Beyond Health: An Integral Model of Happiness, Well-Being, and Human Flourishing
DOI:
https://doi.org/10.53485/rsu.v9i3.794Keywords:
integral well-being, human flourishing, happiness, social determinants, mental healthAbstract
Objective: To substantiate a multidimensional model that expands health toward happiness, well-being, and flourishing by integrating personal, relational, material, and digital factors. Methodology: A theoretical-propositional study supported by an integrative review of the biopsychosocial model, subjective and eudaimonic well-being, self-determination, positive psychology, meaning, social determinants, capabilities, occupational health, and digital well-being. Results: The Integral Model of Human Well-Being with Soul (MIBHA) is formulated around eight dimensions—body, thought, emotions, transcendence, social life, professional life, finances, and technology—and five cross-cutting mechanisms: resources, agency, regulation, connection, and meaning. A theory of change, ten propositions, a preliminary 40-item scale, indicators, implementation phases, and ethical safeguards are developed. Conclusions: Well-being cannot be reduced to a score, an individual habit, or the absence of disease. It requires real capabilities, fair environments, and responsible governance. MIBHA offers a testable basis for research and intervention without replacing clinical diagnosis or treatment. Its original contribution lies in separating life domains from cross-cutting mechanisms, treating technology as a constitutive dimension, and introducing a non-compensation principle for severe deprivation.
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References
Adler, A., & Seligman, M. E. P. (2016). Using wellbeing for public policy. International Journal of Wellbeing, 6(1), 1-35.
Allan, B. A., Batz-Barbarich, C., Sterling, H. M., & Tay, L. (2019). Outcomes of meaningful work: A meta-analysis. Journal of Management Studies, 56(3), 500-528.
Alsaadi, F., Maldonado, M. A., Erfanikia, M., Molinario, E., & Moyano, M. (2025). Systematic review of search for meaning in life assessment tools: Highlighting the need for a quest for significance scale. Frontiers in Psychology, 16, Article 1513720. https://doi.org/10.3389/fpsyg.2025.1513720
Antonovsky, A. (1987). Unraveling the mystery of health. Jossey-Bass.
Bakker, A. B., & Demerouti, E. (2017). Job demands-resources theory. Journal of Occupational Health Psychology, 22(3), 273-285.
Bandura, A. (1997). Self-efficacy: The exercise of control. Freeman.
Baumeister, R. F., & Leary, M. R. (1995). The need to belong. Psychological Bulletin, 117(3), 497-529.
Berkman, L. F., Glass, T., Brissette, I., & Seeman, T. E. (2000). From social integration to health. Social Science & Medicine, 51(6), 843-857.
Briganti G, Scutari M, Epskamp S, Borsboom D, Hoekstra RHA, Golino HF, Christensen AP, Morvan Y, Ebrahimi OV, Costantini G, Heeren A, Ron J, Bringmann LF, Huth K, Haslbeck JMB, Isvoranu AM, Marsman M, Blanken T, Gilbert A, Henry TR, Fried EI, McNally RJ. Network analysis: An overview for mental health research. Int J Methods Psychiatr Res. 2024 Dec;33(4):e2034. doi: 10.1002/mpr.2034. PMID: 39543824; PMCID: PMC11564129.
Bronfenbrenner, U. (1979). The ecology of human development. Harvard University Press.
Butler, J., & Kern, M. L. (2016). The PERMA-Profiler. International Journal of Wellbeing, 6(3), 1-48.
Centers for Disease Control and Prevention. (2023). How does social connectedness affect health? CDC.
Commission on Social Determinants of Health. (2008). Closing the gap in a generation. World Health Organization.
Cruchinho P, López-Franco MD, Capelas ML, Almeida S, Bennett PM, Miranda da Silva M, Teixeira G, Nunes E, Lucas P, Gaspar F; Handovers4SafeCare. Translation, Cross-Cultural Adaptation, and Validation of Measurement Instruments: A Practical Guideline for Novice Researchers. J Multidiscip Healthc. 2024 May 31;17:2701-2728. doi: 10.2147/JMDH.S419714. PMID: 38840704; PMCID: PMC11151507.
Deci, E. L., & Ryan, R. M. (2000). The what and why of goal pursuits. Psychological Inquiry, 11(4), 227-268.
Deffner, D., Rohrer, J. M., & McElreath, R. (2022). A causal framework for cross-cultural generalizability. *Advances in Methods and Practices in Psychological Science, 5*(3). https://doi.org/10.1177/25152459221106366
de Oliveira Cardoso, N., Markus, J., de Lara Machado, W. et al. Measuring Financial Well-Being: A Systematic Review of Psychometric Instruments. J Happiness Stud 24, 2913–2939 (2023). https://doi.org/10.1007/s10902-023-00697-5
Diener, E. (1984). Subjective well-being. Psychological Bulletin, 95(3), 542-575.
Diener, E., Oishi, S., & Tay, L. (2018). Advances in subjective well-being research. Nature Human Behaviour, 2, 253-260.
Engel, G. L. (1977). The need for a new medical model. Science, 196(4286), 129-136.
Frankl, V. E. (2006). Man’s search for meaning. Beacon Press. (Original work published 1946).
Fredrickson, B. L. (2001). The role of positive emotions in positive psychology. American Psychologist, 56(3), 218-226.
Galderisi, S., Heinz, A., Kastrup, M., Beezhold, J., & Sartorius, N. (2015). Toward a new definition of mental health. World Psychiatry, 14(2), 231-233.
