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Wellbeing is a satisfactory state that someone or something should be in that involves such things as being happy, healthy and safe and having enough money. Psychological Wellbeing is a type of wellbeing that provides useful frameworks for conceptualizing human functioning. Psychological Wellbeing refers to the achievement of one’s full psychological potential. Self-acceptance, personal growth, purpose in life, environmental mastery, autonomy and positive relations with other are six components of Ryff’s conceptualization of positive functioning. The Ryff measure taps 6 core dimension of psychological well-being that are self-acceptance, or positive attitudes toward oneself; positive relation with others, including the ability to achieve close union with others; autonomy, including qualities of self-determination, independence, and the regulation of behavior from within; environmental mastery, with is the individual’s ability to engage in, and manage, activities in one’s surrounding world; purpose in life, including the beliefs that give one the feeling that there is purpose in and meaning of life; and personal growth, which represents one’s continual development and striving to realize one’s potential to grow and expand as a person. Having a positive psychological well-being (PWB) is crucial for successfully navigating a new environment, engaging in meaningful relationships, and realizing one's fullest potential throughout one’s lifespan (Allport, 1961; Erickson, 1959; Maslow, 1968; 5 Rogers, 1961; Ryff, 1989). Gender differences in Psychological well-being are important because of the many efforts being made in contemporary society to empower all individuals to achieve self-actualization and utilise their full potential. In a post-feminist context this incorporates the idea of an “equal opportunities” society; yet social stereotypes still remain (Connors, 1990; Eagly, 1987; Turner &Sterk, 1994). All people are equal but not identical, and the possible differences between people need to be considered in order to empower all individuals to achieve self-actualisation and to fulfil their potential (thereby promoting optimal psychological well-being), whilst being offered equal opportunities. Tuberculosis (TB) is a multisystem infectious disease caused by Mycobacterium tuberculosis (or TB), a rod-shaped bacterium. TB (TB may stand for the disease or the bacteria that cause the disease) is the most common cause of infectious disease-related mortality worldwide. TB has likely been infecting humans for many centuries; evidence of TB infections has been found in cadavers that date back to about 8000 BC. The Greeks termed it as a wasting away disease (phthisis). For many European countries, TB caused death in about 25% of adults and was the leading cause of death in the U.S. until the early 1900s.

Patients with tuberculosis usually have a poor quality of life and an increased risk of developing depression. Quality of life can also affect treatment compliance for tuberculosis patients. Social support, age and education all contribute to the quality of life of tuberculosis patients. Lin C.Y., chen T.C., Lu P.L. and etal. (2013) examined the demographic and clinical factors associated with an increased risk of concurrent extra- pulmonary disease in patients with pulmonary and found that women were more likely than men to have concurrent extra pulmonary and there were no significant gender difference in extra pulmonary TB for patients younger than 45 year in either database. The patients 45 yaer and older, women were more likely than men to have concurrent extra pulmonary TB. Sabawoon W. and Hajime S. (2012) examined the sex difference in the incidence of smear – positive pulmonary tuberculosis in Afganistan and found that out of 9,949 TB cases 3,131 were male and 6,818 were female.in all age groups below than 65, females were higher than men. Mayordomo et al. (2016) conducted a study with more than 700 participants distributed in three different age groups—young people, adults, and older adults—which revealed that there were no significant differences in autonomy between adults and older adults on Ryff’s Psychological Well-Being Scale, although both groups scored higher than the group of young people. Psychological well-being develops to the extent that individuals can interact well with their environment and accept significant challenges inherent in different stages of life (Vera Villarroel et al., 2013; Bluth et al. , 2017; Gómez Lópezet al., 2019). Barbosa and Wagner (2015) found that a group of older youths are finding a higher degree of autonomy. Barbosa and Wagner (2015) found that a group of older youths are finding a higher degree of autonomy.

Psychological Wellbeing Scale developed by Dr. Devendra Singh Sisodia & Miss. Pooja Choudhary.

The sample of the study consisted of 60 subject with age ranging20-35 and 36-65 years. The subjects were male & female from different places of Meerut city. The sample was selected through purposive sampling.

