Parenting is a primary role for many young breast cancer survivors and the combined effect of parenting while coping with this disease can be problematic for many of them. Despite this, little is known about the impact of parenting on the well-being of young breast cancer survivors. This thesis, comprising two studies in article format, explores this question. In the first study, we identified elements of well-being that are salient for all young women with breast cancer, and which also captured some of the unique challenges associated with parenting as a survivor. Using factor analysis techniques, we determined how these elements interrelated in separate groups of young survivors with children and without, and identified differences between the two groups based on the patterns observed. We found that the interrelationship among elements of well-being varied between these two groups: psychological distress (representing mental health and perceived stress), illness intrusiveness, and fear of cancer recurrence were found to co-occur more frequently in mothers than in young survivors without children, thus compromising their well-being. Our second study had two objectives. The first part examined differences in perceived stress, illness intrusiveness, and fear of cancer recurrence between young breast cancer survivors with and without children in two separate timeframes (0-5 and 5-15 years since diagnosis). The second part identified predictors for these elements of well-being in young mothers exclusively. Compared to survivors without children, young mothers reported higher levels of fear of cancer recurrence and illness intrusiveness in intimate life domains during both timeframes, suggesting that disruptions in these areas persist over time. Part two revealed that mothers with adolescent children and high levels of parenting stress were most likely to report perceived stress and illness intrusiveness. A mother’s age and the time since her diagnosis predicted fear of cancer recurrence and illness intrusiveness, respectively. Results from this thesis indicate that young mothers with breast cancer need screening and interventions to manage psychological distress, fear of cancer recurrence, and illness intrusiveness, particularly in intimate life domains. This thesis also identifies the most vulnerable groups of mothers and has important implications for future research.

Syftet med den här uppsatsen är att ta reda på hur förskolans personal upplever sin arbetsmiljö, om personalen trivs på sin arbetsplats och om de upplever stress. Empirin till uppsatsen har samlats in med hjälp av internetbaserade enkätfrågor och resultatet har analyserats med hjälp av datorprogrammet SPSS. Resultatet visar att personalen i förskolan trivs på sin arbetsplats men att förskolan har vissa arbetsmiljömässiga problem samt att personalen ofta känner sig stressade och otillräckliga på arbetet. Analysen visar att det inte finns något samband mellan känslan av trivsel och känslan av stress på arbetsplatsen.

The relative income is often cited as a reason why happiness of nations does not grow in time with growing GDP. The study replicates the methodology of several different researchers from basic scatterplots, standard OLS and ordered probit models to hierarchical linear multilevel models (HLM). The results provide evidence that the happiness is actually rising with the growing GDP, although slowly and with the GDP measured in logarithm. On the contrary, the relevance of relative income to happiness is ambiguous through all the proposed models. Furthermore, the individual characteristics like marital status or employment status are proved to explain the differences in happiness much better than income. Finally it is shown that income has similar effects on different measurements of subjective well-being (health, happiness and emotional well-being).

Background: The prevalence of mental health difficulties in d/Deaf populations is higher than that of the hearing population. The association between mental health difficulties in childhood and well-being in adulthood amongst d/Deaf populations, including as perceived by Deaf people themselves, has been little explored. Access by d/Deaf people to mental health services is poor. In addition, there is a paucity of mental health assessments available in British Sign Language. Aims: The aims of this thesis were; (i) to understand the association between childhood and adulthood mental well-being in d/Deaf populations; (ii) to find out how well the standardised mental health assessments can be used with d/Deaf populations; and (iii) to explore Deaf people’s perspectives on mental well-being. Methods: BSL versions of four mental health assessments (the Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE-OM), the Patient Health Questionnaire(PHQ-9), the Generalized Anxiety Disorder (GAD-7), and the Work and Social Adjustment Scale (WSAS)) were produced by carrying out a translation process to ensure that the statements in the assessments are linguistically and culturally meaningful to a Deaf population. The reliability and validation of the mental health assessments were examined by piloting them with d/Deaf populations. In order to gain Deaf people’s own perspectives on mental well-being, four focus groups were set up in England. Results: Thematic analysis of the focus group data identified pre-disposing factors in childhood that Deaf participants believed would affect adult mental well-being. The CORE-OM BSL, PHQ-9 BSL, GAD-7 BSL, and WSAS BSL were found to be reliable and have been validated. The pilot study which compared the reliability between the BSL and English version of one mental health assessment (CORE-OM) as completed by d/Deaf people found that two domains had lower reliability in English in comparison with the BSL version. Conclusions: Reliable standardised instruments in BSL are required to identify and assess common mental health problems amongst Deaf people. These are now available. Deaf people identified a number of factors that are important to well-being, for example, ease of communication with others, a strong sense of identity, a ‘can do’ attitude, and a firm sense of belonging. These factors are of importance if we are to attempt to reduce the prevalence of mental health difficulties in d/Deaf populations in the future.

