Abstract
Prior studies have detected a link between wellbeing and health in adult populations, however little is known of the relation in young people. The objective of this study is to analyze the relationship of subjective wellbeing (evaluative, hedonic and eudemonic) and self-perceived general health in a sample of Spanish adolescents. A cross-sectional analysis was carried out with a sample of 1407 adolescents aged 10–18 included in the third year of the UP&Down Study. Subjective wellbeing was assessed considering a three-dimensional model based on the following components: evaluative, hedonic and eudemonic wellbeing, using the Subjective Happiness Scale, the Positive and Negative Affect Schedule and the Children’s Hope Scale, respectively. Self-perceived health was employed to measure the health status of adolescents. Logistic regression models were constructed to evaluate relationships between wellbeing and health by sex and age. Increased levels of subjective wellbeing were associated with a lower risk of late adolescent girls and boys reporting poor health and early adolescent girls, with the exception of the evaluative wellbeing, only associated with self-perceived health in late adolescent boys. Subjective wellbeing seems to behave as a protective factor against reporting poor health in adolescent populations.
Similar content being viewed by others
References
Boehm, J. K., Peterson, C., Kivimaki, M., & Kubzansky, L. D. (2011). Heart health when life is satisfying: Evidence from the Whitehall II cohort study. European Heart Journal, 32(21), 2672–2677. https://doi.org/10.1093/eurheartj/ehr203ehr203.
Brennan, F. X., & Charnetski, C. J. (2000). Explanatory style and immunoglobulin A (IgA). Integrative Physiological and Behavavioral Science, 35(4), 251–255.
Castro-Piñero, J., Carbonell-Baeza, A., Martinez-Gomez, D., Gómez-Martínez, S., Cabanas-Sánchez, V., Santiago, et al. (2014). Follow-UP in healthy schoolchildren and in adolescents with DOWN syndrome: Psycho-environmental and genetic determinants of physical activity and its impact on fitness, cardiovascular diseases, inflammatory biomarkers and mental health; the UP&DOWN study. BMC Public Health, 14(1), 400.
Chida, Y., & Steptoe, A. (2008). Positive psychological well-being and mortality: A quantitative review of prospective observational studies. Psychosomatic Medicine, 70(7), 741–756.
Cohen, S., Alper, C. M., Doyle, W. J., Treanor, J. J., & Turner, R. B. (2006). Positive emotional style predicts resistance to illness after experimental exposure to rhinovirus or influenza a virus. Psychosomatic Medicine, 68(6), 809–815. https://doi.org/10.1097/01.psy.0000245867.92364.3c.
Currie, C., Molcho, M., Boyce, W., Holstein, B., Torsheim, T., & Richter, M. (2008). Researching health inequalities in adolescents: The development of the health behaviour in school-aged children (HBSC) family affluence scale. Social Science & Medicine, 66(6), 1429–1436.
DeSalvo, K. B., Bloser, N., Reynolds, K., He, J., & Muntner, P. (2006). Mortality prediction with a single general self-rated health question. A meta-analysis. Journal of General Internal Medicine, 21(3), 267–275. https://doi.org/10.1111/j.1525-1497.2005.00291.x.
Diener, E., Lucas, R.E., & Oishi, S. Subjective well-being. (2002) In: C.R. Snyder & S.J. López (Ed.), Handbook of positive psychology (pp. 63-73). Oxfort/New York: Oxfort University Press.
Disabato, D. J., Goodman, F. R., Kashdan, T. B., Short, J. L., & Jarden, A. (2016). Different types of well-being? A cross-cultural examination of hedonic and eudaimonic well-being. Psychological Assessment, 28(5), 471.
Dolan, P., & White, M. P. (2007). How can measures of subjective well-being be used to inform public policy? Perspectives on Psychological Science, 2(1), 71–85. https://doi.org/10.1111/j.1745-6916.2007.00030.x2/1/71.
Extremera, N., & Fernández-Berrocal, P. (2014). The subjective happiness scale: Translation and preliminary psychometric evaluation of a Spanish version. Social Indicators Research, 119(1), 473–481.
Friedman, H. S., Tucker, J. S., Tomlinson-Keasey, C., Schwartz, J. E., Wingard, D. L., & Criqui, M. H. (1993). Does childhood personality predict longevity? Journal of Personality and Social Psychology, 65(1), 176–185.
Goodman, E., Huang, B., Schafer-Kalkhoff, T., & Adler, N. E. (2007). Perceived socioeconomic status: A new type of identity that influences adolescents' self-rated health. Journal of Adolescent Health, 41(5), 479–487. https://doi.org/10.1016/j.jadohealth.2007.05.020.
Griggs, S., & Walker, R. K. (2016). The role of Hope for adolescents with a chronic illness: An integrative review. Journal of Pediatric Nursing, 31(4), 404–421.
Hilt, L. M., Cha, C. B., & Nolen-Hoeksema, S. (2008). Nonsuicidal self-injury in young adolescent girls: Moderators of the distress-function relationship. Journal of Consulting and Clinical Psychology, 76(1), 63–71.
