Martin Seligman's multidimensional theory of psychological well-being, PERMA (positive emotions, engagement, relationships, meaning, and accomplishment), was empirically tested on a sample of Australian male students (age 13-18). Researchers selected a subset of theoretically relevant items from an extensive well-being assessment. Four of the fiver PERMA elements emerged from a factor analysis, along with two ill-being factors.
Positive psychological well-being, especially optimism, protects against the incidence, and somewhat against the progression, of cardiovascular disease through a broad array of mechanisms, according to this extensive literature review.
In this study, researchers review seven types of evidence that shows high subjective well-being (SWB)--including life satisfaction, absence of negative emotions, optimism, and positive emotions--cause better health and longevity. Examples of each type of evidence are described, and issues such as causality, effect size, methodological rigor, whether too much happiness can be detrimental to health, and whether there is a threshold effect for SWB are discussed.