Social discounting aims to compare the respective future consequences of differing courses of action for human well-being, and so to help decide on policies for matters as varied as climate change, transport and criminal justice. Social discounting is widely used, though some decisions are too trivial, or too urgent, for it to be justified. Even so, its pervasive use is at variance with scepticism about its moral foundations, and about whether the comparisons that it claims to make can be made at all. Debate has, however, concentrated on how, rather than on whether, social discounting should be done and the conditions upon which it must be based seem never to have been set out systematically. This thesis aims to fill that gap, by explaining the moral and practical conditions that must be met for social discounting to be justified. The conditions are demanding. It behoves policy makers to satisfy themselves more carefully than is now done that the conditions are met in respect of the decisions where use of social discounting is proposed, and to consider alternatives where one or more conditions is not met. The thesis takes for granted that human well-being counts morally. But social discounting requires that well-being is capable of being described through an objective list of desiderata and that some aspect of well-being is measurable, at least on a cardinal scale and inter-personally, implying commensurabilities amongst some of the things comprising or contributing to well-being. Some moral theories incorporate priorities, such as property rights or the interests of poor people. Priorities range from easy to meet to very difficult. Priorities of the latter type are inconsistent with social discounting, and are the basis for theories as varied as those of Nozick and Nussbaum. This thesis suggests that the theories consistent with social discounting may collectively be called ‘moderate welfarism’. Moderate welfarism allows room for priorities and other moral considerations provided only that the monetisable aspect of social well-being is morally important. Moderate welfarism is necessary but not sufficient for social discounting to be justifiable. Practical difficulties may make it incapable of implementation. One such difficulty is the well-known epistemic problem, but the thesis sets out nine such difficulties, each implying a condition that must be met if social discounting is to be capable of practical use. The thesis concludes that the moral and practical conditions that must be met for social discounting to be justified are demanding and, more speculatively, that some of the conditions are not widely understood leading to inappropriate use of the technique by governments.

Background: There is a considerable body of research linking child well-being with future outcomes for children. In recent years monitoring and promoting child well-being has been high on the UK government agenda and has attracted a great deal of theoretical interest. Despite existing research and given the importance of a precise definition, there remains a lack of knowledge about what well-being actually means to children. An independent literature search highlighted that while researchers have made some effort to understand what well-being means to children there are still significant gaps in the literature, including an understanding of how children’s views of well-being vary across different age groups. Participants: Nine participants were selected from three different age groups (four, seven and eleven year olds). The sample included a mix of males and females and all participants were reported to have adequate language skills and none were identified as having special educational needs. Method: This is a purely qualitative study utilising an in depth survey research design. Semi-structured interviews were carried out with each child and each participant was asked to take photographs of and describe artifacts which they considered to be important to their well-being. Analysis/Findings: Data were analysed using thematic analysis. Data analysis was conducted in discrete data sets defined by age group. Then compared across age groups to gain understanding of how children’s views of well-being develop with age. Well-being appeared to be conceptualised as an evaluative judgement which was influenced by well-being domains/factors and emotional experience. The complexity of the children’s evaluative judgements appeared to become increasingly sophisticated with age. The four year olds were found to understand well-being in egocentric terms whereas the seven and eleven year olds seemed to understand well-being in terms of both their own experiences and the experiences of the perceived other. Two specific developmental considerations were identified which influenced the children’s evaluative judgements including individual difference and children’s views regarding their ideal life. In addition to this, the component ‘self-view’ was identified for the eleven year olds. Three domains of well-being were identified which included: ‘my relationships’, ‘my lifestyle and ‘myself’ and the individual factors relating to these domains appeared to vary and increase in complexity with age. The generalisability of these finding is critically considered within the limitations of the research design. Conclusion/Implications: The findings led to the development of an exploratory developmental model of child well-being. Suggestions are made for future research and potential implications for practice are considered.

This thesis considers parental psychological well-being and the acceptability of parenting support for those who have an adolescent with type one diabetes (T1D). Within the literature it is acknowledged that T1D diagnosis and management can have an effect on all family members. Furthermore poor parental well-being can impact negatively on adolescent well-being. It is therefore important to understand parental well-being in the context of adolescent T1D. Paper one presents a literature review of the psychological status of parents of adolescents with T1D. The review highlighted that adolescent T1D diagnosis has the potential to impact on parental psychological well-being, with some parents experiencing clinically concerning symptoms of anxiety, depression or psychological distress at different time points during their adolescent’s chronic illness. Over recent years it has increasingly been recognised that psychosocial variables can impact on physical well-being and illness management. It is important that individuals who experience distress are offered appropriate support. With regard to families and parents, psychological support may be offered through parenting interventions. Paper two aimed to explore whether Teen Triple P Positive Parenting Programme resources were acceptable to parents of adolescents with T1D and whether they would be interested in undertaking a parenting intervention. It also explored whether adolescent behaviour difficulties, parental psychological distress or diabetes-related family conflict were related to parents’ acceptability ratings and intentions to participate. Diabetes factors, such as time since diagnosis and levels of blood glucose control were also considered. The results indicated that the Teen Triple P resources have the potential to be acceptable to parents and that they would be interested in participating in a parenting intervention if one was available to them. The critical reflection considers both the literature review and the scientific study. Within this paper the approaches used, the challenges encountered, and the implications for clinical practice, and future research, are considered.

