a significantly lower correlation with PWI scores (r=-.42), when these variables correlated quite highly together (r=.71). Therefore, it appears that while negative affect and neuroticism are similar both in statistical correlation and theoretical conceptualisation, affect measurement possesses a quality that makes it a stronger predictor of SWB. In a similar fashion, the second regression analysis revealed an interesting observation with depression. Depression had the second highest correlation with PWI scores (r=-.59), however did not have higher predictive power than any of the three affect subscales. This findings again suggests that the affect measures possess predictive power that goes beyond that of depression and neuroticism. 230 Integration of SWB and Stress Theory 17.4 The Homeostatic Mechanism The theory of SWB homeostasis was tested in Study 1 by splitting depression scores into groups, plotting the mean PWI scores for each group, and observing whether a curvilinear relationship exists between the two factors. In Study 1, the results offered little conclusive evidence to support a curvilinear relationship. The graph, however, did suggest that a threshold exists at the 70%SM point, whereby SWB loss is resisted, followed by a more rapid decline in PWI scores. An explanation for the above findings provided in Chapter 8 stated that it is possible that the nature of the relationship between depression and SWB was influenced by the fact that the mean PWI scores of both data sets used in Study 1 were below the anticipated normative range of 702.5%SM. Therefore, this test of SWB homeostasis was repeated in the Study 3 analysis. The overall mean PWI score of 71.7%SM was slightly higher than those in Study 1, being 71.1 and 69.3%SM in Data Sets A and B respetively. The mean PWI scores for the ten depression groups were plotted, and revealed evidence of a curvilinear relationship. A 3rd order polynomial trend line was computed and fit to the data. This model (with a regression coefficient of r2=.97) fit the data more closely than a linear model, r2=.93, thus suggesting that the relationship between depression and SWB is indeed non-linear. Furthermore, when the normal range PWI group (>70%SM) was separated from the sub-average PWI group (<69%SM), the curvilinear 231 Integration of SWB and Stress Theory model provided an even closer fit to the data, indicating that these two groups behave differently and have independent relationships to depression. Again there is evidence of a lower SWB threshold occurring at the 70%SM point. PWI scores decline from 80% to 70%SM, then as depression increases, PWI scores briefly remain stable, and in fact increase slightly. This suggests that the SWB regulatory system is resisting homeostatic defeat, consistent with the assumptions of SWB homeostasis theory (Cummins et al., 2002). The PWI scores are observed to drop steeply from about 67%SM to 45%SM, and mild depression (measured by scores of 10-13 on the depression subscale of the DASS) first occurs at 63%SM. Therefore, a decline in PWI is evident before depression reaches a diagnosable level. It can be assumed from this finding that SWB measures may prove to be a more sensitive indication of depression than depression inventories. The rationale for this assumption is that the loss of SWB indicates the process of becoming unhappy and dissatisfied that may lead to depression, whereas depression inventories measure the outcome of depression in individuals whose SWB homeostatic systems have already failed. If this is true, then SWB loss pre-empts depression, and thus a measure such as the PWI would be more sensitive to depression, and could be used in a more preventative fashion if used longitudinally with individuals who are known to be at risk of depression. A further interesting observation was that the two mean PWI scores that fall below the 50%SM level fall into the moderate and severe depression categories respectively. Cummins (1998) stated that world 232 Integration of SWB and Stress Theory population SWB scores predictably fall within the range of 60-80%SM, with an adaptive range of 50-100%SM. Moreover, SWB levels of 50%SM and under are grossly deviated from the normative range, and could be hypothesised to coincide with depression as a consequence of SWB homeostasis failure. There is some support for this hypothesis, as those individuals under the 50%SM point reached a clinical severity of depression. 17.5 Testing the Hypothesised Integrated Model Structural equation modelling was used to test the hypothesised integrated model of SWB homeostasis and COR theory that was presented in Figure 12. Two models were constructed and tested within AMOS, consistent with the variables in Questionnaires 1 and 2. While the initial models did not have adequate goodness-of-fit statistics, minor modifications were made in accordance with the Maximum Likelihood estimates, which resulted in improved model power and adequacy of goodness-of-fit statistics. Both of the models tested within AMOS used the SWB Homeostasis theory (Cummins et al., 2002) as a foundation. This foundation depicts stable traits as 1st order determinants, which influence the positive cognitive biases as 2nd order determinants, which together lead to psychological wellbeing, or SWB. The first model depicts affect (measured by the three affect subscales of high activation positive affect, low activation positive affect, and high activation negative affect) and personality (extroversion and 233 Integration of SWB and Stress Theory neuroticism) as the 1st order determinants. The 2nd order determinants are control and optimism (measured by the PCOISS:12 and the LOT-R), and the psychological wellbeing construct is measured by PWI scores and PWI scores according to group (being >70%SM or <70%SM). Several covariance pathways were added to the revised model, and most of these were anticipated due to the high correlations that occur between these variables. For instance, it was anticipated that the model would improve with covariancies between neuroticism and high activation negative affect, extraversion and high activation positive affect, and high activation positive and low activation negative affect. There was one covariance that needed to be performed according to the Maximum Likelihood estimates, however, that was not anticipated. The estimates indicated that the model would improve with the addition of a covariance pathway from control to the construct of 1st order determinants. It could be interpreted, then, that control is linked with stable individual characteristics, and fits well within this construct. No previous research has been found that makes comment as to the property of control as a purely cognitive process versus a stable individual characteristic, however it could be argued that control is more stable, enduring and trait-like than other cognitive factors such as optimism and self-esteem. For instance, optimism and self-esteem may be readily impacted on by environmental circumstances, however control may relate to more stable beliefs, attributional styles and behavioural responses that are applied in a similar fashion to all situations, and are not impacted on by external events. If this is the case, control may be better placed within the model under the 1st order 234 Integration of SWB and Stress Theory determinants with personality and affect. This will require testing in future research studies. The revised second mode tested within AMOS included affect within the 1st order determinants, self-esteem within the 2nd order determinants, and PWI, stress, depression and anxiety as measures of psychological wellbeing. The added covariance pathways were logical, including that between high activation negative and high activation positive affect, between stress and anxiety, and between PWI scores and the 2nd order determinants construct. While each model does not contain all of the variables within study 3 collectively, they both accounted for a considerable amount of variance in measures of psychological wellbeing, 43% and 88% respectively. A perplexing question, however, relates to why the second model was so much more powerful than the first. An outcome of 43% variance explained by a model is respectable, but 88% explained variance is very high and considerably rare (Tabachnick & Fidell, 2001). The second model depicts affect as leading to self-esteem, which together lead to levels of SWB, stress, depression and anxiety, with a direct relationship between SWB and affect and self-esteem. It is not understood why this model is more powerful than the other when it contains less variables in the 1st and 2nd order determinant constructs. Affect was, however, stronger than other variables in the prediction of PWI scores, and self-esteem is known as possibly the most influential of the cognitive buffers (Cummins & Nistico, 2001). More research would need to be 235 Integration of SWB and Stress Theory conducted in order to further the understanding about the mechanism of this model and the importance of the variables. While some aspects of the models were not fully understood, it is clear that both successfully model the relationship between individual difference factors and psychological wellbeing factors. Moreover, it can be expected that a combined model that incorporates all the variables within the hypothesised integrated model of SWB homeostasis and COR theory would be more statistically powerful than these. This may further research into the integrated process of subjective wellbeing, stress and depression. 