'Z‘J‘Jflbtfih'f: -? . fl. fig; ‘1 M J 3‘. " 7 ' 1 1; “-1 ,o - * : .,‘ {0‘ ‘1 92:53.43. .fb 2“." , k “ah I 7 ‘ . ‘4 ‘1. 6:4 T ‘ 10;? ‘9‘; A. . . 1- 9:2 < 'v: \. 1 -: fivxwxww.‘ ..r._§' 1 mwxwwwm 1- «'2 (11‘ .1. f, "I. “a; f . *1 9‘3 '3» 1 . £-’L?"fi;’av~‘?:i;:j}.§5/L;c§ y '9 ; 3" {gm-i: tea-mi: .. J“ . “£3“ .‘1 \ >~ v :59: .w. I c. . 17.34;: ugfing-fiy « fl ~‘ KW“ I .Qfiti‘agka, :35; a» a %" $ch ,1 '1- gncc‘; -. 9.21% I? u». V.» 1.3.5 '4 , ~ % . 3., I 7 - ‘ I . , €16; . . _ . f: . . ‘13:: "9 ‘ ’1 $975: ' ‘ ' "7 1 7 ‘ 7 '. 3- 3 V‘ ‘ , ‘ “saw. a? ‘5 s H?" 1 m a .- LM A “3’3”" >4 Is, .. 71’: ‘ “111 ‘K 3‘ § 3"" =3: 13%;? h \ ”C 313%! m1 I.“ 2? ‘ A; . E 95‘7““; 7" ‘ WW1- 1 .»A. 1:1. ‘ u. - Wyywk‘f‘ii ."C'; § .Cg . '3.“ :k ' ' '1. 1 v . u I . {I . V g 11‘ ‘ b .i . Jig; ‘ - 11:13:43 ,. wk“: '1 K .. ‘1‘ WV. 12,11 1. \ Qg.i‘€:s:‘§.¥cae. L“ L; f",\’:3‘§- WM “v 1:; .3 - m " 1. ‘vuw .. n a: .( ... sei" - ~r~v ‘ ‘ 15'??- ,IZE'QS' "2km M “‘"J’ 9" *uCSiS TYUBRARIE Ll JolllliL llllllllllllllllllllllllllllllll 3 1293 01026 LIBRARY Michigan State Unlverslty This is to certify that the dissertation entitled ECOLOGICAL MODELING OF QUALITY OF LIFE AMONG MIDDLE-AGED IIUSBANDG AND WIVES: A STRUCTURAL EQUATION MODEL presented by Meesok Park Lee has been accepted towards fulfillment of the requirements for Ph .1) degree in Family Ecology fi/V’Mujfl/{jfifi/ jO!‘ professor M .. DateJfimuakf jg; / 7 $2, MSU is an Affirmative Action/Equal Opportunity Institution 0-12771 PLACE IN RETURN BOX to romovo thlo chockout from your rocotd. TO AVOID FINES rotum on or bdoro doto duo. DATE DUE DATE’DUE DATE DUE 1 11159771322002 ,__._._._1_._._ 1|": 1‘ 589-70 I @181- N23§m® ’ . p a v - u W02 ___ “151‘! 2. 9 n," ' HUN 1 1 1997 W'CZZBKQUQZ .0; f y. W3L “ifl£&%%" MSU leAn.“ . A ' u . . . 1 rr , ll—‘Ionl‘l ”3-9.! ECOLOGICAL MODELING OF QUALITY OF LIFE AMONG MIDDLE-AGED HUSBANDS AND WIVES: A STRUCTURAL EQUATION MODEL BY Meesok Park Lee A DISSERTATION Submitted to Michigan State University in partial fulfillment of the requirements for the degree of DOCTOR OF PHILOSOPHY Department of Family and Child Ecology 1992 ec< he; 10: re in th ti an re Ad ti Se AC. ABSTRACT ECOLOGICAL MODELING OF QUALITY OF LIFE AMONG MIDDLE-AGED HUSBANDS AND WIVES: A STRUCTURAL EQUATION MODEL BY Meesok Park Lee This study was designed to investigate and predict the quality of life among middle-aged men and women in terms of economic well-being, stress from life events, perceived health, and satisfaction with family life, employing longitudinal data. From an ecological perspective, the researcher hypothesized that the quality of life of individuals or families, assessed at one point in time, is the outcome of the functioning of the family ecosystem over time. The findings of this study were based on a secondary analysis of longitudinal data collected for the NC-164 regional research project, entitled ”Stress, Coping, and Adaptation in the Middle Years of the Family.” Support for the original study was provided by the Cooperative Research Service of the U.S. Department of Agriculture, and the Agricultural Experiment Stations of nine states. The data were obtained from two different periods of time, 1983 and 1985, using the mail survey method. The unit of analysis of this study was 754 men and vo LI me am st 1i sul inc out anc‘ f an man eco can ECO dim. res. Sugs women who responded in both phases of data collection. LISREL VII was used to test of the adequacy of the measurement models and the hypothesized causal relationships among selected constructs. The results indicate that satisfaction with family life strongly affects an individual's evaluation of quality of life. Economic well-being, measured in objective as well as subjective terms, is another important variable affecting quality of life. Perceived health was a dimension which had a significant direct influence on quality of life and an indirect impact via economic well-being. Stress, being an outcome, or product of interactions between the individual and the environment, indirectly influenced quality of life. This study demonstrated the usefulness of using the family ecological model along with a family resource management model to study quality of life. From an ecological perspective, the evaluation of quality of life can be assessed as an outcome of functioning of the family ecosystem over time, based on satisfaction with various dimensions of the environment. Implications for future research and ecological theory as well as for practice are suggested. n- ACKNOWLEDGMENTS Completion of this dissertation was made possible through the cooperation and contributions of several individuals whom I wish to acknowledge and thank. My dissertation committee deserves special recognition: Dr. Rosemary Walker, Dr. Margaret Bubolz, Dr. Lillian Phenice, and Dr. Lincoln James. I am especially grateful to Dr. Walker, my committee chairperson, dissertation director, and my mentor, for her support, encouragement, and direction throughout my entire program and dissertation process. Her standard of excellence has been a continous source of inspiration and challenge since I began my master's degree in 1986. I have and will continue to learn from her high standards. Sepecial gratitude is extended to Dr. Bubolz, principal investigator on NC-164, for offering me an opportunity to work on the research project. Her insight, support, and encouragement were invaluable. Sincere appreciation is extended to other members of my guidance committee, Dr. Phenice and Dr. James. Their contribution and guidance throughout my graduate program is appreciated. iv .l" Chi: Offt thr< Ava} sta' the the exp: Lee dau My: of sib Thanks is extended to the Department of Family and Child Ecology and College of Human Ecology for not only offering a quality education, but also for supporting me through assistantships and the Carol w. Shaffer Memorial Award. These were all deeply appreciated. I would also like to thank Dr. Young Kyun Lim, for his statistical expertise, and Mr. and Mrs. Hyun K. Kim for their support and assistance. Finally, deep appreciation is extended to my family for their love and support throughout my entire program. I express heartfelt appreciation to my husband, Dr. Doo-Hee Lee, for his strength, understanding and patience and my daughter, Joe-Young, in enduring periods of the separation. My parents, MI. and Mrs. Sung Yong Park, and parents-in-law, Mr. and Mrs. Sang Yong Lee have been a never ending source of encouragement and support. I also acknowledge my siblings for their care of my daughter. TABLE OF CONTENTS page . viii LIST OF TABLES ix LIST OF FIGURES 11456689 W 1 - e' Human Ecological Approach . u s e u Income Age . Gender Education . o o ’ e . REVIEW OF LITERATURE INTRODUCTION CHAPTER II CHAPTER I METHODOLOGY . CHAPTER III . Kansas Family Life Satisfaction Scale . 8 um The Quality of Life Measure . C vi In Health Difficulty Scale WW 1 e c ' t' S d a esea c es' . Research Variables . . . . . Dependent Variable . . . . Independent and Intervening Va a O O O O O O p. ooo§4" , . rFrom this ecological perspective, the.rg§earcher hypothesizes that the quality of life of individuals or families,+01+1)J"z RMSR can be used to compare the fi)t of two different models for the same data. The GFI can be used to compare the fit of models for the same or different data. 62 WW Discriminant validity refers to the degree to which measures of distinct concepts differ. According to Campbell and Fiske (1959), discriminant validity is the requirement that a measure does not correlate too highly with measures from which it is supposed to differ. That is, measures of different concepts should share relatively little common variance. A conventional test of discriminant validity m ‘w ‘W— using the structural equations model involves comparing the ._-|.’