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Clint Hougen
Teachers College
Brian J. Hall
Stevan E. Hobfoll
Department of Psychology
Email: wkhou@eduhk.hk
Acknowledgement:
This research was supported by Early Career Scheme (Project No.: HKIED 859113) and the
Fulbright-RGC Hong Kong Senior Research Scholar Award from the Research Grants
Council of the Hong Kong Special Administrative Region, China (WK Hou). The Fulbright-
RGC Hong Kong Award was in collaboration with the Consulate General of the United
Abstract
Sustainment of daily routines requires greater psychological resilience and may lead to
greater resilience in the face of stressors. Existing scales tend only to focus on emotions and
engagement, rather than how well individuals sustain routine behaviors. To address this gap
Likert-type items were developed to indicate how regularly respondents performed a variety
of specific routines. Four separate study samples were collected through online surveys with
goodness-of-fit and consisted of 42 items, which loaded on eight dimensions: hygiene, eating,
sleep, duties at home, leisure at home, exercising, social activities, and work/study
involvement (α=.73-.93). These eight dimensions further loaded on two second-order factors,
primary and secondary daily routines. Convergent validity was demonstrated in the
correlations with Lawton Instrumental Activities of Daily Living Scale, Perceived Ability to
Cope with Trauma Scale, Savoring Beliefs Inventory, and Conservation of Resources–
Evaluation. Discriminant validity was demonstrated in the correlations with the List of
Threatening Experiences, Life Events Checklist for DSM-5, and items on chronic financial
PTSD Checklist–Civilian Version, Positive and Negative Affect Schedule, Satisfaction with
Life Scale, and Perceived Stress Scale. Incremental validity was shown in the correlations
with outcome measures independent of common coping and resource variables. Implications
Keywords
Inventory (SOLI), which validly and reliably assesses perceived regularity of different
dimensions of daily routines. Based on the data from SOLI, cost-effective mental health
assessment and intervention protocols could be designed and tailor-made for individuals
Resilience, a concept borrowed from natural sciences in the 1950s (Alexander, 2013;
Olsson, Jerneck, Thoren, Persson, & O’Byrne, 2015), was applied to understand human stress
adaptation and intensively studied across different settings and populations in recent decades.
Early findings suggested that psychological resilience is rare, meaning that only the minority
of people undergoing different forms of trauma and chronic stress conditions demonstrated
The term “ordinary magic” was used to describe children and adolescents who did not
demonstrate significant psychological distress but continued normative personal and social
development across their lifespan despite childhood adversities (Masten, 2001). The concept
then underwent a major turning point following the seminal work by Bonanno and colleagues
who demonstrated that resilience is common (Bonanno, 2004; Bonanno et al., 2002). A
wealth of evidence is currently available to show that the majority of the people exposed to
major stressors and life changes did not report clinically significant psychological distress
over time, including bereavement (e.g., Bonanno et al., 2002), life-threatening diseases (e.g.,
Hou, Law, Yin, & Fu, 2010), armed conflict (e.g., Greene et al., 2017), and military
deployment (e.g., Donoho, Bonanno, Porter, Kearney, & Powell, 2017). A wide array of
personal and social predictors were identified to be predictive of the resilient trajectory over
time following diverse traumatic exposures and major chronic stressors. The theoretical and
pathway along with recovery from distress in stress resilience (Hou & Lam, 2014; Zautra et
al., 2010).
resources are embedded at various levels of the ecology during stress and dictate resilience
during mass-level adversities such as social unrest, war, and armed conflict (Panter-Brick,
2014; Rosshandler, Hall, & Canetti, 2016). This perspective expanded the repertoire of
personal and interpersonal predictors of resilience to family, societal, and community levels,
such as family functioning, social capital, and collective efficacy (Ehsan & De Silva, 2015;
Hall, Tol, Jordans, Bass, & de Jong, 2014; Walsh, 2016). Hobfoll and colleagues (2012)
violent conflict. In this key study, most individuals continued to engage in life tasks despite
What is commonly implied across these perspectives is the context through which
from distress and sustainment of well-being were suggested to be seen in adaptation and
emphasizes sustaining livelihood and preserving life and cultural meanings in everyday life.
There is evidence showing that individuals are driven to engage in important life tasks, which
occur day in and day out, despite persistent direct and indirect traumatic experiences and
psychological distress.
stress resilience importantly advances the current research and practice in several ways. First,
the absence of psychological distress has been found to be common in prospective adaptation
to differential stressful situations (Bonanno, Westphal, & Mancini, 2011; Bonanno et al.,
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2015). Because of the comparable proportion and pattern of resilient trajectory, it does not
seem likely that differential stressful situations bring about the same resilient trajectory for
the same set of predictor variables. Rather, differential stressful situations can bring about the
same resilient trajectory for the same set of mechanisms. For example, despite the great
variety of major and minor stressors across different physical (e.g., natural disasters, wars,
workplace) and social (e.g., conjugal bereavement, interpersonal violence, marital conflict)
conditions, one thing that remains constant is that people need to live their lives day in and
day out. Understanding everyday life as the mechanisms of resilience will contribute
and social functioning. But how and why are most of us able to remain emotionally and
socially healthy, that is, resilient, over time despite adversity? Measuring the mechanisms of
resilience will clarify the links between diverse stressors and outcomes.
Third, everyday life mechanisms of resilience can be compared and contrasted across
Therefore, greater clarity on the components of the mechanisms for individual stressors,
together with valid and reliable assessment methods, could facilitate the development of
effective interventions, not only for the immediate and medium terms but also for the long
term.
Fourth, stressful situations impact not only individual and social well-being but also
how we live our lives. For example, people with type-2 diabetes need to devote extra
attention on what they eat and regularly test blood-sugar levels in their daily living alone or
with social partners. Immediately following disasters, survivors need to make an effort to get
clean water, food, and sufficient sleep; adults might lose their jobs and children might not
6
have regular schooling. Everyday life mechanisms will explain how resilience emerges and
Currently, there are at least two lines of research on the measurement of everyday life
experiences. The first measures activities of daily living (ADL) that originated from the
daily functioning among disabled, the elderly, and those with physical limitations (Katz,
1983). ADL can be basic or instrumental. Basic ADL refers to self-care tasks such as bathing,
personal hygiene, dressing, self-feeding, and mobility for independent living. Instrumental
ADL are more complex activities that demand higher levels of physical functioning, such as
preparing meals, home maintenance, shopping for groceries, and travelling within the
community.
