# Introduction he present study investigates resilience, psychological distress and subjective well-being in survivor of dengue fever. It provides important information about post traumatic growth and post infection implications of dengue fever for the survivors and how these two aspects correlates with their subjective well-being. Unfortunately there is strong probability that dengue fever might erupt in the form of an epidemic every year so clinicians should keep an eye on mental health along with physical health of their patients. Dengue fever leads to cause stress and serious psychological problems in its survivors and these problems have an adverse impact on subjective happiness of dengue fever survivors. So, current study investigates the extent to which dengue survivors are influenced by psychological distress and its effect on subjective well-being and to which extent personality trait resilience contributes to their subjective well-being. People are also influenced by the way the information related to the epidemic are demonstrated on different platforms such as media campaign and printed literature. In Pakistani scenario people have become very anxious for about outbreak of epidemic like dengue fever. As Pakistan is an under-developing country and literacy rate is not encourage able so they are in believe whatever is showing and telecasting on media. So public in general and people who recovered from dengue in special are in fear to catch into fever again. Hence this effected on their daily functioning and subjective well-being. So the current research examines how personality trait resilience related to subjective wellbeing and what is the relationship exists between psychological distress and subjective well-being. This study also focuses on the predictors of subjective wellbeing. Charney (2004) has defined resilience is a process of well adaption in the situation of trauma, tragedy or any other significant event of stress. He further said that resilience is not a personality trait rather it involves behavior, thought or action that can be learned by anyone. There are major three factors that are associated with resilience named as intrinsic, family and environment factor. According to Caron and Liu (2010) psychological distress is a negative state of mental health that may affect individual directly or indirectly throughout lifetime and connections with other physical and mental health conditions. There are a number of social determinist of psychological distress that are education, employment status, income, family structure. Subjective well-being is a state of mind that brings satisfaction and happiness (Koenig, McCullough & Larson, 2001). Well-being is considered a true joy. The cognitive perspective of happiness consisted of constructive assessment of an individual's life. The of wellness. Self-determination theory is based on mental growth, truthfulness, and subjective wellbeing. The Self Determination Theory postulated that wellbeing can be completed from the fulfillment of competence, relatedness, and autonomy. Dengue has become a very hot topic in last few years. Formal work was conducted on Dengue in 1953. Now-a-days, it has become a threatening disease that is expending everywhere in the world. It is diffused by blood (Guzman, 2010). The symptoms of dengue fever are high fever and frequent episodes of flow that sometimes can result into death. It is also accompanied by headache and muscular fatigue. Dengue patients complain poor hunger, nausea, and sickness. Severe symptoms remain more than one week and appetite last more than two or three weeks (Holmes & Twiddy, 2003). The patients of dengue fever experienced bad quality of life (Lum, et al 2008;Martelli, 2008;& Suarez, et al, 2004) Human beings through history have been affected by epidemic disease. Those who suffer from epidemics also face many psychological implications and unfortunately Pakistan is at high risk of being hit by epidemics because of many obvious reasons such as unsafe drinking water, poor sanitary system, less awareness, low literacy rate, un-cleanliness and dearth of vaccination trends. So these conditions promote spread of infection diseases and different forms of epidemics outbreaks in different sections of country. These epidemics affect public biologically as well as psychologically not only in sufferers but also in survivors. Special attentions should be given to promote their psychological well-being. So the current study investigates the relationship between resilience, psychological distress and subjective well-being in the survivors of dengue fever patients. The findings of this study provides important information about subjective well-being of survivors that will help psychologists and present study is an attempt to study how dengue fever affected individuals' subjective well-being. # i. Hypotheses 1. There would be a significant positive relationship between resilience and subjective well-being among survivors of dengue fever. 