~ -_.K‘ "7'44v measurement model to a model in which all the correlation “fin-.- .gp‘w‘a" ‘ ,._ \M--.. ...-v. 1* “___ ”gnu—rm” coefficients among constructs (i. e., off-diagonal o's) are v“.Mm-1WH ‘m 7;" constrained to equal one (Bagozzi 8 Phillips, 1982). The significance of the )8 difference between the two models was considered to indicate that the constructs are not perfectly correlated; each construct is uniquely measured. However, as many others have noted (Bagozzi & Phillips, 1982; Howell, 1987), this is a ”weak" test of discriminant validity in that it is very unlikely to have all the constructs perfectly correlated. In the present study, discriminant validity was tested by examining each pair of constructs individually (Howell, 1987). Given the model, discriminant validity then was examined for each pair of the latent constructs by constraining the relevant correlation to 1 (or any arbitrary relatively high number i.e., 0.8) and estimating this new model. Then the-difference in x2 was tested... A significant 63 difference was inferred to indicate that the pair of latent constructs were not correlated, and it could be concluded that an adequate level of discriminability had been achieved. In sum, in this study, discriminant validity was tested by pairwise comparison of the )8 difference between freed ¢ and constrained ¢- Testing the Structural Hod-1 As described earlier, the variables such as HLTH83, HLTH85, STR883, and STRSBS are formative scales. Although no reliability measures for these variables were available, it was assumed that these variables were fallible measures. As recommended by Joreskog and Sorbom (1988, 1989), the reliability of 0.85 for one item measures (formative scales) was used. It was assumed that an arbitrary value of 0.85 is better than an equally arbitrary value of 1.00. Consequently, the parameter estimates and standard errors will be affected by the assumed value of the reliability. For the error terms, the constraint of the reliability of 0.85 for such variables in LISREL was done by assigning the fixed value of 0.15 times the variance of each scale to their respective e, or 9,. For the parameters, Ax and Ay were fixed at the value of the square root of 0.85 (reliability) times the standard deviation of the scale. Regarding the reflective scales (e.g., QFL83) one of the measures (Ay) of each latent construct was constrained 64 to have the value of its standard deviation. The corresponding error terms (8,) of the reflective scales were fixed at zero. The relationships among the variables were examined simultaneously via analysis of covariance. Maximum likelihood (ML) estimation, using the covariance matrix as input data was used to estimate model parameters (Joreskog & Sorbom, 1988, 1989).3 .According to Anderson and Gerbing (1988), the ML estimation method is well suited to the test and development of theory. With large sample sizes, ML method provides unbiased, consistent, and efficient estimations (Kmenta, 1971). In the present study, to check the robustness of the results, the ML estimates were compared with generalized least squares (GLS) estimates and ordinary least squares (OLS) estimates.‘ Bohrnstedt and Carter (1971) found the OLS estimates were more robust than the ML estimates when violations of the statistical assumptions, such as normality of disturbances, were present. 3 ML maximizes the likelihood of the parameters, given the data. It is equivalent to minimizing F = log IIEII + ms?) - logIISII - matrix) £1 £2 £3 £4 £5 £6 £7 £8 £1 1.000 $2 -.003 1.000 53 .014 -.118 1.000 54 .053 .033 -.067 1.000 .55 .259 .017 .007 .053 1.000 £6 -.021 .436 -.127 .070 .051 1.000 57 .027 .272 -.091 .252 .103 .680 1.000 £8 -.051 -.275 .137 -.052 -.049 -.106 -.057 1.000 x2 = 498.13 d.f. = 98 p = .000 GFI = .961 AGFI = .939 RMSR = .046 .ndH 8 Bee 803 ”.0 no sea a 85.. 26; re 8 5.3" an 3.8 803 «.0 8 .c be 3.8 203 ”.0 B 6.3“ 3 none 0.63 90 ”a 77 .1 .882 .36: 8.88 .568 6.88 .53“ 6.88 we 8.8: .36: 58$ .38,” 6.38 .38 8 i .28 8.28 8.2.: .08“ .38 3 1. 6.2.8 .988 .38 .384 R .1 .38" .38 .988 z ...- 8.88 .688 m ..l afiwmv Nw i E R E 3 a 8 E m m 82; 1:88:35 .6 8.8. 4 use. 78 measures in the present study were different from each other, and it was concluded that an adequate level of discriminant validity among the constructs was achieved in the measurement model. From the overall evidence on internal consistency, factor structure, and reliability, with modification of the original measurement model, the researcher concluded that adequate levels of the measurements were achieved. Thus all the constructs were utilized in the model to be tested. Iesting_fhe_§tructural_ncdel Figure 7 presents a revised model of the original structural equation model (Figure 3) adjusted for the results of measure validations. In the revised model, correlations and autocorrelations of the error terms were allowed due to the characteristics of the longitudinal data set. The results of LISREL analysis on the revised model are presented in Table 5. Modal Fit: The results were examined for anomalies as described in Chapter III, and none were found. Table 5 contains the global measures of fit of the structural model as well as the parameter estimates. The overall effect model of the ML and GLS methods failed to meet the )8 test (ML: x210, = 482.1, p=.000; GLS: xflm = 389.8, p = .000). Thus, the hypothesized 79 32322—32 5.3. .0921 .053-9:...“ h 9:3: Sean» e an .2. EEEE 2» 3» fl» an» 3 a 5 EEEE @ BEBE o. 5 eh.‘.— . .. s 2» en. 2 m I 5 _e 80 model was rejected by the )8 test, and the model failed to fit in an absolute sense. However, careful inspection was made because, as discussed in Chapter III, a valid model might be falsely rejected due to the presence of a large sample size, a characteristic of this study. All of the values of GFI (.962 for ML; .970 for GLS) and AGFI (.943 for ML; .954 for GLS) are greater than .9. A general rule-of-thumb is to accept the hypothesized model if the AGFI index is greater than .9. Recall that Bagozzi and Yi (1988) suggested that values of AGFI equal to or greater than about .9 suggest that the model is meaningful from a pragmatic point of view. Bentler and Bonett's incremental fit indices are shown in Table 5. The null model is the severely restricted model hypothesizing complete independence among indicators. Fitting the null model gives xfl“ - 9919.5 (ML), 2742.4 (GL8); p - .ooo; GFI - .491(ML), .786(GLS); AGFI = .427 (ML), .759 (GL8); RMSR 8 5.129 (ML), 6.449 (GLS). According to Bentler and Bonett (1980), the nonnormed fit indices (p) and normed fit indices (A) of the hypothesized structural model indicated the degree of adequacy of this model compared to the null model. Whether one has a large or small sample, values of delta greater than .9 can be considered an adequate fit. The results of the present study (A a .951 (ML); p a .935 (ML)) indicated that the model was a substantial improvement over the null Table 5 Structural Model: Parameter Estimates, t-values, and Model Fits 81 ML 61.8 01.8 Parameters estimates t-values estimates t-vnlues estimates t-values 7,. -.052 4.712 -.054 4.808 -.353 4.658 12, -.356 -10.763 -.351 -10.742 -.548 -9.439 6,. -.023 -.680 -.021 -.641 -.008 4.199 8,, .013 .441 .014 .474 .001 .686 3,, .036 1.702 .036 1.761 .002 1 . 129 3,, .257 8.663 .263 8.791 .259 8.767 B” -. 103 -4.583 -. 104 4.496 -.011 -3.929 6., .340 16.965 .335 16.212 .322 18.587 5,, .005 . 160 .011 .373 .130 . 138 as -.072 ~2. 852 -.075 ~2. 886 -.254 -1.629 3,, .002 .086 -.016 -.712 -.118 -1.701 5,, .057 1.268 .074 1.579 .441 .819 3.. .064 1.684 .079 2.015 -.001 -.015 B1, .291 8.680 .325 9.331 .383 9.757 6,, .039 1.564 .040 1.585 p .007 1.642 3,, .057 2.676 .056 2.637 .006 3.026 6,. .706 29.231 .696 28.073 .318 30.665 Am 1441? -— 14.414' _. Am 1.000” -—- 1.000b -— 1.,” .934 38.601 .948 38.029 x, .704 34.345 .705 34.048 1,, .632 26.890 .626 26.255 >50 .450' _— .4so- .. A”, . 