The second line of research measures hassles and uplifts, which encompass a great
variety of activities or behaviors (e.g., sex, cooking), people (e.g., family, fellow workers),
interpersonal interactions (e.g., conversations with spouse), thoughts and feelings (e.g., being
organized, feeling safe), the environment (e.g., the weather, political or social issues), or even
objects (e.g., television, pets) (DeLongis, Folkman, & Lazarus, 1988; Kanner, Coyne,
Schaefer, & Lazarus, 1981). Emotional valence of each item is rated in terms of hassle, pain,
Both measures of ADL and daily hassles and uplifts emerged for practical reasons.
ADL focused on dimensions that have significant implications for clinical and health care
practice. Hassles and uplifts were mundane yet important life dimensions that were
overlooked at the time when most research focused exclusively on significant life
events/stressors such as the death of loved ones and a major health problem. Neither ADL
nor daily hassles and uplifts address directly exact behaviors pertinent to adaptation in
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contextualizing psychological resilience within ordinary daily living. But none of the two
measures above conceptualized how overt behaviors, or daily routines, which are parts of our
everyday life, might be relevant to vulnerability and resilience during and after different
forms of trauma and chronic stress conditions. This study sought to develop a self-report
To address the need to attend to everyday life in stress adaptation and resilience, how
the multitude of everyday life experiences impact stress adaptation and resilience should be
clarified in order to generate testable hypotheses and appropriate measurement for empirical
investigations. A new theory called the Drive to Thrive (DTT) theory used the term “fabrics”
as a metaphor of interwoven and interdependent routines and rituals that make up the
structure of our everyday life and offer sustaining benefit on health in adaptation to stress
(Hou, Hall, & Hobfoll, 2018a). The basic tenet of the Drive to Thrive (DTT) theory is that
stress resilience is determined by sustaining the fabrics and structure of everyday life.
thoughts and feelings, people we meet, objects, and our physical and social environment as in
measures of daily hassles and uplifts. Our daily routines could be understood by referring to
different degrees of necessity of performing them (Baltes, Maas, Wilms, Borchelt, & Little,
1999; Hou et al., 2018). Primary routines refer to essential behaviors that are linked to
survival or biological needs. For example, we need to eat and sleep, and maintain certain
standards of personal hygiene for maintaining health (Prüss, Kay, Fewtrell, & Bartram,
2002). We need a home for practical utility including meal and a shelter as well as a sense of
meaning and belonging (Oswald & Wahl, 2005). Secondary routines refer to optional
8
Participation in regular exercises and leisure activities benefits physical and mental health
(Chen & Pang, 2012). We attempt to stay connected with family and friends. Despite the
health benefit, these activities might not be practiced in some stress conditions, such as
during social upheaval and when experiencing heavy job demands (Borodulin et al., 2016).
Work or study are usual routines for people except for those within less socially organized
According to the DTT theory, people are challenged to sustain their daily routines
during stress, while they increasingly focus their attention on the stressors or their own
distress (Principle 1). Traumatic and chronic stress are usually associated with contexts that
affect and restrict people from practicing tasks that sustain their daily routines, resulting in
disruption or reduced regularity of the routines (Principle 2). For example, they pay less
attention to personal hygiene and dietary standards, sleep less, spend less time at home or on
leisure activities, limit social contact, or quit or are fired from jobs.
Based on Principle 1 and Principle 2, two corollaries explain how daily routines could
change during stress adaptation. First, daily routines and stressors reciprocally influence each
other – a more negative experience of the stressors contributes to reduced the regularity of
practicing the routines, and vice versa (Corollary 1). Second, the regularity and sustainment
of daily routines are related to health outcomes independent of the impact of stressors
(Corollary 2). The DTT theory argues that it is the disruption and termination of daily
routines, indicated by how regularly people perform them, that impact stress adaptation and
resilience. In addition, the relevance of primary and secondary routines to adaptation depends
on the type of stressors. Under immediate deprived conditions such as financial difficulty
following the death of working husband and extreme physical conditions following natural
9
disasters, reduced regularity of primary but not secondary routines could have stronger
inverse associations with physical and mental health (Hou, Ho, Kim, Seong, & Hobfoll,
2018b). In contrast, people undergoing chronic stress could have developed an altered
regularity of necessary, primary routines (Lai, Ma, Hobfoll, & Hou, 2018). Disruption or
termination of selective secondary routines could have a stronger adverse impact on health
Sustainability of Living Inventory (SOLI), for capturing important everyday life processes
that are relevant to adaptation and resilience among multiple samples of community-dwelling
adults. First, items were drafted, tested, and modified with reference to the pilot data on the
dimensionality of the scale items in exploratory factor analysis (Study 1). Second, the
factorial structure of the scales was established using confirmatory factor analysis in
accordance with the results of exploratory factor analysis (Study 2). Third, measurement
invariance of the SOLI was tested across demographic groups (age, sex, and ethnicity) to
ensure the robustness of the established model (Study 3). Fourth, subscales were validated
criterion-related, and incremental validity (Study 4). To reduce assessment load on the
participants, we have collected four separate samples using different instruments for
validation purposes. Specifically, in the present study, Study 1 was conducted with the first
sample (n=406), Study 2 with the second sample (n=402), Study 3 with the third sample
(n=406), and Study 4 with the fourth sample (n=301) together with the second and third
samples to validate the final scale. Table 1 summarized characteristics of the four samples.
Our initial goal was to develop a pool of items that sufficiently covered key dimensions of
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everyday life as outlined in the DTT theory and explore the dimensionality among these
items. Based on the DTT theory, previous relevant frameworks (Baltes et al., 1999), and
existing self-report measures that capture everyday experiences (DeLongis et al., 1988;
Kanner et al., 1981; Katz, 1983; Lawton & Brody, 1969), a pool of items were developed to
reflect primary and secondary daily routines, in particular, actual behaviors but not thoughts
and feelings, people we meet, objects, and our physical and social environment. Necessary
primary routines included maintaining personal hygiene, eating healthy, sleep, and activities
activities, and work/study involvement. An item pool was generated for each domain by the
authors. With a multi-cultural team, the authors examined the appropriateness of the items
across different sociocultural contexts. Wordings and expressions were adjusted and agreed
upon by the authors. For example, while it is more common for U.S. young adults to live
apart from their parents, young adults in Hong Kong tend to live with their parents and the
trend has been increasing in recent decades (Hu & Chou, 2016). In addition, although the rate
of cohabitation has been increasing as China modernizes, the rate is still lower than those in
Western societies (Yu & Xie, 2015). To account for the possible sociocultural differences, for
example, in the item “Spend time with close social partners at home e.g., family/ partner/
Chinese demonstrated similar leisure motivations but less frequent participation in outdoor
recreational activities (Walker & Wang, 2008; Yu & Xie, 2015). When we drafted the items,
we included items that described active, outdoor-oriented activities such as eating out and
going to concerts as well as passive activities like watching TV and reading at home.