17.6 Summary One major conclusion drawn from the Study 3 data analysis is that the three affect subscales, derived through factor analysis in Study 2, are considerably stronger correlates and predictors of SWB than other variables traditionally considered the most reliable predictors, such as neuroticism. This finding suggests that further research is required to continue to test the relationship between affect and SWB, and to compare these affect subscales with other measures of affect. A second conclusion drawn from this study is that there is support for an integrated model of stress, depression and subjective wellbeing. The two hypothesised models were tested and hound to explain a significant amount of variance in PWI, depression, stress and anxiety scores. Thus there is potential to expand on these findings by incorporating all of the variables into one model, and also adding in other variables that relate to 236 Integration of SWB and Stress Theory subjective wellbeing, COR or stress theory, such as perceived social support and attributional style. 237 General Discussion Chapter 18 General Discussion This thesis has reviewed literature pertaining to subjective wellbeing, and its determining factors based on the presented model of SWB homeostasis (Cummins et al., 2002). This model depicts personality and affect factors as stable individual characteristics and 1st order determinants of SWB, and optimism, self-esteem and control as the 2nd order tripartite system of cognitive buffers. Together, the 1st and 2nd order determinants allow for the regulation of SWB within the 70-80%SM range. Depression reflects an absence of SWB, and can be hypothesised to occur when the SWB regulatory system is overcome by extrinsic stressors, resulting in homeostasis failure. The aim of this research was to explore the operation of the homeostatic system, which particular emphasis on homeostasis failure and the relationship between SWB and depression. In addition, this research had an exploratory component, in which new affect subscales were developed from an existing four-factor scale, and an hypothesised model based on the integration of SWB, depression and stress theory was presented and tested. In general, the results concurred with prior research, in that high SWB was found to have a strong relationship with extraversion, positive affect, optimism, self-esteem, and control; whereas low SWB was found to have a strong relationship with neuroticism, negative affect, stress, anxiety and depression. Furthermore, there was evidence to suggest that depression 238 General Discussion indeed co-occurs with the failure of SWB homeostasis, and thus there is an argument for the utility of SWB inventories in depression detection and treatment evaluation. Finally, an integrated theory of SWB, depression and stress appears to be justified, based on the successful results of the exploratory data analysis and intuitive reasoning. The following sections will discuss in detail the homeostatic mechanism under normal conditions and in relation to depression. 18.1 The Normative SWB Range Within the literature, it has been consistently found that indices of subjective wellbeing for the majority of people are negatively skewed, with scores lying over the midpoint of the measurement scales. Reviews by Cummins (1995; 1998; 2000) have revealed the normative range of life satisfaction in Western countries to be 75.0 2.5 %SM. It was based on these findings of positive subjective wellbeing that the existence of a homeostatic mechanism was proposed. It was expected, then, that the mean Personal Wellbeing Index scores for the studies within the current research would fall around 75%SM and within the normative 70-80%SM range. Unexpectedly, the mean SWB level of participants within both studies was lower than predicted. Study 1 was based on two participant groups who were posted the questionnaire at different times, yielding two separate data sets. The participants in Data Set 1 had a mean PWI score of 71.1%SM (N=236), and those in Data Set 2 had a mean of 69.3%SM (N=246). The participants in Study 3 had a mean PWI score of 71.7%SM (N=458). 239 General Discussion It is clear from these mean scores that all three participant groups involved in this research failed to meet the expected SWB level of 75%SM, with one group (Data Set B of Study 1) falling outside of the normative range. As this is the case, it is necessary to discuss the possible reasoning and implications of this finding. A possible explanation for the finding of relatively low mean SWB levels is Study 1 was that the mail-out of questionnaires for this study occurred in November of 2001. This was only shortly after the tragic events of September 11. It could be assumed that this phenomenal event may have influenced the overall SWB of the population, and in particular, the domains of ‘Safety’, and ‘Future Security’. The mean PWI score for Study 3 had increased in this data set from those in Study 1, however it was still at the lower end of the expected normative range. The second questionnaire mail-out, for Study 3, took place in February of 2003. This could be described as a time in which there were fears of ongoing terrorist attack and growing political tension. It is therefore possible that: 1. Individuals have adapted to the negative events of the social climate, as evidenced by the increase in PWI mean scores from Study 1 to Study 3, and that 2. The ongoing social concerns continue to impact upon the overall SWB levels of the population, as evidenced by the failure to reach the predicted normative level of 75%SM. The possibility that the sample used in the studies was not representative of the general population was considered. There were 940 240 General Discussion participants all together within the studies, who were involved in a collaborative study between Australian Unity and Deakin University. These participants collectively represented the national population on a geographically proportional basis, and the demographic factors of gender, age and income showed normal distributions within all studies. Therefore, it seems unlikely that the sampling method was flawed or that the sample is not representative of the general population. Assuming that the 75%SM level can be considered the ‘normal’ SWB level within Western countries, and the occurrence of SWB means below this is ‘abnormal’, the possible implications of this finding are relatively unknown. It cannot be predicted what influence, if any, a lower SWB mean will have on analysis results. However, predictions can be made about the influence of a SWB mean that falls below the hypothesised lower threshold point of 70%SM (Cummins et al., 2002). It was found that the participants within Data Set B were higher in neuroticism, anxiety and depression, and lower in extraversion than those in Set A, even though their PWI mean scores were not significantly different. This is important to note, as it suggests that even slight reductions in SWB may impact significantly on the psychological characteristics of individuals, and the relationship between measured variables. 18.2 The Homeostatic Mechanism The purpose of the homeostatic mechanism is to ensure a positive sense of wellbeing for the individual. It is proposed that the key components of the homeostatic mechanism comprise personality, affect, and 241 General Discussion the positive cognitive buffers, optimism, self-esteem and control. These components influence the way in which new we integrate and cope with the extrinsic conditions and stressors in life, and the extent to which these affect us. The homeostatic mechanism and predictors of SWB were investigated in this research for two purposes. Firstly, analyses were undertaken to explore the relationship between SWB and depression, and the degree to which depression can be predicted by low SWB scores. Secondly, evidence for a homeostatic system and the occurrence of homeostatic defeat was tested in order to discover the potential of SWB inventories to be used for the purpose of depression detection and treatment evaluation. 18.2.1 Prediction of SWB Across studies 1 and 3, the variables found to be the strongest predictors of subjective wellbeing were neuroticism, extraversion and depression (in Study 1), and the three subscales of affect, high activation positive affect, low activation positive affect, and high activation negative affect (in Study 3). In all regression analyses, and with each data set, different variables were found to be the strongest predictors, and thus it seems that the ability of a construct or variable to explain subjective satisfaction varies under different circumstances. The potential implications of these issues will be discussed. Personality 242 General Discussion Previous research indicates that personality traits are strong predictors of SWB, particularly neuroticism (Costa & McCrae, 1989; Headey & Wearing, 1989) and extroversion (Costa & McCrae, 1980; Diener et al., 1992). It is generally expected that neuroticism will be negatively associate with SWB, and extraversion positively associated with SWB. Moreover, it is generally found that neuroticism has a stronger correlation with SWB than does extraversion (Costa & McCrae, 1980; DeNeve & Cooper, 1995; Headey & Wearing, 1989; Heaven, 1989; Schmutte & Ryff, 1997). As Study 1 was based on two separate data sets using the same questionnaire, it was possible to test the predictive strength of the variables in Set A, and re-test these in Set B, therefore potentially reinforcing the conclusions drawn. Unexpectedly, however, the data sets were found to have different characteristics, with differences in mean scores of Personal Wellbeing Index, neuroticism, anxiety and depression. These differences appeared to impact upon the strength of the variable relationships to SWB. Neuroticism was the strongest predictor of SWB in Data Set A, followed by depression. Extraversion was not found to be a statistically significant predictor. The participants in this data set were characterised as lower in neuroticism, depression and anxiety, and higher in extraversion and satisfaction than the other set. The mean SWB score of this participant group also fell within the normative 70-80%SM range. In contrast, extraversion was the strongest predictor of SWB in Data Set B, which was described as a participant group that were less satisfied, and whose mean SWB score fell bellow the normative range. 