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Farero AM, Blow AJ, Bowles RP, (Gorman) Ufer L, Kees M, Guty D. What predicts personal growth following a deployment? An examination of National Guard soldiers through the lens of posttraumatic growth. MILITARY PSYCHOLOGY 2024; 36:274-285. [PMID: 38661466 PMCID: PMC11057647 DOI: 10.1080/08995605.2021.2002105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2020] [Accepted: 10/29/2021] [Indexed: 10/19/2022]
Abstract
National Guard soldiers experience unique reintegration challenges. In addition to managing the consequences of combat-related trauma, they also navigate multiple transitions between military and civilian life. Despite these obstacles, many soldiers report positive outcomes and personal growth due to deployment, a phenomenon most commonly referred to in the literature as posttraumatic growth (PTG). The current study explored PTG in National Guard soldiers using a multidimensional longitudinal approach, with the goal of validating reports of PTG in soldiers. Data were collected from National Guard soldiers at pre-deployment, reintegration, one year post-deployment and two years post-deployment. Informed by PTG theory, three PTG constructs were measured (perceived ability to handle stress, social support seeking, and purpose in life) at each of the four time points, with increases in these constructs indicating growth. Potential predictors of growth in these PTG constructs were also explored. Results from a repeated measure latent profile analysis indicated that PTG did occur in certain soldiers, and that higher optimism and less severe PTSD symptoms predict this growth. These findings emphasize the importance of making efforts to facilitate PTG in soldiers.
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Affiliation(s)
| | - Adrian J. Blow
- Department of Human Development and Family Studies, Michigan State University, East Lansing, Michigan, USA
| | - Ryan P. Bowles
- Department of Human Development and Family Studies, Michigan State University, East Lansing, Michigan, USA
| | | | - Michelle Kees
- Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA
| | - Danielle Guty
- Michigan Public Health Institute, Okemos, Michigan, USA
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Arunjit S, Balthip K, Latour JM. Measuring the purpose in life in the adult population: A scoping review. BELITUNG NURSING JOURNAL 2024; 10:126-133. [PMID: 38690300 PMCID: PMC11056839 DOI: 10.33546/bnj.3176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2023] [Revised: 01/30/2024] [Accepted: 03/11/2024] [Indexed: 05/02/2024] Open
Abstract
Background The purpose in life can motivate individuals to realize that life is essential for existence and well-being. Adults might experience crises that can lead to a lack of purpose in life. Consequently, promoting purpose in life is necessary, but it requires a suitable measurement scale. Objective This scoping review aimed to identify and map the content, psychometric properties, and answer option scales of instruments intended to measure purpose in life in adult populations. Design A scoping review was employed. Data Sources The database used was PubMed. The libraries were APA PsycNet, Wiley Online Library, and Cochrane Library. The search strategy was performed between 1 November 2023 and 14 February 2024. Review Methods This review used the scoping review framework described by Arksey and O'Malley. The identified instruments were assessed for quality based on the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) criteria. This study also used the PRISMA Extension for Scoping Reviews (PRISMA-ScR) reporting guideline. Results A total of 348 studies were identified, and seven articles were involved in the final synthesis. These seven articles included five instruments measuring the concept of purpose in life, of which two instruments had two versions: 1) Purpose in Life Test (20 items, 4 items); 2) Life Engagement Test (6 items); 3) Psychological Well-Being (120 items, 18 items); 4) Self-Assessment Goal Achievement (9 items); and 5) National Institutes of Health Tuberculosis Meaning and Purpose Scale Age 18+ (18 items). The validity of all instruments was tested using factor analysis, known groups, face, concurrent, convergent, discriminant, and construct validity. The reliability of four instruments was tested by Cronbach's alpha and Spearman-Brown formula. Conclusion Five instruments measuring purpose in life in the adult population with adequate psychometric properties were identified. The clinical implication of this study suggests that nurses may consider employing an appropriate instrument to assess the purpose of life in the adult population, thus enabling them to offer holistic, individualized care to adults, particularly addressing the spiritual dimension.
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Affiliation(s)
- Somrudee Arunjit
- Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand
| | | | - Jos M. Latour
- Faculty of Health, University of Plymouth, Plymouth, United Kingdom
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Pfund GN, Burrow AL, Hill PL. Purpose in Daily Life: Considering Within-Person Sense of Purpose Variability. JOURNAL OF RESEARCH IN PERSONALITY 2024; 109:104473. [PMID: 38495083 PMCID: PMC10938924 DOI: 10.1016/j.jrp.2024.104473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/19/2024]
Abstract
Sense of purpose refers to the extent to which one feels that they have personally meaningful goals and directions guiding them through life. Though this construct predicts a host of benefits, little is known regarding the extent to which sense of purpose fluctuates within an individual and the affective changes tied to those fluctuations. The current study uses daily diary data to addresses this gap by exploring (1) how much sense of purpose and different components of purpose fluctuate from one day to the next, (2) the extent to which these fluctuations correlate with positive and negative affect, and (3) whether dispositional sense of purpose and age correlate with greater variability. Participants (N = 354) reported on their sense of purpose and positive and negative affect every day for 10 days. Results suggest that approximately 45-61% of the variability in sense of purpose scores occurs between-person depending on how it is assessed. Furthermore, the within-person variability in sense of purpose is more strongly correlated with changes in positive affect relative to negative affect. Finally, higher levels of dispositional sense of purpose and age do not appear to be associated with how much variability an individual experiences in their purposefulness from one day to next. The discussion focuses on what these findings mean for the trait-like nature of sense of purpose, short-term sense of purpose measurement, lifespan development, and intervention efforts.