The initial instrument contained 46 draft items: Personal Hygiene (6 items), Eating (7
items), Sleep (4 items), Home Time (8 items), Exercising (5 items), Socializing with Friends
instruction read, “We are interested in how regularly you do the following things normally
every day. Please rate how regularly you do the following activities every day
NORMALLY.” Participants were asked to rate each item on a 3-point scale (0=Not at all,
1=Very little or seldom, 2=Very much or often). The reason for using a 3-point scale is to
make responding easier and thus enhance the applicability of the instrument to wider
populations, among which some might be minority or less educated, without compromising
validity and reliability of the resulting scores (Lee & Paek, 2014; Preston & Colman, 2000).
Method
The study was conducted using Amazon.com’s Mechanical Turk (MTurk) Service.
MTurk facilitates experimental and survey data collection using crowdsourced convenience
samples. There is evidence showing that data derived from MTurk participants is valid,
representative (e.g., Buhrmester, Kwang, & Gosling, 2011), and reliable (Casler, Bickel, &
Hackett, 2013; Ramsey, Thompson, & McKenzie, 2016). The survey session was advertised
and the draft items for SOLI. As aforementioned, the first of the four samples was used for
Study 1, where four hundred and six participants (203 males, 202 females, 1 other), mean age
35.64 (SD=11.17, range=18-81), completed the measures and were paid US$.50 for their
Worker ID to one participation across the four studies reported in this paper.
Analytic plan
Exploratory factor analysis (EFA) with promax rotation was conducted on the SOLI
draft with 46 items. Factorability of the item correlation matrix was tested using the Kaiser–
Meyer–Olkin (KMO) index and Bartlett’s test of sphericity (Tabachnick & Fidell, 2007).
Communality values indicated the association between item variance and the factors. The
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Results
In the factor analysis with promax rotation for the 46 items, the KMO index (.868)
and Bartlett’s test (χ2=7,502.16, df=1,035, p<.0001) indicated that the sample size was
adequate and the extracted factors accounted for substantial observed variance. Communality
predicted by the underlying factors. The latent root criterion suggested a 10-factor model
(60.13% of the total observed variance). The scree plot showed a noticeable difference in
slope after the second and the fifth eigenvalues. Three reverse or negatively worded items
namely “Skip meals,” “Eat instant or prepackaged food,” and “Take naps” formed a factor
that was uncorrelated or weakly correlated with the other factors (r= -.144 to -.204); another
reverse worded item “Avoid exercise” also cross-loaded on this factor. Inspection of these
items revealed that the reverse item “Skip meals” was only correlated with “Eat regularly
during the day” (r=-.27, p<.001) and “Eat instant or prepackaged food” (r=.336, p<.001). The
item “Eat instant or prepackaged food” was only weakly correlated or uncorrelated with the
other three eating-related items (r= -.18 to .07). The item “Take naps” was uncorrelated with
other sleep items (r= -.070 to .084, p= .099 to .626). The four items were excluded from
subsequent analyses.
Factor analysis with promax rotation was performed on the remaining 42 items
(Supplemental Table A1). An 8-factor model was specified. The KMO index (.876) and
Bartlett’s test (χ2=7038.705, df=861, p<0.0001) indicated that the sample size was adequate
and the extracted factors accounted for substantial observed variance. Communality values
13
predicted by the underlying factors. The latent root criterion suggested an 8-factor model
(57.90% of the total observed variance). The scree plot showed a noticeable difference in
slope after the eighth eigenvalue. Factor 1 “Work/Study Involvement” consisted of six items
of eight items describing connection and leisure activities with close social partners
(8.057%). Factor 3 “Personal Hygiene” consisted of five items on hygienic behaviors such as
brushing teeth and shower (7.185%). Factor 4 “Leisure at Home” contained five items that
described relaxing activities at home and leisure activities and hobbies (5.348%). Factor 5
“Exercising” contained four items on exercising and being active (4.099%). Factor 6 “Sleep”
consisted of three items on regular sleeping habits (3.569%). Factor 7 “Eating” contained
three items on regular and healthy eating (3.249%). Factor 8 “Duties at Home” contained five
items that describe duties at home, including cooking, grocery, laundry, household chores,
and home maintenance (2.866%). The 42 items were validated in subsequent phases. Factor
After selecting the 42 items with EFA in Study 1, the goal of Study 2 was to establish the
factorial structure of SOLI. Findings in Study 1 showed that eight factors were applicable for
categorizing the regularity of eight routines: Personal Hygiene (primary), Eating (primary),
Method
Similar to Study 1, all data collection in Study 2 was conducted using the MTurk
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Service. The second study sample was used. As shown in Table 1, in total, 402 participants
(213 males, 188 females, 1 other) of mean age 34.59 (SD=9.99, range=19-72) completed the
Analytic plan
(Rosseel, 2012) on the SOLI in Study 2. Using the diagonal weighted least square (DWLS)
estimator, we estimated a model with items respectively loaded on the eight dimensions
identified in the EFA, and further specified two second-order latent constructs in accordance
with the DTT: primary routines and secondary routines. In addition, we estimated another
model with only one second-order latent construct for comparison whereby all eight
dimensions were loaded on the same second-order construct. Goodness-of-fit was assessed
using Root Mean Square Error of Approximation (RMSEA), Standardized Root Mean Square
Residual (SRMR), Comparative Fit Index (CFI), and Tucker-Lewis Index (TLI). We
accepted the model if RMSEA and SRMR were both smaller than .08, and CFI and TLI were
both greater than .90. Last, we derived the Pearson correlation coefficients between average
scores of subscales and checked the Cronbach’s α of each of them to examine internal
consistency.
Results
Excellent goodness-of-fit was achieved for both models with one and two second-
order latent constructs, the performance of which were essentially identical: for the one-
construct model, χ2(df, p-value)= 1104.6 (810, <0.001), RMSEA=.032 (95% CI [0.027,
0.036]), SRMR=.063, CFI=.982, and TLI=.981; for the two-construct model, χ2(df, p-value)=
TLI=.983. All estimated parameters were statistically significant, and loadings were in
general reasonably strong in both models. Hence, in the absence of a significantly better
15
fitting parsimonious model (i.e. the one-construct model), we have adopted the hypothesized
two-construct model derived from the DTT theory as the final model for our further analyses
parameters of the one-construct model were tabulated as Supplemental Table A2. Table 2
shows the Pearson correlations between average scores of subscales and their Cronbach’s
After establishing the measurement model in Study 2, Study 3 aimed at testing the
measurement invariance across age groups, racial groups, and gender. In essence, we would
like to check whether the measurement model was consistent and robust across various
categorizations of participants.
