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The longitudinal associations of primary and secondary control with two distinct aspects of happiness including hedonic/subjective and eudaimonic/psychological well-being had not been fully studied. The present study aimed to contribute to the literature by examining these associations and their age differences. Using data from the second and third waves of the Midlife in the United States (MIDUS; N = 4963, aged 28 to 84 at baseline), the present study conducted structural equation modeling analyses to examine whether one primary control strategy (persistence in goal striving) and two secondary control strategies (positive reappraisals and lowering aspirations) predicted residualized changes in the latent constructs of subjective well-being (SWB) and psychological well-being (PWB) and whether there were age differences in these associations. The results indicate that persistence in goal striving and lowering aspirations overall predicted changes in PWB while none of the control strategies did for SWB, but some age differences were found. Whereas these differences somewhat varied for the outcomes of SWB and PWB, the findings indicate tendencies for older individuals compared to younger individuals of more negative (or less positive) associations of persistence in goal striving and more positive (or less negative) and more negative associations of positive reappraisals and lowering aspirations, respectively, with these outcomes. The present study suggested potential directions of future research aimed at further examining the role of primary and secondary control for happiness and exploring potential interventions to promote happiness, for example, by modifying primary and/or secondary control for adults of different ages. [ABSTRACT FROM AUTHOR]

Personal growth is essential in the lives of adults of any age and is associated with a variety of well-being outcomes. Building on previous research on psychosocial factors associated with personal growth, the present study aimed to investigate whether and how psychosocial factors (including working, generativity, positive interpersonal relationships, and spirituality) could affect aging adults' personal growth longitudinally. Using three waves of Midlife in the United States data from adults with baseline ages of 20–75, two-level hierarchical linear modeling analyses were conducted to examine the effects of psychosocial factors as well as age and gender on levels and trajectories of personal growth over the span of nearly two decades. All the factors predicted levels of personal growth while positive relationships and generativity had larger effects relative to the others. In addition, some of the effects were moderated by baseline age or passage of time (i.e., aging). Particularly, the moderated effects involving positive relations were multifaceted. Among those with less positive relationships, older people's levels of personal growth remained lower than younger people over time. However, among those with more positive relationships, older people reported lower growth initially but the age difference was no longer confirmed two decades later. In other words, having positive relationships appeared to become increasingly important for aging adults to maintain higher personal growth. These findings suggest shifts in life priorities that could influence personal growth among aging adults, and the implications can be informative for future research and practice. [ABSTRACT FROM AUTHOR]

Introduction: Routine spinal fusion techniques have involved removal of all soft tissues and articular facets, decortication of all posterior elements, and application of bone graft to the fusion area. Bone grafting has been performed mainly using the patient's own bone (autograft bone), most commonly from the iliac crest. The use of autograft bone is accompanied by complications or problems because of harvesting and donor-site morbidity. Several studies have already reported the use of allograft bone in scoliosis surgery. However, these studies are small series with short-term follow-up. Method: Twenty-two patients with scoliosis who underwent posterior spinal fusion and pedicle-screw-alone fixation using banked allograft bone obtained from the regional bone bank in Japan were analyzed. The average age at surgery was 13 years 5 months. The average follow-up was 2 years 7 months, and the average age at the last follow-up was 15 years 6 months. Scoliosis curves were divided into two groups (single curve group and double curve group). Results: For the single curve group, the average preoperative coronal curve measured 78° (48°-85°) and the postoperative curve measured 22° (8°-35°), with no loss of correction at the last follow-up. For the double curve group, the average preoperative thoracic curve measured 64° (48°-85°) and the lumbar curve measured 42° (38°-60°). The average postoperative thoracic curve measured 12° (8°-34°) and lumbar curve measured 15° (8°-32°), with no significant loss of correction at the last follow-up. No patients had clinical complaints in the region of surgery at 9 months after surgery and thereafter. There were no complications including loss of correction, nonunion, infection and instrumentation failure. At the last follow-up, patients/parents were interviewed and asked to complete an outcome satisfaction questionnaire. They were asked to rate the outcome as very satisfactory, satisfactory, neither satisfactory nor unsatisfactory, unsatisfactory, or very unsatisfactory. Seventeen patients (77%) were very satisfied, four patients (17%) were satisfied, and one patient (6%) was neither satisfied nor unsatisfied. Autograft bone and banked allograft bone appear to yield comparable results and clinical outcomes. Conclusion: However, in Japan, various expenses accrue to supply a safe and premium quality of banked allograft bone. Financial issue must be resolved as soon as possible. [ABSTRACT FROM AUTHOR]