Neal Krause

What Do Global Self-rated Health Items Measure?

One of the most frequently used health status measures consists of a single item that asks respondents to rate their overall health as excellent, good, fair, or poor. This study identified the conceptual domain that is assessed by this self-rated health measure. Findings from 158 in-depth interviews revealed that the same frame of reference is not used by all respondents in answering this question. Some study participants think about specific health problems when asked to rate their health, whereas others think in terms of either general physical functioning or health behaviors. The data further revealed that the specific referents that are used vary by age. In addition, more tentative findings suggest that the use of specific referents may also vary by education and race. Finally, the results suggest that certain referents may not be related to closed-ended health ratings in predictable ways.

Measuring multiple dimensions of religion and spirituality for health research: Conceptual background and findings from the 1998 general social survey

Progress in studying the relationship between religion and health has been hampered by the absence of an adequate measure of religiousness and spirituality. This article reports on the conceptual and empirical development of an instrument to measure religiousness and spirituality, intended explicitly for studies of health. It is multidimensional to allow investigation of multiple possible mechanisms of effect, brief enough to be included in clinical or epidemiological surveys, inclusive of both traditional religiousness and noninstitutionally based spirituality, and appropriate for diverse Judeo-Christian populations. The measure may be particularly useful for studies of health in elderly populations in which religious involvement is higher. The measure was tested in the nationally representative 1998 General Social Survey (N = 1,445). Nine dimensions have indices with moderate-to-good internal consistency, and there are three single-item domains. Analysis by age and sex shows that elderly respondents report higher levels of religiousness in virtually every domain of the measure.

Social exchange and well-being: is giving better than receiving?

This research examined the effects of giving and receiving assistance on psychological well-being while taking into account other salient dimensions of social support including negative interaction and anticipated support. Structural equation models were evaluated by using data derived from a national probability sample of 1,103 individuals aged 65 years or older. Results indicate that the major dimensions of social support are significantly interrelated, not only directly but also indirectly. Giving and receiving support have both positive and negative consequences on well-being. With reference to the role of reciprocity, the evidence provides some support for the hypothesis of esteem enhancement instead of social exchange and equity theories.

Measuring social support among older adults.

The purpose of this study is to introduce a measure of natural supportive behaviors for use in studies that examine the relationship between stress, social support, and health among older adults. The index improves on existing measures in three ways: it avoids problems arising from confounding potentially supportive relationships with support that is actually received; the scale also assesses variations in individual support needs; and it measures four distinct dimensions of social support (informational support, tangible help, emotional support, and integration). Based on data from a random community survey of 351 older adults, the basic psychometric properties and the factor structure of the scale are explored. The predictive validity of the scale is demonstrated by showing that the dimensions of support buffer the stressful effects of bereavement on depressive symptoms.

Church-Based Social Support and Religious Coping

The purpose of this study is twofold: to explore the nature of church-based social support, and to see whether support received in religious settings is related to the use of religious coping methods. The data come from a nationwide survey of members of the Presbyterian Church USA. Three dimensions of religious support are examined in detail: emotional support from church members, spiritual support from church members, and emotional support from the pastor. These dimensions of support are used to evaluate an issue that has been largely overlooked in the literature—the relationship between religious support and religious coping. The findings reveal that people are especially inclined to use positive religious coping responses when they receive spiritual support from church members. Even though emotional support from the pastor also increases the use of religious coping methods, the relationship is not as strong. Finally, emotional support from church members has no effect.

Longitudinal study of social support and meaning in life.

The purpose of this study was to see whether 3 types of social support (enacted support, negative interaction, and anticipated support) are associated with change in meaning in life. Data from a nationwide longitudinal survey of older people suggested that greater anticipated support (i.e., the belief that others will provide assistance in the future if needed) is associated with a deeper sense of meaning over time. The same was true with respect to emotional support received from family members and close friends. In contrast, the findings revealed that, at least initially, negative interaction lowers an older persons sense of meaning in life. (PsycINFO Database Record (c) 2007 APA, all rights reserved).

Forgiveness by God, Forgiveness of Others, and Psychological Well-Being in Late Life

The purpose of this study is to examine the relationships among forgiveness by God, forgiveness of others, and psychological well-being with data provided by a nationwide survey of older adults. Three main findings emerge from the analyses. First, the data suggest that forgiving others tends to enhance psychological well-being, and these salubrious effects are greater than those associated with forgiveness by God. Second, the findings indicate that how older people go about forgiving others is important: older adults who require transgressors to perform acts of contrition experience more psychological distress than those who forgive unconditionally. Third, the results reveal that forgiveness by God may be involved in this process because older people who feel they are forgiven by God are less likely to expect transgressors to perform acts of contrition.

Meaning in Life and Mortality

OBJECTIVES The purpose of this exploratory study was to see if meaning in life is associated with mortality in old age. METHODS Interviews were conducted with a nationwide sample of older adults (N = 1,361). Data were collected on meaning in life, mortality, and select control measures. RESULTS Three main findings emerged from this study. First, the data suggest that older people with a strong sense of meaning in life are less likely to die over the study follow-up period than those who do not have a strong sense of meaning. Second, the findings indicate that the effect of meaning on mortality can be attributed to the potentially important indirect effect that operates through health. Third, further analysis revealed that one dimension of meaning-having a strong sense of purpose in life--has a stronger relationship with mortality than other facets of meaning. The main study findings were observed after the effects of attendance at religious services and emotional support were controlled statistically. DISCUSSION If the results from this study can be replicated, then interventions should be designed to help older people find a greater sense of purpose in life.

Church-based emotional support, negative interaction, and psychological well-Being: Findings from a national sample of Presbyterians

The purpose of this study is examine the relationships between church-based emotional support, negative interaction, and psychological well-being among clergy, elders, and rank-and-file members of the Presbyterian Church USA. Based on identity theory, it is proposed that clergy will receive more emotional support and encounter more negative interaction than others in the church. It is further hypothesized that the impact of emotional support and negative interaction on well-being will be greatest among members of the clergy. Data from a nationwide survey of Presbyterians reveal that elders as well as clergy encounter more emotional support and negative interaction than rank-and-file members. The findings further indicate that the effects of emotional support and negative interaction on well-being are greater for clergy and elders than for rank-and-file members. The implications of these findings are discussed, along with several promising directions for future research.

Stress and well-being: The buffering role of locus of control beliefs☆

Data from the 1969 and 1971 panels of the National Longitudinal Survey of Middle-Aged Men are analyzed to assess the mediating effects of locus of control beliefs in the relationship between stressful job and economic events and psycho-physiological well-being. The analyses indicate that men with internal locus of control orientations respond more adequately to stress than do those with external locus of control beliefs. A more detailed examination of the data revealed that men with moderately internal locus of control orientations cope more effectively with stress than those whose locus of control beliefs may be classified as extreme internal, extreme external or moderately external. The theoretical implications of these findings are discussed.