Weziak-Bialowolska Dorota, Bialowolski Piotr, Lee Matthew T, Chen Ying, VanderWeele Tyler J, McNeely Eileen
Sustainability and Health Initiative (SHINE), Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA, United States.
Human Flourishing Program, Institute for Quantitative Social Science, Harvard University, Cambridge, MA, United States.
Front Psychol. 2021 Apr 21;12:652209. doi: 10.3389/fpsyg.2021.652209. eCollection 2021.
In this article, we develop a measure of complete well-being. The framework is derived from the theoretical model of human flourishing understood as a state in which all aspects of a human life are favorable. The approach extends beyond psychological well-being and reflects the World Health Organization definition of health that not only considers the health of body and mind but also embraces the wholeness of the person. The Well-Being Assessment (WBA) is a comprehensive instrument designed to assess holistic well-being in six domains: emotional health, physical health, meaning and purpose, character strengths, social connectedness, and financial security. Although each of these domains is distinct, all of them are nearly universally desired, and all but financial security constitute ends in themselves. Data were collected from a representative sample of working adults. A sample of 276 employees participated in the pilot, 2,370 participated in the first wave and 1,209 in the second wave of the survey. The WBA showed a good fitting (40 items, six factors), satisfactory reliability, test-retest correlation, and convergent/discriminant validity in relation to stability over time and relevant health measures, as well as a good fit to the data that were invariant over time, gender, age, education, and marital status. The instrument can be of use for scientists, practitioners, clinicians, public health officials, and patients. Adoption of more holistic measures of well-being that go beyond psychological well-being may help to shift the focus from health deficiencies to health and well-being promotion.
在本文中,我们开发了一种全面幸福感的衡量方法。该框架源自人类蓬勃发展的理论模型,即一种人类生活的各个方面都处于有利状态的情形。这种方法超越了心理健康范畴,反映了世界卫生组织对健康的定义,该定义不仅考虑身心健康,还涵盖了人的整体状态。幸福感评估(WBA)是一种综合工具,旨在评估六个领域的整体幸福感:情绪健康、身体健康、意义与目标、性格优势、社会联系和财务安全。尽管这些领域各不相同,但几乎所有人都普遍渴望这些,除了财务安全外,其他所有领域本身都构成了目标。数据收集自在职成年人的代表性样本。276名员工参与了试点,2370人参与了第一波调查,1209人参与了第二波调查。WBA在与随时间的稳定性和相关健康指标相关的方面显示出良好的拟合度(40个项目,六个因素)、令人满意的信度、重测相关性以及收敛/区分效度,并且与随时间、性别、年龄、教育程度和婚姻状况不变的数据也拟合良好。该工具可供科学家、从业者、临床医生、公共卫生官员和患者使用。采用超越心理健康范畴的更全面的幸福感衡量方法可能有助于将关注点从健康缺陷转向健康和幸福感提升。