Method
All data collection was conducted using the MTurk Service. We used the third study
sample for testing the measurement invariance across demographic groups (Table 1). In total,
406 participants (225 males, 181 females) of mean age 35.11 (SD=10.76, range=19-70)
completed the measures. All participants were paid US$2.50 for their participation.
Analytic plan
Model invariance was tested by comparing models with and without equality
constraints on the estimated parameters using χ2 tests and the changes in the value of SRMR,
CFI, and RMSEA. Models were compared between age groups (19-30 or 31+, 31 was the
median age of the sample), sex (men or women), and racial groups (white or non-white).
Significant χ2 test results suggest potential heterogeneity of the model across groups, while
small changes in SRMR, CFI, and RMSEA suggest model invariance (Chen, 2007). As χ2
tests are sensitive to sample size and may wrongly reject invariance (Chen, 2007), we further
16
applied the size of change criteria of SRMR, CFI, and RMSEA in cases of significant χ2 test
and means of the model. Specifically, for testing loading invariance, a change of ≥ .010 in
indicated non-invariance. For testing intercept and mean invariance, a change of ≥ .010 in
Results
As shown in Table 3, χ2 test results and other indicators of model invariance did not
agree on model invariance for some stratifications at certain levels. Therefore, where model
invariance was not supported by χ2 test results, we further examined changes of SRMR, CFI,
Specifically, χ2 tests only supported invariance of the loadings and intercepts of the
model across age (p>.05), but not across sex and race (p<.05). Also, χ2 test results did not
support model invariance across all three stratifications in means variance testing (p<.05).
We, accordingly, examined the changes in the value of the SRMR, CFI, and RMSEA
associated with the equality constraints on intercepts and means, which were all below the
related validity, and incremental validity of the SOLI based on the DTT theoretical
framework. Self-reported variables that were theorized to be related and unrelated to the scale
were chosen to be compared with subscales of the SOLI to determine the extent to which the
empirical relationships agreed with the theory, indicating validity of the measurement scale.
17
Method
included different instruments in different study samples. Data collected in Study 2, 3, and 4
was used. The demographics of the three samples are shown in Table 1. Using the model
derived in Study 2, model invariance across samples was examined and confirmed according
to the criteria applied in Study 3. Each of the 301 participants in the fourth sample were paid
Analytic plan
the total and subscale scores of SOLI and instruments that measure related concepts. Existing
daily living (IADL) scale (Lawton & Brody, 1969), 10 most frequent daily hassles and uplifts
as measured in Kanner, Coyne, Schaefer, and Lazarus (1981), and a self-report scale
measuring perceived engagement in important life tasks (Hobfoll et al., 2012). Coping-
related measures included the Perceived Ability to Cope with Trauma (PACT) scale
(Bonanno, Pat-Horenczyk & Noll, 2011) and Coping Flexibility Scale (Kato, 2012).
Measures of psychosocial resources that are related to everyday life experiences included
Savoring Beliefs Inventory (Bryant, 2003) and resource loss (personal, social, and material)
(Hou et al., 2015). We expected that SOLI full scale and subscale scores were correlated
inversely with hassles, difficulty in activities of daily living, and resource loss, and correlated
positively with uplifts, perceived engagement in important life tasks, coping, and perceived
capability of savoring. We also examined the correlations between ratings of regularity and
ratings of frequency (0=Not at all, 1=A little, 2=Quite a bit, 3=A lot).
Discriminant validity was tested by estimating the correlations between the SOLI and
18
measurements of life histories of stress. The DTT theory describes a reciprocal association
between stressors and the regularity of routines in the midst of post-traumatic or chronic
stress conditions (Hou et al., 2018a). Nevertheless, measures of life histories of trauma or
significant stressors could be distal and minimally related to the current evaluation of the
regularity of daily routines. These measures included list of threatening events (Brugha,
Bebbington, Tennant, & Hurry, 1985), potential traumatic events [Life Events Checklist for
DSM-5 (LEC-5); Weathers et al., 2013], and chronic financial strain (Peirce, Frone, Russell
& Cooper, 1996). We expected that measurement of the regularity of routines is weakly
Criterion-related validity was tested by deriving the correlations between the SOLI
and common self-reported outcomes that indicate psychological vulnerability and resilience.
The outcomes included anxiety symptoms measured by the State version of the State-Trait
Anxiety Inventory (STAI; Spielberger, Gorsuch, Lushene, Vagg, & Jacobs, 1983), depressive
symptoms by Patient Health Questionnaire (PHQ-9; Kroenke, Spitzer, & Williams, 2001),
PTSD symptoms by the PTSD Checklist – Civilian Version (PCL-C; Weathers et al., 2013),
10 positive emotional states in Positive and Negative Affect Schedule (PANAS; Watson,
Clark, & Tellegen, 1988), life satisfaction by the Satisfaction with Life Scale (SWLS, Diener,
Emmons, Larsen, & Griffin, 1985), and stress-related perceived thoughts and feelings by the
Perceived Stress Scale (PSS; Cohen, Kamarck, & Mermelstein, 1983). We expected that
SOLI scores were inversely correlated with psychiatric symptoms and perceived stress and
Finally, incremental validity was tested by showing the predictive utility of SOLI in
psychological functioning over and beyond the effects of other relevant variables.
Hierarchical multiple regressions tested the associations of SOLI scores with outcome scores
controlling for the effect of activities of daily living, daily hassles and uplifts, coping-related
19
variables, and psychosocial resources. We expected that SOLI scores were correlated with
Results
Convergent validity
SOLI’s total scores (-.351), subscale scores on the regularity of hygiene (-.408), duties at
home (-.331), leisure at home (-.346), and work/study involvement (-.273). Scores on daily
hassles and uplifts were uncorrelated with SOLI scores except between daily hassles and the
regularity of social activities (.235). Scores on perceived engagement in important life tasks
were moderately correlated with SOLI’s total scores (.525) as well as all subscale scores
(.261 to .458). Scores on both perceived ability to cope with trauma and coping flexibility
were moderately correlated with SOLI’s total scores, respectively (.371 and .302). Perceived
ability to cope with trauma was correlated with more regular eating, duties at home, leisure at
home, and social activity as well (.244 to .314). Savoring was positively correlated with
SOLI’s total scores (.414) and individual scores on eating (.304), sleep (.265), duties at home
(.262), leisure at home (.320), and social activities (.291). Loss of personal resources was
inversely correlated with hygiene, eating, duties at home, and leisure at home (-.247 to -.308)
and total scores (-.308) of SOLI. Summed resource loss was inversely correlated with total
scores (-.269) and individual scores on hygiene (-.293) and leisure at home (-.285) of SOLI.