 

1.     Mean

2.     2x2 ANOVA

3.     Graphical representation of groups on the basis of mean

The results are presented in table given below:

Table No-1

Showings Mean Score of age difference and gender difference on psychological wellbeing of tuberculosis patients

Age Difference Gender difference	20-35 years	36-65 years & above	Mean difference on the basis of age
Male	159.06	178.66	19.66
Female	156.86	165.8	8.94
Mean difference between male and female on the basis of gender	2.20	12.86

Table shows that the mean score of male between 20-35 year and 36-65 year of age are 159.06 and 178.66 respectively. The mean difference between these two age group is 19.66. It indicated that groups of the age range 36-65 years scored highest on the psychological wellbeing. The mean score of female between 20-35 year and 36-65 year of age are 156.86 and 165.8 respectively. The mean difference between these two age group is 8.94. it indicated that females of the age range 36-65 years scored highest on the psychological wellbeing. On the basis of gender difference it is found that the mean score of male and female between 20-35 year of age are 159.06 and 156.86 respectively. The mean difference between these two age group is 2.20. The mean score of male and female between 36-65 year of age are 178.66 and 165.8 respectively. The mean difference between these two groups is 12.86. It is found that the age range 36-65 years scored highest on the psychological wellbeing. Commonly it is seen that people during 36-65 year of age suffer from illness such as coronary heart disease, arthritis, chronic lung disease that causes depressed mood and impaired psychological wellbeing but wellbeing depends on how people make sense of their lives. As people age they tend to become happier and more content with their lives people may lower or change their expectation, making success and happiness more likely they become more adaptable, they are more likely to accentuate the positive and play down in negative in any given situation. Patients with tuberculosis usually have a poor quality of life and an increased risk of developing depression. Quality of life can also affect treatment compliance for tuberculosis patients. Social support, age and education all contribute to the quality of life of tuberculosis patients.
Lin C.Y., chen T.C., Lu P.L. and etal. (2013) examined the demographic and clinical factors associated with an increased risk of concurrent extra- pulmonary disease in patients with pulmonary and found that women were more likely than men to have concurrent extra pulmonary and there were no significant gender difference in extra pulmonary TB for patients younger than 45 year in either database. The patients 45 yaer and older, women were more likely than men to have concurrent extra pulmonary TB.
Sabawoon W. and Hajime S. (2012) examined the sex difference in the incidence of smear – positive pulmonary tuberculosis in Afganistan and found that out of 9,949 TB cases 3,131 were male and 6,818 were female.in all age groups below than 65, females were higher than men.
 
Bar graph presented also depicts the difference in psychological well-being of all four groups.
 

Table No-2

Analysis of Variance for the significance of Age Difference and Gender Difference in Tuberculosis Patients

Source of variance	Sum of square	Degree of freedom	Mean of square	F- Ratio
A (age difference)	3053.06	1	3053.06	5.443*
B (Gender difference)	851.26	1	851.26	1.657
AX B	426.66	1	426.66	0.830
SSW	513.651	59

To find out the significant effect of age difference and gender difference the two way ANOVA was calculated .For first I.V. age difference, the obtained value of  F ratio was 5.943  which was found to be significant at 0.01 level. The age group of 36-65 year scored higher on psychological wellbeing. In various research age were linked to psychological wellbeing.  Mayordomo et al. (2016) conducted a study with more than 700 participants distributed in three different age groups—young people, adults, and older adults—which revealed that there were no significant differences in autonomy between adults and older adults on Ryff’s Psychological Well-Being Scale, although both groups scored higher than the group of young people.  
Psychological well-being develops to the extent that individuals can interact well with their environment and accept significant challenges inherent in different stages of life (Vera Villarroel et al., 2013; Bluth et al. , 2017; Gómez Lópezet al., 2019).
Barbosa and Wagner (2015) found that a group of older youths are finding a higher degree of autonomy. Barbosa and Wagner (2015) found that a group of older youths are finding a higher degree of autonomy.Whereas, there was no significant effect of gender difference on psychological wellbeing of tuberculosis patients (F Ratio was 1.657). There was no significant interaction effect (f ratio= 0.830) of age difference &. gender difference on psychological wellbeing of tuberculosis patients. High psychological wellbeing is about feeling happy and doing well. People with high psychological wellbeing report feeling capable, happy, well supported and satisfied with life.. they are more likely to to enjoy a better quality of life.

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