243 General Discussion An important point worthy of reiteration is that the difference in predictive strength of extraversion was not related to an overall difference in extraversion scores per se. Data Sets A and B had near identical extraversion scores, thus the finding that extraversion was predictive in Set B and not Set A could indicate that the general characteristics of the group define the predictiveness of particular variables, rather than the variable properties themselves. Depression Previous research indicates that depression is inversely related to SWB (Barge-Schaapveld et al., 1999; de Leval, 1999; Hansson, 2002; Holloway & Carson, 1999; Kammann & Flett, 1983; Koivumaa-Honkanen et al., 2001; Pyne et al., 1997). Furthermore, it seems intuitive that depression represents a lack of satisfaction with life. Therefore, depression was expected to be a strong predictor of SWB level. Depression was found to be a significant predictor over Study 1 (both in Set A and Set B) and Study 2. However, in all analyses, depression was never the strongest predictor of SWB. This indicates that while depression is consistently related to SWB (unlike extraversion), depression does not define SWB, thus depression is not the strongest predictor. In Study 1, the predictive strength of depression was surpassed by the personality variables, neuroticism and extraversion. In Study 3, however, the predictive strength of depression was surpassed by the three affect variables mentioned previously. On reflection, it is apparent that personality and affect are both hypothesised to be the 1st order determinants 244 General Discussion of the SWB homeostasis regulatory system. The 1st order determinants are those that are stable individual characteristics that are not readily influenced by environmental conditions. With this in mind, it is possible to hypothesise that an individual’s set-point SWB level is strongly determined by the stable constructs of personality and affect, thus depression, reflecting a reaction to unstable environmental factors, is a less significant predictor. It is possible that depression is a consistent but weaker predictor of SWB because high depression scores highly predict low SWB, but that a lack of depression is non-predictive of SWB. For instance, it is expected that people suffering from depression would report a low satisfaction with life, both in general and in specific domains. This low evaluation of life and lack of enjoyment in areas of life is an integral part of depression diagnosis. However, the lack of depression would not be expected to correlate with SWB for two reasons. First, a lack of depression merely indicates that in individual is not depressed; it does not indicate that they are happy, or to what extent. Secondly, it may be possible for individuals to experience depression symptoms (such as changes in sleeping and eating patterns, restlessness) and yet be coping successfully with life, therefore reporting elevated depression and SWB scores. Further research into the effect of depression on SWB is needed. Affect Affect is known to influence SWB levels (Diener, 1984), and is closely related to personality, both statistically and conceptually (McCrae & 245 General Discussion Costa, 1991; Nemanick & Munz, 1997). As such, it was expected that affect would be a strong predictor of SWB. Affect was a measured variable in Study 3, and was found to be a strong predictor of SWB. In fact, all three affect subscales were the strongest predictors of SWB, and these were significantly stronger than any other variable. While it was predicted that affect would predict SWB, it was unexpected that affect would be so much stronger as a predictor than the other variables, particularly personality. With the strong theoretical and statistical ties between affect and personality, it was expected that these variables would be roughly equal in predictive power. The contrasting finding that affect is a significantly stronger predictor indicates two possibilities. First, affect could simply be both conceptually distinct from personality, and a superior predictor of SWB. Second, the measurement of affect was based on three subscales that were devised in Section 2 of this thesis. The creation of these subscales was based on the modification of the 4-Dimensional Mood Scale (Huelsman, Nemanick & Munz, 1998), which was an extension of the original Positive and Negative Affect Schedule (Watson & Tellegen, 1985). As the 4-DMS is a relatively new scale and the three subscales proposed in the thesis have derived from this, it was not possible to predict the relationship between the subscales, personality and SWB. It is apparent, however, that these affect subscales are highly powerful, in that they are significantly more predictive of SWB than other variables that are traditionally known to be highly associated with SWB. Research should be conducted to discover if these findings are replicable. 246 General Discussion Summary The contrasting findings discussed above suggest that there is not a particular variable that is reliably predictive of SWB, but that relationships between SWB and other constructs are unstable and dependent on the overall participant characteristics. Two implications can be drawn from these findings. First, it may be relatively futile conducting regression analyses and claiming that certain variables highly predict SWB, as unless the general characteristics of the group are known, the findings may not be replicable or applicable to the general population. Second, it may be that different constructs or variables are reliably predictive of different levels of SWB. For instance, negative psychological measures such as neuroticism and depression may reliably predict SWB within the normative range, whereas positive psychological measures, such as extraversion and positive affect, may predict sub-average SWB. These possibilities need further research investigation. 18.2.2 Homeostatic Failure Under normal circumstances, SWB is maintained within a set-point range within the moderate to high positive range, around 752.5%SM. The SWB equilibrium is maintained by regulating mechanisms involving stable individual characteristics and cognitive factors. These mechanisms effectively absorb the impact of environmental stressors, thereby allowing the stable maintenance of SWB in unstable conditions. 247 General Discussion Every homeostatic system, however, has its limitations, and there are going to be circumstances in which the environmental stressors apply more pressure on the system than can be effectively managed, resulting in its failure to maintain SWB at moderately high levels. In these situations, homeostatic breakdown occurs. Depression is conceptually linked to homeostasis breakdown, and can be perceived as the consequence of homeostasis failure and indicative of abnormally low SWB levels. Therefore, one of the aims of the thesis was to identify the relationship between depression and SWB at various levels of depression. This was done by dividing depression scores into groups of increasing symptom severity, calculating the mean PWI scores for these groups, and graphing these data points. SWB homeostasis theory would predict that the relationship between SWB and depression is curvilinear, wherein SWB levels remain stable with increasing depression symptomatology, until the 70%SM lower threshold point is reached, at which point SWB levels drop sharply. The test of SWB homeostasis in Study 1 provided weak evidence of a curvilinear relationship between SWB and depression. There was a fairly linear relationship between the two factors, however a third order polynomial curvilinear trendline fit the data points more closely than a linear model (r=.98 and r=.95 respectively). While this relationship was fairly linear in nature, a plateau occurred at the 70%SM level. This plateau appears to indicate resistance to homeostasis failure occurring at the lower threshold point, consistent with the predictions of Cummins, Gallone and Lau (2002). 248 General Discussion This test of homeostasis was repeated in Study 3 with similar findings. There was again weak evidence of a curvilinear relationship between SWB and depression scores, however the curvilinear model trendline fit the data more closely than the linear model (r=.97 and r=.93 respectively). Furthermore, there was again a plateau occurring at the 70%SM point. The consistency of the findings indicate that a), the relationship between depression and SWB tends to be slightly more curvilinear than linear, and that b), the homeostatic system tends to resist failure at the 70%SM point. In Study 3, a second graph was created, wherein the data points for individuals within the normative SWB range and those within the subaverage range were separated. Curvilinear trendlines were then applied to the two groups of data points separately. In this analysis, the trendlines provided a closer fit to the data than they had previously, when applied to the ungrouped data points all together. This finding indicates that the two groups of SWB scores (normal and sub-average range SWB) are better defined separately, and have different properties in relation to depression. For instance, the relationship between SWB and depression in individuals with normal SWB levels seems to differ from that in individuals with subaverage depression. This argument may relate to the suggestion above in 18.2.1 that the ability to predict SWB from depression scores may be dependent on the SWB level and other psychological characteristics of the individual. While the relationship between depression and SWB was not found to be as curvilinear