2. There would be a significant negative relationship between psychological distress and subjective wellbeing among survivors of dengue fever. 3. There would be a significant negative relationship between resilience and psychological distress among survivors of dengue fever. 4. Subjective well-being would be predicted by resilience and psychological well-being among survivors of dengue fever. 5. There would be significant gender difference on resilience, psychological distress and subjective well-being among survivors of dengue fever. II. # Methodology a) Participants Purposive sampling technique used in this study which is a technique of non-probability sampling to recruited sample because it is easy to locate potential sample for study. Sample size was hundred (N=100) in the current study which comprises on fifty (n=50) males and fifty (n=50) females which was collected from different universities and different clinics. # i. Inclusion Criteria ? People who were diagnosed with dengue fever and recover from it. ? The age range will 19-45 years. ii. Exclusion Criteria ii. Psychological Distress policy makers and all those who want to develop rehabilitation programs for effected populations. The and physical pressure (Kessler, 1992). Psychological Distress refers the individual's score on Kessler Psychological Distress Scale (K-10). The Relationship between Resilience, Psychological Distress and Subjective Well-Being among Dengue Fever Survivors a) Rationale of the study iii. Subjective Well-being Subjective well-being is defined as person's cognitive and affective evaluation of once life. This evaluation includes emotional reaction to event as well as cognitive judgment of satisfaction (Diener et al., 2000). Subjective well-being refers the individual's score on Subjective Happiness Scale (SHS). # d) Tool for Data Collection Followings are the instruments that were used in the present study. 1. Trait Resilience Checklist (TRC) 2. Kessler Psychological Distress Scale (K-10) 3. Subjective Happiness Scale (SHS) i. Trait Resilience Checklist (TRC) Hiew's et al (2000) Trait Resilience Checklist will be used to measure trait resilience. This checklist consists of eighteen items that will describe the respondents as they were generally in their past. The respondent will rate each statement on a 5-point scale (from strongly agree = 1 to strongly agree = 5). It has two subscales named as inter-trait resilience and intratrait resilience scale. Inter-trait resilience items are 1, 3, 5, 6, 7, 9, 14 and 16 while intra-trait resilience items are 2, 4, 8, 10, 11, 12, 13, 15, 17, and 18. The total aggregate of both scales determined the level of resilience in subjects. The Chronbach's Alpha of intertrait resilience is ?= .94 for the present research. The Chronbach's Alpha of intra-trait resilience is ?= .95 for the present research. ii. Kessler Psychological Distress Scale (K-10) The Kessler Psychological Distress Scale was developed by Kessler in 1992. It comprises of ten questions and each question has five options (1= none of time to 5= all of time). Cut off score of the scale is 33. High score on scale means individual has high level of psychological distress and vice versa. The Chronbach's Alpha of psychological distress scale is ?= .91 for the present research. iii. Subjective Happiness Scale (SHS) Subjective Happiness Scale (SHS) was developed by Sonja Lyubomirsky in 1999. This scale is also known as General Happiness Scale This scale consists of four items and each item has seven options (1= not at all to 7= a great deal). In this scale item number 4 is reverse coded. Average score of the four items is an individual score. The maximum score is 7. The average happiness score is runs from about 4.5 to 5.5. The Chronbach's Alpha of subjective happiness scale is ?= .89 for the present research. used for translation. Committee method was used for translation. Five drafts were prepared of translation the mean age of the experts were twenty six years and mean education were master. Then these drafts presented in front of committee and consensus was brought and then final translated version was ready. Then, researcher tested the translated versions on a sample of fifteen participants. Researcher personally approach to selected sample and explained the purposive and nature of the study and requested to them to participate in the study and requested them that please write any recommendation regarding any difficulty to them in understanding of translated versions. Then after pilot study the researcher approached the selected sample and explained them the nature, purpose and duration of the study and also explained them their rights to participate in the study. Their informed consents were taken and ensured them that their information will keep in secret and their information will only be used for research purposive. Then, those people who are motivated were included in sample and all others discarded from sample. Then, three scales, Trait Resilience Checklist, Kessler Psychological Distress Scale and Subjective Happiness Scale along