Research into the relationship between happiness and health is developing rapidly, exploring the possibility that impaired happiness is not only a consequence of ill-health but also a potential contributor to disease risk. Happiness encompasses several constructs, including affective well-being (feelings of joy and pleasure), eudaimonic well-being (sense of meaning and purpose in life), and evaluative well-being (life satisfaction). Happiness is generally associated with reduced mortality in prospective observational studies, albeit with several discrepant results. Confounding and reverse causation are major concerns. Associations with morbidity and disease prognosis have also been identified for a limited range of health conditions. The mechanisms potentially linking happiness with health include lifestyle factors, such as physical activity and dietary choice, and biological processes, involving neuroendocrine, inflammatory, and metabolic pathways. Interventions have yet to demonstrate substantial, sustained improvements in subjective well-being or direct impact on physical health outcomes. Nevertheless, this field shows great potential, with the promise of establishing a favorable effect on population health.

中文翻译：

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幸福与健康。

关于幸福与健康之间关系的研究正在迅速发展，探索幸福受损不仅是健康不良的结果，而且是疾病风险的潜在因素的可能性。幸福包括几种建构，包括情感幸福（快乐和愉悦感），情感自我幸福（生活中的意义和目的感）和评估幸福（生活满意度）。在前瞻性观察研究中，幸福通常与死亡率降低相关，尽管结果存在差异。混淆和反向因果关系是主要问题。还已经确定了在有限范围的健康状况下与发病率和疾病预后的关联。将幸福与健康联系起来的潜在机制包括生活方式因素，例如体育活动和饮食选择以及生物学过程，涉及神经内分泌，炎症和代谢途径。干预措施尚未在主观幸福感或对身体健康结果的直接影响方面显示出持续的重大改善。但是，该领域显示出巨大的潜力，有望对人口健康产生有利影响。