Mental health is often described in terms of what’s missing – no depression, no anxiety, no diagnosable disorder. But this definition leaves out something obvious: a person can be free of illness and still feel deeply unfulfilled. Subjective well-being flips the script. It asks not whether something is wrong, but whether life feels right from the inside. This is Model E of mental health, a framework that places personal happiness, life satisfaction, and emotional balance at the centre of psychological wellness.

Table of Contents

What is subjective well-being?

Subjective well-being, often shortened to SWB, refers to how people experience and evaluate their lives and the specific domains within them. The word “subjective” is key here. No external observer – not a doctor, a psychologist, or a family member – can decide whether you are well. Only you can.

Researchers generally break SWB into three interconnected components. The first is life satisfaction, which is a cognitive judgement about how your life is going overall. The second is positive affect, meaning the regular presence of pleasant emotions like joy, interest, and contentment. The third is negative affect, referring to the management or relative absence of unpleasant emotions like sadness, anger, and anxiety. According to a widely cited definition by psychologist Ed Diener, SWB is a person feeling and thinking that his or her life is desirable regardless of how others see it.

This last point matters enormously. Two people in identical circumstances can report very different well-being scores. A college student in a tier-two city with limited resources might feel more satisfied than a peer in a metro with every privilege. The difference lies not in the external conditions but in how each person perceives, interprets, and values those conditions.

Why Model E matters in mental health

Traditional psychiatry has long focused on identifying and treating disorders. Model E, in contrast, treats mental health as a positive state worth pursuing in its own right. The World Health Organization’s perspective on positive mental health aligns closely with this view, and decreased positive well-being on validated tools like the WHO-5 Well-Being Index serves as a sensitive indicator of mental health problems. In other words, falling SWB often warns of trouble before a formal diagnosis is possible.

This shift has practical consequences. If well-being is the goal, then prevention, lifestyle, social connection, and meaning become as important as medication and therapy. Public health programmes can be designed not just to reduce disease but to actively promote flourishing.

Factors that influence well-being

Subjective well-being doesn’t appear out of thin air. It is shaped by a combination of internal psychological resources and external environmental conditions. Understanding these drivers helps explain why happiness levels differ so widely between individuals and communities.

Autonomy and the freedom to choose

Autonomy refers to the feeling that your actions reflect your own values and choices rather than external pressure. Self-Determination Theory, one of the most influential frameworks in well-being research, treats autonomy as a basic psychological need. When this need is met, people report higher vitality, motivation, and satisfaction. When it is frustrated – through excessive control, surveillance, or rigid hierarchiesindividuals may experience stress and depression.

For young adults, autonomy plays out in everyday choices: picking a stream of study, deciding whom to marry, choosing whether to move cities for work. In family-centric societies, where collective decision-making is the norm, the tension between personal autonomy and social obligation can directly affect well-being.

Self-efficacy and the belief in one’s abilities

Self-efficacy is the confidence that you can handle what life throws at you. Coined by psychologist Albert Bandura, the concept describes a person’s belief in their capacity to plan, act, and reach goals. Research has consistently shown a positive relationship between self-efficacy, subjective well-being, and life satisfaction. Students who believe they can master a subject tend to persist longer, recover from failure faster, and report higher contentment than equally capable peers who doubt themselves.

Self-efficacy is not the same as inflated self-esteem. It is grounded, task-specific confidence built through small successes, modelling from mentors, and supportive feedback. This is why early academic experiences, encouraging teachers, and accessible role models matter so much for long-term mental health.

Relationships, competence, and connection

Beyond autonomy and self-efficacy, well-being is fuelled by quality relationships and a sense of competence. When people experience autonomy, a sense of competence, and fulfillment of their relatedness needs, they report enhanced subjective well-being. Strong friendships, supportive family bonds, and meaningful community ties act as buffers against stress and amplifiers of positive emotion.

This is one reason loneliness has emerged as a major public health concern globally. The 2024 World Happiness Report flagged that younger generations, particularly Millennials, report higher levels of loneliness compared to older demographics, even when they appear socially connected online.

Environmental and socio-economic factors

While inner resources matter, they do not operate in a vacuum. Income, employment stability, neighbourhood safety, access to green spaces, and quality of governance all shape well-being. Studies show monthly income is a robust predictor of happiness, even though education alone does not directly translate into greater subjective well-being. A recent cross-cultural study found that respondents from individualist cultures reported significantly greater happiness, suggesting that cultural emphasis on personal agency interacts with material conditions to produce well-being outcomes.

Implications for mental health practice

Treating mental health as subjective well-being changes how we measure, intervene, and judge success. Instead of asking only “Does this person have a disorder?”, clinicians and public health workers can ask “Is this person flourishing?”

Measurement that respects individual perception

Because SWB lives inside the individual, it cannot be diagnosed by a blood test or scan. It must be self-reported through validated questionnaires. Tools like the Satisfaction with Life Scale, the WHO-5 Well-Being Index, and the Warwick-Edinburgh Mental Well-Being Scale have been widely used. A recent study in the urban slums of Gorakhpur used the Short Warwick-Edinburgh Mental Well-being Scale to identify distinct mental well-being profiles among adults, demonstrating that even within a single low-income community, SWB varies dramatically based on personal circumstances and psychological resources.