as expected, it is important to note that different 249 General Discussion depression scales were used in Study 1 and Study 3 (Hospital Anxity Depression Scale, and Depression Anxiety Stress Scale, respectively) and still the same trend between SWB and depression were found. This indicates stability in the nature of relationship between the variables. Finally, possibly the most clinically interesting finding to come out of the homeostasis testing was that depression appears to be preceded by a drop in SWB scores below the lower threshold of 70%SM. In Study 3, depression is not indicated at the 67%SM level, but mild depression is indicated at the 63%SM level. Therefore, if 70%SM is viewed as the lower SWB threshold and scores falling below this indicate homeostatic failure, then homeostasis failure occurs before the onset of depression symptomatology. Moreover, depression scores increased with the decrease in SWB, such that SWB scores below 50%SM were indicative of moderate to severe depression. It may be possible, then, to map out clinical depression severity according to SWB level. For instance, the results of Study 3 indicate that no depression in evident at 70-100%SM, mild depression occurs between 54-64%SM, and moderate to severe depression occurs below 50%SM. These arguments make theoretical sense, as homeostasis failure is hypothesised to result from the inability of the cognitive mechanisms to successfully manage environmental stressors (Cummins et al., 2002), whereas depression occurs when cognitive vulnerability interacts with stress (Simons et al., 1993), causing a negative cognitive bias (Beck et al., 1979). In essence, unmanageable stressors cause homeostasis to fail and SWB to 250 General Discussion drop, which is then followed by the presentation of depressive symptomatology. As this research was exploratory in nature and the relationship between depression and SWB have not been studied in this way before, it essential that further research is conducted to discover more about their relationship, and the potential for SWB inventories to be used in conjunction with or instead of depression inventories. 18.2.3 Rationale for the Use of SWB Inventories for Depression If the arguments that were explored above are justified, it is foreseeable that SWB inventories could effectively be used alongside traditional diagnostic procedures for depression detection and treatment evaluation. The evidence to suggest that this could be done was explored in the previous section, 18.2.2, however, the reason that this should be done is now discussed. In clinical psychology and psychiatry, depression is diagnosed according to criteria within diagnostic manuals such as the DSM-IV (APA, 1994). Psychiatrists generally follow a medical model, mainly attributing depression to biological causes, and typically treating depression with pharmacological medication, thereby treating the biological cause of depression, as well as using other more cognitive or psychological therapies. While depression aetiology may in some cases be attributable to biology, and depression does indeed respond to pharmacological treatment, the founders of cognitive perspectives of depression hold that depression is the consequence of negative thinking, rather than the cause (Coyne & 251 General Discussion Gotlib, 1983). Both the Learned Hopelessness theory (Alloy & Abramson, 1999) and Beck’s Theory (Beck et al., 1979) state that negative cognitions play a causal role in depression, which means that negative thoughts precede depression symptomatology. This perspective fits well with the theory of SWB homeostasis, which assumes that when environmental stressors overwhelm the homeostatic system, the cognitive buffers (of optimism, self-esteem and control) fail, and SWB drops, potentially leading to depression. The Conservation of Resources Theory (Hobfoll, 1988) follows a similar principle, despite having a slightly different focus. The COR Theory assumes that stress is caused when the system of resources (i.e., self-esteem, optimism, social support, money) is used up and depleted by environmental stressors, thereby allowing an individual to experience negative stress and potentially suffer depression. If depression is indeed a consequence rather than a cause of negative thinking, then there is justification on several levels for the use of SWB inventories in depression detection and treatment evaluation. These will be explored in point form. 1. Viewing depression as a consequence implies that depression follows the breakdown of the system that regulates SWB. Therefore, it is intuitive that SWB measures could be used to predict depression before its onset or at a low level of severity. Thus, SWB measures could be used in a preventative fashion, to enable the treatment of clients before their symptoms are severe, or before they loose the motivation or will to fight the condition. The data analysis 252 General Discussion conducted in Study 3 testing the homeostatic mechanism and relationship of SWB to depression provided evidence to suggest that it would indeed be possible to use SWB measures in this way. A drop in SWB below the lower 70%SM threshold occurred before depression symptomatology was severe enough to diagnose, therefore the SWB measure provided a more sensitive measurement of depression onset than did the depression inventory. 2. SWB is measured according to specific domains of life. Therefore, SWB can be examined both as a total, general feeling of satisfaction with life, or as an indication of satisfaction with particular components of life. One of the criticisms of depression made in Chapter 5.2 was that depression inventories only provide an overall score indicating an arbitrary level of depression, which is not related to any particular areas of life. Therefore, these inventories allow the diagnosis of depression, but do not provide information about why a person may be depressed, or in what area of life. SWB inventories could be used in conjunction with depression inventories to provide additional information about specific domains that may be attributing to or most severely affected by the depression, thus guiding treatment. 3. Finally, SWB may be effectively used to evaluate the success of depression treatment. The justification for this is twofold. First, depression inventories can only state that an individual is either depressed, or not depressed. Therefore, if we hold the view that health is indeed more than the absence of illness, these inventories 253 General Discussion simply cannot provide an adequate evaluation of treatment success. SWB measures provide the measurement of subjective wellbeing on a continuum from dissatisfaction to satisfaction, therefore providing a more sensitive evaluation of treatment success. Second, if depression is the consequence of negative thinking, then increases in SWB should precede decreases in depression symptomatology, just as it was found that SWB decreases preceded depression onset. 18.3 The Conceptualisation and Measurement of Affect It should be noted that thorough testing is required before general assumptions can be made about affect or its relationship to other variables as based on the three proposed subscales. It is recommended that the subscales be tested in comparison with the traditional PANAS (Watson & Tellegen, 1985), in order to establish its relationship with other variables, in particular, personality and SWB. 18.3.1 Proposed Affect Subscales In Section 2 of the thesis, the cirumplex model of affect was reviewed, and the 4-Dimensional Mood Scale (Huelsman, Nemanick & Munz, 1998) was replicated through factor analysis and then revised by creating two new subscales that provide a better fit to the theoretical conceptualisation of affect. The replication of the 4-DMS was successful, finding that all items within the scale loaded on the appropriate factor 254 General Discussion without significant crossloadings, and the reliability of each subscale was high. A second factor analysis was then undertaken in order to choose items for the revised subscales according to statistical strength and conceptual relevance. Several new items were used in the high activation positive affect and high activation negative affect subscales to provide a broader measurement of these quadrants of the affective circumplex. These items included eager, enthusiastic, inspired, determined and excited in the high activation positive affect subscale, and distressed, anxious, agitated, scared, hostile, and nervous in the high activation negative affect subscale. These items also loaded on their appropriate factor with no significant crossloadings, and the subscales were high in reliability. The original low activation positive affect subscale used by Huelsman and colleagues (1998) was retained as this was deemed to provide a broad measurement of this affective quadrant. The original low activation negative affect subscale contained only items relating to the physical state of tiredness, however, despite an attempt to broaden this measure by including affective states of depression, sadness, boredom, etc into the item pool, a clear low activation negative affect factor could not be defined through factor analysis. Therefore, it was recommended that the original subscale should be used in conjunction with a brief depression inventory to compensate for the affective breadth that is lacking in this quadrant of the circumplex. The new subscales were devised with the aim to create a scale that represents the underlying theory of affect, and to test whether such as scale 255 General Discussion would be useful in psychological research studies. As was reviewed before, the new subscales were found to be the strongest predictors of SWB, and appear to tap into a construct that is conceptually dissimilar to personality. This was evidenced by correlations between the affect subscales and personality subscales being less than .8 (which would indicate singularity, or measurement of the same construct), and the fact that affect predicted SWB but personality did not. The findings lead to the conclusion that the new affect scales were successful in broadening the measurement of affect, and that they are useful in psychological research studies. As the scale is largely experimental, further studies are needed to confirm the appropriateness of each item within the subscales, and to investigate the relationship of affect (as measured by the new subscales) to other psychological variables. 