Dynamic spread of happiness in a large social network: longitudinal analysis over 20 years in the Framingham Heart Study
BMJ 2008; 337 doi: https://doi.org/10.1136/bmj.a2338 (Published 05 December 2008) Cite this as: BMJ 2008;337:a2338All rapid responses
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I am glad to see that innovative researchers are extending boundaries
and challenging the status quo. While acknowledge there are some
shortcomings to the research, I believe these are adequately addressed.
I must say that as a rule of thumb I for many years have made a point
of associating with happy people. I beleive that in the process I have
'learnt' to be happy. Here is a selection issue to consider in the
construction of the network.
Obviously happiness is a two way street - it comes from within and
without - and the happiness of our friends and family is one component.
Fantastic article. I wonder whether this type of analysis can be
linked to findings in 'happiness economics' that have shown that after
'happiness shocks' people tend to return to a constant state of happiness.
Are new happy friends a happiness shock?
Competing interests:
None declared
Competing interests: No competing interests
We saw a similar, albiet more acute, impact of happiness following
Hurricane Katrina when we were working in the Medical Triage Unit
located at the New Orleans Convention
Center. I've previously described Augie's story (read
more
and see his picture) and the impact that that he had on all of us.
He was the type of person that smiled with his entire body. When he
smiled, everyone within a 10 foot radius smiled with him. He had lost
all his belongings other than three garbage bags and six blankets.
Despite having nothing, he gave us something of immeasurable worth:
happiness and love.
In these days of both economic and healthcare challenge it will do us
well to remember that we, as individuals, have the possibility to
impact the system at large. What type of a legacy will you leave?
Dan Diamond, MD
Director, Katrina Medcial Triage Unit New Orleans Convention Center
CEO, Powerdyme™
www.powerdyme.com
%20dandiamond{at}powerdyme.com
Competing interests:
None declared
Competing interests: No competing interests
Fowler & Christakis report that people given a questionnaire (see
footnote) to assess their ‘happiness’ tend to have similar scores to their
family, neighbours and friends. As the authors freely acknowledge, this is
not very surprising, since relations and friends share similar
circumstances. However, Fowler & Christakis carry out further analysis
to support their conjecture that there is an actual causal relation
involved in the association, not merely a correlation. They are sure
enough about their conclusion to conclude that their findings have
‘relevance for public health’, a serious and important claim. Have they
made their case?
There seem to me to be three main arguments. The first is that the
survey was taken at several points in time, allowing a longitudinal
analysis. This meant that the changes in ‘happiness’ of a target
individual (the ‘ego’) could be analysed, in an attempt to see if changes
could be related to the present and past state of ‘happiness’ in the
related individual (the ‘alter’). The key data presented in their Fig 4
show that if a ‘alter’ changes in state from unhappy to happy, this
increases the probability that the ‘ego’ will be happier in the second
survey. The probability increase is 0.25 if the ego and alter are friends
living nearby, but close to zero if they are living far way. This is an
impressive figure, but I could not see from the arguments advanced why
this could not mean that nearby friends tended to share changes in
fortune, particularly since far-away friends included those that had left
the town.
The authors try to address this point by pointing out that the
effect is much stronger between strong, mutual, friends than between
asymmetrical pairs in which one names the other as a friend, but the
object of their affection does not reciprocate. The authors state that
‘..if some third factor were explaining both ego and happiness, it should
not respect the directionality of the tie.’ This reasoning is hard to
follow. If the ‘third factor’ or hidden variable were more highly
correlated between mutual friends than between more distant ones, as one
would expect, the findings are exactly what one would see. It needs to be
demonstrated that mutual friends do not have closer socio-economic ties
than those in which the friendship is presumably much weaker.
The third argument is related to the last. The effects of an alter’s
happiness are found to be much increased if they live next door rather
than in the same block (presumably in the US sense of that term). The
authors argue that this demonstrates a direct contagion, rather than the
influence of a hidden variable. They state that ‘…socioeconomic status
probably cannot explain the clustering of happy people as next door
neighbours'. The key word here is ‘probably’. This is a simple question
of spatial scale, which should be addressed by evidence, not conjecture.
One has to assume, of course, that next door neighbours did not get
together to answer the questionnaire together over a few beers.
A key issue is assortative mating
(http://en.wikipedia.org/wiki/Assortative_mating), which the authors dub
‘homophily’. Happy people may choose happy friends, or as the adage has
it ‘misery seeks company’. The authors state that ‘Alter’s happiness in
the previous exam helps to control for homophily.’ This is a promising
line, but it is not pursued: the word does not appear again in the
article, and in the supplementary notes only to say that the differential
analysis controls for baseline states, and thus for homophily, a rather
opaque statement. A simple version of the assortative mating hypothesis
would that ego and alter happiness just after they form their friendship
should be more related than a few years later, supposing the friendship to
have survived. The contagion theory says that the relation should be
equal. It would be interesting to know the facts.