Moderate to strong correlations were found between ratings of regularity and ratings of
frequency: hygiene (.353), eating (.482), sleep (.560), duties at home (.448), leisure at home
(.464), exercising (.589), social activities (.788), and work/study involvement (.526).
Discriminant validity
Different measures of generic stressful and traumatic life events were only weakly
20
correlated or uncorrelated with total and subscale scores of SOLI. Scores on chronic financial
strain were uncorrelated with all scores of SOLI, while scores on acute financial strain were
only weakly correlated with total and all subscale scores of SOLI (.096 to .226); none of the
stressors measures were correlated with social activities subscale (.019 to .079) (Table 4).
Criterion-related validity
Sleep, leisure at home, and total scores on SOLI (-.345 to -.261) were moderately
correlated with lower anxiety symptoms. Hygiene, eating, sleep, leisure at home, work/study
involvement, and total scores (-.382 to -.311) were moderately correlated with lower
depressive symptoms. Hygiene (-.316) and leisure at home (-.321) were associated with
lower PTSD symptoms. Eating, sleep, duties at home, leisure at home, exercising, and total
scores were correlated with lower perceived stress (-.411 to -.275). Eating, exercising, social
activities, and total scores were moderately correlated with higher positive emotions (.266 to
.424). Sleep, exercising, social activities, and total scores were moderately correlated with
Incremental validity
The results are summarized in Table 5. Controlling for the effects of activities of daily
living and daily hassles and uplifts, anxiety symptoms were not associated with all SOLI
scores. Depressive symptoms were associated with less regular eating but more regular social
activities. Positive emotions were associated with more regular eating and social activities.
Life satisfaction was associated with more regular duties at home, exercise, and social
Controlling for the effect of engagement in important life tasks, anxiety symptoms
were associated with more regular sleep and leisure at home. Depressive symptoms were
associated with less regular sleep and work/study involvement and more regular social
activities. While positive emotions were associated with none of the routines, life satisfaction
21
was associated with more regular sleep and social activities and less regular hygienic
behaviors.
Controlling for the effect of perceived ability of coping with trauma, anxiety
symptoms were associated with less regular sleep, duties and leisure at home, and work/study
involvement, whereas depressive symptoms were associated with less regular hygiene,
eating, sleep, and work/study. Positive emotions and life satisfaction were inversely
associated with hygiene and positively associated with social activities, while the later was
also positively associated with sleep. Controlling for the effect of coping flexibility, anxiety
and depressive symptoms were inversely associated with the regularity of sleep and social
activities. Psychological well-being was positively associated with the regularity of sleep and
social activities.
Controlling for the effect of resource loss, both anxiety and depressive symptoms
were associated with less regular sleep and social activities. Positive emotions were
associated with more regular exercising and social activities. Life satisfaction was associated
with less regular hygiene and more regular sleep, exercising, and social activities.
Overall, the regularity of hygiene, sleep, and social activities consistently emerged to
be associated with higher mental health, independent of the effects of other relevant
psychosocial variables.
Discussion
We developed and validated the SOLI as one of the first self-report instruments for
assessing perceived regularity of daily routines based on the DTT theory. Across four
samples of participants, eight subscales were derived and tested, namely Personal Hygiene,
Eating, Sleep, Duties at Home, Leisure at Home, Exercising, Social Activities, and
SOLI. Confirmatory factor analysis derived a model with two latent factors, primary and
22
secondary daily routines, each was correlated with specific subscales: primary – Personal
Hygiene, Eating, Sleep, Duties at Home; secondary – Leisure at Home, Exercising, Social
comparable model statistics between age groups (19-30 or 31+), gender (men or women), and
ethnicity (white or non-white). Convergent validity was shown in the moderate correlations
of SOLI full scale and subscales with other measures of everyday life experiences (i.e.,
activities of daily living and perceived engagement in everyday life tasks), coping (i.e.,
perceived ability to cope with trauma and coping flexibility), and psychosocial resources
Correlations between ratings of regularity and ratings of frequency on the routines were
moderate to strong. Discriminant validity was asserted by null and weak correlations of the
subscales with measures of generic stressful life experiences and specific acute and chronic
the subscales with well established, commonly used measures of mental health outcomes,
namely anxiety, depressive, and PTSD symptoms, positive emotions, and life satisfaction.
outcomes, controlling for the effects of measures of related constructs (i.e., everyday life
Most if not all primary daily routines were moderately correlated with perceived
engagement in important life tasks, perceived capability of savoring, personal resource loss,
anxiety and depressive symptoms, perceived stress, positive emotions, and life satisfaction.
The regularity of primary daily routines could be used for evaluating the mental health
implication of basic daily living. Decades of research has found that ADL is a fundamental
outcome that is closely related to lower utilization of medical and supportive care services
and reduced odds of mortality among disabled, physically disadvantaged, and aging
23
populations (Veerbeek, Kwakkel, van Wegen, Ket, & Heymans, 2011; Jekel et al., 2015).
Measurement of ADL includes very basic activities such as shopping for grocery,
maintaining hygiene, cooking, and making phone calls. These are essential activities that are
minimally impaired among adults without significant physical limitations, and if these
activities are impaired, people’s basic livelihood will be seriously affected. Because ADL
instruments were designed for populations with potentially lower overall functioning, ceiling
effect might be observed in otherwise healthy populations or those who face mental but not
physical limitations. Therefore ADL instrument might not be sensitive enough to detect
differences in daily routines that are relevant to stress adaptation and resilience and might not
be applicable to studying populations other than those with physical limitations or in extreme
stress conditions. In addition, ADL assesses whether or not people are able to do the basic
activities, not how well they do them, which are conceptually distinct. The DTT theory
suggested that the regularity of primary as well as secondary routines is directly related to
mental health and interacts with the impact of stressors. This conceptual difference is also
confirmed by our finding that ADL was only moderately correlated with the SOLI. By
looking at regularity, SOLI assesses how well people can maintain their primary routines,
extending the conceptual and empirical utility of looking at basic daily living in stress and
coping research.