18.3.2 Recommendations for Scale Improvement The findings of the analyses relating to the new affect subscales in this thesis have been positive, however there are several ways in which the affect scale could be improved. First, further research is needed to discover whether the low activation negative affect quadrant of the circumplex can be defined as a reliable and independent factor. When additional items were introduced into the item pool to represent this quadrant and multiple factor analyses were performed, the factor could either only be represented by items relating to tiredness, or if these items were removed from the pool, the items within the high activation and low activation negative affect factors could 256 General Discussion not be separately defined due to high crossloadings. Therefore, it is important that research is conducted to discover if the low negative affect quadrant can indeed be measured separately from high negative affect, whether this is not possible, or whether this quadrant is essentially a subfactor or component of high activation negative affect. Second, a multidimensional scaling analysis should be conducted on affect items within a large item pool. This analysis would test the assumption that the items within the new subscales provide a broader measurement of affect according to the theoretical circumplex, and allow this hypothesis to be supported or refuted. It would also be possible to see if any other items would provide a broader measurement of affect in each quadrant, or if additional items should be incorporated into the scale. Moreover, multidimensional scaling would allow the anslysis of the items that fall within the low activation negative affect quadrant. Hypotheses could then be generated about why measurement of this construct has been difficult. It is possible that the items that fall within this quadrant are not intuitive or unexpected. Alternatively, it is possible that the affective strength of the high activation dimensions pulls the items out of this quadrant, or that the items form a tight cluster and so broad measurement is not possible. 18.4 The Integration of Homeostasis, Stress and Depression Theory The third section of this thesis investigated the potential for the integration of SWB homeostasis and Conservation of Resources theory. A 257 General Discussion model of this integrated theory was presented in Figure 12. This model builds on the SWB homeostasis theory by viewing cognitive factors both as positive buffers and resources, and by adding to the model energy and objet resources as third order determinants of SWB. According to this model, when the homeostatic mechanisms are operating successfully, environmental stressors are absorbed by the internal and external buffers and resources, no negative stress is experienced, and SWB remains regulated to a moderately high level. When the stressors are numerous, severe or chronic, however, the resources are depleted, the cognitive regulating mechanisms fail, negative stress is experienced, and SWB drops as a consequence of homeostasis failure. 18.4.1 Evaluation of the Hypothesised Models The hypothesised integrated theory was tested in Study 3 using structural equation modelling using the following variables in two models. Personality and affect were measures of 1st order determinants of SWB, self-esteem, optimism and control were measures of 2nd order determinants of SWB, and the psychological wellbeing was measured with the PWI, depression, anxiety and stress subscales. These variables were divided and tested in two models according to the questionnaire they were placed in. With minor modifications, consisting of added covariance pathways between some of the variables, these models provided a good fit to the data, and successfully accounted for variance in psychological wellbeing. The models in fact accounted for 43% and 88% of variance in SWB and psychological wellbeing respectively. This finding suggests that a) the 258 General Discussion mechanisms responsible for regulating SWB can indeed be described in a model involving the hypothesised variables, and b), that there is reason to believe that a single model incorporating all of the variables tested over the two AMOS models would provide a stronger fit to the data and explain more of the variance in psychological wellbeing measures. 18.4.2 Justification for an Integrated Model As we have seen that the homeostasis and COR theories can be integrated, it is now important to discuss the rationale for this integration. It is thus argued that there is conceptual strength in a theory integrating the components of SWB, stress and depression for the following reasons: 1. Depression can be perceived as the absence of SWB. Under conditions of homeostatic defeat, the symptoms of depression are coincident with low values within the cognitive buffering system and decrease of SWB level (Cummins et al., 2002). Thus, as the buffering systems fail to absorb the impact of negative events and environmental stressors, their own valued decrease and the consequential fall in SWB is mirrored by a rise in the indices of depression (Cummins et al., 2002) 2. Cognitive theories of depression view stress and negative events as activating negative cognitions, which lead to the loss of SWB and the onset of depression (Alloy & Abramson, 1999; Beck et al., 1979) 259 General Discussion 3. The diathesis-stress model of depression predicts that depression is the outcome of stress and cognitive vulnerability to depression (Simons et al., 1993) 4. Cognitive vulnerability to depression relates to the individual set-point range, which predicts the extent to which the homeostatic system is robust to negative life events. Thus, a relatively high setting should indicate a high level of resilience, while a low setting predicts a fragile system, or vulnerability, that is prone to failure, and therefore, to depression (Cummins et al., 2002) 5. The cognitive buffers that regulate SWB influence the pattern of thinking and the processing of negative experiences (Cummins, 2000), and relate to how stressful situations are appraised (Lazarus, 1990), and 6. The resource variables that were from COR theory that were added to the SWB theory will potentially provide a more thorough explanation of SWB homeostasis It is further argued that an integrated theory of SWB, stress and depression would have the following implications: 1. An integrated theory would provide a better understanding of SWB maintenance, the effect of stress on the psychological system, and the occurrence of depression 2. Academically, the integrated theory furthers theoretical research in the area of SWB, and 260 General Discussion 3. Clinically, the integrated theory encourages mental health professionals to take a more ideographic and psychosocial view of depression, and to be aware of the influence of stress and SWB loss on the mental health of individuals. 18.5 Limitations The above discussions have reviewed the findings of the data analysis within this thesis, and provided a rationale for the use of SWB measurement in the area or depression and the expansion of SWB theory with the integration of stress and depression theory. In light of the research successes, it is now important to discuss the limitations of the three studies. 18.5.1 Study 1 One major limitation of Study 1 was imposed by the alteration of the response format for the Hospital Anxiety and Depression Scale. This scale was measured on an 11-point Likert scale as opposed to the original 4-point Likert scale. Additionally, the response format was altered from a frequency rating (‘not at all’ to ‘most of the time’) to the more standard ‘Strongly Agree’ to ‘Strongly Disagree’) format. Therefore, the data collected reports only the degree to which a participant agrees that depression and anxiety symptomatology applies to them, and could not be used to detect clinical anxiety or depression levels. This limited the research, as it was not possible to identify participants experiencing mild, moderate or severe levels of depression and anxiety, and it was not possible to identify at what level of SWB the onset of depression occurs. 261 General Discussion The participant characteristics in Data Sets A and B were found to be significantly different, in that Set B was generally less satisfied and higher in negative psychological measures such as neuroticism and depression. It is not known why these differences exist, and these differences may mean that the conclusions of the study can not be generalised to the population. The relationship between depression and SWB was analysed by plotting SWB means according to depression groupings. While the curvilinear nature of the relationship was tested by applying curvilinear and linear trend lines to the graph and assessing which better fit the data (according to r2 values), the property of the observed relationship as linear or curvilinear was not statistically tested. Furthermore, the theory of homeostasis predicts that the slope of the relationship between depression and SWB within the range of 70-100%SM is more shallow than the steeper decline of SWB below 70%SM. This prediction was not statistically tested. 