Happiness Behind the Scenes: Associations between Heuristic Happiness and Related Dimensions in Skin Diseases
DOI:
https://doi.org/10.2340/actadv.v103.5284Keywords:
happiness, quality of life, holistic health, skin diseasesAbstract
Positive health approaches, such as happiness, are largely unexplored in medicine, including dermatology. Taking into consideration the various happiness measures, the aims of this cross-sectional study were to assess this concept using a 1-item heuristic happiness question and its related dimensions (Satisfaction with Life, Positive and Negative Affect, Quality of Life, and Compound Psychological Capital) in outpatients with different skin diseases between December 2019 and June 2020, and to examine the link between these dimensions. Overall, 414 dermatological patients were included: 67 with psoriasis, 84 atopic eczema, 10 mastocytosis, 19 nummular eczema, 84 malignant melanoma and 150 keratinocyte carcinoma. Comparing the skin diseases, differences were observed for heuristic happiness, Positive Affect, and some domains of Quality of Life and Compound Psychological Capital. Analysing the relationship between heuristic happiness and other happiness measures, the data revealed moderate to strong correlations (r = 0.30–0.46, p< 0.001) and variations in the understanding of happiness between the skin diseases. Overall, the most important facet of happiness was Hope as a domain of Compound Psychological Capital. This study emphasizes the individual definition of heuristic happiness in patients with skin diseases. A 1-item heuristic approach may be a simple and practical method to assess the complexity and individuality of happiness.
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Karimkhani C, Dellavalle RP, Coffeng LE, Flohr C, Hay RJ, Langan SM, et al. Global skin disease morbidity and mortality: an update from the Global Burden of Disease Study 2013. JAMA Dermatol 2017; 153: 406-412.
https://doi.org/10.1001/jamadermatol.2016.5538 DOI: https://doi.org/10.1001/jamadermatol.2016.5538
Tizek L, Schielein MC, Seifert F, Biedermann T, Böhner A, Zink A. Skin diseases are more common than we think: screening results of an unreferred population at the Munich Oktoberfest. J Eur Acad Dermatol Venereol 2019; 33: 1421-1428.
https://doi.org/10.1111/jdv.15494 DOI: https://doi.org/10.1111/jdv.15494
Augustin M, Girbig G, Kis A, Bechara FG, Hertl M, Hischke S, et al. Inpatient care for skin diseases in Germany: multi-source analysis on the current and future health care needs. J Dtsch Dermatol Ges 2021; 19 Suppl 5: 25-53.
https://doi.org/10.1111/ddg.14620 DOI: https://doi.org/10.1111/ddg.14620
Schuster B, Peifer C, Ziehfreund S, Tizek L, Biedermann T, Zink A, et al. Happiness and depression in psoriasis: a cross-sectional study in Germany. Qual Life Res 2021.
https://doi.org/10.1007/s11136-021-02991-2 DOI: https://doi.org/10.1007/s11136-021-02991-2
Birdi G, Cooke R, Knibb RC. Impact of atopic dermatitis on quality of life in adults: a systematic review and meta-analysis. Int J Dermatol 2020; 59: e75-e91.
https://doi.org/10.1111/ijd.14763 DOI: https://doi.org/10.1111/ijd.14763
Kowalewska B, Jankowiak B, Niedżwiecka B, Krajewska-Kułak E, Niczyporuk W, Khvorik DF. Relationships between the acceptance of illness, quality of life and satisfaction with life in psoriasis. Postepy Dermatol Alergol 2020; 37: 948-955.
https://doi.org/10.5114/ada.2020.92906 DOI: https://doi.org/10.5114/ada.2020.92906
Schuster B, Ziehfreund S, Albrecht H, Spinner CD, Biedermann T, Peifer C, et al. Happiness in dermatology: a holistic evaluation of the mental burden of skin diseases. J Eur Acad Dermatol Venereol 2020; 34: 1331-1339.
https://doi.org/10.1111/jdv.16146 DOI: https://doi.org/10.1111/jdv.16146
Graubard R, Perez-Sanchez A, Katta R. Stress and skin: an overview of mind body therapies as a treatment strategy in dermatology. Dermatol Pract Concept 2021; 11: e2021091.
https://doi.org/10.5826/dpc.1104a91 DOI: https://doi.org/10.5826/dpc.1104a91
Guo F, Yu Q, Liu Z, Zhang C, Li P, Xu Y, et al. Evaluation of life quality, anxiety, and depression in patients with skin diseases. Medicine (Baltimore) 2020; 99: e22983.
https://doi.org/10.1097/MD.0000000000022983 DOI: https://doi.org/10.1097/MD.0000000000022983
Diener E, Pressman SD, Hunter J, Delgadillo-Chase D. If, why, and when subjective well-being influences health, and future needed research. Appl Psychol Health Well Being 2017; 9: 133-167.