Graham, C. (2011). The pursuit of happiness. Brookings Institution Press.
Helliwell, J. F., Layard, R., Sachs, J. D., De Neve, J.-E., Aknin, L. B., & Wang, S. (Eds.). (2024). World Happiness Report 2024. Wellbeing Research Centre, University of Oxford.
Huppert, F. A., & So, T. T. C. (2013). Flourishing across Europe. Social Indicators Research, 110, 837-861.
International Labour Organization. (2022). World employment and social outlook. ILO.
International Test Commission. (2017). The ITC guidelines for translating and adapting tests (Second edition). International Journal of Testing, 18(2), 101-134.
Keyes, C. L. M. (2002). The mental health continuum. Journal of Health and Social Behavior, 43(2), 207-222.
Keyes, C. L. M. (2007). Promoting and protecting mental health as flourishing. American Psychologist, 62(2), 95-108.
Kline, R. B. (2023). Principles and practice of structural equation modeling (5th ed.). Guilford Press.
Krause, N. (2004). Stressors arising in highly valued roles. The Journals of Gerontology, 59B(5), S287-S296.
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. Springer.
Lomas, T., Hefferon, K., & Ivtzan, I. (2015). The LIFE model. Journal of Happiness Studies, 16, 1341-1364.
Luthans, F., Youssef-Morgan, C. M., & Avolio, B. J. (2015). Psychological capital and beyond. Oxford University Press.
Marmot, M. (2015). The health gap. Bloomsbury.
Marmot, M., & Wilkinson, R. (Eds.). (2006). Social determinants of health (2nd ed.). Oxford University Press.
Martela, F., & Steger, M. F. (2016). The three meanings of meaning in life. Journal of Positive Psychology, 11(5), 531-545.
McEwen, B. S. (1998). Protective and damaging effects of stress mediators. New England Journal of Medicine, 338, 171-179.
Nussbaum, M. C. (2011). Creating capabilities. Harvard University Press.
OECD. (2020). How's life? 2020: Measuring well-being. OECD Publishing.
OECD. (2024). Society at a glance 2024. OECD Publishing.
Park, C. L. (2010). Making sense of the meaning literature. Psychological Bulletin, 136(2), 257-301.
Petrutiu L, Birney ME, Cooke R, Stewart S. WEIRD but Also Inconsistent: An Analysis of the Reporting Practices of Participant Samples Across Five Areas of Psychology. Int J Psychol. 2026 Apr;61(2):e70168. doi: 10.1002/ijop.70168. PMID: 41607094; PMCID: PMC12852971.
Prilleltensky, I. (2012). Wellness as fairness. American Journal of Community Psychology, 49, 1-21.
Putnick, D. L., & Bornstein, M. H. (2016). Measurement invariance conventions and reporting. Developmental Review, 41, 71-90.
Ryan, R. M., & Deci, E. L. (2017). Self-determination theory. Guilford Press.
Ryff, C. D. (1989). Happiness is everything, or is it? Journal of Personality and Social Psychology, 57(6), 1069-1081.
Ryff, C. D. (2014). Psychological well-being revisited. Psychotherapy and Psychosomatics, 83(1), 10-28.
Seligman, M. E. P. (2011). Flourish. Free Press.
Sen, A. (1999). Development as freedom. Oxford University Press.
Smits, M., Kim, C. M., van Goor, H., & Ludden, G. D. S. (2022). From digital health to digital well-being: Systematic scoping review. Journal of Medical Internet Research, 24(4), Article e33787. https://doi.org/10.2196/33787
Steger, M. F. (2012). Making meaning in life. Psychological Inquiry, 23(4), 381-385.
Suppa, N., & Kanagaratnam, U. (2025). The global Multidimensional Poverty Index: Harmonised level estimates and their changes over time. Scientific Data, 12, Article 153. https://doi.org/10.1038/s41597-024-04269-x
Tay, L., & Diener, E. (2011). Needs and subjective well-being around the world. Journal of Personality and Social Psychology, 101(2), 354-365.
Thompson, R. A. (1994). Emotion regulation. Monographs of the Society for Research in Child Development, 59(2-3), 25-52.
Till, M., Abu-Omar, K., Ferschl, S., Reimers, A. K., & Gelius, P. (2021). Measuring capabilities in health and physical activity promotion: A systematic review. BMC Public Health, 21, Article 353. https://doi.org/10.1186/s12889-020-10151-3
United Nations. (2015). Transforming our world: The 2030 Agenda for Sustainable Development.
VanderWeele, T. J. (2017). On the promotion of human flourishing. Proceedings of the National Academy of Sciences, 114(31), 8148-8156.
VanderWeele, T. J., McNeely, E., & Koh, H. K. (2019). Reimagining health. JAMA, 321(17), 1667-1668.
World Health Organization. (1986). Ottawa Charter for Health Promotion.
World Health Organization. (2021). Comprehensive mental health action plan 2013-2030.
World Health Organization. (2021). Guidance on community mental health services: Promoting person-centred and rights-based approaches. WHO. https://www.who.int/publications/i/item/9789240025707
World Health Organization. (2021). Ethics and governance of artificial intelligence for health. World Health Organization.
World Health Organization. (2022). WHO guidelines on mental health at work.
World Health Organization. (2022). World mental health report: Transforming mental health for all. WHO.
World Health Organization. (2024). Social determinants of health. WHO.
Wrzesniewski, A., McCauley, C., Rozin, P., & Schwartz, B. (1997). Jobs, careers, and callings. Journal of Research in Personality, 31(1), 21-33.
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