18.5.2 Study 2 Many of the affect items were found to have significant skew and kurtosis. These variables were not altered. If the research was investigating the relationships between affect and other variables within a normal population group, it would have been advisable to remove or transform nonnormal cases so that the findings relate to a normal population. However, as this research was investigating the states of depression and anxiety, which is expected to coincide with abnormally high scores on negative affect items and low scores on positive items, the non-normal cases needed to be 262 General Discussion retained in order to explore the relationship between affect and depression. Thus, while the decision to retain the non-normal cases can be justified, it is important to note that outlying cases tend to shift the mean of the measured variable, and therefore it is possible that conclusions drawn involving the non-normal affect variables cannot be generalised to a normal population. A second limitation was that multidimensional scaling analyses were not conducted when affect items to represent the affect subscales were chosen. Multidimensional scaling would have provided justification for the selection of particular affect items for the new subscales. This analysis was deemed beyond the scope of the present research. It was decided that the original low activation negative affect subscale within the 4-DMS did not provide a broad measurement of this quadrant of the circumplex because it only comprised items related to tiredness. A factor using alternative items could not be defined. It was therefore recommended that the original subscale should be retained until further research can improve on this subscale. However, this subscale, representing tiredness, was not used in the subsequent analyses in Study 3. Inclusion of this variable may have improved the models analysed in Study 3, or increased the percentage of explained variance in SWB. 18.5.3 Study 3 One of the main limitations of Study 3 was imposed by the necessity to divide the inventories used into two questionnaires. It would have been ideal to conduct the Study 3 analyses using a single questionnaire with all inventories together. It was necessary to divide the inventories between two 263 General Discussion questionnaires, however, as a single questionnaire containing all inventories would have been extensive, and arduous for participants to complete. The inventories were divided to reduce participant fatigue and increase response rate. There are several negative implications of conducting this research with two separate data sets. First, some of the analyses from Study 1 (particularly the regression analyses) could not be replicated for comparative analyses. Second, the hypothesised integrated homeostasis and COR model had to be tested in two parts, using two separate models in structural equation modelling. Therefore, the entire theoretical model could not be tested. There were also limitations to the structural equation modelling that was performed to test the theoretical integrated model. Firstly, the variable of perceived social support was not tested. Perceived social support is an important resource within the COR theory, and may have contributed to the explanation of SWB homeostasis. At the time of planning the inventories for Study 3, it was decided that the inclusion of this inventory would make the questionnaires too lengthy. 18.6 Conclusions 18.6.1 Brief Overview of Findings In general, there is both conceptual and statistical support for the homeostatic regulation of SWB. A strong association between SWB and elements of the homeostatic system exists, including the stable individual characteristics of personality and affect, and the positive cognitive biases. 264 General Discussion In particular, personality and affect appear to be the most significant determinants of SWB. Furthermore, people with normal SWB levels, within the 70-80%SM range, were fundamentally different to those with sub-average SWB levels, in that they were found to be more satisfied, and had a more positive perception of themselves, their environment, and their life. Affect was found to be the most significant predictor of SWB, and was an important component in the hypothesised model of SWB maintenance, which accounted for up to 88% of variance in SWB. The affect measure used was designed via factor analysis and tested in follow-up analyses within this research, and was found to have high subscale reliability. The hypothesised lower threshold of SWB at 70%SM was supported within this research. The decline of SWB below the 70%SM threshold point was found to precede the onset of clinical depression. This was also evidence that SWB inventories can provided a more sensitive measure of depression than depression inventories, which measure the symptomatic consequence of the depression state. Thus, there was rationale for the use of SWB inventories for depression detection and treatment evaluation. Theories on stress, depression and SWB share some fundamental conceptual assumptions. These theories assume that there is a causative relationship between environmental stressors, cognitive factors, and psychological wellbeing, whether measured by the experience of stress, depression or satisfaction. Moreover, they assume that when a strong negative load is placed on a system, the system attempts to manage this 265 General Discussion load, and if unsuccessful, the system fails and is vulnerable to the cognitive consequences of the stressors. The theories of SWB homeostasis and stress were integrated in an hypothesised model and tested, with the finding that a large proportion of variance in psychological wellbeing, including SWB, depression and stress, can indeed be explained through such an integrated theory. Therefore, it can be concluded that the variables of personality, affect, optimism, self-esteem, and control all play an integral role within the homeostasis and maintenance of SWB, and that SWB in turn plays an integral role in the onset and severity of depression. Moreover, it can be concluded that an integrated model of SWB, stress and depression theory would significantly contribute to psychological literature. 18.6.2 Future Research and Practical Applications Much of the analyses within this thesis were experimental, and as such, further research is needed to replicate and expand on the findings. For instance, more research is required in the area of affect, and on the confirmation of items that best represent affective experience according to both theoretical conceptualisation and statistical strength. The ideal affect measure would be one that is both based on a strong conceptual framework such as the circumplex model, and accounts for a large amount of the variance in affective experience. While the current research was an attempt to achieve this aim, much evolution of affect theory and measurement is required. 266 General Discussion It was proposed that SWB measures could effectively be used in depression detection and treatment evaluation. This hypothesis needs to be experimentally tested, not only to test the efficacy of SWB for this purpose, but also to compare the utility of SWB in comparison to traditional measures of depression detection and treatment evaluation. Similarly, it is recommended that longitudinal research is conducted in order to investigate the relationship between depression and SWB over time. The investigation of SWB levels over time in individuals who have episodic depression would allow conclusions to be made about the ability of depression onset to be predicted from SWB measurement. This research would also be able to identify whether depression onset co-occurs with SWB loss evenly over all domains, or initially in particular domains, thus allowing conlusions to be made about the ability of SWB measures to be used to guide psychological treatment for depression. Finally, it is recommended that further research is conducted on the integrated model of homeostasis and stress theory. Such an integrated model could potentially provide a deeper understanding of the mechanisms responsible for the maintenance of SWB, and the relationship between the different measures of psychological wellbeing. Overall, this thesis represents a new direction for subjective wellbeing. A high sense of satisfaction and wellbeing is a state that all people value to and wish to maintain, and for most of us, this is occurs without conscious effort. However, our increasingly stressful, demanding and fast-paced environment threatens the maintenance of our SWB, and has 267 General Discussion contributed to the labelling of depression as the major disorder of the 21st century. The integration of SWB, stress and depression theory thus represents a paradigm shift from the view of depression as a biological disease to the view of depression as a bio-psycho-social consequence of homeostasis failure. While there is still much theoretical evolution to take place, it is believed that the marriage of SWB, stress and depression theory will lead to the earlier detection and more specific treatment of depression, and a deeper understanding of the subjective wellbeing homeostasis process. 268 A New Direction for Subjective Wellbeing References Abramson, L.Y, & Alloy, L.B. (1981). Depression, non-depression and cognitive illusions: A reply to Schwartz. Journal of Experimental Psychology, 110, 436-447. Abramson, L.Y., Metalsky., G., & Allwy, L.Y. 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Suicide and happiness: seven tests of the connection. Social Indicators Research, 32, 199-233. Yik, M.S.M., Russell, J.A., & Barrett, L.F. (1999). Structure of self-reported current affect: Integration and beyond. Journal of Personality and Social Psychology, 77, 3, 600:619. Zevon, M.A., & Tellegen, A. (1982). The structure of mood change: An ideographic/nomothetic analysis. Journal of Personality and Social Psychology, 43, 111-122. 