865 14.630 .952 15.338 x,“ .790 21.250 .801 22.030 g. .748 20.985 .817 21.866 Table 5 (cont’d) 82 ML GL8 0L8 Parameters estimates t-values estimaws t-values estimates t~values 1,“... 1.000“ -- 1.000b -- 79..., 16.934‘ -- 16.934' -- 1,,” 1.000 —- 1.000 .— g... .967 38.296 .971 37.213 N,“ .608 27.883 .612 27.246 )5,“ .496 19.660 .496 19.401 N167 1.664' -- 1.664' .— 2," 1.745' -— 1.745'I -- it" .997 23.314 .984 23.121 142, 1.388 24.191 1.337 23.602 #1” .981 23.240 .937 22.629 4,, .455 16.418 .425 16.186 #7,, .931 22.831 .910 22.509 4.. .705 21.678 .683 21.248 $1, .489 22.353 .453 21.737 9," 36.658' -- 36.658‘ - 9a .006 .237 .025 1.086 9.3 .864 22.717 .8“) 21.053 9... .672 24.937 .613 23.093 9.5, 1.604 27.064 .976 24.935 6,“ .036' - .036' -- 9m 1.541 25.929 1.277 23.603 9,. .377 21.447 .339 19.110 9,, .363 21.924 .272 18.196 9...,” .185 10.389 .185 11.132 9,"... 50.597' -- 50.597' -- 9.12.12 .089 5.806 .092 5.992 83 Table 5 (cont’d) ML GLS Parameters estimates t-values estimates t-values 9.13.13 .515 21.952 .482 20.414 9,“... .500 26.060 .453 24.337 9.15.13 .767 27.133 .674 24.906 9“,. .161' -— . 161‘ - 9,,” -.068 -6.610 -.059 -5.702 9,.” .252 12.205 .224 10.837 9,,“ .107 8.303 .096 7.709 6,.” .203 10.153 .176 9.113 9.5. .406 15.794 .354 14.061 9.15.14 .242 13.800 .199 12.038 9," .538' -- .538‘ -- x’ 482.1 389.8 d.f. 102 102 p .000 .000 GFI .962 .970 AGFI .943 ' .954 RMSR .188 .517 A .951 ' .858 p .948 .853 a: A’s and 0’s were fixed at 01'” a and (l-a)a’, respectively. b: Constrained parameters to 1.0. 84 model, and it was concluded the model is adequate in terms of the relative fit. Therefore, despite the rejection of the model based on the )8 test, Bentler and Bonett's normed fit index indicated that the model accounted for a significant proportion of information, from a pragmatic point of view. Further, any achievement in increasing the fit would be trivial. Overall, the global measures of fit indicated the hypothesized model had overall adequacy and satisfactory fit. Hypotheaaa Teat A large number of hypotheses based on theoretical grounds and previous empirical findings were developed in Chapter III. The structural model in Figure 3 incorporates these hypotheses. The following section will discuss the test of these hypotheses. Table 5 reports the key parameter values obtained for testing hypotheses by estimating the revised model of Figure 7 after the validation of measurement. The discussion will be based mainly on the ML results, supplemented by GL8 and OLS results. Hypothesis 1a: Stress (STRSBB) has a negative, direct impact on perceived health (HLTHB3). Hypothesis 1b: Stress (STRSBS) has a negative, direct effect on perceived health (HLTHBS). The hypotheses predicted stress to have a negative direct effect on health. For the 1983 data, the 85 hypothesized effect of stress on perceived health was supported (7" = .52, t = -1.72, p < .10). However, hypothesis 1b was rejected (B,3 - .005, t = .160). The results indicated that the impact of stress on perceived health was marginally significant in 1983. Hypothesis 2: Perceived health (HLTH83) has a negative, direct effect on stress (STRSBS). The results indicated the effect of perceived health on stress at a later time was insignificant (B31 = .013, t = .441). Thus, the hypothesis was rejected. Hypothesis 3: Perceived health of past years (HLTH83) has a positive, direct effect on present perceived health (HLTH85). The hypothesis was supported (5” - .260, t = 8.66, p < .001). The results were consistent for all three estimation methods: ML, GL8, and 0L8. The results indicated that middle aged individuals with poor perceived health in 1983 also perceived their health to be poor in 1985. Hypothesis 4: Perceived health (HLTH83) has a positive, direct effect on economic well- being (EWBBS). The posited effect was marginally significant (34 8.036, t - 1.702, p < .10). Thus perceiving health to be good in 1983 contributed to a higher level of economic :.l‘.- , well-being in 1985.. 86 Hypothesis 5: Economic well-being (EWB85) has a positive, direct effect on perceived health (HLTH85). Hypothesis 5 examined the effect of economic well-being on perceived health. It was not supported. The coefficient for the hypothesis was insignificant (5“ = .057, t = 1.268). The results were consistent for all three methods. Hypothesis 6a: Stress (STRS83) has a negative, direct impact on quality of family life (QFL83). Hypothesis 6b: Stress (STRSBS) has a negative, direct impact on quality of family life (QFL85). The hypothesized effect of stress on quality of family life (QFL) was significant (121 8 -.356, t = - 10.763, p < .001, B“ = -.072, t = -2.852, p < .01). The results indicated that stress in 1983 had a negative impact on QFL in 1983. The results were similar for 1985. Consistent results were observed by all three different estimation methods. The finding supported the conclusion that among middle aged individuals, quality of family life at any one time was affected by the stress from recent events. Hypothesis 7: Quality of family life (QFL83) has a negative, direct effect on stress (STRSBS). The reverse effect of quality of family life on stress was significant (B32 = -.103, t = -4.583, p < .001). Thus, hypothesis 7 was supported. -It was concluded that as family 87 life deteriorated, individuals felt more stress; likewise, as the quality of family life increased, stress levels decreased. Hypothesis 8a: Perceived health (HLTH83) has a positive, direct effect on quality of family life (QFL83). Hypothesis 8b: Perceived health (HLTH85) has a positive, direct effect on quality of family life (QFL85). The posited effect of perceived health on quality of family life was rejected in both years (B31 2 .013,t - .441, and B“ - .039, t - 1.564). Hypothesis 9: Economic well-being (EW385) has a positive, direct influence on quality of family life (QFL85). The results indicated the hypothesis was significant (Bu - 0.064, t - 1.684, p < .10). Economic well-being had direct positive influence on quality of family life. Hypothesis 10: Quality of family life of past years (QFL83) has a positive, direct effect on present quality of family life (QFL85). The hypothesis was supported (3n = .340, t = 16.965, p < .001). The results indicated that quality of family life in 1985 was influenced by the quality of life at an earlier time. 88 Hypothesis 11: Perceived health (HLTH85) has a positive, direct impact on quality of life (QOL85). The results indicated that perceived health was significantly related to the individual's QOL. The coefficients for the effects of perceived health were significant at p < .05 level (3” = .057, t = 2.676). Hypothesis 12: Stress (STRSBS) has a negative, direct impact on quality of life (QOL85). The results indicated that the direct effect of stress on quality of life was insignificant (Bn 3 .002, t a .086). Thus hypothesis 12 was rejected. Hypothesis 13: Economic well-being (EWB85) has a positive, direct impact on quality of life (QOL85). The findings supported the hypothesis (Bu = .291, t = 8.680, p'< . 