with demographic sheet filled from them at their convince time and place. Demographic information sheet was prepared on the basis of previous literature. The process of data collection took almost three weeks. It was requested to all participants that they filled the questionnaires on the spot and return the researcher. Researcher was present to answer any query to the sample. After the collection of data the participants thanked and acknowledged by researcher for their priceless contributions in the study. # f) Statistical Analysis Data was analyzed on SPSS-20. Initially the reliability analysis was used to determine reliability of the scales for present sample. Then, descriptive statistics obtained. Hypothesis of the present study were investigated by using Person Product Moment Correlation and Independent Sample t-test and for prediction Regression Analysis was be run. # g) Ethical Consideration The written permission obtained from authors to use and to translate their scale in the present research. The consent of participants also be taken. Initially, the constructs, population, sampling technique, sample size and tools to measure constructs are finalized with supervisor. Secondly, due permission is sought from authors of the scales to use and translate their scales in this study via email. Thirdly, the selected measures were translated in Urdu. MAPI guidelines were III. # Volume XIV Issue X Version I # Results The current research was aimed to investigate relationship among resilience, psychological distress and subjective well-being in dengue survivors. Three scales and one demographic information sheet were used for the collection of data. Different tests were used for analysis of data. Reliability was determined for all scales that were used in this study for present sample. # Result of hierarchal multiple regression analysis shown that in first step the demographic variables (gender, age, family structure, attack of dengue and treatment institution) were entered into the equation and control them. These variables explained 15% variance to subjective well-being. In second step the main variables of interest were added which explained 60% variance to subjective well-being and both variables resilience and psychological distress are unique predictors of subjective well-being at (?= .10, **p< .001) and (?= .162, **p< .001) respectively. It was hypothesized that there is likely to be gender difference on resilience, psychological distress and subjective well-being in dengue survivors. Independent Sample T-Tests were used to test these differences and they are given below in table 5. Note: Control variables included age, gender, family structure, attack of dengue and treatment institution * < .01. ** < .001 Table 5 indicates that there was significant gender difference in subjective well-being (t(98)=3.8, p>.000) and also showed that men are more score on subjective well-being as compared to women. Moreover, the table showed that there is no significant gender differences exist on resilience and psychological distress. IV. # Discussion The first hypothesis of the study was that there would be significant positive relation between resilience and subjective well-being among survivors of dengue fever. To check this relationship Correlation analysis was used. The result of present study showed there is significant positive relation between resilience and subjective well-being in survivors of dengue fever. So the result supports the study hypothesis. This result is consistent with those of Rahmani (2012), Lees (2009), Trang (2011), McGarry, et al (2013), Khalid and Malik (2012). There is no single study that produced the opposite results that there is negative relation between resilience and subjective well-being. The reason may be is that both variables, resilience and subjective wellbeing, are positive in nature. So these constructs produced positive results in almost every condition. The second hypothesis of the present study was that there would be significant negative relationship between psychological distress and subjective wellbeing among survivors of dengue fever. To check this relationship Correlation analysis was used. The result of the present study showed that there is significant negative relationship exist between psychological distress and subjective well-being. So the hypothesis is accepted. This result is similar with other study as well like Martelli (2008), Stoeckle, Zola, and Davidson (1964), Sheldon, Williamson and Gail (1991), Gill, Ahmedi, and Irfan (2010), Waris (2012), Zahra (2012), and Wahid (2012). There is no single study that shows the opposite results that there is positive relation between psychological distress and subjective well-being. The reason may be is that both variables psychological distress and subjective well-being, are opposite in nature. Psychological distress is considered negative in nature while subjective well-being is positive in nature. Hence these constructs produced negative results in relation with each other. The third