291 General Discussion Appendices 292 General Discussion Appendix A Deakin University Human Research Ethics Committee Approval 293 General Discussion Appendix B Study 1 Questionnaire A Survey of Subjective Wellbeing Survey compiled by Vanessa Cook Supervised by Professor Robert Cummins Deakin University, Burwood 294 General Discussion Dear Thankyou for taking part in the survey run by the Deakin University Centre on Quality of Life in April and May of 2001. I would firstly like to direct you to an executive summary of the results of that study. If you would like to read the executive summary and more detailed information concerning this study, you can access the full report through the Australian Centre on Quality of Life website, www.acqol.deakin.edu.au, by clicking on the ‘Australian Unity Index of Wellbeing’ heading. After completing the last survey, you stated that you may be willing to be involved in another related study. Therefore, this package includes a Plain Language statement and Questionnaire for a study run by Vanessa Cook and Professor Robert A. Cummins through Deakin University. I would very much appreciate it if you could spare the time to complete the questionnaire and return it to me in the reply-paid envelope. Thank-you very much, and we hope your family have a safe and happy Christmas! Sincerely, Vanessa Cook. 2 General Discussion DEAKIN UNIVERSITY ETHICS COMMITTEE PLAIN LANGUAGE STATEMENT My name is Vanessa Cook, and I am currently studying the Doctorate of Health Psychology at Deakin University. My supervisor is Professor Robert Cummins, School of Psychology, at Deakin University, Burwood. Research Intention: I am inviting you to participate in a study that aims to test whether a Quality of Life inventory which measures levels of satisfaction with life, can also be used to detect how unhappy or depressed people feel with their life. If you agree to take part in this study, you will complete a questionnaire that will take no longer than 20 minutes of your time. The questionnaire includes the Comprehensive Quality of Life Scale, the Depression Anxiety and Stress Scale, the NEO Personality Inventory, a Mood measure, and self-esteem, mastery, control and optimism scales. You are asked to complete the questionnaire in your own time and place it in the reply-paid envelope to send it back to me. I don’t expect that this questionnaire will make you feel bad. However, if during or after filling it in you are unhappy or depressed and need to talk to someone, please feel free to cease your participation and contact one of the services listed at the end of this Plain Language Statement. Your participation is completely anonymous and voluntary, and you may withdraw from the study at any time up to the return of the questionnaire. All data collected will be kept strictly confidential, and you will not be identified. Participants are anonymous, and no individual data will be analysed or published. The data will stored in accordance with Deakin University guidelines and destroyed after six years after completion of the study. The results of the study can be made available to you at your request. Your participation would be an immense help to me, and I hope, and enjoyable experience for you. If you are interested in participating or have any queries or concerns, please do not hesitate to contact myself, Vanessa Cook on 0419 894 621, vlcook@hotmail.com, or my supervisor, Professor Robert Cummins on 9244 6845 at any time. 1. Counselling for couples: Lifeworks – relationship counselling and edu service (Melb) Relationships Australia – individual, family and group counselling (Croydon) 96547360 97259964 2. 3. Telephone counselling: Life Line – generalist, crisis, info and referral service (24H) (Melb) Kids Help Line – counselling for children (24H) (Camberwell) Care Ring – generalist, info and referral service (24H) (North Melb) Mental health services: Child and Adolescent Mental Health Service (Heidelberg) 131114 1800551800 136169 (24H) 4. 94963620 94965000 Depression services: Mood Disorder Support Group – depression, self help, education and referral service (Richmond) 94270406 Should you have any concerns about the conduct of this research project, please contact the Secretary, Ethics Committee, Research Services, Deakin University, 221 Burwood Highway, BURWOOD VIC 3125. Tel (03) 9251 7123 (International +61 3 9251 7123). DEAKIN UNIVERSITY ETHICS COMMITTEE 3 General Discussion For the first part of the questionnaire, please read the words below, and enter a number from 0 to10 in each box to reflect how you feel. A score of 0 indicates that you strongly disagree that the word represents how you feel, and a score of 10 indicates that you strongly agree that the word represents how you feel. A B ctive Afr ored Al D ert Ar D rowsy At D tentive ease Ag gravated Agi tated An xious rained oused At aid ull Cal m Co ntented No nchalant Please answer the following questions by placing a () in the appropriate box for each question. Do not spend too much time on any one question. There are no right or wrong answers. How SATISFIED are you with each of the following life areas? Please ( ) the box that best describes how satisfied you are with each area if your life. 1. How Satisfied are you with your STANDARD OF LIVING? Completely Mi Completely xed Dissatisfied 0 2. satisfied 1 2 3 4 5 6 7 8 9 10 How Satisfied are you with your HEALTH? Completely Mi Completely xed Dissatisfied 0 3. satisfied 1 2 3 4 5 6 7 8 9 10 How Satisfied are you with what you ACHIEVE IN LIFE? Completely Mi Completely xed Dissatisfied 0 4. satisfied 1 2 3 4 5 6 7 8 9 10 How Satisfied are you with your PERSONAL RELATIONSHIPS? Completely Mi Completely xed Dissatisfied 0 satisfied 1 2 3 4 5 6 7 8 9 10 4 General Discussion 5. How Satisfied are you with HOW SAFE YOU FEEL? Completely Mi Completely xed Dissatisfied 0 6. satisfied 1 2 3 4 5 6 7 8 9 10 How Satisfied are you with FEELING PART OF YOUR COMMUNITY? Completely Mi Completely xed Dissatisfied 0 7. satisfied 1 2 3 4 5 6 7 8 9 10 How Satisfied are you with YOUR FUTURE SECURITY? Completely Mi Completely xed Dissatisfied 0 8. satisfied 1 2 3 4 5 6 7 8 9 10 Do you feel any happier or sadder than you usually do? Yes, happier Yes, sadder No If yes, how much happier or sadder than usual do you feel? Very M oderately Much Little More 0 9. normal? 1 2 3 4 5 6 7 8 9 10 Has anything happened to you recently causing you to feel happier or sadder than Yes, happier Yes, sadder No If yes, how strong would you rate this influence? Very M oderate Very Weak Strong 0 1 2 3 4 5 6 7 8 9 10 5 General Discussion 10. How Satisfied are you with the ECONOMIC SITUATION IN AUSTRALIA? Completely Mi Completely xed Dissatisfied 0 satisfied 1 2 3 4 5 6 7 8 9 10 11. How Satisfied are you with the STATE OF THE AUSTRALIAN ENVIRONMENT? Completely Mi Completely xed Dissatisfied 0 12. satisfied 1 2 3 4 5 6 7 8 9 10 How Satisfied are you with the SOCIAL CONDITIONS IN AUSTRALIA? Completely Mi Completely xed Dissatisfied 0 13. satisfied 1 2 3 4 5 6 7 8 9 10 How Satisfied are you with HOW AUSTRALIA IS GOVERNED? Completely Mi Completely xed Dissatisfied 0 14. satisfied 1 2 3 4 5 6 7 8 9 10 How Satisfied are you with BUSINESS IN AUSTRALIA? Completely Mi Completely xed Dissatisfied 0 15. satisfied 1 2 3 4 5 6 7 8 9 10 How Satisfied are you with AUSTRALIA’S NATIONAL SECURITY? Completely Mi Completely xed Dissatisfied 0 16. satisfied 1 2 3 4 5 6 7 8 9 10 What was your household income over the past year? Less than $15,000 6 General Discussion $15,000 – $30,000 $30,000 – $60,000 $60,000 - $90,000 More than $90,000 Once again, please read the words below and enter a number from 0-10 in the box that reflects the how you feel. Dete Ex As P rmined hausted hamed eaceful Eag Fat Di P er igued stressed lacid Ener La Gu P getic zy ilty leased Enth Let Ho Q usiastic hargic stile uiet Using the same scale ranging from STRONGLY DISAGREE to STRONGLY AGREE, please respond to each of the following statement by ticking the appropriate box that best REPRESENTS YOUR OPINION. 1. I am not a worrier. Strongly M oderately A gree Disagree 0 2. 1 2 3 4 6 7 8 9 10 M oderately A gree Disagree 0 1 2 3 4 5 Strongly Agree 6 7 8 9 10 I often feel inferior to others. Strongly M oderately A gree Disagree 0 4. Agree I like to have a lot of people around me. Strongly 3. 5 Strongly 1 2 3 4 5 Strongly Agree 6 7 8 9 10 I laugh easily. Strongly M oderately A gree Disagree 0 1 2 3 4 5 Strongly Agree 6 7 8 9 10 7 General Discussion 5. When I’m under a great deal of stress, sometimes I feel like I’m going to pieces. Strongly M oderately A gree Disagree 0 6. 1 2 3 4 0 1 2 3 4 0 1 2 3 5 4 9 10 Strongly Agree 6 7 8 9 10 5 Strongly Agree 6 7 8 9 10 I really enjoy talking to people. Strongly M oderately A gree Disagree 0 1 2 3 4 5 Strongly Agree 6 7 8 9 10 I often feel tense and jittery. Strongly M oderately A gree Disagree 0 1 2 3 4 5 Strongly Agree 6 7 8 9 10 I like to be where the action is. Strongly M oderately A gree Disagree 0 11. 8 M oderately A gree Disagree 10. 7 I rarely feel lonely or blue. Strongly 9. 6 M oderately A gree Disagree 8. Agree I don’t consider myself especially ‘light-hearted’. Strongly 7. 5 Strongly 1 2 3 4 5 Strongly Agree 6 7 8 9 10 Sometimes I feel completely worthless. Strongly M oderately A gree Disagree 0 1 2 3 4 5 Strongly Agree 6 7 8 9 10 8 General Discussion 12. I usually prefer to do things alone. Strongly M oderately A gree Disagree 0 13. 1 2 3 4 0 1 2 3 4 0 1 2 3 4 10 5 Strongly Agree 6 7 8 9 10 5 Strongly Agree 6 7 8 9 10 M oderately A gree Disagree 0 1 2 3 4 5 Strongly Agree 6 7 8 9 10 I am a cheerful, high-spirited person. Strongly M oderately A gree Disagree 0 1 2 3 4 5 Strongly Agree 6 7 8 9 10 Too often, when things go wrong, I get discouraged and feel like giving up. Strongly M oderately A gree Disagree 0 Strongly 9 I often get angry at the way people treat me. Strongly 18. 8 M oderately A gree Disagree 17. 