The topic of what HRM (Human Resource Management) responsibilities are devolved from the HRM department to line managers has attracted much interest in recent years. We report findings from a study on the devolution of HRM practices in four POCs (Project-Oriented Companies) and argue that although HRM practices are carried out beyond the HRM department, they are also carried out beyond the line. While the literature on devolving HRM responsibilities to line management is burgeoning, the HRM responsibilities of managers beyond the line organization are neglected. We make two contributions to the literature. Firstly, our study reveals that some HRM practices are the domain of the project manager rather than either the line manager or the HRM department. The complex interplay of the roles of the HRM department, line management and project management creates challenges and pitfalls where people are managed across the boundaries of the permanent and temporary organization. We identify a potentially powerful role for the HRM department in both monitoring and guiding the different players from the line and project organizations, and in protecting the well-being of employees whose work traverses these organizational boundaries. Our second contribution is that we map the diversity of practices in different POCs for managing the interplay between the three main parties delivering HRM practices and offer project-orientation as a contextual indicator that contributes to diversity in HRM practices.

In sport, psychological skills training is as important as physical training. Psychological skills training (PST) package programs aim to train a variety of psychological skills simultaneously. While extensively utilized overseas, PST programs are seldomly conducted with South African elite sportspeople and are generally not available to local youth athletes. Furthermore, the impact of PST programs on life and general health and the related components of biological, psychological, social and spiritual well-being has been typically neglected, with research in this regard minimal or non-existent. For example, before this thesis, the impact of PST on the core health component of psychological well-being had not been evaluated, nor had the conceptual and/or empirical relationship between psychological skills and psychological well-being been investigated. Although PST is often conducted individually because of its specific and personal nature, group training should not be overlooked especially in South Africa where communal living is a way of life and community interventions are an important part of health promotion. The value of broad base PST programs is that they train psychological skills as life skills thus aiding overall biopsychosocialculturalspiritual development. With these considerations in mind a triangulated design involving individual, group and community interventions, as well as elite and expert case studies was utilized to evaluate the effectiveness of a PST program and to investigate the relationship between psychological skills and psychological well-being. Results based on quantitative and qualitative outcome and process measurements indicated general improvement in psychological skills, psychological well-being and sporting performance. Psychological skills and psychological well-being were found to be interrelated concepts, with overlapping components. Recommendations for ongoing and future research at individual, group and community level are made. / Thesis (DPhil)--University of Pretoria, 2008. / Biokinetics, Sport and Leisure Sciences / unrestricted

Human Immunodeficiency Virus (HIV) is a chronic health condition that is increasingly affecting both children and adolescents (Center for Disease Control and Prevention, 2011). Although many studies have investigated the impact of HIV on cognitive, physical, academic, and psychosocial functioning, little is known about the self-perception of health-related quality of life, subjective well-being, social-emotional well-being, and psychopathology risks of youth who are infected with HIV. This study is one of first to examine the presence of these positive and negative health indicators and the relationship among these factors in youth with HIV and a community-based sample. A total of 84 youth (n=42 in each group) between 13-18 years old participated in this study. All participants completed a packet of self-report measures, which included the Pediatric Quality of Life Scale (PedsQL™ 4.0; Varni, Burwinkle, Seid, & Skarr, 2003), Student Life Satisfaction Scale (SLSS; Huebner, 1991), Positive Affect and Negative Affect Scale-Children (PANAS-C; Laurent et al., 1999), Social Emotional Assets and Resiliency Scale-Adolescent Form (SEARS-A; Merrell, 2011), and Behavioral and Emotional Screening System (BASC-2 BESS; Kamphaus & Reynolds, 2007). The data were analyzed for significant correlations, group differences, and social-emotional predictors of physical functioning and subjective well-being. Specifically for youth with HIV, several health-related quality of life indicators were found to be positively correlated with life satisfaction and social-emotional strengths indicators, but negatively correlated with negative affect and psychopathology symptoms. Stronger, but non-significant correlation coefficients were noted for participants in the HIV group than youth in the community-based sample. In particular, stronger associations between the positive mental health indicators (i.e., subjective well-being and social emotional strengths) were observed for youth with HIV than youth in the community-based sample. Youth with HIV also reported a greater association between their subjective well-being and psychopathology when compared to youth in the community-based sample. Additionally, there was a significant main effect of family structure on participants’ perceptions of their social functioning and psychopathology symptoms. When the differences in family structure were controlled for, the overall mean ratings of participants’ health-related quality of life, subjective well-being, social-emotional well-being, and psychopathology risks did not significantly differ between groups. Furthermore, family structure and self-rated empathy skills significantly predicted physical functioning of youth with HIV, but no significant or meaningful variables were found to predict their subjective-well being. Finally, no significant variables were found to predict the physical functioning or subjective well-being of youth in the community-based sample. The limitations of the current study, implications of findings, and directions for future research are discussed.