Why two people can score so differently

The subjective nature of well-being explains many puzzles in mental health research. A wealthy executive may report lower satisfaction than a small-town teacher. A young professional with a promising career may feel emptier than a grandparent in a modest home. These differences arise from at least three sources.

First, perception: people interpret the same event differently. A job change might feel like exciting growth to one person and threatening instability to another. Second, life experiences: someone who has survived hardship may find joy in small comforts that others take for granted. Third, personal values: a person who prizes family time will feel impoverished by a demanding career, while someone who values achievement may feel restless without it.

The role of social comparison

Social comparison adds another layer. In an era of constant exposure to curated lifestyles online, people increasingly judge their lives against idealised versions of others’. This pressure can erode well-being even when objective circumstances are improving. Interventions that help individuals reframe comparisons, practise gratitude, and focus on internal goals have shown measurable benefits in clinical trials.

Subjective well-being in the Indian context

The picture of well-being in the country is mixed. The 2024 World Happiness Report ranked India 126th out of 143 countries, with the country moving to 118th place in the 2025 edition. These rankings are based on Gallup World Poll surveys that ask respondents to evaluate their lives on a ladder from zero to ten. The findings reveal an interesting pattern: older age is associated with higher life satisfaction in India, the opposite of trends seen in many Western countries.

This suggests that traditional social structures – multigenerational families, religious practice, community festivals – continue to provide meaningful well-being for older adults, even as younger Indians grapple with academic pressure, employment uncertainty, and shifting social norms. Public health approaches need to address these generational divides rather than apply one-size-fits-all interventions.

Building well-being: what individuals and societies can do

Subjective well-being is not entirely fixed. While genetics and temperament set a baseline, research consistently shows that intentional activities and supportive environments can shift well-being meaningfully and durably. At the individual level, practices such as cultivating close relationships, pursuing meaningful goals, engaging in regular physical activity, and developing emotional self-awareness all contribute to higher SWB.

At the societal level, policies that support autonomy, build self-efficacy through quality education, reduce loneliness, and create equitable opportunities matter enormously. The growing global movement to measure national progress in terms of well-being – not just GDP – reflects a recognition that economic growth alone does not guarantee flourishing populations.

Model E reminds us that mental health is more than the silence of symptoms. It is the active presence of meaning, satisfaction, and the felt sense that life is worth living. Recognising this opens up a richer, more humane vision of public health – one that asks not only how we survive but how we thrive.

What do you think? Looking at your own life, which factor – autonomy, self-efficacy, relationships, or environment – has shaped your subjective well-being the most? And do you think national happiness rankings capture something real about a country’s mental health, or do they miss what truly matters to individuals?

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References
  1. https://www.ncbi.nlm.nih.gov/books/NBK179225/
  2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7678314/
  3. https://pmc.ncbi.nlm.nih.gov/articles/PMC3363384/
  4. https://selfdeterminationtheory.org/wp-content/uploads/2022/10/2018_YuLevesque-BristolMaeda_JoHS.pdf
  5. https://files.eric.ed.gov/fulltext/EJ1102700.pdf
  6. https://journals.sagepub.com/doi/10.1177/21582440251365997
  7. https://www.business-standard.com/world-news/finland-tops-2024-world-happiness-report-again-india-ranks-126-124032000537_1.html
  8. https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2025.1563643/full
  9. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12893872/
  10. https://www.deccanherald.com/india/india-ranks-118th-in-world-happiness-report-afghanistan-is-last-3455378

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Public Health and Nutrition

1 Public Health – Genesis and Development

  1. The History of Public Health
  2. Concept of Public Health
  3. Essential Services of Public Health
  4. The Development of Public Health in India
  5. Public Health and Sanitary Policy

2 Health and Nutrition- Behaviour and Practices

  1. Health Scenario in Rural India
  2. Determinants of Health Seeking Behaviour
  3. Impact of Rural Health Services
  4. Health Seeking Behaviour Due to Technology
  5. Alternative Medicine and Rural Health

3 Society and Environment

  1. Poverty and Environment
  2. Population and Environment
  3. Affluence and Environment
  4. IPAT and KAYA Identities
  5. Reformulating IPAT

4 Mental Health

  1. Defining Mental Health
  2. Model A — Mental Health as Above Normal
  3. Model B — Mental Health as Maturity
  4. Model C — Mental Health as Positive or Spiritual Emotions
  5. Model D — Mental Health as Socio-Emotional Intelligence
  6. Model E — Mental Health as Subjective Well-being
  7. Model F — Mental Health as Resilience

5 Historical Perspectives of Mental Health

  1. Ancient Views
  2. Greek and Roman Views
  3. Middle Ages
  4. The Nineteenth Century
  5. The Early Twentieth Century
  6. DSM IV TR
  7. A Growing Emphasis on Preventing Disorders and Promoting Mental Health

