The aim of this encyclopedia is to provide a comprehensive reference work on scientific and other scholarly research on the quality of life, including health-related quality of life research or also called patient-reported outcomes research. Since the 1960s two overlapping but fairly distinct research communities and traditions have developed concerning ideas about the quality of life, individually and collectively, one with a fairly narrow focus on health-related issues and one with a quite broad focus. In many ways, the central issues of these fields have roots extending to the observations and speculations of ancient philosophers, creating a continuous exploration by diverse explorers in diverse historic and cultural circumstances over several centuries of the qualities of human existence. What we have not had so far is a single, multidimensional reference work connecting the most salient and important contributions to the relevant fields. Entries are organized alphabetically and cover basic concepts, relatively well established facts, lawlike and causal relations, theories, methods, standardized tests, biographic entries on significant figures, organizational profiles, indicators and indexes of qualities of individuals and of communities of diverse sizes, including rural areas, towns, cities, counties, provinces, states, regions, countries and groups of countries.
This volume is in a series which explores the most current research in the Area Of Environmental Stressors And The Emotional Reaction They Envoke. Divided into four parts it considers stress in the workplace, in daily life, in schools as well as stress and disease.
Includes established theories and cutting-edge developments. Presents the work of an international group of experts. Presents the nature, origin, implications, an future course of major unresolved issues in the area.
Providing fresh insights into the complex relationship between stress and mental health, internationally recognized contributors identifie emerging conceptual issues, highlight promising avenues for further study, and detail novel methodological techniques for addressing contemporary empirical problems. Specific coverage includes stressful life events, chronic strains, psychosocial resources and mediators, vulnerability to stress, and mental health outcomes-thus providing researchers with a tool to take stock of the past and future of this field.
It was our privilege, some twenty years ago, to assemble a group of Canadian and American investigators to examine the status of research in the then newly burgeoning field of psychological stress (Appley & Trumbull, 1967). As noted, in Chapter 1 of the present volume, there has been rapid development of the area since then. The conference on which the current volume is based was designed to do three things: 1. to further update the field, 2. to bring European and other perspectives to the subject, and 3. to focus on the status of theory of stress. We believe the reader will agree that all three objectives were accom plished, though in so vast and active a field, one can never be totally satisfied. The authors included in this volume are among the leading inves tigators in the field. They represent active research centers and programs in Austria, East and West Germany, Great Britain, Israel, Sweden, and the United States. Their chapters make contributions to stress theory and methodology, inform us meaningfully of the perspectives of the various research programs they represent, and provide, collectively, a description of the dynamics of the stress process as currently emerging.
The role of factors outside the province of the physical and biological sciences in the onset of illness has long been a source of speculation. While early efforts in psychosomatic medicine focused on the relationship between mental states and illness, the effects of personal status and social circumstances on physical health are only now receiving the attention they merit. By integrating current theory, methodology, and research, this ground-breaking volume advances the study of life events and disease to a new stage. George Brown and Tirril Harris are ideal editors for such an undertaking. George Brown has long been known for his path-breaking work on intensive clinical assessment and designing measures that capture the real complexity of social situations, assigned meanings, and personal response to crisis. He brought to light the importance of ``expressed emotion,' the differential role of life events in schizophrenia and depression, and most recently, produced a seminal work on the social etiology of depression with Tirril Harris. As David Mechanic notes in his Foreword, the defining characteristics of these efforts, which are also reflected in this volume are a ``sensitivity to clinical material and capitalizing on serendipity; self-consciousness about methods and methodological advances; and focus on theory with careful efforts to specify intervening processes and the links between macro events and personal meanings.' Along with their collaborators, these eminent editors bring together an impressive range of theoretical thought and empirical study organized around the Life Events and Difficulties Schedule (LEDS). Their examination of the origins of life events and difficulties and the notion of ``conveyor belts' to continuing adversity capture the immutable uncertainties of life and help to link concerns with life events and disease to larger issues of human development. The authors' innovative approach to establishing the relationship between ``attitudes' and psychiatric and physical disorders fully utilizes the wealth of data elicited by the LEDS, and demonstrates how the comprehensiveness of this data matches the sophistication and complexity of the theoretical ideas it serves. Addressing fundamental questions on the whether the specific nature of life events and vulnerability factors differ in different disorders, the authors conclude by providing a perspective on psychodynamic etiology which emphasizes the specificity of crucial links. It integrates social, psychological, and biological factors around the notion that specific types of cognitive-affective experience are linked to specific types of illness. While significantly advancing our understanding of how individuals define and deal with adversity, LIFE EVENTS AND ILLNESS also fosters a greater appreciation of the methodological tools available for examining these processes. For all clinicians, researchers, and students in the behavioral sciences, this timely work not only provides a comprehensive review of the literature and a critical examination of current research models but also points the way for future investigations.