hypothesis of the present study was that there would be significant negative relationship between resilience and psychological distress among survivors of dengue fever. To check this relationship Correlation analysis was used. The result of the present study showed that there is significant negative relationship exist between resilience and psychological distress among survivors of dengue fever. So this hypothesis is accepted. This result is similar with the results of other researches. Some of them are Rahmani many other researches. Some of them are Lum, et al (2008), Martelli (2008), Suarez, et al (2004) There are many others studies that are reported that there are many other predictors that are responsible for subjective well-being and quality of life in dengue fever patients as well as in general population. According to Veenhoven (1996) the socio-demographic variables of population are the main predictors of subjective wellbeing. On the other hand Farid and Lazarus (2008) concluded that the economic situation is also a big factor in subjective well-being. Diener and Biswas-Diener (2000) reported that personal achievement and the ability of adaption are the two main factors of subjective well-being. In the same line Lucas (2008) also reported that those people who are sociable in nature they feel happier than those who want to live alone. According to Headey and Wearing (1992) there are many cultural factors that are responsible in this regard. Those people who belonged to Asian cultural are happier then those who belonged to western countries. There are number of reason that is proposed by thinkers and philosophers. Among them on e is that in Asian countries the concept of ethnocentrism is very high. People prefer to live in joint and collective families so that on the time of calamity they can help each other. Hence they have psychological edge on the western countries where people live and prefer to live in nuclear and separate families. The fifth hypothesis of this study was there would be significant gender difference on resilience, psychological distress and subjective well-being among survivors of dengue fever. To assess these relationships Independent Sample t-tests were run. The result of each Volume XIV Issue X Version I The fourth hypothesis of the present study was that subjective well-being would be predicted by resilience and psychological distress. To check this hypothesis Hierarchical Multiple Regression Analysis was used. The result of the analysis showed that variables, resilience and psychological distress are the unique predictors of subjective well-being. Further, the results also showed that these two variables produced about 75% variance in subjective well-being. Moreover, this analysis also showed that gender is a significant predictor of subjective well-being. This result is same as analysis is discussed here. The result of present study showed that there is not significant gender difference on resilience among survivors of dengue fever. This means that the scores of males and females are same on resilience. So the hypothesis of the present study was rejected. There are many researches that produced the same results that there is no significant gender difference exist on resilience. Some of the researches are Rahmani (2012), Lees (2009), andTrang (2011). While on the other hand Jabeen (2012) produced the opposite results that there is significant gender difference on resilience. She further reported that the level of females is less on resilience as compared to males. The reason may be is that males are to face the difficulties of life and the hardships of the lives. While on the other hand the women play passive role in their lives. In the same line Khalid and Malik (2012) reported that resilience is more in males as compared to female. So this result is also different and contradicts to the present study. The reason may be is that the populations of both studies are different. Khaild and his colleague research was on the population of survivors of earthquakes while the present study was on the population of survivors of dengue fever. The next main finding of the present study was that there are not significant gender differences on psychological distress among survivors of dengue fever. The second part of the fifth hypothesis was that there would be significant gender significant on psychological distress among survivors of dengue fever. So the hypothesis of the present study was rejected. There are a number of studies that are consistent with the result of this present study and there are many other researches that produced opposite results of the present studies. So first those studies are discussed here which are produced the same results that the present study produced. Suarez, et al (2004) 2013). On the other side there are a number of studies that reported the results which are contradictory to the present research. In theses researches mostly researches are local and ingenious. A few researches' results are discussed here. Jabeen (2012), Sajeel (2011), and Gill, Ahmedi, and Irfan (2010). There are many other researches that report the same results. There are a number of reasons that why there is significant gender difference on psychological distress among survivors of dengue fever in Pakistan and not in western countries. One possible explanation is that there is much difference in environmental factors in Pakistan and other developed countries. Secondly, the level of awareness and ability to cope the traumatic situation is different in both cultures. Thirdly, the literacy rate also effect the general well-being of individual as it was told that education is a social instrument that guide the future third part of fifth hypothesis was that there would be significant gender differences exist on subjective wellbeing. So this part of hypothesis is accepted. There are a number of studies that claimed the similar results as well as there are many other studies that results are opposite in relation with the current study. Both sides of the picture are discussed here. Initially those studies are discussed that produced the same results that there is significant gender difference on subjective well-being. Lum, et al (2008), Martelli (2008), Suarez, et al (2004), and Khalid and Malik (2012). While on the other hand Anwar (2012) holds that the level of subjective wellbeing is same in both genders. V. # Recommendations for Future Researches 1. In future studies the data should be collected from all possible cities of Pakistan where the problem of dengue is up to the mark. 2. Try to recruit the sample from all possible socioeconomic status. 3. Try to avoid asking very personal questioners. gender is a significant factor. In developed cultures the women are consider equal to men. While on the other hand in under developing countries the women emancipation is still a dream. Fifthly, in underdeveloping the women are considering a passive creature to take part in daily affairs. While in developed countries the women are considering an equal partner in daily life. Last but not least, the availability of resources of rescue are more in developed countries as compared to under-developing countries. So these are the reasons that are responsible that why the results are different in two different cultures. There are may be others reasons that are responsible in this regard. The next main findings of the study was the there is significant gender difference exist on subjective well-being among the survivors of dengue fever. The # References Références Referencias ![Journal of Human Social Science © 2014 Global Journals Inc. (US) e) Procedure](image-2.png "") Watson & Shakhum, 2001; Rahmani, 2012; Lee, 2009;Trang, 2011; Ismail & Rafique, 2014; & Khalid & Malik,2012). The relationship between psychological distressand subjective well-being is significant negativeassociated with each other (Deela, 2011; Stoeckle, Zola,& Davidson, 1964; McGarry, et al, 2013; Ismail &Rafique, 2014; Jabeen, 2012; Arif & Malik, 2012; Gill,Ahmedi, & Irfan, 2010; Shahid & Amjad, 2012; Shahzadi& Fatima, 2013; & Shareef & Gill, 2014). Researchersshowed that there is significant gender difference existon resilience among survivors of dengue fever (Khalid &Malik, 2012; Qasim & Jamal, 2013; Jabeen, 2012; &Ismail & Rafique, 2014). 1Year 201416Volume XIV Issue X Version I( A )Global Journal of Human Social Science© 2014 Global Journals Inc. (US) - 1Scales NameAlphaItem NoM(SD)Resilience ChecklistInter-resilience.940823.51(7.14)Intra-resilience.951029.11(9.19)Psychological Distress.911034.39(6.04)Scale (K-10)Subjective Happiness.890415.65(3.12)Scale (SHS)Note: ?= reliability coefficient, M= Mean, SD= Standard DeviationTable 2 : Descriptive Statistics of Demographic Variables (N=100)VariablesM(SD)n( %)Age31.74(6.45)GenderMen50(50)Women50(50)Family StructureJoint Family Structure28(28)Nuclear Family Structure72(72)Attack of dengueOne time57(57)More than one time43(43)Treatment fromGovernment Hospital76(76)Private hospital/ Clinic24(24)while 24% got treatment from private hospitals or privateclinics.tress. Further it was also hypothesized that psy-chological is likely to be significantly negative correlatedwith subjective well-being. Pearson Product MomentCorrelation was used to test these relationships that aregiven below in table 3.from government hospitals as the frequency was 76% 3Subjective Well-beingVariables123MSD1. Resilience--0.79**0.80**52.6216.112.Psychological distress--0.76**34.396.043.Subjective well-being--15.853.12Note: **p< .001, M= Mean, SD= Standard Deviation 5Year 201417Volume XIV Issue X Version I( A )subjective well-being (df=98) SD Resilience 17.7 14.01 Psychological Distress 7.1 4.7 Subjective well-being 3.5 2.1 Note: M = mean, SD = standard deviation, T= t test value, P= Significant value M T Males (50) 55.18 1.6 Females (50) 50.06 Males (50) 33.4 1.7 Females (50) 35.4 Males (50) 16.8 3.8 Females (50) 14.5P .113 .102 .000Global Journal of Human Social Science© 2014 Global Journals Inc. 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