001). It was concluded that greater economic well-being resulted in higher levels of quality of life. Hypothesis 14: Quality of family life (QFL85) has a positive, direct effect on quality of life (QOL85). The effect was significant (876 = .706, t = 29.231, p < .001), and thus it was concluded that quality of family life was a strong predictor of quality of life. In sum, the results indicated that people’s quality of 89 life was affected by their perception of health, their economic well-being, and their quality of family life. Stress did not directly influence individuals' evaluations of quality of life. Hypothesis 15: Among middle-age individuals, the levels of influence of the independent variable (STRS83) and the intervening variables are causally related to the level of quality of life. Hypothesis 15 examined the overall structural model. As described earlier in this chapter, although the overall model was rejected based on the )8 test, other indices strongly supported an adequate level of fit. Thus, it was concluded that the hypothesized model adequately represented the causal relationships among the latent constructs. W1 Figure 8 contains the parsimonious model; that is, the refined model which does not contain paths that are statistically insignificant. In the present study, the parsimonious model was obtained by constraining all the insignificant paths, t-values less than i 1.645 (p = 0.10), to be (zero. The results of the )8 difference test showed that the difference between the hypothesized model (Figure 7) and the parsimonious model (Figure 8) is not significant. The statistical comparison between the hypothesized model 90 and the parsimonious model is given in Table 6. Table 6 )8 Difference Test for Parsimonious Model Models x2 df p GFI AGFI RMSR Overall effect model 482.1 102 .000 .962 .943 .188 Parsimonious model 486.8 108 .000 .962 .946 .245 )8 Difference dx2 = 4.7 ddf = 6 p > .05 Based on the results of )8 difference test and the almost identical results of GFI, AGFI, and RMSR, it was concluded that the parsimonious model, as a whole, represented the causal relationship among the constructs as well as the hypothesized model. The parsimonious model would be more desirable because of its relative simplicity. 91 new. .. :22: o3. . m9 «8. u to So. .. a so. .. a $3 .1. «a .322 395563.”. a 2:98. .2. con. man. N. n8. 4 EBB—u .. 8»... v3.68. eases-.8... 9.. 4. Vans. BEBE % .. BEBE .. .2. Wk - we... ._ Chapter V SUMMARY, DISCUSSION, AND IMPLICATIONS The main purpose of this research was to develop a model of quality of life and to empirically test the relationships between selected dimensions of quality of life. The dimensions of quality of life tested were quality of family life, perceived health, economic well-being, and stress. Quality of life, in this study, was based on the conceptualization of Campbell and his associates (1976). In contrast to numerous studies on quality of life and life satisfaction, not much has been known about the quality of life of middle aged people, the focus of this study. The theoretical perspective of the present study was a family ecological approach, examining humans in their environments. The primary focus was on the effects of environmental dimensions, particularly those related to family life, on the evaluation of an individual's quality of life as an outcome of interaction between individuals and their environments. The findings of this study were based on the data collected for the regional research project, NC-164. The data were obtained from two different periods of time, 1983 and 1985. The longitudinal data set was particularly 92 93 helpful in hypothesizing and testing the direction of causality among related concepts. It was considered especially useful for capturing the dynamic processes and the cumulative effects of causal indicators on quality of life. Hypotheses were developed based on theoretical and empirical grounds. Prior to the testing of these hypotheses, the measures of the constructs were examined for adequacy. Internal consistency via coefficient alpha was used to test the reliability of each scale and confirmatory factor analysis was used to examine the unidimensionality of each scale. Discriminant validity was tested via a series of pairwise comparisons using confirmatory factor analysis. These tests screened the adequacy of each measure. Reliability scores of all of the measures were greater than the conventionally accepted criterion. The results of confirmatory factor analysis assured unidimensionality of the measures. An adequate level of discriminant validity was found. Tests of hypotheses were based on the hypothesized structural model using LISREL. Hypotheses were tested via significance and direction of individual parameter estimates. Maximum likelihood estimates were compared with generalized least square estimates along with ordinary least square estimates to check the robustness of parameter estimates. ef’ pa: in was qua res whi of ' (Am 197E 81. life Subj. qual; (Aka: bein 94 The present study investigated the effects of demands and resources of the environment on the satisfaction of family life and quality of life. It was found that individual evaluations of quality of life are influenced by past experiences. Longitudinal data made possible the findings which are useful in the explanation of cause and effect relationships. In this study time, identified as part of the natural environment, is an important component in predicting quality of life. ‘The effect of quality of family life on quality of life was strongly supported. It was the strongest predictor of quality of life of the middle aged individuals. This research confirms many other studies about quality of life which have found that satisfaction with family life is one of the highest predictors of overall quality of life (Andrews & Withey, 1976; Campbell, 1981; Campbell et al., 1976; Bubolz et al., 1980; Sontag et al., 1979; Walker et al., 1990). Another important dimension in predicting quality of life was economic well-being. Measured by objective and subjective components, it had a significant impact on quality of life. The finding confirmed other research (Akerman & Paolucci, 1983). Of special interest was the effect of economic well- being on the quality of family life. It was found to be 95 rather weak. This weak effect may be due to the characteristics of the sample population. The middle years of life are characterized as a time when children are becoming independent and launched, and economic resources are relatively high due to less demand compared to the other stages of the life cycle. Perceived health was a dimension which had a significant impact on quality of life. This is consistent with previous research (Campbell, 1981; Campbell et al., 1976; Edwards & Klemmack, 1973; Near et al., 1978). Because personal health problems may increase as people get older, health concerns may be especially salient to those in their middle years of life. Stress had a marginally negative effect on their perceived health. Therefore, it can be concluded that stress had a negative indirect effect on quality of life through perceived health among the middle aged. Perceived health, measured by health symptoms, had an indirect effect on quality of life through economic well- being. The results are consistent with previous findings (Kratzer, C., 1991). The effect of perceived health on economic well-being may be attributed to the interference of health problems with the ability to work and, thus, to have financial needs met. This finding supports the family resource management model, which identified health as one kind of family resource. In this study, having more 96 resources in terms of good health would bring more economic or financial satisfaction, and result in a higher quality of family and quality of life. A direct effect of stress on quality of life was not found. However stress had a direct, negative impact on quality of family life. Higher stress levels reduced the quality of family life. Based on family ecological theory, reciprocal interactions between stress and quality of family life were hypothesized and examined. For example, the effect of stress on quality of family life was hypothesized to be negative, and this effect would further negatively affect stress. The results of this study support the interactive causations of stress and quality of family life. That is, stress (STRSS3) negatively affected quality of family life (QFL83) which, in turn, affected degree of stress at a later time (STRS85). As quality