Iasiello, M., van Agteren, J., Keyes, C. L., & Cochrane, E. M. (2019). Positive mental health as a predictor of recovery from mental illness. Journal of Affective Disorders, 251, 227–230.
INE (Instituto Nacional de Estadística—National Institute of Statistics). (2018). Available at: https://www.ine.es/jaxi/Tabla.htm?path=/t20/e245/p08/l0/&file=02002.px. Accessed 25 April 2018.
James, C., Davis, K., Charmaraman, L., Konrath, S., Slovak, P., Weinstein, E., & Yarosh, L. (2017). Digital life and youth well-being, social connectedness, empathy, and narcissism. Pediatrics, 140(Supplement 2), S71–S75.
Lamblin, M., Murawski, C., Whittle, S., & Fornito, A. (2017). Social connectedness, mental health and the adolescent brain. Neuroscience & Biobehavioral Reviews, 80, 57-68.
Lampropoulou, A. (2018). Personality, school, and family: What is their role in adolescents' subjective well-being. Journal of Adolescence, 67, 12–21.
Linley, P. A., Maltby, J., Wood, A. M., Osborne, G., & Hurling, R. (2009). Measuring happiness: The higher order factor structure of subjective and psychological well-being measures. Personality and Individual Differences, 47(8), 878–884.
Liu, B., Floud, S., Pirie, K., Green, J., Peto, R., Beral, V., et al. (2016). Does happiness itself directly affect mortality? The prospective UK million women study. The Lancet, 387(10021), 874–881.
Loton, D. J., & Waters, L. E. (2017). The mediating effect of self-efficacy in the connections between strength-based parenting, happiness and psychological distress in teens. Frontiers in Psychology, 8, 1707.
Lyubomirsky, S., & Lepper, H. S. (1999). A measure of subjective happiness: Preliminary reliability and construct validation. Social Indicators Research, 46(2), 137–155.
Martín-María, N., Miret, M., Caballero, F. F., Rico-Uribe, L. A., Steptoe, A., Chatterji, S., & Ayuso-Mateos, J. L. (2017). The impact of subjective well-being on mortality: A meta-analysis of longitudinal studies in the general population. Psychosomatic Medicine, 79(5), 565–575.
Miething, A., Almquist, Y. B., Östberg, V., Rostila, M., Edling, C., & Rydgren, J. (2016). Friendship networks and psychological well-being from late adolescence to young adulthood: A gender-specific structural equation modeling approach. BMC psychology, 4(1), 34.
Moreno C, Ramos P, Rivera F, Jiménez-Iglesias A, García-Moya I, Sánchez-Queija I, Moreno-Maldonada, Paniagua, Villafuerte-Díaz & Morgan. (2016). Los adolescentes españoles: estilos de Vida, salud, ajuste psicológico y relaciones en sus contextos de desarrollo. Resultados del Estudio HBSC-2014 en España. Madrid: Spanish Ministry of Health, Social Services and Equality.
Natsuaki, M. N., Biehl, M. C., & Ge, X. (2009). Trajectories of depressed mood from early adolescence to young adulthood: The effects of pubertal timing and adolescent dating. Journal of Research on Adolescence, 19(1), 47–74.
Nyklicek, I., & Vingerhoets, A. (2009). 'Adaptive' psychosocial factors in relation to home blood pressure: A study in the general population of southern Netherlands. International Journal of Behavioral Medicine, 16(3), 212–218. https://doi.org/10.1007/s12529-008-9019-z.
Okely, J. A., Weiss, A., & Gale, C. R. (2017). The interaction between stress and positive affect in predicting mortality. Journal of Psychosomatic Research, 100, 53–60.
Pavot, W., & Diener, E. (1993). Review of the satisfaction with life scale. Psychological Assessment, 5(2), 164.
Pérez Bonilla, M., Palenzuela Paniagua, S. M., Pérula de Torres, L. A., Ruiz Moral, R., Pérula de Torres, C., & Jiménez García, C. (2014). Salud autopercibida por los jóvenes y factores sociodemográficos y conductuales asociados. Medicina de familia Andalucía, 15(1), 11–37.
Petterson, H., & Olson, B. L. (2017). Effects of mindfulness-based interventions in high school and college athletes for reducing stress and injury, and improving quality of life. Journal of Sport Rehabilitation, 26(6), 578–587.
Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. (2015). Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of Child Psychology and Psychiatry, 56(3), 345–365.
Pressman, S. D., & Cohen, S. (2005). Does positive affect influence health? Psychological Bulletin, 131(6), 925–971.
Pulido-Martos, M., Jiménez-Moral, J. A., Lopez-Zafra, E., & Ruiz, J. R. (2014). An adaptation of the Children’s Hope scale in a sample of Spanish adolescents. Child Indicators Research, 7(2), 267–278.