Aldous Huxley said wittily that ‘several excuses are always less
convincing than one’. The same is true in Science. An accumulation of
individually weak arguments makes only another weak argument. I did not
find a single one of Fowler & Christakis’ arguments individually
compelling. The fact that there are several might mean that they share a
common defect. This would not matter if they had presented their argument
in the traditional scientific way as a conjecture, consistent with the
evidence but not tested by it. Instead, their conclusions state that
‘People’s happiness depends on the happiness of others with who they are
connected’. They go further. Since, they say, happiness has a causal
role to play in health (another unproven conjecture), it follows that
their findings have relevance for public health. Presumably, the idea is
that if we wish to increase someone’s happiness, and thus their health, we
should be trying to make their friends happier.
They go even further, into the realms of abstract philosophy. ‘Human
happiness’ they state, ‘ is not merely the province of isolated
individuals.’ We seem here to be entering Durkheim territory, where
suicidal impulses, rather than coming from individual brains, hover like a
shroud over a society. Durkheim’s hypothesis has been thoroughly
discredited in the case of suicide, so why should we now want to
rescusistate it for ‘happiness?’ Even if the author’s causal hypothesis
were true, it would still not rule out happiness being an individual brain
state.
The real purpose of these conjectures becomes clear in the final
paragraph, when the authors say that their conclusion (the causal effect
of inter-personal happiness on health) ‘provides a conceptual
justification for the speciality of public health’. I take it that this
is a plea for resources to be diverted. The plea has my sympathy, but it
does not belong in a scientific article. As President Obama has recently
and eloquently said:
‘Promoting science is about ensuring that facts and evidence are
never twisted or obscured by politics and ideology’. (Quoted in FT
Editorial, Jan 17 2009).
Footnote:
Happiness is never really defined in the paper, and is certainly not
measured by anything other than self-report, with all the weakness that
such a measure implies. The questionnaire is described as being validated,
but it would be useful to know if the validation extends beyond its
predicting depression.
Competing interests:
None declared
Competing interests: No competing interests
The findings of Fowler and Christakis (1), that happiness
appears to spread through social networks, are an
innovative use of the Framingham Heart Study data. However,
the question still remains to what extent apparent
contagion of happiness to second degrees of separation
could in fact be accounted for by individuals not included
in the Framingham study. The original cohort consisted of
only two-thirds of the individuals of the town between the
ages of 30 and 62.(2) This means that there will be a
sizeable number of socially influential individuals not
included in the social network; whose impact may be being
mistaken for the impact of individuals at a second degree
of separation.
There is enough data within the Framingham heart study to
control for this effect. By only analysing those
individuals who do not refer to friends outside the study's
participants, we could look at a smaller but more complete
set of social connections. The dependent variable would be
restricted to the happiness of those individual’s who do
not cite non-heart study individuals as part of their
relationships. If, the same transmission of happiness at
the second degree of separation occurred as with the
original data then we could be more certain of the
existence of network effects at this degree of separation
as opposed to individuals, of one degree of separation,
that were not included in the original analysis.
(1) James H Fowler and Nicholas A Christakis, Dynamic
spread of happiness in a large social network: longitudinal
analysis over 20 years in the Framingham Heart Study, BMJ
2008; 337: a233
(2)http://www.framinghamheartstudy.org/participants/origina
l.html
Competing interests:
None declared
Competing interests: No competing interests
Lovely research. But it is a disappointment to me that the findings
didn't extend to co-workers. Like many people, I spend most of my awake
time working, and spend more time with colleagues than with other
"friends".
Competing interests:
None declared
Competing interests: No competing interests
This is an interesting paper, and I can see a lot of hard work went
into it. But like many pieces of statistical research on human social
experience I feel that the authors overreach themselves.
1) Firstly, the authors can not claim that people's happiness
"depends" on the happiness of others. Have they sampled the whole world
and every person and experience of happiness to say this? This is a
generalised and normative statement no matter how statistically systematic
you are that is dangerous to make about social life which I discuss
further below.
2) The definition of happiness is very value laden and too simplistic
which is partly to do with trying to explore human experience using
quantitative measures - i.e. "asking people about the future" and "I felt
that I was just as good as other people" are value laden statements about
life, with these values not explored or discussed fully in the paper or
with the participants.