6 Family and Mental Health

  1. Historical Aspects of Role of Family in Mental Health Care
  2. Family Perspectives of Mental Health Issues
  3. Role of Family in Mental Health
  4. Role of Family in Mental Illness
  5. Caregivers’ Burden

7 Sociology of Mental Health

  1. Social Attitudes and Mental Health
  2. Social Perception and Mental Health
  3. Attribution Theory
  4. Social Influence
  5. Group Process
  6. Leadership and Social Power
  7. Sociological Theories Related to Mental Health

8 Culture and Mental Health

  1. Culture and Mental Health
  2. Cultural Context of Understanding Mental Illness
  3. Culture-Bound Syndromes
  4. Culture and Stress
  5. Immigration and Acculturation

9 Yoga Therapy, Mental Health and Well -Being

  1. Definitions of Yoga
  2. Concept of Health and Disease
  3. Stress According to Yoga and its Management in Bhagavad Gita
  4. How Yoga Helps
  5. Techniques of Integrated Approach of Yoga Therapy
  6. Scientific Evidence Related to Yoga in Psychiatric Disorders

10 Physical Hazards

  1. Physical Hazards – Definition
  2. Types of Physical Hazards
  3. Extreme Temperature
  4. Noise and Vibration
  5. Radiation (Ionizing and Non-Ionizing)

11 Chemical Hazards

  1. Definition
  2. Types of Chemical Hazards and their Effects
  3. Chemical Toxins
  4. Chemical Carcinogens

12 Biological Hazards

  1. What are Biological Hazards?
  2. Sources of Biological Hazards
  3. Types of Biological Hazards
  4. Threats of Biological Hazards
  5. Biological Warfare/Bioterrorism

13 Mining and Construction Hazards

  1. Workforce in Mining and Construction Industry
  2. Mining Industry in India
  3. Occupational Health Hazards in Mining Industry
  4. Construction Industry in India
  5. Protecting Good Health for Construction Workers

14 Basic Disaster Management and Institutional Framework

  1. Reducing Risk; Enhancing Resilience
  2. Capacity Development Initiative
  3. The DM Act 2005: Definition for Disaster
  4. Disaster Management
  5. Types of Disasters
  6. National Disaster Management Plan

15 Concept of Public Nutrition

  1. Understanding the Terms: Nutrition, Health, and Public Nutrition
  2. Public Nutrition
  3. Health Care
  4. Role of Public Nutritionists in Health Care Delivery

16 Public Nutrition- Multidisciplinary Concept

  1. Multiple Causes of Public Nutrition Problems
  2. Multidisciplinary Approach to Solve Nutrition Problems
  3. Role of Agriculture in Nutrition
  4. Food and Nutrition Security
  5. Sustainable Development Goals
  6. Food Behaviour

17 Nutritional Problems-I

  1. Protein Energy Malnutrition (PEM)
  2. Micronutrient Deficiencies

18 Nutritional Problems-II

  1. Beriberi
  2. Ariboflavinosis (Riboflavin Deficiency)
  3. Pellagra
  4. Folic Acid and B12 Deficiency
  5. Scurvy
  6. Rickets and Osteomalacia
  7. Fluorosis
  8. Lathyrism

19 Strategies to Combat Public Nutrition Problems-I

  1. Strategies to Combat Nutrition Problems
  2. Diet or Food-Based Strategies
  3. Dietary Diversification/Modification
  4. Horticulture Interventions
  5. Food Fortification
  6. Nutrition and Health Education
  7. Supplementation as a Short-Term Strategy
  8. Implementing an Intervention Strategy

20 Strategies to Combat Public Nutrition Problems-II

  1. Immunization
  2. Supplementary Feeding Programmes
  3. Improving the Quality of Food by Genetic Approaches
  4. Clean Water, Sanitation, Street Foods, and Strategies for Improvement
  5. Improving Food and Nutrition Security

21 Nutrition Policy and Programme

  1. National Nutrition Policy
  2. National Nutrition Mission (POSHAN Abhiyaan)
  3. Integrated Child Development Services (ICDS)
  4. Supplementary Feeding Programmes
  5. Nutrient Deficiency Control Programmes
  6. Infant and Young Child Nutrition Programme (IYCN)
  7. National Health Mission (NHM)

22 Nutrition Education Communication Programmes- Formulation

  1. Setting Objectives of a Nutrition Education Communication Programme
  2. Identifying a Target Audience
  3. Designing Messages
  4. Choosing the Media and Multi-Media Combinations
  5. Development of a Communication Strategy

23 Nutrition Education Communication Programmes- Implementation

  1. Implementation Process – An Overview
  2. Production of Communication Support Materials
  3. Designing an Effective Training Programme
  4. Executing the Communication Interventions
  5. Social Marketing
  6. Community Participation

24 Nutrition Education Programme- Evaluation

  1. Evaluation – Basic Concept
  2. Purpose of Evaluation of NEC Programme
  3. Developing an Evaluation System for NEC Programme
  4. Types of Evaluation
  5. Conducting a Dynamic and Participatory Evaluation
  6. Contribution of Nutrition Education Programme to Changes in Behaviour