of family life in 1983 decreased, stress levels rose in 1985. Although previous research found that stressed people were more likely to have illness, depression, anxiety, low self-confidence (Caplan et al., 1980; Hahn et al., 1964; Rabkin & Streunig, 1976), the present study did not support the previous findings. One possible explanation might be related to the measure of the latent construct, perceived health. In the present study, perceived health was operationalized by asking twelve items of general difficulties which can be an indicator of illness. The 97 respondents answered with the frequencies of the symptoms, most of which were physical rather than psychological, and quite different from those used in the other studies. The results of the present study seem inconsistent with the previous findings. This study has demonstrated the usefulness of using a family ecological model along with a family resource management model to study quality of life. From an ecological perspective, the evaluation of quality of life can be assessed as an outcome of functioning of the family ecosystem over time, based on satisfaction with various dimensions of the environment. It is evident that family life affects quality of life. Economic well-being measured in objective as well as subjective terms is another important predictor variable. Perceived health, a measure of human resources, affected people's evaluation of quality of life. Stress, being an outcome, or product of interactions between the organism (individual) and the environment (family, other family members, or work), indirectly influenced quality of life. The effect was mediated through quality of family life. This result supported other research which hypothesized that stress declines with age (Herzog & Rodgers, 1986). It has been argued that stress may be created by ”daily hassles" that people experience when carrying out routine transactions with the environment (Manner, Coyne, Schafer, & 98 Lazarus, 1981). For individuals in their middle years, these daily hassles decline relative to those in earlier stage in life cycle, as they become released from many of the family roles and constraints that make life difficult. Thus, the effect of stress on quality of life may not be as great for those people in middle years compared to their younger years. From the family resource management model, perception of quality of life can be considered as an assessment of the extent to which demands are met with available resources through processes of planning and implementing. This study focused on the effect of inputs (demands, goals, and resources) on quality of life as an output. The findings of this study examined four major dimensions, representing demands and resources, which affect quality of life. These are stress, health, economic well-being, and quality of family life. Relationships with one's spouse and children and other members outside the nuclear family can be a source of stress, as well as an important resource which can play an important role in evaluating quality of family life. Stress related to economic environment, including work environment, and time demands in family life were included in the stress variable. Perceived health, as an indicator of level of health, was an important contributor to quality of life. Good health enables one to attain and manage resources 99 whereas poor health imposes additional demands upon resources. Economic well-being represents the assessment of overall availability of economic resources for meeting needs and achieving goals. In doing a secondary analysis, the present researcher acknowledged that this study has mainly two limitations. The first limitation related to the sample of the original data set. The original study, Regional project NC-164, drew its sample from the population of middle years individuals. Particularly, the data were collected from husbands and wives between 35-65 years of age with at least one child, using a probability sampling method. The original sample was gathered with more emphasis on rural populations. Thus, the findings of the present study can only be generalized to those individuals in their middle years of life cycle. The second limitation relates to the issue of measurement. The perceived health variable was operationalized by creating a scale from questions related to frequency of various symptoms or difficulties. These questions hardly captured the objective and subjective levels of health which the present researcher conceptualized. 100 We Implications for Future Raaaareh Efforts to improve quality of life must focus on ways to enhance quality of family life, with particular attention to the dimensions which have been identified as making significant contributions to quality of life. Endeavors to improve quality of life must consider the family as an ecosystem in which inputs of demands and resources from the environment impact on the family and in which family actions and conditions feedback to the environment. The results of the present study have implications for future research in this area. Continuous work with quality of life in identifying influential factors is imperative. There might be other.dimensions which may influence individuals' evaluation of quality of life. A holistic approach developing a predictable model for quality of life to include such dimensions as community environment, housing, work satisfaction, and leisure, is strongly recommended. It is also strongly recommended that research efforts include time dimension via longitudinal data sets. Examination of the usefulness of the model of the present study with other populations is desirable. There might be some differences in structural relationships in other subgroups. For instance, quality of life of those in their early stages of life cycle might be determined by different influential dimensions. Structural differences 101 between men and women, or rural and urban groups might be revealed. In today's world, where countries do not exit in isolation, cross-cultural studies of quality of life are worthwhile. People in different cultures have different value systems forming their social cultural norms. It can not be denied that compared to the United States, Korea, the home country of this researcher, has substantial, historical differences in family and social structures. Although Korea has undergone rapid social and economic changes, there may be pertinent characteristics that distinguished it from other culture. A comparative study of quality of life in Korea would provide an opportunity to investigate the universality of the model. Implications for Family Ecological Theory Utilizing a family ecological framework, the study was designed to determine quality of life over time in terms of cause and effect relationships. The findings from this study suggest some important implications for family ecological theory. The results of this study indicated that one of major considerations in doing research on quality of life from an ecological perspective is the inclusion of the time dimension. This study found that what happened in the past had a causal influence on well-being at a later time. For 102 instance, the research points out that stress from total environments at one point in time had influences on quality of family life, which, in turn, affected stress in the later year. Since humans and families exist in and over time, and across periods of time through generations (Morgan, 1985), and are dynamic and ever changing, the inclusion of the time dimension will provide an opportunity to explore the family's movement and change through time. Thus, for the sake of family ecological theory development it is important to more clearly enunciate the time dimension. This study illustrated that there are both change and stability in the family ecosystem. Another consideration for the researcher oriented with ecological theory is to conceptualize quality of life as an outcome of the family system and multiple indicators, recognizing that quality of life encompasses several interrelated dimensions. It was originally assumed, in the research of quality of life by Campbell and his associates (1976), that people's experiences and behavior derive from interactions with their environment. The environments were classified as various domains such as family, job, health, and so forth. The findings of this study confirm the dependence of quality of life on such domains of interest as family life and health. Inclusion of more domains or environments in an attempt for a holistic approach is strongly recommended for ecological theory development. 