https://doi.org/10.1111/aphw.12090 DOI: https://doi.org/10.1111/aphw.12090
Braunwalder C, Müller R, Glisic M, Fekete C. Are positive psychology interventions efficacious in chronic pain treatment? A systematic review and meta-analysis of randomized controlled trials. Pain Med 2022; 23: 122-136.
https://doi.org/10.1093/pm/pnab247 DOI: https://doi.org/10.1093/pm/pnab247
Veenhoven R. Notions of the good life. In: David SA, Boniwell I, Ayers AC, editors. The Oxford handbook of happiness. Oxford: Oxford University Press, 2013.
https://doi.org/10.1093/oxfordhb/9780199557257.013.0012 DOI: https://doi.org/10.1093/oxfordhb/9780199557257.013.0012
Zhang Z, Chen W. A systematic review of the relationship between physical activity and happiness. J Happiness Stud 2019; 20: 1305-1322.
https://doi.org/10.1007/s10902-018-9976-0 DOI: https://doi.org/10.1007/s10902-018-9976-0
Kushlev K, Heintzelman SJ, Lutes LD, Wirtz D, Kanippayoor JM, Leitner D, et al. Does happiness improve health? Evidence from a randomized controlled trial. Psychol Sci 2020; 31: 807-821.
https://doi.org/10.1177/0956797620919673 DOI: https://doi.org/10.1177/0956797620919673
Veenhoven R. Healthy happiness: effects of happiness on physical health and the consequences for preventive health care. J Happiness Stud 2008; 9: 449-469.
https://doi.org/10.1007/s10902-006-9042-1 DOI: https://doi.org/10.1007/s10902-006-9042-1
Medvedev ON, Landhuis CE. Exploring constructs of well-being, happiness and quality of life. PeerJ 2018; 6: e4903.
https://doi.org/10.7717/peerj.4903 DOI: https://doi.org/10.7717/peerj.4903
Carlquist E, Ulleberg P, Delle Fave A, Nafstad HE, Blakar RM. Everyday understandings of happiness, good life, and satisfaction: three different facets of well-being. Applied Research Quality Life 2017; 12: 481-505.
https://doi.org/10.1007/s11482-016-9472-9 DOI: https://doi.org/10.1007/s11482-016-9472-9
Diener E, Wirtz D, Tov W, Kim-Prieto C, Choi D, Oishi S, et al. New well-being measures: short scales to assess flourishing and positive and negative feelings. Soc Indic Res 2010; 97: 143-156.
https://doi.org/10.1007/s11205-009-9493-y DOI: https://doi.org/10.1007/s11205-009-9493-y
Diener E, Emmons RA, Larsen RJ, Griffin S. The satisfaction with life scale. J Pers Assess 1985; 49: 71-75.
https://doi.org/10.1207/s15327752jpa4901_13 DOI: https://doi.org/10.1207/s15327752jpa4901_13
Bekhet AK, Zauszniewski JA, Nakhla WE. Happiness: theoretical and empirical considerations. Nurs Forum 2008; 43: 12-23.
https://doi.org/10.1111/j.1744-6198.2008.00091.x DOI: https://doi.org/10.1111/j.1744-6198.2008.00091.x
European Social Survey. ESS Round 9 Source Questionnaire: ESS ERIC Headquarters c/o City University London; 2016. [accessed Jul 11, 2022] Available from: http://www.europeansocialsurvey.org/data/country.html?c=germany.
Hinz A, Conrad I, Schroeter ML, Glaesmer H, Brähler E, Zenger M, et al. Psychometric properties of the Satisfaction with Life Scale (SWLS), derived from a large German community sample. Qual Life Res 2018; 27: 1661-1670.
https://doi.org/10.1007/s11136-018-1844-1 DOI: https://doi.org/10.1007/s11136-018-1844-1
Rahm T, Heise E, Schuldt M. Measuring the frequency of emotions - validation of the Scale of Positive and Negative Experience (SPANE) in Germany. PLoS One 2017; 12: e0171288.
https://doi.org/10.1371/journal.pone.0171288 DOI: https://doi.org/10.1371/journal.pone.0171288
World Health Organization. WHOQOL-BREF: introduction, administration, scoring and generic version of the assessment. Geneva: World Health Organization, 1996. [accessed Jun 9, 2022] Available from: https://www.who.int/tools/whoqol/whoqol-bref.