Contrary to our expectation, SOLI total and subscale scores were almost uncorrelated
with daily hassles and uplifts. This result highlighted that measuring regularity is
routines, showing the discriminant validity of SOLI. A large body of literature has
distress and well-being (e.g., Almeida, 2005; Brantley, Waggoner, Jones, & Rappaport, 1987;
24
Butler, Hokanson, & Flynn, 1994; Charles, Piazza, Mogle, Sliwinski, & Almeida, 2013;
DeLongis et al., 1988; Kanner et al., 1981; Totenhagen, Serido, Curran, & Butler, 2012). This
line of work importantly highlights that positive and negative feelings relating to daily
events, apart from major life events, are also associated with distress and well-being.
However, only a handful of studies have categorized the events into meaningful domains
such as leisure activities (e.g., Totenhagen et al., 2012), while hassles and uplifts were
Monroe, 2016). Unlike measures of daily hassles and uplifts, SOLI focuses on regularity,
precluding the possible overlap between its scores and mental health outcomes including
distress and well-being. The concept and measurement of SOLI take into account the
possibility that daily routines as behavioral processes play a role in the associations between
trauma and chronic stress conditions and physical and mental health. Next, we focus our
discussions on the possible interaction between sleep and waking activities, the centrality of
regular social activities, and the role of leisure among other routines.
The regularity of sleep was consistently correlated with lower anxiety and depressive
symptoms controlling for the effects of other psychosocial variables. Conceptually sleep
represents the non-waking side of our daily routines, whereas routines in waking hours
include personal hygiene, eating, home maintenance/making, leisure and social activities, and
scheduled work/study. Studies have shown that people with more regular routines
demonstrated deeper nocturnal dip in body temperature, which is associated with better sleep
(Monk, Petrie, Hayes, & Kupper, 1994). Compared with those with clinical insomnia, people
without sleeping problems reported similar levels of activity but more regularity in daily
routines (Moss, Carney, Haynes, & Harris, 2015). More regular routines were also associated
with shorter sleep latency, higher sleep efficiency, and improved sleep quality among older
25
adults, controlling for the effects of activities of daily living (Zisberg, Gur-Yaish, & Shochat,
2010). Taken together with previous and the present findings, although routines in waking
hours might not be correlated with mental health outcomes in itself, they might moderate the
The regularity of social activities was consistently associated with higher positive
emotions and life satisfaction, controlling for the effects of activities of daily living, daily
hassles and uplifts (i.e., emotional valence of everyday experiences), perceived coping-
related traits, and psychosocial resources. Interpersonal and social rhythm therapy has been
adopted as a specialized approach for managing and improving bipolar and depressive
disorders through enhancing the regularity of routines in everyday life (Frank et al., 2005;
Miklowitz et al., 2007). Among various routines, the initial focus of interpersonal and social
rhythm therapy emphasizes activities relating to role transitions, role disputes, and
interpersonal relational problems – daily routines that are closely related to fulfillment of
social roles such as home maintenance, work or study, and social activities. As suggested in
the DTT theory, the regularity of secondary routines is more related to mental health in the
absence of acute or even traumatic stress conditions, for primary routines are relatively stable
among people experiencing varying degrees of chronic stressors (Hou et al., 2018a). The
findings on the regularity of social activities were consistent with the theoretical proposition.
In addition, among different secondary routines, social activities could be more consistently
The associations of the regularity of leisure at home with psychological distress and
well-being became non-significant after controlling for the effects of coping-related variables
and psychosocial resources. Meta-analytic review showed that the positive associations
26
between engagement in leisure and different domains of subjective well-being are likely to be
moderated by employment status – stronger associations were observed among those who
were retired (Kuykendall, Tay, & Ng, 2015). Volunteering as a kind of serious leisure was
more strongly associated with subjective well-being among older adults with higher
perceived spousal support (Chen, 2014). We suggest two possible conditions. One possibility
is that regular leisure activities serve a supplementary role in the associations between
coping/psychosocial resources and mental health. When coping abilities or resources are low,
the association between leisure activities and mental health is significant and stronger. When
coping abilities or resources are high, the association became nonsignificant or weaker. The
other possibility is that the positive impact of regular leisure activities on mental health is
stronger when coping abilities or resources are higher, showing facilitative effects of coping
and resources on the health benefit of regular leisure activities. Because ratings on coping and
resources were comparable to those reported in previous studies (Bonanno et al., 2011; Hou
et al., 2015), it is more likely for the present findings to suggest that regular leisure
Limitations
Several limitations should be noted in interpreting the present findings. First, our
findings were generated from four sets of crowdsourcing data collected on MTurk. Growing
evidence suggests that the quality of data collected on MTurk is representative, valid, and
reliable, and we have attempted to minimize repeated data from the same participants by
restricting one participation to each MTurk Worker ID. Nevertheless, we could not rule out
the possibility that people with more than one ID participated in multiple studies, and this
might inadvertently influence the results. Second, the majority of our respondents were full-
time/part-time working adults in early and middle adulthood; most of them are educated with
at least college diploma and around half are married. The sample characteristics might have
27
restricted generalizability of the findings to other populations such as those with lower
socioeconomic status and less socially structured commitment to work/study. Third, the SOLI
was validated using cross-sectional retrospective data. We were not able to administer
out possible memory biases, the retrospective self-report in SOLI should be validated with
data obtained from an EMA protocol (Stone, Shiffman, Atienza, & Nebeling, 2007). But
SOLI, as shown across multiple samples of community dwelling adults, was ecologically
valid, reliable, and relatively easier to administer compared with an intensive longitudinal
design like EMA. Fourth, only the regularity of daily routines was assessed. There is a
chance that some people do not perform a routine at all, which is different from performing a
routine with varying degrees of regularity. Nevertheless, conceptually DTT theory does not
Fifth, some of the associations showing convergent validity were modest and might be
largely explained by shared method variance. The variables for examining convergent
validity were chosen based on their relevance to everyday life context (i.e., instrumental
activities of daily living scale), coping with stress (i.e., perceived capability and flexibility of
coping), and coping resources (i.e., resource loss). In fact, the measured constructs are at best
relevant to but not the same as the construct of regularity of daily routines or “fabrics.” The
difficulty of confirming convergent validity could be common for instruments measuring new
constructs. One possible solution, as we used in this study, is to examine the convergence
between different response formats: to what extent is the report of frequency consistent with
Notwithstanding the above limitations, this study is one of the first attempts to
everyday life experiences. Specifically, a theory-driven approach was adopted to design the
SOLI for measuring perceived regularity of different dimensions of daily routines. The
importance of assessing and intervening disruptions to daily experiences for mental health
has been emphasized. For example, the Activity Restriction Model of Depressed Affect
(Williamson, 1998; Williamson & Shaffer, 2000) suggested that reduction in valued daily
activities due to physical illnesses is one of the key pathways leading to depression. The loss
of control and consistency over important aspects of everyday life was found to predispose
poorer mental health among older adults who might face the stress of physical decline,
disability, and bereavement (Schulberg, Schulz, Miller, & Rollman, 2000; Zautra, Reich, &
Guarnaccia, 1990). The daily stressor model similarly proposed that post-traumatic personal
and social stress is more predictive of mental health over and beyond preexisting
populations (Miller & Rasmussen, 2010, 2014). Lifestyle interventions (i.e., personal
hygiene, healthy diet, sleep, exercising, management of recreational drug use, leisure and
relaxation, and social interaction) have been shown to be effective and provide added values
Specific instruments such as Social Rhythm Metric have been developed for assessing
the regularity of daily routines in an EMA protocol (Giglio et al., 2009; Monk, Flaherty,
Frank, Hoskinson, & Kupfer, 1990). But the instruments did not distinguish different
categories and types of routines that might vary across different post-traumatic and chronic
stress conditions (Hou et al., 2018a). SOLI could be used as a valid and reliable instrument
29
for screening daily routines that are relevant to mental health across differential stressors.