103 Finally, qualitative research is profitable in addition to quantitative research in terms of ecological theory development.' Qualitative research, such as indepth -interviews, may have theoretical value in investigating the standards individuals use to evaluate quality of life and the relative importance of various dimensions as well as the evaluation process. Both types of research are necessary to inform policy makers about the dimensions and conditions of the ecosystem which are most valued. Implications for Practice According to Hunter and Sundel (1989), the major gap in practitioner knowledge about the middle years has been the lack of research. The availability of empirically validated knowledge of middle years could be useful to help professionals concerned with middle age adulthood. Therefore, the results of this present study have important implications for practitioners who seek to help people improve their sense of well-being. The findings of the present research showed what were the strong predictors of quality of life. Among them satisfaction with family life was the strongest predictor for quality of life. Professionals can help middle aged individuals to have a higher level of quality of family life. They could help couples to communicate and spend time together around issues of 104 importance to each individual to bring higher marital satisfaction. The middle years of the life cycle are often characterized by role overload, due to dual role expectations from children and aging parents. Professionals and counselors might help families in their middle years to get aid from support systems, such as relatives, friends, neighbors, and public or private social services (Hunter 8 Sundel, 1989). Stress was shown as an important predictor of quality of life. Although the effect was not direct, it had a strong influence through quality of family life. Counselors and therapists can help midlife individuals to implement stress reduction techniques. Professionals can also help middle aged people evaluate their resources to cope with the stresses. The identified individual and environmental resources could be used to reduce the amount of stress, and result in increased family life satisfaction and a higher quality of life. In this study, economic well-being which was measured in objective and subjective terms, was another predictor of one's evaluation of quality of life. In previous studies, objective income alone explained only a small amount of variance in quality of life (Inglehart 8 Rabier, 1986). However, this study provided a more complete idea of how families evaluate their level of economic well-being. It was found that economic well-being was based on not only the 105 objective measure of per capita income, but also on its adequacy in relation to family needs and goals. Additionally, changes in the family financial situation over time played an important role in determining economic well- being. Educational programs designed to teach family resource management skills, and efficient use of resources are recommended. APPENDICES APPENDIX A 106 new; anN m8: ON“ . o: .- n2 .- hnNc thf 96.- “mam :5; a3. Z on— . a8... NON. hNN. _nN. 3N. NNo. n38 boo." ocean $6 $8 an. 8N. 02. EN. n8: 30w to. :56 N8. :0: FN. 3n. 3N. 8N. «Nat 320m 2..— A one“ n3. N3 .- 3N. onN. 03.. non. oNor nun—mm ”a. and 96. N— .- 53. can. Nhn. hub. 39.- gm befig _: .N :6. woo. 89- «8. 23. N3. ONN. mam—P43 8a. uNaN 9 n. 90.- §. 36. 03: N8. 96. “ammo hub. hood one. she.- voo. «3. a8. 2b. as. nun—<— 3». G" .n SN. £3.- a8.- «8: who.- ONOK 8°. 3E0 New; SEN 89— 08.- 3: . N8. n3. *8. «NO. v30.— nwv. XEN 084 30.- N8.- one... 3 u .- N3. 3am Nun; nnN.m 89— gb. NNQ. N8. ac.- 30m 094 8nd 8?— New. (Nb. 586 Slow «he; 3nd 804 E. . m8: Ema NnNé main 08." v8: gm 39.n— SNdn g; mam—Pa: .D.m am: 122 mag» 30% QIUm nun—mm gm numb-=— esouaSoG peace-Sm cos .382 .scomocmoou cows—ebony u 033—. o8.— cocr owe; 39.- N2 .- 8— . N3: N86 ace: 3?- nus—Fm 7 08; New. 2%. wan. N3. 36. 2.— . nnN. ms. 300 nlu con: can. 8n. 2%. «no. cue: «8. N8: 38m 89— 03.. won. NO. _NO. 6ND. n8: 330m 08; ans. One. who. ”no. —No.- 2mm 89— N3. one. n8. «5: max—mm Rx: No. n3. «no. mam-FA: 95.— Na. can. .3th 804 N3. mun—<— §.— mam-.5 mung—Fm n38 mam—Um 310m nus—mm 3mm mam—Pd.— mwmmu mun—<— was A9258 5 035. APPENDIX B QUESTIONNAIRE (1983) 1138 He would like to have some background information about your family to help us in our study. Please fill in the following information about each member of your household. identifying each person by their relation- ship togyou. _ — First, think about yourself. 1Sex: h F No. 8 Yr. of Birth_ Yrs. of School Completed (“"1" we) Marital Status If Married, Ho. 1 Yr.0f Marriage Next, think about each of your children. starting with the oldest child. He will be asking questions about each of your children later in this questionnaire. Please make sure your answers are from oldest to youngest in each instance. Birth Yrs. of Living at (If N0) Date I of Date School Home Reason for Left Support QZ Sex Ho. Yr. Cowleted Yes or he Leaving lb. Yr. You Provide a. Child 1 H F b. 22119.? H F c. Child 3 H F d. Child 4 H F e. Child 5 h F f. Child 6 H F (add on if necessary) IfFinally, think about each other member of your household:_] Yrs. of S of Relationship Sex Birth Date School Marital Support 3 to You H or F No. Yr. Completed Status You Provide Religious Preference: 04 Catholic Protestant Jewish Other (please specify) 109 05 which of the following best describes your racial or ethnic identification? Black Hhite (Caucasian) Chicano (Mexican-American) Oriental Native American (American Indian) Other (please specify) Q6 How many years have you lived in your present comnity? 07a. what is the size of the comnity in which you live? (circle one) 1. Less than 2,500 persons and outside an urbanized area 2. More than 2,500 persons but less than 50,000 persons 3. 50,000 or more persons 6. (If you live in a comnity of less than 2.500 persons) Is your home on less than 1 acre of land or on a city or suburban lot? 1. Yes (skip to 08) 2. Mo c. (If no) Do you live on a farm? 1. Yes 2. Mo (skip to 08) a. (If you live on a farm of more than 1 acre) Did your farm produce _ $1,000.00 or more in sales of crops, livestock. or other farm products during the preceding year? 1. Yes 2. Mo Please read each of the events listed below and mark whether it was ex- perienced by any family member in the last three ears. If yes. please circle the number showing how disturbing t was a n icate whether it occurred in the last twelve months. Mow Oi sturbing Mas This Event? Has This Event a >- ' 08 rmu use evens Happened to " - " 014 it Your Family in g 5 g g Occur In A. Internal to the The Last Three .- - a -- 0’: The Last Family Years? 2 a: - 3 u 12 Months? a. Death of a menber Yes No 1 2 3 4 5 Yes Mo b. Marriage of a member Yes he 1 2 3 4 5 Yes he 111) How Disturbing Has This Event? Has This Event Z: ,. Happened To ‘ 2'- 3 5? Did It Your Family In 5 § u u- Occur In The Last Three -— ... ‘5‘ L'- 95 The Last Years? 