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Longitudinal association between self-rated health and psychological well-being in a sample of Spanish university graduates

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dc.contributor.authorVasilj, Maria
dc.contributor.authorToledo, Estefania
dc.contributor.authorSilván Ferrero, Mª Del Prado
dc.contributor.authorNouvilas Palleja, Encarnación
dc.contributor.authorJarufe, Alessandra
dc.contributor.authorGoni, Leticia
dc.contributor.authorBes Rastrollo, Maira
dc.contributor.authorRuiz Canela, Miguel
dc.contributor.funderInstituto de Salud Carlos III
dc.contributor.funderGobierno de Navarra
dc.date.accessioned2026-01-22T12:49:38Z
dc.date.available2026-01-22T12:49:38Z
dc.date.issued2025-12-26
dc.descriptionThe registered version of this article, first published in “PLoS One 20(12): e0338320", is available online at the publisher's website: https://doi.org/10.1371/journal.pone.0338320
dc.descriptionLa versión registrada de este artículo, publicado por primera vez en “PLoS One 20(12): e0338320", está disponible en línea en el sitio web del editor: https://doi.org/10.1371/journal.pone.0338320
dc.description.abstractPurpose Previous research has shown that psychological well-being (PWB) is associated with self-rated health (SRH) over time, but limited research has explored the reciprocal association. This study examined the longitudinal association between self-rated health and subsequent psychological well-being in a Spanish cohort. Methods Data were collected from participants of the “Seguimiento Universidad de Navarra” (SUN) Project, a dynamic university graduate cohort study. Psychological well-being was measured using the Ryff scale. Multivariable linear regressions analyse assessed the relationships between self-rated health, measured at study’s baseline and after 4 years, and psychological well-being measured after a mean follow-up of 14.6 years. The association with Ryff’s six dimensions (self-acceptance, positive relations with others, autonomy, environmental mastery, purpose in life, and personal growth) was also assessed. Results A total of 2,927 participants, mean age 38.7 years (SD = 11.2) at pre-baseline, 55.5% women, were followed-up for a mean of 14.6 years (SD 0.7). Compared to participants reporting poor/fair health, those with excellent self-rated health at baseline showed substantially higher subsequent psychological well-being scores (ajusted β = 15.1, 95% CI: 11.4–20.3) and were three times more likely to have above-median psychological well-being (adjusted OR=3.0, 95% CI: 1.8–4.8). A dose-response relationship was observed across self-rated health categories, with significant associations for all PWB dimensions. Additionally, self-rated health improvements during the first 4 years were associated with higher subsequent psychological well-being scores. Conclusions Self-rated health showed a direct, long-term association with subsequent PWB among Spanish university graduates, suggesting that perceived health status may be an important determinant of future PWB. However, our findings are limited by the single measurement of PWB and the use of self-reported measures. Further studies in more diverse populations are warranted to confirm these results.en
dc.description.provenanceMade available in DSpace on 2026-01-22T12:49:38Z (GMT). No. of bitstreams: 1 SilvanFerreroPrado.LongitudinalAssociation_M. DEL PRADO SILVAN.pdf: 909195 bytes, checksum: 08d27eaece4eef861122fb49120869a0 (MD5) Previous issue date: 2025-12-26en
dc.description.sponsorshipThis work was supported by the Spanish Government–Instituto de Salud Carlos III, Fondo Europeo de Desarrollo Regional (FEDER), co-funded European Union: PI23/01332, PI24/0173, and the Navarra Regional Government (19/2023).
dc.description.sponsorshipinfo:eu-repo/grantAgreement/DFN//PI24/0173/ES/Dieta Mediterránea y Menopausia
dc.description.versionversión publicada
dc.identifier.citationVasilj, M., Toledo, E., Silván-Ferrero, P., Nouvilas-Pallejá, E., Jarufe, A., Goni, L., Bes-Rastrollo, M. y Miguel Ruiz-Canela, M. (2025) Longitudinal association between self-rated health and psychological well-being in a sample of Spanish university graduates. PLoS One 20(12): e0338320. https://doi. org/10.1371/journal.pone.0338320
dc.identifier.doihttps://doi.org/10.1371/journal.pone.0338320
dc.identifier.issn1932-6203
dc.identifier.urihttps://hdl.handle.net/20.500.14468/31526
dc.journal.issue12
dc.journal.titlePLoS One
dc.journal.volume20
dc.language.isoen
dc.publisherPublic Library of Science
dc.relation.centerFacultad de Psicología
dc.relation.departmentPsicología Social y de las Organizaciones
dc.relation.projectidinfo:eu-repo/grantAgreement/ISCIII/2023 AES Proyectos de investigación (INSTITUTO DE SALUD CARLOS III/PI23/01332/ES/Florecimiento humano para prevenir la depresión: análisis longitudinal de la cohorte SUN
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.es
dc.subject6114 Psicología social
dc.titleLongitudinal association between self-rated health and psychological well-being in a sample of Spanish university graduatesen
dc.typeartículoes
dc.typejournal articleen
dspace.entity.typePublication
relation.isAuthorOfPublication65b34953-d4a2-4533-8d3f-f9a08bcdd96c
relation.isAuthorOfPublicationecfc7fac-3f59-4a30-a50d-6ffd4b7eae4c
relation.isAuthorOfPublication.latestForDiscovery65b34953-d4a2-4533-8d3f-f9a08bcdd96c
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