Dudasova L, Prochazka J, Vaculik M, Lorenz T. Measuring psychological capital: Revision of the Compound Psychological Capital Scale (CPC-12). PLoS One 2021; 16: e0247114.
https://doi.org/10.1371/journal.pone.0247114 DOI: https://doi.org/10.1371/journal.pone.0247114
Dormann CF, Elith J, Bacher S, Buchmann C, Carl G, Carré G, et al. Collinearity: a review of methods to deal with it and a simulation study evaluating their performance. Ecography 2013; 36: 27-46.
https://doi.org/10.1111/j.1600-0587.2012.07348.x DOI: https://doi.org/10.1111/j.1600-0587.2012.07348.x
Fox J, Monette G. Generalized collinearity diagnostics. J Am Statist Assoc 1992; 87: 178.
https://doi.org/10.1080/01621459.1992.10475190 DOI: https://doi.org/10.1080/01621459.1992.10475190
R Core Team (2021). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria.
Taiyun Wei and Viliam Simko (2021). R package 'corrplot': Visualization of a Correlation Matrix (Version 0.92). [Accessed Apr 19, 2022] Available from https://github.com/taiyun/corrplot.
Ferlay J, Colombet M, Soerjomataram I, Parkin DM, Piñeros M, Znaor A, et al. Cancer statistics for the year 2020: an overview. Int J Cancer 2021 Apr 5 [Online ahead of print].
https://doi.org/10.1002/ijc.33588 DOI: https://doi.org/10.1002/ijc.33588
Dirzyte A, Perminas A, Biliuniene E. Psychometric properties of Satisfaction with Life Scale (SWLS) and Psychological Capital Questionnaire (PCQ-24) in the Lithuanian population. Int J Environ Res Public Health 2021; 18: 2608.
https://doi.org/10.3390/ijerph18052608 DOI: https://doi.org/10.3390/ijerph18052608
Jankowiak B, Sekmistrz S, Kowalewska B, Niczyporuk W, Krajewska-Kułak E. Satisfaction with life in a group of psoriasis patients. Postepy Dermatol Alergol 2013; 30: 85-90.
https://doi.org/10.5114/pdia.2013.34156 DOI: https://doi.org/10.5114/pdia.2013.34156
Karwetzky C, Michaelsen MM, Werdecker L, Esch T. The U-Curve of Happiness Revisited: Correlations and differences in life satisfaction over the span of life-an empirical evaluation based on data from 1,597 individuals aged 12-94 in Germany. Front Psychol 2022; 13: 837638.
https://doi.org/10.3389/fpsyg.2022.837638 DOI: https://doi.org/10.3389/fpsyg.2022.837638
Joshanloo M, Jovanović V. The relationship between gender and life satisfaction: analysis across demographic groups and global regions. Arch Womens Ment Health 2020; 23: 331-338.
https://doi.org/10.1007/s00737-019-00998-w DOI: https://doi.org/10.1007/s00737-019-00998-w
Jiamton S, Tangjaturonrusamee C, Kulthanan K. Clinical features and aggravating factors in nummular eczema in Thais. Asian Pac J Allergy Immunol 2013; 31: 36-42.
Brihan I, Ianoși SL, Boda D, Hălmăjan A, Zdrîncă M, Fekete LG. Implications of self-esteem in the quality of life in patients with psoriasis. Exp Ther Med 2020; 20: 202.
https://doi.org/10.3892/etm.2020.9332 DOI: https://doi.org/10.3892/etm.2020.9332
Gardner DG, Pierce JL. Self-esteem and self-efficacy within the organizational context. Group Organiz Manag 1998; 23: 48-70.
https://doi.org/10.1177/1059601198231004 DOI: https://doi.org/10.1177/1059601198231004
Pulfer S, Ziehfreund S, Gebhard J, Hindelang B, Biedermann T, Brockow K, et al. Health-related quality of life and influencing factors in adults with nonadvanced mastocytosis - a cross-sectional study and qualitative approach. J Allergy Clin Immunol Pract 2021; 9: 3166-3175.e2.
https://doi.org/10.1016/j.jaip.2021.04.059 DOI: https://doi.org/10.1016/j.jaip.2021.04.059
Jovanović V. The validity of the Satisfaction with Life Scale in adolescents and a comparison with single-item life satisfaction measures: a preliminary study. Qual Life Res 2016; 25: 3173-3180.
https://doi.org/10.1007/s11136-016-1331-5 DOI: https://doi.org/10.1007/s11136-016-1331-5
Pflug J. Folk theories of happiness: a cross-cultural comparison of conceptions of happiness in Germany and South Africa. Soc Indic Res 2009; 92: 551-563.
https://doi.org/10.1007/s11205-008-9306-8 DOI: https://doi.org/10.1007/s11205-008-9306-8
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Copyright (c) 2023 Johanna Weis, Hannah Wecker, Alexander Arnold, Barbara Schuster, Stefanie Ziehfreund, Linda Tizek, Sonja Mittag, Tilo Biedermann, Alexander Zink
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