3 8% 2 3 3‘1 12 Months? . Member moves out of home (for independence. for added schooling, for job. for marriage) Yes No I 2 3 4 5 Yes No . Member moves back (unemployed. divorced. or separated. etc.) Yes No I 2 3 4 5 Yes No Mon-member (renters. boarders. etc.) moved . into home . Yes No I 2 3 4 5 Yes No Marital separation ' occurs Yes Mo 1 2 3 4_ 5 Yes No Periodic absence of family eeuiber due to . ' work demands Yes he 1 2 3 4 5 Yes he Family pet dies Yes he 1 2 3 4 5 Yes he Pregnancy of unmarried . member Yes he 1 2 3 4 5 Yes No . Member demanding of new privileges. exemptions from family rules. choice of friends. dates. etc. Yes Mo 1 2 3 4 5 Yes No Adult child has trouble achieving independence Yes M0 1 2 3 4 5 Yes No . Household chores pile up Yes No 1 2 3 4 5 Yes No Family took a stressful vacation Yes No _ 1 2 3 4 5 Yes No This Question Continues On The Next Page JJll Mow Disturbing was This Event? Mas This Event > a 5 Did It happened To .a 0- Your Family In ’5 5 g g Occur In The Last Three k- .-. ‘5‘ 5 $5- The Last Years? 2 d 2 a 3‘; 12 Months? 8. Family, School and Mark . Member drops out of school before com- pleting training Yes No 1* 2 3 4 5 Yes No . Member returns to school after time away Yes Mo I 2 ‘ 3 4 5 Yes No . Major wage earner loses or quits Job Yes No I 2 3 4 5 Yes No . Major wage earner starts or returns to work Yes Mo 1 2 3 4 5 Yes Mo . Menber given promotion Yes Mo 1 2 3 4 5 Yes Mo . Member changes to new job or shifts career Yes Mo 1 2 ’ 3 4 5 Yes No . Major wage earner retires from work Yes No I 2 3 4 5 Yes No Member accepts time consuming, unpaid assignment in volun- tary association (scouting. church. or service agency) Yes Mo 1 2 3 4 5 Yes Mo . Outside activities draw adult members away from family Yes Mo 1 2 3 4 5 Yes No . Member's hours! scheduling of work change Yes Mo 1 2 3 4 5 Yes Mo cc. ff. Member has major conflict with boss and/or others at work C. Family, Relatives and Close Friends . Relatives/in-laws become intrusive (offer un- welcome advice. gifts) Death of husband's or wife's parents Death of brother or sister . Death of close friend and confidant Married children “freeze out“ parents Member breaks up with close friend or confidant . Relative dies (not parent or sibling) D. Family and Health Major wage earner experiences serious illness or accident Member experiences serious emotional probl ems 1112 Has This Event Happened To Your Family In The Last Three Years? Yes No Yes Mo Yes No Yes No Yes Ho Yes No Yes Ho Yes No Yes Ho Yes Mo How Disturbing Has This Event? NOT 1 SLIGHTLY N 2 MODERATELY QUITE 3 b 4 EXTREMELY ' U! 5 Did It Occur In The Last 12 Months? Yes No Yes No Yes No Yes No Yes No_' Yes No Yes Ho Yes NO Yes No Yes Mo This Question Continues On The Next Page hh. 11. JJ- 11. PP- 1153 Has This Event Happened To Your Family In The Last Three Years? Child member experi- ences serious illness/accident Yes Ho Aged parent(s) becomes seriously ill or disabled requiring direct care Yes Mo Member experiences menopause Yes Mo . Aged parent committed to institution or placed in nursing home Yes Ho E. Family, Household Finance and the4Law Husband's or wife's parents or siblings require financial assistance Yes Ho . Cut in total family income Yes No . Expenses exceed total family income requiring going into debt Yes Mo . Family takes a major loss in stock market, bank failure, bad debts. etc. Yes No Family receives windfall funds (inheritance. lottery win. or other ' unanticipated gain) Yes Ho How Disturbing Has This Event? MOOERATELY QUITE EXTREMELY SLIGHTLY MOT pm N U ‘ U'I Did It Occur In The Last 12 Months? Yes Yes Yes Yes Yes Yes Yes Yes Yes Ho Ho cI‘l- It. fit. an. Member starts receiving public assistance in the form of food stamps. rent subsidy or AFDC Member takes out or refinances a loan to cover increased expenses Family meter involved with courts; robbed or assaulted. arrested for crime or minor mis- demeanor. jailed. or involved in lawsuit Family forced to dip heavily into family savings Member taking on additional jobs Member experiencing demotion. job bumping. or retooling 2114 Has This Event Happened To Your Family In The Last Three Years? Yes Yes Yes Yes Yes Yes F. Other Events Hot Covered Yes Yes No Ho Ho No No How Disturbing Has This Event? HODERATELY SLIGHTLY QUITE NOT EXTREMELY H N u & U! [*Please Go On To The Next Page] Did It Occur In The Last 12 Months? Yes Yes Yes Yes Yes YES Yes Yes Ho Ho Ho HO Ho NO 115 He're interested in the health of each member of your family. Please use the codes given below to indicate how often the following items apply to menbers of your family. 1 Never 2 Seldom 3 Sometimes 4 Frequently 5 Almost Always For example. if child I smokes “frequently“ and child 4 smokes ”sometimes" and no one else in the family smokes. then you would answer: Oldest ——b Youngest “*“w m 13m on How often have medaers of your family: a. had trouble sleeping...........: ....... '. I». had accidents............-. .......... c. been irritable «I. been depressed a. smoked cigarettes. cigars. or a pipe.... I. used prescription drugs ................. 3. had a weight problem .................... b. used alcohol ............................ 1. found it difficult to relax ............. 1. had headaches ............. . ............. 1:. had muscle tension. nervous indigestion or anxiety ................ 1. had colds or flu ........................ JLLG 025 In general. which of the following best describes any changes in your total family income over the past 3 years a. increased more than 25% b. increased 5 to 251 c. changed less than 51 (plus or minus) d. decreased 5 to 251 e. decreased more than 25! f. fluctuated up and down over the 3 years. . 026 To what extent do you think your income today is enough for you to live on? a. can't buy some necessities b. can meet necessities only c. can afford some of the things we want but not all we want d. can afford about everything we want e. can afford about everything we want and have some left over 027 Thinking about your family's overall financial condition -- what you own. owe. earn. are able to buy. and so on -- which of the following best describes any change in your overall financial condition over the 3st 3 Ears? a. mach worse b. worse c. same (skip to 029) d. better e. much better 023 If your financial condition has changed during the 29st 3 years. please describe the change(s) below. For each item listed below. think about the amount of money your family spends for family members now living in your household. Over the st 3 ears. how has the amount you spend changed? In general. 33 you Yeel that tile amount you spend today is: Lot Mo Lot 029 Less Less Change More More a. Food eaten at home 1 2 3 4 5 b. Food eaten away from home 1 2 3 4 5 c. Clothing purchases 1 2 3 4 5 4. Clothing repairs and alterations 1 2 3 4 5 f. Hopeful l 2 3 4 5 6 7 Oiscouraging g. Rewarding 1 2 3 4 5 6 7 Disappointing h. Brings out the Doesn't give me best in me 1 2 3 4 5 6 7 much chance Please circle the number which best describes how satisfied you are with your life as a whole. Q42 Completely Completely Dissatisfied I 2' 3 4 5 6 7 Satisfied Please circle the number which best describes how satisfied you are with your family. Completely Completely 043 . Dissatisfied Satisfied a. Your family . life 1 2 3 4 5 6 7 _ b. Your relation- ship with your spouse 1 2 3 4 5 6 7 c. Your relation- ship with your children 1 2 3 4 5 6 7 a. The relation- ship your children have with each other I 2 3 4 5 6 7 your marriage. The middle point represents “happy“. Please circle the number which best describes how happy you are with ] 044 Extremely I Extremely Unhappy 1 2 3 4 5 6 7 Happy APPENDIX C QUESTIONNAIRE (1985) 2118 He would like to have some background information about your family to help us in our study. He are especially interested in what has