Rosenkranz, M. A., Jackson, D. C., Dalton, K. M., Dolski, I., Ryff, C. D., Singer, B. H., et al. (2003). Affective style and in vivo immune response: Neurobehavioral mechanisms. Proceedings of the National Academy of Sciences, 100(19), 11148–11152.
Ryan, R. M., & Deci, E. L. (2001). On happiness and human potentials: A review of research on hedonic and eudaimonic well-being. Annual Review of Psychology, 52(1), 141–166.
Sabatini, F. (2014). The relationship between happiness and health: Evidence from Italy. Social Science & Medicine, 114, 178–187.
Sadler, M. E., Miller, C. J., Christensen, K., & McGue, M. (2011). Subjective wellbeing and longevity: A co-twin control study. Twin Research and Human Genetics, 14(03), 249–256.
Sandín, B. (2003). Escala PANAS de afecto positivo y negativo para niños y adolescentes (PANASN). Revista de psicopatología y psicología clínica, 8(2), 173–182.
Shin, D. C., & Johnson, D. M. (1978). Avowed happiness as an overall assessment of the quality of life. Social Indicators Research, 5(1–4), 475–492.
Shoshani, A., Steinmetz, S., & Kanat-Maymon, Y. (2016). Effects of the Maytiv positive psychology school program on early adolescents' well-being, engagement, and achievement. Journal of School Psychology, 57, 73–92.
Snyder, C. R., Hoza, B., Pelham, W. E., Rapoff, M., Ware, L., Danovsky, et al. (1997). The development and validation of the Children’s Hope scale. Journal of Pediatric Psychology, 22(3), 399–421.
Steptoe, A., Dockray, S., & Wardle, J. (2009). Positive affect and psychobiological processes relevant to health. Journal of Personality, 77(6), 1747–1776. https://doi.org/10.1111/j.1467-6494.2009.00599.xJOPY599.
Steptoe, A., Deaton, A., & Stone, A. A. (2015). Subjective wellbeing, health, and ageing. The Lancet, 385(9968), 640–648. https://doi.org/10.1016/S0140-6736(13)61489-0S0140-6736(13)61489-0.
Tanner, J. (Ed.). (1962). Growth at adolescence (2nd ed.). Oxford: Blackwell Scientific Publications.
Van Rode, V., Rotsaert, M., & Delhaye, M. (2015). Loneliness and adolescence: Clinical implications and outlook. Literature review. Revue medicale de Bruxelles, 36(5), 415.
Vejen, M., Bjorner, J. B., Bestle, M. H., Lindhardt, A., & Jensen, J. U. (2017). Self-rated health as a predictor of death after two years: The importance of physical and mental wellbeing postintensive care. BioMed research international, 2017.
Velten, J., Lavallee, K. L., Scholten, S., Meyer, A. H., Zhang, X.-C., Schneider, S., et al. (2014). Lifestyle choices and mental health: A representative population survey. BMC psychology, 2(1), 1.
Watanuki, S., & Kim, Y.-K. (2005). Physiological responses induced by pleasant stimuli. Journal of Physiological Anthropology and Applied Human Science, 24(1), 135–138.
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063.
Woods, H. C., & Scott, H. (2016). # Sleepyteens: Social media use in adolescence is associated with poor sleep quality, anxiety, depression and low self-esteem. Journal of Adolescence, 51, 41–49.
World Health Organization. (2017) Adolescents: health risks and solutions. Available at:https://www.who.int/maternal_child_adolescent/topics/adolescence/development/en/. Accessed July 2018.
World Health Organization. (2019) Maternal, newborn, child and adolescent health. Available at: https://www.who.int/maternal_child_adolescent/topics/adolescence/development/en/. Accessed July 2018.
Yanek, L. R., Kral, B. G., Moy, T. F., Vaidya, D., Lazo, M., Becker, L. C., et al. (2013). Effect of positive well-being on incidence of symptomatic coronary artery disease. The American Journal of Cardiology, 112(8), 1120–1125. https://doi.org/10.1016/j.amjcard.2013.05.055S0002-9149(13)01280-0.
Yu, J., Putnick, D. L., Hendricks, C., & Bornstein, M. H. (2019). Long-term effects of parenting and adolescent self-competence for the development of optimism and neuroticism. Journal of Youth and Adolescence, 1–11.
Acknowledgments
The authors gratefully acknowledge the youth, families and teachers who participated in this study. The UP&DOWN Study was supported by the DEP 2010-21662-C04-00 grant from the National Plan for Research, Development and Innovation (R + D + i) MICINN. No conflicts of interest are declared.
The manuscript has not been published elsewhere and is not under submission elsewhere. All authors have reviewed the submitted manuscript and approve the manuscript for submission.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
None of them had any conflicts of interest.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Esteban-Gonzalo, L., Esteban-Gonzalo, S., Esteban-Cornejo, I. et al. Wellbeing as a Protective Factor of Adolescent Health. The Up & Down Study. Child Ind Res 13, 1453–1467 (2020). https://doi.org/10.1007/s12187-019-09711-w
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12187-019-09711-w