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Domain Compensation in Quality of Life of Individuals with Vasovagal Syncope: a Test of Homeostasis Theory

Author

Listed:
  • J. Broadbent

    (Deakin University)

  • L. Hamilton

    (Deakin University)

  • J. McGillivray

    (Deakin University)

Abstract

Although health-related quality of life is often diminished in populations characterised by physical illness, this does not necessarily imply lower overall assessments of general life satisfaction (GLS) and greater incidence of mental illness. According to Homeostasis Theory, this limited impact of health on these more global wellbeing indices may be due to internal and external buffers that serve to maintain one’s overall sense of wellbeing and GLS in the face of adversity. Thus, the present study tested in a sample of 212 individuals (48 with vasovagal syncope, 62 cardiac patients, and 102 healthy control participants) the possibility that poor health-related quality of life (as expected for the cardiac and vasovagal syncope groups) may be offset by relatively higher satisfaction with other aspects of one’s life (the domain compensation hypothesis). Consistent with this view, present findings showed that although individuals in the two health-risk groups reported lower health satisfaction (HSat) than the control group, they had comparable levels of mental health, GLS satisfaction, and subjective wellbeing (minus health; PWI-H). Moreover, moderation analyses confirmed that the relationship between HSat and GLS reduced to non-significance for individuals with PWI-H higher than nationally representative, normative levels. Collectively, these findings suggest that a broader context is necessary to understand the impact that illness may have on one’s sense of GLS and mental health. In particular, the provision of support and satisfaction with other life domains may serve to buffer concerns about one’s health.

Suggested Citation

  • J. Broadbent & L. Hamilton & J. McGillivray, 2018. "Domain Compensation in Quality of Life of Individuals with Vasovagal Syncope: a Test of Homeostasis Theory," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 13(1), pages 197-210, March.
    • Handle: RePEc:spr:ariqol:v:13:y:2018:i:1:d:10.1007_s11482-017-9520-0
    DOI: 10.1007/s11482-017-9520-0
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    References listed on IDEAS

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    1. Robert Cummins, 2010. "Subjective Wellbeing, Homeostatically Protected Mood and Depression: A Synthesis," Journal of Happiness Studies, Springer, vol. 11(1), pages 1-17, March.
    2. Eduardo Wills, 2009. "Spirituality and Subjective Well-Being: Evidences for a New Domain in the Personal Well-Being Index," Journal of Happiness Studies, Springer, vol. 10(1), pages 49-69, March.
    3. Robert Cummins & Helen Nistico, 2002. "Maintaining Life Satisfaction: The Role of Positive Cognitive Bias," Journal of Happiness Studies, Springer, vol. 3(1), pages 37-69, March.
    4. Anna Lau & Robert Cummins & Wenda Mcpherson, 2005. "An Investigation into the Cross-Cultural Equivalence of the Personal Wellbeing Index," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 72(3), pages 403-430, July.
    5. S. Quadros-Wander & J. McGillivray & J. Broadbent, 2014. "The influence of perceived control on subjective wellbeing in later life," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 115(3), pages 999-1010, February.
    6. Adrian Tomyn & Matthew Fuller Tyszkiewicz & Robert Cummins, 2013. "The Personal Wellbeing Index: Psychometric Equivalence for Adults and School Children," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 110(3), pages 913-924, February.
    7. Robert Cummins, 2000. "Objective and Subjective Auality of Life: an Interactive Model," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 52(1), pages 55-72, October.
    8. Adrian Tomyn & Robert Cummins, 2011. "The Subjective Wellbeing of High-School Students: Validating the Personal Wellbeing Index—School Children," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 101(3), pages 405-418, May.
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