happened in the last two years. Please circle appropriate letter or fill in the blank with your answers. First think about yourself. (21 ()2 (23 (36 05 06 07 QB 09 QlOa QIOh What is your sex? a. Hale b. Female what is the date of your birth? Mo. Yr. How many years of school have you completed? What is your religious preference? (Circle the letter) a. Catholic b. Protestant c. Jewish d. Other (please specify) 4. Have you moved to a different home in the last two years? a. Mo b. Yes (IF YES please circle the appropriate letter a. Moved within the same community b. Moved to a different community Do you live on a farm? a. No b. Yea. less than one acre c. Yes. more than one acre (If more than one acre) Did your farm produce 51.000.00 or more in sales of crops. livestock. or other farm products during the preceeding year? a. No b. Yes What is your marital status? Has your marital status changed in the last two years? (Please circle) a. No b. Yes (IF YES How has it changed? (Circle more than one category if appropriate) a. Became widowed c. Became separated or living apart b. Became divorced d. Remarried Mo. Yr. 1119 -Hext. think about each of your children. starting with the oldest child. He will be asking questions about each of your children later in this questionnaire. Please make sure your answers are from oldest to youngest in each instance. 011 Sex Birth Yrs. of Living at Z of support (Circle) Data School Home You Male/Female Mo. Yr. Completed Yes or No Provide a. Child l M E Y M b. Child 2 M F Y M c. Child 3 M Y Y H d. Child 4 M F Y H a. Child 5 M F Y M f. Child 6 M F Y H 3. Child 7 M F Y M h. Child 8 M F Y M 1. Child 9 M Y Y M 1. Child 10 M Y Y M k. cam 11 x r r a 1. Child 12 M I Y M L__ He are interested in the changes that have taken place in your household. ‘] 012 Have any of your children left home in the last 2 years? (Please circle the letter) a. No b. Yes 013 [__.' (IF YES) Please indicate on the chart below. the number of which child left. the reason for leaving. and the date. 014 Have any of your children returned home to live with you in last 2 years? a. No b. Yes 015 l-.. IF YES) Please indicate on the chart below. the number of which child returned. the reason. and the date. v Child Number Reason for Returning Date Reason for Leaving Date (as listed above) (Approx) (Approx) 12(7 Please read each of the events listed below and mark whether it was experienced by If yes. please circle the number showing any family member in the last twogyears. how disturbinggit was. Ql9 EVERY Has This Event Happened How Disturbing Has to Your Family in.... This Event? [East 12 mos (Yr. Before s, A the last 12 mos. 3r -\ ,7 -y u 4" of .4" .3: 9 iv 'b 57 I. IIHEDIAIE EMILY Q9 a? *9 Q I”: a. Death of a member Yes Ho Yes Mo 1 2 3 4 5 b. Marriage of a member Yes No Yes Mo 1 2 3 4 S c. Member moves out of home (for independence. for added schooling. . for job. for marriage) Yes Mo Yes Mo l 2 3 4 S d. Member moves back (unemployed. divorced. or separated. etc.) Yes No Yes Ho 1 2 3 4 S e. Mon-member (renters. boarders. etc.) moved into home Yes Mo Yes No l 2 3 6 5 f. Marital separation occurs Yes In Yes Mo 1 2 3 4 5 g. Periodic absence of family member due to work demands - Yes No Yes No l 2 J b 5 h. Family pet dies Yes Mo Yes No l 2 3 A S 1. Pregnancy of unmarried member Yes No Yes No l 2 3 6 S J. Member demanding of new privileges. exemptions from family rules. choice of friends. dates. etc. Yes No Yes No l 2 3 a 5 k. Adult child has trouble achieving independence Yes No Yes No l 2 3 4 S 1. Household chores pile up Yes Mo Yes No I 7 3 A S m. Family t ok a atresafuI vacation Yes No Yes No I 2 3 a S ’ 121 . EVENT Has This event Happened How Disturbing to your Family In... "as This Event? Last l2 mo Yr. Before the last 12 mos. II. SCHOOL AND WORK 0 a. Member drops out of school before com- pleting training Yes No Yes No l 2 U 0‘ U a. Member returns to school after time away Yes Mo Yes Mo 1 2 3 4 5 p. Major wage earner - loses or quite job Yes Ho Yes Mo 1 2 3 4 S q. Major wage earner starts or returns to work Yes Me Yes Mo 4 I ? 3 4 S r. Member given promotion Yes Mo Yes Mo I 2 3 4 S s Member changes to new job or shifts career Yes No Yes Mo I 2 3 4 S t. Major wage earner retires from work Yes Mo Yes Me I 2 3 4 b1 u. Member accepts time consuming. unpaid assignment in volun- tary association (scouting. church. or service agency) Yes No Yes Mo I 2 3 4 5 v. Outside activities draw adult members away from family Yes No Yes Ho I 2 3 4 S w. Member's hours/ scheduling of work change Yes Ho Yes Mo I Z 3 4 5 x. Member has major conflict with boss and/or others at work Yes No Yes No I Z 3 4 S __"m. afflm's‘fmu cross raifi'bs y. Relatives/In-Iawa become intrusive (offer un- welcome advice. gifts) Yes Mo Yes Me I Z 3 4 S a. Death of husband's or wife a parents Yes Me Yes, Mo l 2 3 4 S 122 EVENT Has This Event Happened How Disturbing Has to Your Family.ln... This Event? [fiEast 12 mos.]Yr. Before the last 12 mos. N 3's? 6’34“ «u :7 lb ‘9 set” a as. Death of brother or sister Yes No Yes No l 2 3 5 bb. Death of close friend and confident Yes No Yes No I 2 3 5 cc. Married children "freeze out" parents Yes No Yes No I 2 3 5 dd. Member breaks up with close friend or confi- dent Yes No Yes No I 2 3 5 ea. Relative dies (not parent or sibling) Yes No Yes No I 2 3 5 IV. HEALTH ff. Major wage earner experi- ences serious illness or accident Yes No Yes No I 2 3 S gg. Member experiences serious . emotional problems Yes No Yes No l 2 3 5 hh. Child member experiences serious illness/accident Yes No Yes No I 2 3 5 ii. Aged parent(s) becomes seriously ill or disabled requiring direct care. Yes No Yes No I 2 3 5 5]. Member experiences menopause Yes No Yes No I 2 3 S kk. Aged parent committed to institution or placed in nursing home Yes No Yes No I 2 3 S V. HOUSEHOLD FINANCE AND LEGAL ISSUES ll. Husband's or wife's parents or siblings require finan- cial assistance Yes No Yes No I 2 3 5 mm. Cut in total family income Yes No Yes No l 2 3 5 an. Expenses exceed total family income requiring going into debt Yes No Yes No I 2 3 5 oo. Famil takes a msiot loss In stock market. bank failure. bad debts. etc. Yes Mo Yes No I 2 3 S 123 QZO OZI EVENT Has This Even Happened How Disturbing To Your Family In.... Has This Event? I Last 12 mos. Yr. Before the] I I last 12 mos. g A ‘V ‘U a. .. e e «M 0 A? Q 3' 4’ . I. pp. Family receives windfall e 3 0 s1" 9 funds (inheritance. a. .27 i d 4' lottery win. or other * " unanticipated gain) Yes No Yes No I 2 3 4 5 qq. Member starts receiving public assistance in the form of food stamps. rent subsidy or AFDC Yes No Yes No I 2 3 4 5 rr. Member takes out or refinances a loan to cover increased expenses Yes No Yes No I 2 3 4 5 as. Family member involved with courts; robbed or assaulted. arrested for crime or minor mis- demeanor. jailed. or involved in lawsuit Yes No Yes No I 2 3 4 5 tt. Family forced to dip - heavily into family savings Yes No Yes No I 2 3 4 5 uu. Member taking on additional jobs Yes No Yes No I 2 3 4 5 vv. Member experiencing demotion. job bumping. or retooling Yes No Yes No I 2 3 4 5 VI. OTHER EVENTS NOT COVERED ww. Yes No Yes lo I 2 3 4 5 xx. Yes Mo Yes No I 2 3 4 S Of the events just considered that happened in your family during the last 2 years. which one had the most impact on your family? Hhat resources were important to you in coping with this event? .124 He're interested in the health of you and the children living at home now. Please use the codes given below to indicate how often the following items apply to members of your family. 1. Never 2. Seldom 3. Sometimes 4. Frequently 5. Almost Always For example. if child 1 had trouble sleeping ”frequently” and child 4 "sometimes" and no one else in the family had trouble sleeping. then you would answer: s~fiwbbxb ‘b b. ‘b 5, ‘b ‘wb\>~~b ~~N '» ‘v » b' ., h' a. ‘~ ~°$6