SOLI could also serve as a baseline measurement in EMA protocols, which aim to tease out
the daily processes of stress adaptation and resilience. With the data from SOLI, more cost-
effective EMA protocols could be designed. In addition, SOLI could extend the dimensions
of lifestyle interventions which currently focus more on exercising and diet (Sarris et al.,
enhance the regularity of multiple dimensions of daily routines such as hygiene, leisure, and
duties at home.
References
Almeida, D. M. (2005). Resilience and vulnerability to daily stressors assessed via diary
Anthony & C. Koupernik (Eds.), The Child in his Family: Children at Psychiatric Risk
Baltes, M. M., Maas, I., Wilms, H.-U., Borchelt, M., & Little, T. D. (1999). Everyday
competence in old and very old age: Theoretical considerations and empirical findings.
In P. B. Baltes & K. U. Mayer (Eds.), The Berlin Aging Study: Aging from 70 to 100 (pp.
Bonanno, G. A. (2004). Loss, Trauma, and Human Resilience: Have We Underestimated the
59, 20-28.
Bonanno, G. A., Pat-horenczyk, R., & Noll, J. (2011). Coping Flexibility and
Bonanno, G. A., Romero, S. A., Klein, S. I. (2015). The temporal elements of psychological
resilience: An integrative framework for the study of people, families, and communities.
Bonanno, G. A., Westphal, M., & Mancini, A. D. (2011). Resilience to loss and potential
Bonanno, G. A., Wortman, C. B., Lehman, D. R., Tweed, R. G., Haring, M., Sonnega, J.,
Carr, D., & Nesse, R. M. (2002). Resilience to loss and chronic grief: a prospective study
from preloss to 18-months postloss. Journal of Personality and Social Psychology, 83,
1150-1164.
Borodulin, K., Sipilä, N., Rahkonen, O., Leino-Arjas, P., Kestilä, L., Jousilahti, P., &
Brantley, P. J., Waggoner, C. D., Jones, G. N., & Rappaport, N. B. (1987). A daily stress
61-73.
Brugha, T., Bebbington, P., Tennant, C., & Hurry, J. (1985). The List of Threatening
Bryant, F. (2003). Savoring Beliefs Inventory (SBI): A scale for measuring beliefs about
Buhrmester, M., Kwang, T., & Gosling, S. D. (2011). Amazon's Mechanical Turk: A new
3-5.
Butler, A. C., Hokanson, J. E., & Flynn, H. A. (1994). A comparison of self-esteem lability
and low trait self-esteem as vulnerability factors for depression. Journal of Personality
31
Casler, K., Bickel, L., & Hackett, E. (2013). Separate but equal? A comparison of
participants and data gathered via Amazon’s MTurk, social media, and face-to-face
Charles, S. T., Piazza, J. R., Mogle, J., Sliwinski, M. J., & Almeida, D. M. (2013). The wear
and tear of daily stressors on mental health. Psychological Science, 24, 733-741.
Chen, M., & Pang, X. (2012). Leisure motivation: An integrative review. Social Behavior
Chen, K. Y. (2014). The relationship between serious leisure characteristics and subjective
well-being of older adult volunteers: The moderating effect of spousal support. Social
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress.
DeLongis, A., Folkman, S., & Lazarus, R. S. (1988). The impact of daily stress on health and
Diener, E. D., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life
Donoho, C. J., Bonanno, G. A., Porter, B., Kearney, L., & Powell, T. M. (2017). A Decade of
Ehsan, A. M., & De Silva, M. J. (2015). Social capital and common mental disorder: a
32
Frank, E., Kupfer, D. J., Thase, M. E., Mallinger, A. G., Swartz, H. A., Fagiolini, A. M.,
Grochocinski, V., Houck, P., Scott, J., Thompson, W., & Monk, T. (2005). Two-year
outcomes for interpersonal and social rhythm therapy in individuals with bipolar I
Giglio, L. M. F., da Silva Magalhães, P. V., Andreazza, A. C., Walz, J. C., Jakobson, L.,
Rucci, P., Rosa A. R, Hidalgo M. P, Vieta E., & Kapczinski, F. (2009). Development and
Greene, T., Gelkopf, M., Grinapol, S., Werbeloff, N., Carlson, E., & Lapid, L. (2017).
Guo, T., & Schneider, I. (2015). Measurement properties and cross-cultural equivalence of
Hall, B. J., Tol, W. A., Jordans, M. J., Bass, J., & de Jong, J. T. (2014). Understanding
Hobfoll, S. E., Johnson, R. J., Canetti, D., Palmieri, P. A., Hall, B. J., Lavi, I., & Galea, S.
(2012). Can people remain engaged and vigorous in the face of trauma? Palestinians in
the West Bank and Gaza. Psychiatry: Interpersonal & Biological Processes, 75, 60-75.
Hou, W. K., Hall, B. J., Canetti, D., Lau, K. M., Ng, S. M., & Hobfoll, S. E. (2015). Threat to
democracy: Physical and mental health impact of democracy movement in Hong Kong.
