Research has shown that some 30% of total care needs in people with late-life depression (LLD) are unmet. It is not known to what extent patients actually don’t receive any care for these needs or consider the care to be insufficient and their satisfaction with the provided care. Results: In 67% of patients, at least one unmet need was ascertained. In most cases (80%) care was actually provided for those needs by professionals and/or informal caregivers. Patients were satisfied with the care delivered for 81% of the reported care needs. Satisfaction was lowest for social care needs (67%). For six specific care needs it was demonstrated that dissatisfied patients were significantly more depressed than satisfied patients. Conclusion: Even though patients might receive care for certain needs, this does not mean that their needs are met. A substantial proportion of patients with LDD feel that they need additional help for unmet needs.
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The Refined Core and Balance Model of Family Leisure Functioning was used to guide our study of the link between vacation experiences of romantic couples and satisfaction with their relationship life. Results revealed that romantic couples who had more shared or joint experiences during their vacations in the previous year reported higher levels of satisfaction with their relationship life at the end of the year. This association was mediated by relationship functioning (i.e., couple cohesion and flexibility). The number of vacations was not a significant predictor of romantic couples’ satisfaction with relationship life; what mattered most was the extent to which partners were engaged in joint experiences during their vacations such as having fun together, mindful conversations, physical intimacy, and trying new things together. These findings demonstrate the need to continue to study less frequent, extraordinary leisure vacation experiences that may help maintain the love within romantic relationships. Theoretical and practical implications are discussed
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There has been a rapidly growing number of studies of the geographical aspects of happiness and well-being. Many of these studies have been highlighting the role of space and place and of individual and spatial contextual determinants of happiness. However, most of the studies to date do not explicitly consider spatial clustering and possible spatial spillover effects of happiness and well-being. The few studies that do consider spatial clustering and spillovers conduct the analysis at a relatively coarse geographical scale of country or region. This article analyses such effects at a much smaller geographical unit: community areas. These are small area level geographies at the intra-urban level. In particular, the article presents a spatial econometric approach to the analysis of life satisfaction data aggregated to 1,215 communities in Canada and examines spatial clustering and spatial spillovers. Communities are suitable given that they form a small geographical reference point for households. We find that communities’ life satisfaction is spatially clustered while regression results show that it is associated to the life satisfaction of neighbouring communities as well as to the latter's average household income and unemployment rate. We consider the role of shared cultural traits and institutions that may explain such spillovers of life satisfaction. The findings highlight the importance of neighbouring characteristics when discussing policies to improve the well-being of a (small area) place.
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Purpose The purpose of this research was to explore women’s experiences after breast surgery with scar characteristics and symptoms, and its impact on their health-related quality of life (HRQOL). Material andmethods A qualitative study using semi-structured face-to-face interviewswas conducted among women following prophylactic, oncologic, or reconstructive breast surgery in the Netherlands. A directed content analysis was performed using guiding themes. Themes were “physical and sensory symptoms,” “impact of scar symptoms,” “personal factors,” “impact of scar interventions,” and “change over time.” Results The study population consisted of 26 women after breast surgery. Women experienced a wide range of symptoms like adherence, stiffness, pain, and uncomfortable sensations. Scar characteristics as visibility, location, texture, and size, influenced satisfaction with their appearance. The impact of scar symptoms is reflected in physical, social, emotional, and cognitive functioning, thereby affecting HRQOL. The experienced impact on HRQOL depended on several factors, like personal factors as the degree of acceptance and environmental factors like social support. Conclusion Women can experience a diversity of scar characteristics and symptoms, which play a central role in the perceived impact on HRQOL. Since scarring can have a considerable impact on HRQOL, scarring after prophylactic, oncologic and reconstructive breast surgery should be given more attention in clinical practice and research. Implications for Cancer Survivors Considering scarring as a common late effect after breast surgery and understanding the variety of experiences, which could impact HRQOL of women, can be beneficial in sufficient information provision, expectation management, and informed decision making.
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We take holidays for pleasure, but how well do we actually feel during our holiday? This question was addressed in a study of 481 international tourists in the Netherlands, who answered questions about their mood of the day and about their satisfaction with life in general. Average mood appears to be high. Mood was somewhat lower among people who were in the first 'travel phase' of about 10% of the holiday duration. Mood was highest during the 'core phase', which covers about 70% of the holiday time. Mood then declines slightly, but increases during the last part of the holiday.
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Recently, the Dutch government raised the retirement age of workers in the Netherlands. In this study we focused on the work values of low-skilled older workers, the extent to which their jobs fulfill these values, and the effect of work values on the willingness of these workers to extend their working life. This study is based on a literature review and a secondary analysis on a large database of persons aged 45 and older (STREAM). The study shows that extrinsic work values are more important for low-skilled older workers, and intrinsic work values more relevant for high-skilled older workers. The most important work values for low-skilled older workers are fulfilled slightly more often than those of high-skilled older workers. The extent to which important work values are fulfilled in the jobs of low-skilled older workers is positively correlated with job satisfaction and with their own assessment of whether or not to continue working for another 12 months. Based on this research, we formulated recommendations for HR practices on the employability of low-skilled older workers
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