Quality of Life Research

, Volume 13, Issue 1, pp 171–178 | Cite as

Health and happiness in young Swiss adults

  • Thomas V. Perneger
  • Patricia M. Hudelson
  • Patrick A. Bovier
Article

Abstract

Purpose: To explore whether self-reported happiness is associated with mental and physical health status among young adults. Methods: Cross-sectional survey of 1257 randomly selected university students in Geneva, Switzerland. The questionnaire included an item that probed the feeling of happiness in the past month, the Short Form-12 health survey (from which mental and physical health scores were computed), scales to measure self-esteem, stress, and social support, reports of various life problems, and socio-demographic information. Results: Most participants felt happy all of the time or most of the time (63%). In multivariate analysis, feeling happy all or most of the time was strongly associated with better mental health (odds ratios for consecutive quartiles of mental health scores: 1.0 (reference), 6.8 (95% confidence interval (CI): 4.5–10.1), 19.2 (95% CI: 12.2–30.2), 39.9 (95% CI: 22.4–71.0)), but also with the feeling of getting enough love and affection (item from the social support scale, odds ratio: 1.9; 95% CI: 1.4–2.7), female sex (odds ratio: 1.5; 95% CI: 1.1–2.1), being Swiss (odds ratio: 1.8; 95% CI: 1.3–2.5), and higher self-esteem (odds ratios for consecutive quartiles ranged from 1.0 to 3.5, 95% CI: 2.1–5.8). The association between happiness and physical health was weak and statistically non-significant. Conclusions: The strong association between happiness and mental health suggests that asking people if they are happy may help identify mental health care needs. Self-reported happiness may also be a useful outcome measure for evaluation of health interventions.