Hou, W. K., Hall, B. J., & Hobfoll, S. E. (2018a). Drive to thrive: A theory of resilience
following loss. In N. Morina & A. Nickerson (Eds.), Mental Health in Refugee and
33
Hou, W. K., Ho, J., Kim, H., Seong, E., & Hobfoll, S. E. (2018b). Everyday life experiences
and mental health among refugee and conflict-affected populations: A systematic review
Hou, W. K., & Lam, J. H. M. (2014). Resilience in the year after cancer diagnosis: a cross-
lagged panel analysis of the reciprocity between psychological distress and well-
Hou, W. K., Law, C. C., Yin, J., & Fu, Y. T. (2010). Resource loss, resource gain, and
Hu, F. Z., & Chou, K. L. (2016). Understanding the transition to independent living among
urban youth: A decomposition analysis for Hong Kong. Habitat International, 51, 141-
148.
Jekel, K., Damian, M., Wattmo, C., Hausner, L., Bullock, R., Connelly, P. J., Dubois, B.,
Eriksdotter, M., Ewers, M., Graessel, E., & Kramberger, M. G. (2015). Mild cognitive
Kanner, A. D., Coyne, J. C., Schaefer, C., & Lazarus, R. S. (1981). Comparison of two
modes of stress measurement: Daily hassles and uplifts versus major life events. Journal
Kato, T. (2012). Development of the Coping Flexibility Scale: Evidence for the coping
instrumental activities of daily living. Journal of the American Geriatrics Society, 31,
721-727.
34
Kuykendall, L., Tay, L., & Ng, V. (2015). Leisure engagement and subjective well-being: A
Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ‐9. Journal of General
Lai, F. T. T., Ma, T. W., Hobfoll, S. E., & Hou, W. K. (2018). Multi-morbidity and disrupted
Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: self-maintaining and
Lee, J., & Paek, I. (2014). In search of the optimal number of response categories in a rating
Miklowitz, D. J., Otto, M. W., Frank, E., Reilly-Harrington, N. A., Wisniewski, S. R., Kogan,
J. N., … & Sachs, G. S. (2007). Psychosocial treatments for bipolar depression: A 1-year
Miller, K. E., & Rasmussen, A. (2010). War exposure, daily stressors, and mental health in
conflict and post-conflict settings: Bridging the divide between trauma-focused and
Miller, K. E., & Rasmussen, A. (2014). War experiences, daily stressors and mental health
five years on: Elaborations and future directions. Intervention, 12, 33-42.
Monk, T. H., Flaherty, J. F., Frank, E., Hoskinson, K., & Kupfer, D. J. (1990). The Social
Rhythm Metric: An instrument to quantify the daily rhythms of life. The Journal of
Monk, T. H., Petrie, S. R., Hayes, A. J., & Kupfer, D. J. (1994). Regularity of daily life in
relation to personality, age, gender, sleep quality and circadian rhythms. Journal of Sleep
Research, 3, 196-205.
Moss, T. G., Carney, C. E., Haynes, P., & Harris, A. L. (2015). Is daily routine important for
M. J., Castro-Gracia, A., ... & Garcia-Campayo, J. (2018). Facilitators and barriers to
Olsson, L., Jerneck, A., Thoren, H., Persson, J., & O’Byrne, D. (2015). Why resilience is
http://advances.sciencemag.org/content/1/4/e1400217
Oswald, F., & Wahl, H. W. (2005). Dimensions of the meaning of home in later life. In G. D.
Rowles, & H. Chaudhury (Eds.), Home and Identity in Late Life (pp. 21-46). New York:
Springer.
Peirce, R. S., Frone, M. R., Russell, M., & Cooper, M. L. (1996). Financial stress, social
Preston, C. C., & Colman, A. M. (2000). Optimal number of response categories in rating
Prüss, A., Kay, D., Fewtrell, L., & Bartram, J. (2002). Estimating the burden of disease from
water, sanitation, and hygiene at a global level. Environmental Health Perspectives, 110,
537-542.
Ramsey, S. R., Thompson, K. L., McKenzie, M., & Rosenbaum, A. (2016). Psychological
research in the internet age: The quality of web-based data. Computers in Human
Rosseel, Y. (2012). Lavaan: An R package for structural equation modeling and more.
to understand risk factors of PTSD due to prolonged conflict exposure: Israeli and
Sarris, J., Adrienne, O., Coulson, C. E., Schweitzer, I., & Berk, M. (2014). Lifestyle medicine
Schulberg, H. C., Schulz, R., Miller, M. D., & Rollman, B. (2000). Depression and physical
Theory, Research, and Practice. (pp. 239–256). Boston, MA: Springer US.
Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual
for State–Trait Anxiety Inventory (Form Y). Palo Alto, CA: Consulting Psychologists
Press.
Stone, A., Shiffman, S., Atienza, A., & Nebeling, L. (2007). The Science of Real-Time Data
Tabachnick, B. G., & Fidell, L. S. (2007). Using Multivariate Statistics. (5th ed.). Boston,
MA: Pearson.
37
Totenhagen, C. J., Serido, J., Curran, M. A., & Butler, E. A. (2012). Daily hassles and uplifts:
719-728.
Veerbeek, J. M., Kwakkel, G., van Wegen, E. E., Ket, J. C., & Heymans, M. W. (2011).
Walker, G. J., & Wang, X. (2008). The meaning of leisure for Chinese/Canadians. Leisure
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief
measures of positive and negative affect: the PANAS scales. Journal of Personality and
Weathers, F.W., Litz, B.T., Keane, T.M., Palmieri, P.A., Marx, B.P., & Schnurr, P.P. (2013).
The PTSD Checklist for DSM-5 (PCL-5). Scale available from the National Center for
PTSD at www.ptsd.va.gov.
327-347.
Williamson, G. M., & Shaffer, D. R. (2000). The Activity Restriction Model of depressed
and Depression in Older Adults: A Handbook of Theory, Research, and Practice (pp.
Yu, J., & Xie, Y. (2015). Cohabitation in China: Trends and determinants. Population and
Zautra, A. J., Arewasikporn, A., & Davis, M. C. (2010). Resilience: Promoting well-being
238.
Zautra, A. J., Reich, J. W., & Guarnaccia, C. A. (1990). Some everyday life consequences of
disability and bereavement for older adults. Journal of Personality and Social
Zisberg, A., Gur-Yaish, N., & Shochat, T. (2010). Contribution of routine to sleep quality in
Zschucke, E., Renneberg, B., Dimeo, F., Wüstenberg, T., & Ströhle, A. (2015). The stress-
Figure 1. Final model generated from the confirmatory factor analysis with standardized
coefficients.
Note. Hy: personal hygiene item; Ea: eating item; Sl: sleep item; Ho: home item; Le: leisure
item; Ex: exercise item; Wo: work/study item; So: social activities item.
Supplemental Table A1