3) The reference list is too “scientific” and I would like to have
seen more reference to social context. The authors might also find Anthony
Storr's book "Solitude" an interesting counter argument to their assertion
that happiness “depends” on our sociability and social networks and we are
“fundamentally” social beings.
4) The authors use the example of illness (acute/chronic?) as a
potential source of unhappiness for patients and those around them. I'm
glad that the authors use the word "potential" here, but this is where my
concerns begin to mount about this kind of research and this concern
features in "Bowling Alone" that social network/capital classic. If one is
not careful this kind of research of trying to essentialise happiness and
who experiences it and how it is obtained or passed on – these normalising
tendencies - will inevitably lead to prejudice and assumptions - in this
case people avoiding other people with "problems" as some people may
automatically be seen as sources of social unhappiness. Indeed, much
research on carers of ill people, for example, already uses the term
“burden” unquestionably to describe the ill persons needs on the lives of
their carer without understanding that relationship and questioning the
use of this value laden term. It is only a small step from there and a few
assumptions about people being happier associating with happy people, to
actually create more unhappiness in ill people and not necessarily less as
the authors suggest, especially if despite all the care in the world, the
(chronic) illness remains. Prof Sainsbury's comment about
”not dropping your friends yet”, although humorously meant, unwittingly
hits the political nail on the head and my main concern with this research
genre of finding the “holy grail” of happiness.
5) The authors should have discussed some of these socio-political
issues and placed their work in these arguments. Research on happiness
would be better if it explored the range of things that make people
“happy” as defined by the people researchers talk to, to produce
conclusions that reflect diversity in the “happiness” experience and
minimise conclusions that normalise. Happiness research that attempts to
find generalisations about happiness will ultimately cause some people to
be unhappy and marginalised and will not challenge inherent assumptions
about what makes people happy, what is happiness, and who is happy in
society or indeed, as Anthony Storr suggests, who is “happy alone!”
Competing interests:
None declared
Competing interests: No competing interests
If happiness is as contagious as that, is it really a stretch to
infer that community life is likewise contagious? Might not all this
"contagious" (this viral) thinking also lead us to the more fundamental
conclusion that humans are social animals not because they are social
(they live in social groups) -- that would be a tautology -- but because
social life is itself contagious? But in what ways would this contagion be
different from Durkheimian solidarity?
Competing interests:
None declared
Competing interests: No competing interests
There are 2 episodes in my life that would give weight to the above
finding.
1. When I moved to the town I live now, I was very happy to be there but
amazed that everyone who walked past seem to smile at me. It only took a
short time to prove that it was their smiled respnse to my smile that was
the reason.
2. In another more distant time, I was quite depressed, and found that
walking up a corridor the automatic door would not open for me, although
it would for anyone else walking up the same corridor ... This happened
over some weeks and did little for my self-esteem. It was only later that
I realised that I was walking along the edge of the corridor, and the
others were walking confidently in the centre and that I was missing the
beam.
Happiness (and sadness) is indeed infectious.
Competing interests:
None declared
Competing interests: No competing interests
The authors- you all deserve complement for the reasons that this
article once more reinforces that science and art of medicine can not be
separated the art of living and attaining complete health by healthy life
style ,healthy behaviour ,and healthy thoughts is again proved
scientifically.
Umesh chandra ojha M.D., D.T.C.D.,F.I.M.S.A.
Competing interests:
None declared
Competing interests: No competing interests
Just what we need!
In the words of Buddhist philosopher, Dr Daisaku Ikeda,'Happiness
does not exist as an isolated quality, nor does it conform to a single
fixed pattern.'
I applaud the authors for taking the brave pill and challenging
current scientific parochalism. Despite the study's complexity and
shortcomings (which research doesn't?), it sheds important light on human
behaviour. I have observed the 'responses' to this paper, both in print
and in daily life, and they range from 'should we only associate with
happy people', 'should we ditch our moaning friends', 'are some people
sources of misery', 'what makes people happy', 'this will marginalise
unhappy people' etc.
However, the fact of the matter is that the authors and their
findings claim no such thing! What is clear from the study, is that
happiness is a dynamic phenomenon, and that happy people form clusters and
these clusters of happiness can influence others. Although, I am not a
sociologist, this seems rather positive and uplifting.
As to how happiness was assessed in this study, the two crucial
components of 'hope' and 'joy' were ascertained. It is important not to
mistake rapture for happiness. In that sense, humanity despite its
struggles with illness, war, poverty and myriad other sociopolitical
tragedies, can still generate and spread happiness.
Lastly, as an ex-researcher myself, it is heartening to see something
positive come out of the Framingham Heart Study, after decades of
cardiovascular anxiety, food fundamentalism and exercise gurus.
Competing interests:
None declared
Competing interests: No competing interests