Happiness Mental health Physical health Population surveys 

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References

  1. 1.
    Graves D. The obsessive pursuit of health and happiness. Br Med J 2000; 321: 1576.Google Scholar
  2. 2.
    Kozma A, Stones MJ: Predictors of happiness. J Gerontol 1983; 38: 626-628.Google Scholar
  3. 3.
    Edwards JR, Cooper CL. The impacts of positive psychological states on physical health: Review and theoretical framework. Soc Sci Med 1988; 27: 1447-1459.Google Scholar
  4. 4.
    Fava GA, Sonino. Psychosomatic medicine: Emerging trends and perspectives. Psychother Psychosom 2000; 69: 184-197.Google Scholar
  5. 5.
    Veenhoven R. World Database of Happiness, Bibliography of Happiness. Internet site: www.eur.nl/fws/research/happiness, last accessed 18.6.2001.Google Scholar
  6. 6.
    Myers DG, Diener E. The pursuit of happiness. Sci Am 1996; 274: 54-56.Google Scholar
  7. 7.
    DeNeve KM, Cooper H. The happy personality: A meta-analysis of 137 personality traits and subjective well-being. Psychol Bull 1998; 124: 197-229.Google Scholar
  8. 8.
    Cammock T, Joseph S, Lewis CA. Personality correlates of scores on the Depression—Happiness Scale. Psychol Rep 1994; 75: 1649-1650.Google Scholar
  9. 9.
    Pettijohn TF II, Pettijohn TF. Perceived happiness of college students measured by Maslow's hierarchy of needs. Psychol Rep 1996; 79: 759-762.Google Scholar
  10. 10.
    Frey BS, Stutzer A. Happiness prospers in democracy. J Happiness Studies 2000; 1: 79-102.Google Scholar
  11. 11.
    George MS, Ketter TA, Parekh PI, Horwitz B, Herscovitch P, Post RM. Brain activity during transient sadness and happiness in healthy women. Am J Psychiatry 1995; 152: 341-351.Google Scholar
  12. 12.
    Koivumaa-Honkanen H, Honkanen R, Viinamäki H, Heikkilä K, Kaprio J, Koskenvuo M. Self-reported life satisfaction and 20-year mortality in healthy Finnish adults. Am J Epidemiol 2000; 15: 983-991.Google Scholar
  13. 13.
    Berwick DM, Murphy JM, Goldman PA, Ware JE, Barsky AJ, Weinstein MC. Performance of a five-item mental health screening test. Med Care 1991; 29: 169-176.Google Scholar
  14. 14.
    McDowell I, Praught E. On the measurement of happiness. An examination of the Bradburn scale in the Canada Health Survey. Am J Epidemiol 1982; 116: 949-958.Google Scholar
  15. 15.
    Bradburn N. The Structure of Psychological Well-Being. Chicago: Adline, 1995.Google Scholar
  16. 16.
    Walsh J, Joseph S, Lewis CA. Internal reliability and convergent validity of the Depression—Happiness Scale with the General Health Questionnaire in an employed adult sample. Psychol Rep 1995; 76: 137-138.Google Scholar
  17. 17.
    Saracci R. The world health organisation needs to reconsider its definition of health. Br Med J 1997; 314: 1409.Google Scholar
  18. 18.
    Ware JE, Sherbourne CD. The MOS 36-Item Short-Form Health Survey (SF-36): I. Conceptual framework and item selection. Med Care 1992; 30: 473-483.Google Scholar
  19. 19.
    Ware J, Kosinski M, Keller SD. A 12-item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care 1996; 34: 220-233.Google Scholar
  20. 20.
    Blake RL, McKay DA. A single-item measure of social supports as a predictor of morbidity. J Family Practice 1986; 22: 82-84.Google Scholar
  21. 21.
    Frank SH, Zyzanski SJ. Stress in the clinical setting: The Brief Encounter Psychosocial Instrument. J Family Practice 1988; 26: 533-539.Google Scholar
  22. 22.
    Pearlin LI, Schooler C. The structure of coping. J Health Soc Behav 1978; 19: 2-20.Google Scholar
  23. 23.
    Broadhead WE, Gehlbach SH, de Gruy FV, Kaplan BH. The Duke-UNC functional social support questionnaire: Measurement of social support in family medicine patients. Med Care 1988; 27: 709-723.Google Scholar
  24. 24.
    Bovier PA, Chamot E, Perneger TV. Brief scales for measurement of functional social support and psychological resources in French speaking adults. Soz Praventivmed 2002; 47: 298-306.Google Scholar
  25. 25.
    Grichting WL. Domain, scope, and degree of happiness. Br J Soc Psychol 1983; 22: 247-260.Google Scholar
  26. 26.
    Fordyce MW. A review of research on the happiness measures: A sixty second index of happiness and mental health. Soc Indicators Res 1988; 20: 355-381.Google Scholar
  27. 27.
    Streiner DL. Norman GR. Health Measurement Scales. A Practical Guide to their Development and Use. Oxford: Oxford University Press, 1989.Google Scholar
  28. 28.
    Kozma A, Stones MJ. The measurement of happiness: development of the Memorial University of Newfoundland Scale of Happiness. J Gerontol 1980; 35: 906-912.Google Scholar
  29. 29.
    Stones MJ, Kozma A, Hirdes J, Gold D, Arbuckle T, Kolopack P. Short Happiness and Affect Research Protocol (SHARP). Soc Indicators Res 1996; 37: 75-91.Google Scholar
  30. 30.
    Diener E, Sandvik E, Pavot W, Gallagher D. Response artifacts in the subjective well-being. Soc Indicators Res 1991; 24: 35-56.Google Scholar
  31. 31.
    Shin DC, Johnson DM. Avowed happiness as an overall assessment of the quality of life. Soc Indicators Res 1978; 5: 475-492.Google Scholar
  32. 32.
    Diener E, Suh EM, Lucas RE, Smith HL. Subjective well-being: Three decades of progress. Psychol Bull 1999; 125: 276-301.Google Scholar
  33. 33.
    Veenhoven R. Is happiness relative? Soc Indicators Res 1991; 24: 1-34.Google Scholar

Copyright information

© Kluwer Academic Publishers 2004

Authors and Affiliations

  • Thomas V. Perneger
    • 1
    • 2
  • Patricia M. Hudelson
    • 3
  • Patrick A. Bovier
    • 1
    • 3
  1. 1.Quality of Care UnitGeneva University HospitalsGenevaSwitzerland
  2. 2.Institute of Social and Preventive MedicineUniversity of GenevaGenevaSwitzerland
  3. 3.Department of Community MedicineGeneva University HospitalsGenevaSwitzerland

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