Medicina v Kuzbasse (Dec 2023)
HEALTH, QUALITY OF LIFE, WELL-BEING AND HUMAN ADAPTATION: INTERRELATIONS OF PHENOMENA
Abstract
During periods of significant socio-economic transformations in the country and in society, the importance of the problem of human health and mental well-being increases, to the solution of which hygienic science as a branch of preventive medicine makes a significant contribution. The purpose of the article – to study the relationship between the concept of «health», the related concepts of «subjective quality of life» and «subjective well-being», as well as the phenomena behind these concepts. Research methods. analysis of the views of various authors, their theoretical generalization and development. The review was prepared using the Scopus, Web of Science, MedLine, CyberLeninka, and RSCI databases. Results. When considering the «quality of life», its self-assessment component stands out. It is shown that on its basis the indicator «quality of life as a medical category» and the medical concept of the study of this indicator have been elaborated. In the category of «well-being», «subjective well-being» and «psychological well-being» are singled out as objects of the research. The basis for their differentiation is the role of human subjectivity. An analysis of psychological well-being is presented, represented by a three-component structure (emotional, cognitive and behavioral components). The use of such a structure for changing psychological well-being in psychotherapeutic concepts is considered. A purposeful cognitive, emotionally rich impact on a person from the outside can lead to the formation of irrational beliefs (attitudes) in him. The consequence is the “non-well-being” of the individual, manifested in self-perception and behavior. In the category of «health» stands out «physical», «mental» and «psychological» health; their mutual influence is considered. Health and well-being are associated with the adaptation of the human body and personality to the changes in the external environment. The property of «subjectivity» appears as a necessary condition for an adequate, responsible attitude of a person to his health. Conclusion. Based on the review, the author proposes a three-link logical chain for the triggering of «psychological non-well-being» of an individual when irrational cognitive attitudes are formed from the outside. Possible personal means of counteracting the introduction of irrational beliefs from the outside are named.