7 I often feel as if I’m bursting with energy. Strongly 16. 6 M oderately A gree Disagree 15. Agree I rarely feel fearful or anxious. Strongly 14. 5 Strongly 1 2 3 4 5 Strongly Agree 6 7 8 9 10 I am not a cheerful optimist. M Strongly 9 General Discussion oderately A gree Disagree 0 19. 1 2 3 4 0 1 2 3 4 0 1 2 3 4 10 5 Strongly Agree 6 7 8 9 10 5 Strongly Agree 6 7 8 9 10 I often feel helpless and want someone else to solve my problems. Strongly M oderately A gree Disagree 0 1 2 3 4 5 Strongly Agree 6 7 8 9 10 I am a very active person. Strongly M oderately A gree Disagree 0 1 2 3 4 5 Strongly Agree 6 7 8 9 10 At times I have been so ashamed I just want to hide. Strongly M oderately A gree Disagree 0 24. 9 M oderately A gree Disagree 23. 8 My life is fast-paced. Strongly 22. 7 M oderately A gree Disagree 21. 6 I am seldom sad or depressed. Strongly 20. 5 Agree 1 2 3 4 5 Strongly Agree 6 7 8 9 10 I would rather go my own way than be a leader of others. Strongly M oderately A gree Disagree 0 1 2 3 4 5 Strongly Agree 6 7 8 9 10 10 General Discussion Once again, please read the words below and enter a number from 0-10 in each box to reflect how you feel. Exci N I R ted umb rritable elaxed Insp S J R ired leepy ittery estful Inter S N S ested luggish ervous erene Live S S S ly pent cared olemn Using the same scale ranging from STRONGLY DISAGREE to STRONGLY AGREE, please respond to each of the following statements by ticking the appropriate box that indicates HOW YOU HAVE BEEN FEELING over the past week. 1. I feel tense or ‘wound up’. Strongly M oderately A gree Disagree 0 2. 1 2 3 4 0 1 2 3 4 8 9 10 5 Strongly Agree 6 7 8 9 10 M oderately A gree Disagree 0 1 2 3 4 5 Strongly Agree 6 7 8 9 10 I can laugh and see the funny side of things. Strongly M oderately A gree Disagree 0 Strongly 7 I get a sort of frightened feeling as if something awful is about to happen. Strongly 5. 6 M oderately A gree Disagree 4. Agree I still enjoy the things I used to enjoy. Strongly 3. 5 Strongly 1 2 3 4 5 Strongly Agree 6 7 8 9 10 Worrying thoughts go through my mind. M oderately Strongly 11 General Discussion Disagree A Agree gree 0 6. 1 2 3 4 0 1 2 3 4 0 1 2 3 4 10 5 Strongly Agree 6 7 8 9 10 5 Strongly Agree 6 7 8 9 10 I feel as if I am slowed down. Strongly M oderately A gree Disagree 0 1 2 3 4 5 Strongly Agree 6 7 8 9 10 I get a sort of frightened feeling like ‘butterflies’ in the stomach. Strongly M oderately A gree Disagree 0 1 2 3 4 5 Strongly Agree 6 7 8 9 10 I have lost interest in my appearance. Strongly M oderately A gree Disagree 0 11. 9 M oderately A gree Disagree 10. 8 I can sit at ease and feel relaxed. Strongly 9. 7 M oderately A gree Disagree 8. 6 I feel cheerful. Strongly 7. 5 1 2 3 4 5 Strongly Agree 6 7 8 9 10 I feel restless as if I have to be on the move. Strongly M oderately A gree Disagree 0 1 2 3 4 5 Strongly Agree 6 7 8 9 10 12 General Discussion 12. I look forward with enjoyment to things. Strongly M oderately A gree Disagree 0 13. 1 2 3 4 Agree 6 7 8 9 10 I get sudden feelings of panic. Strongly M oderately A gree Disagree 0 14. 5 Strongly 1 2 3 4 5 Strongly Agree 6 7 8 9 10 I can enjoy a good book or radio or TV programme. Strongly M oderately A gree Disagree 0 1 2 3 4 5 Strongly Agree 6 7 8 9 10 For the final part of the questionnaire, please read the words below and enter a number from 0 to10 in each box to reflect how you feel. Prou d Tir ed Stro ng W eary Vig orous T ense U pset W orn out Stil l U ptight Tra nquil Unt roubled Thankyou very much for your participation! Kind regards, 13 General Discussion Vanessa Cook. 14 General Discussion Appendix C Study 3, Questionnaire One 15 General Discussion 1 16 General Discussion 2 17 General Discussion 3 18 General Discussion 4 19 General Discussion Appendix D Study 3, Questionnaire Two 20 General Discussion 1 21 General Discussion 2 22 General Discussion 3 23 General Discussion 4 24 General Discussion Appendix E Means and Standard Deviations of all Study 1 items N Mean Std. Valid S et A Active 98 90 78 Attentive 90 1 81 Drained 1 84 Drowsy 1 83 Dull 1 79 Afraid 82 Aggravate d 1 80 Agitated 1 78 Anxious .4837 478 .6612 526 1 .7821 478 1 .6374 395 2 .0389 596 1 .7978 087 2 2 .69030 2 .88421 2 .52770 2 .36179 2 .41384 2.2 2 .54692 2.1 8717 2.8 .01972 2.1 7044 2.4 2 2.2 8744 2.3 .56942 2.6 3670 2.0 2 2.9 4263 1.9 .71673 2.5 3085 2.5 1 1.8 0528 3.5 2 2 2 948 .14949 2.5 4860 2.5 3 2 30 1 .0829 2 28 948 2 1.5 4996 7.1 2 2 28 066 .2526 1.7 8478 5.5 7 2 30 1 .8483 2 28 498 S et B 8877 7.8 5 2 30 979 .8895 Set A 7.2 7 2 32 B .6263 2 31 Set 7 2 29 1 Bored 2 33 1 S et A 35 1 Aroused S et B 1 Alert Deviation 2.5 2 .61636 2 25 General Discussion 86 At ease 32 1 95 Calm 88 Contented 94 t 1 74 Determine d 87 Eager 24 1 84 Energetic 1 83 Enthusiast ic 1 90 Exhausted 81 Fatigued 1 84 Lazy 79 Lethargic 1 76 Ashamed 76 Distressed 1 81 Guilty 2 244 .8798 315 7 .3579 514 3 .3204 550 3 .4130 475 2 .1955 333 2 .2898 955 . 9489 406 1 .6519 667 . 2 .19345 2 .14844 2 .72371 2 .69237 2 .46877 2 .52023 2 .67010 2.4 4162 1.3 .18031 1.8 9215 2.1 2 2.4 1451 1.6 .04365 2.4 8609 2.5 2 2.8 4827 2.3 .03778 2.9 0728 3.5 3 1.9 1301 3.5 .33573 1.8 8306 6.8 2 1.9 2333 6.5 .44514 1.7 1909 6.6 6 2 16 1 .9837 2 17 036 2 2.9 6753 7.3 6 2 20 1 .7433 2 19 954 .50634 2.3 0969 4.4 7 2 21 1 .5115 2 18 598 2 2.2 4317 7.0 4 2 22 1 .2629 2 22 554 .73930 2.2 9156 6.7 7 2 21 830 .0160 2 7521 6.7 7 2 18 1 .1077 2 34 750 7 2 33 1 Nonchalan 2 35 1 .6398 1.7 2 .83664 2 26 General Discussion 76 Hostile 13 1 75 Peaceful 91 Placid 80 1 82 Quiet 84 Excited 25 1 79 Inspired 1 79 Interested 2 00 Lively 80 Numb 1 75 Sleep 78 Sluggish 1 81 Spent 76 Irritable 1 77 Jittery 2 316 .4134 913 7 .5800 060 6 .5667 358 1 .0857 600 2 .6180 564 2 .5635 159 2 .0000 180 2 .3503 434 1 2 .39699 1 .93946 2 .17165 2 .25935 2 .68493 2 .55682 2 .73690 2.5 7201 1.7 .41056 2.4 2133 2.7 2 2.7 3711 2.5 .47568 2.5 3787 2.4 2 1.9 2042 2.6 .18270 2.1 4059 1.5 2 1.7 5184 6.2 .55275 2.1 8191 7.4 2 2.3 4821 5.9 .41481 2.5 5962 5.6 6 2 26 1 .8603 2 22 778 2 2.1 8953 6.1 5 2 26 1 .9837 2 27 441 .30036 2.5 6686 6.6 5 2 25 1 .8297 2 29 757 2 2.2 3724 6.1 6 2 34 1 .0944 2 29 009 .32669 2.0 8910 6.8 6 2 28 579 .0052 2 4501 1.4 7 2 22 1 .2343 2 22 380 1 2 26 1 Pleased 2 14 1 9205 2.1 2 .52729 2 27 General Discussion 74 Nervous 27 1 79 Scared 75 Relaxed 99 1 80 Serene 78 Solemn 26 1 73 Proud 1 91 Strong 1 89 Vigorous 81 Tired 1 85 Weary 80 Worn Out 1 81 Tense 86 Upset 1 79 Uptight 2 369 .5654 856 7 .4815 854 6 .5414 129 3 .8541 897 3 .3389 792 2 .7569 589 2 .4462 696 1 .9497 843 2 2 .13971 2 .20234 2 .29219 2 .85710 2 .83590 3 .01688 2 .74601 2.3 0113 2.5 .76911 2.5 7006 2.3 2 3.0 0676 2.9 .57885 2.7 8697 3.4 2 2.8 3903 3.7 .46630 2.2 1728 4.1 2 1.8 4965 6.0 .41257 2.0 7102 6.7 2 2.6 9422 7.3 .15089 2.6 7324 4.4 7 2 29 1 .9075 2 30 973 2 2.3 9420 5.5 3 2 31 1 .8146 2 31 879 .65596 2.3 1148 5.8 5 2 32 1 .1278 2 33 853 2 1.9 2682 6.3 6 2 33 1 .7638 2 36 727 .35354 2.1 2393 1.5 6 2 22 043 .2000 2 0426 2.2 1 2 32 1 .8324 2 31 885 1 2 27 1 Restful 2 30 1 .4080 2.4 2 .52721 2 28 General Discussion 80 Still 31 1 84 Tranquil 85 Untrouble d 90 of living 2 37 Health 37 Achievem ents 46 2 37 Personal r’ships 2 37 How safe you feel 2 37 Communit y conn. 37 Future security 2 37 NEO1 35 NEO2 2 33 NEO3 34 NEO4 2 34 NEO5 2 122 .5593 431 7 .5254 837 6 .7712 593 6 .5509 780 4 .1957 868 4 .9099 066 3 .6966 844 7 .1581 222 3 2 .21931 1 .81314 2 .15055 2 .34028 2 .77953 2 .40343 2 .80423 2.2 7050 4.5 .96392 2.8 1889 7.2 1 2.3 2593 3.5 .26808 2.5 0725 4.8 2 2.1 2754 4.3 .00899 1.9 2004 6.3 2 1.7 8855 6.4 .78271 2.1 5904 7.4 2 1.7 5529 7.4 .67993 2.0 4214 7.0 7 2 43 2 .1312 2 43 691 2 1.8 5980 6.5 7 2 43 2 .8601 2 43 707 .80407 2.7 8267 7.1 6 2 46 2 .3771 2 46 574 2 2.7 7434 5.5 7 2 46 2 .0526 2 46 043 .74166 2.9 3000 5.4 6 2 46 922 .7081 2 9923 4.8 5 2 46 2 .8967 2 35 628 4 2 35 1 Standard 2 32 1 .1278 2.5 2 .24713 3 29 General Discussion 34 NEO6 43 2 34 NEO7 34 NEO8 33 2 34 NEO10 34 NEO11 43 2 35 NEO12 2 35 NEO13 2 35 NEO14 35 NEO15 2 35 NEO16 35 NEO17 2 35 NEO18 35 NEO19 2 35 NEO20 2 893 .8128 008 3 .8936 664 5 .1362 508 3 .5957 795 6 .2723 648 3 .0936 992 6 .1362 852 3 .8468 402 5 2 .58291 2 .81653 2 .38256 2 .69499 2 .31699 2 .74109 2 .67421 2.6 5421 4.7 .92429 2.5 9325 4.3 2 2.3 5152 6.3 .48674 2.1 8637 3.3 2 2.5 9733 6.3 .68477 2.3 9804 3.9 2 2.5 5900 4.9 .11913 2.5 2489 4.2 2 2.6 8852 4.7 .85845 2.3 2458 2.8 4 2 44 2 .6511 2 44 453 2 2.4 9619 5.0 2 2 43 2 .1453 2 44 374 .57588 2.2 1071 3.3 5 2 44 2 .8248 2 44 979 2 2.5 2631 7.4 2 2 44 2 .2189 2 44 749 .05756 2.3 5515 3.6 7 2 44 058 .2991 2 7951 5.2 3 2 43 2 .3675 2 43 391 5 2 43 2 NEO9 2 43 2 .8590 2.7 2 .80708 2 30 General Discussion 35 NEO21 43 2 36 NEO22 36 NEO23 35 2 36 HAD Q1 36 HAD Q2 44 2 36 HAD Q3 2 37 HAD Q4 2 37 HAD Q5 37 HAD Q6 2 35 HAD Q7 37 HAD Q8 2 37 HAD Q9 36 HAD Q10 2 36 HAD Q11 2 959 .5359 463 2 .0591 397 4 .5527 661 2 .8979 860 2 .6582 298 4 .6920 463 2 .2839 711 2 .1737 603 3 2 .84036 2 .08542 2 .71842 2 .19073 2 .41521 2 .65460 2 .81578 2.4 5112 3.8 .29958 2.3 8254 2.7 2 2.7 1727 2.9 .85323 2.2 2592 4.9 2 2.0 8735 2.9 .77738 2.5 2998 3.1 2 1.8 0767 5.0 .64260 2.6 6406 2.2 2 2.1 8454 2.9 .60060 2.6 8203 2.9 2 2 42 2 .5805 2 42 459 2 2.7 4775 3.7 2 2 42 2 .1907 2 42 686 .49704 2.1 2431 4.7 3 2 42 2 .9449 2 42 656 2 2.2 6153 2.0 4 2 42 2 .4426 2 42 639 .87459 2.4 2238 6.1 1 2 44 008 .5678 2 0262 2.7 6 2 42 2 .4873 2 44 942 2 2 44 2 NEO24 2 44 2 .1574 2.6 2 .68398 2 31 General Discussion 37 HAD Q12 42 2 35 HAD Q13 35 HAD Q14 34 2 37 Total Neuroticism 28 Total Extraversion 2 28 Total Anxiety 38 2 33 Total Depression 2 31 .2949 1.1077 38 8.9561 43. 0252 6 8.6667 68. 0711 2 0.4635 24. 1213 1 7.8615 69. 19. 7941 .91270 2 .88083 1.6 8132 3089 3 2 1.2 1 2.1 6913 479 7 2 39 337 .89765 1.8 7053 2.6 1 2 39 239 .8043 2 1857 2.4 1 2 46 2 .2936 2 42 802 2 2 43 2 PWI 2 43 2 .4346 1 .59502 13. 69809 1 4.58104 18. 13089 2 1.31835 15. 62877 1 5.94605 12. 01650 1 4.33593 9.6 3543 9 .66767 32