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Affiliation(s)
- Gabrielle N. Pfund
- Department of Medical Social Sciences, Northwestern University; Chicago, IL, USA
- Department of Psychological & Brain Sciences, Washington University in St. Louis, USA
| | - Anthony L. Burrow
- Department of Psychology, Cornell University; Ithaca, NY, USA
- Bronfenbrenner Center for Translational Research, Cornell University; Ithaca, NY, USA
| | - Patrick L. Hill
- Department of Psychological & Brain Sciences, Washington University in St. Louis, USA
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Özer Ö, Özmen S, Toraman A, Özkan O. Investigation of Burnout, Life Engagement and Well-Being in Nurses during the COVID-19 Pandemic. Hosp Top 2024; 102:74-83. [PMID: 35867613 DOI: 10.1080/00185868.2022.2096522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
The nurses experience burnout due to COVID-19 and their psychological state is adversely affected by the pandemic. This study aims to examine the relationships between nurses' COVID-19 burnout, life engagement, and well-being perceptions. The study was carried out on 310 nurses working in a university hospital. As a result of the regression analysis, it was determined that the perception of COVID-19 burnout explained 14.7% of the total variance of life engagement and 40.8% of the total variance of well-being. The study also revealed that the perception of well-being explained 25% of the total variance of life engagement.
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Affiliation(s)
- Özlem Özer
- Faculty of Gulhane Health Sciences, Department of Healthcare Management, University of Health Sciences Turkey, Ankara, Turkey
| | - Sümeyye Özmen
- Faculty of Economics and Administrative Sciences, Department of Healthcare Management, Burdur Mehmet Akif Ersoy University, Burdur, Turkey
| | - Aynur Toraman
- Faculty of Economics and Administrative Sciences, Department of Healthcare Management, Suleyman Demirel University, Isparta, Turkey
| | - Okan Özkan
- Faculty of Gulhane Health Sciences, Department of Healthcare Management, University of Health Sciences Turkey, Ankara, Turkey
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Pfund GN, Hill PL. Considering Financial Assets When Promoting Sense of Purpose in Older Adulthood. J Aging Soc Policy 2024; 36:209-221. [PMID: 35105277 DOI: 10.1080/08959420.2022.2029271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Accepted: 07/20/2021] [Indexed: 10/19/2022]
Abstract
Sense of purpose, a consistent promoter of successful aging across the lifespan, has been shown in previous research to decline during older adulthood. As such, research is needed to understand how to inform policies around promoting a sense of purpose for older adults, and which adults may need more assistance on this front. One potential mechanism for lower purpose in older adulthood could be due to the more limited financial assets many face following retirement. As such, the current study investigated the cross-sectional associations between different kinds of financial assets and sense of purpose among older adults from the 2006 and 2008 waves of the Health and Retirement Study (n = 9,380). Sense of purpose as well as four financial assets were assessed: physical assets, retirement account assets, investment account assets, and debts. Findings indicated that greater physical assets and retirement account assets predicted a higher sense of purpose, while debt and investment account assets did not. Furthermore, there were no moderating effects of different grouping variables, such as retirement status, race, marital status, subjective health, or wave, on the associations between total net worth and sense of purpose. Findings are discussed regarding why net worth matters for all, and why certain assets may be more important than others when promoting a sense of purpose.
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Affiliation(s)
- Gabrielle N Pfund
- Psychological & Brain Sciences, Washington University in St. Louis, St. Louis, MO, USA
| | - Patrick L Hill
- Psychological & Brain Sciences, Washington University in St. Louis, St. Louis, MO, USA
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Giannis I, Wrosch C, Herriot H, Gouin JP. Changes in Purpose in Life and Low-Grade Chronic Inflammation Across Older Adulthood. Int J Aging Hum Dev 2024; 98:182-207. [PMID: 37643057 PMCID: PMC10845832 DOI: 10.1177/00914150231196098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/31/2023]
Abstract
Background: Older adults often experience an increase in low-grade chronic inflammation. Purpose in life could act as a protective factor as it is associated with beneficial health outcomes. Purpose in life may exert part of its adaptive function by promoting persistence in goal pursuit. During older adulthood, however, when many individuals experience an increase in intractable stressors and declining resources, the adaptive function of purpose could become reduced. Purpose: We examined whether the association between inter- and intra-individual differences in purpose in life and chronic inflammation differed across older adulthood. Method: We assessed four waves of data among 129 older adults (63-91 years old) across 6 years. Results: Hierarchical linear modeling demonstrated that within-person increases in purpose in life predicted reduced levels of chronic inflammation in early old age (25th percentile or 73 years, coefficient = -.016, p < .01), but not in advanced old age (75th percentile or 81 years, coefficient = .002, p = .67). Between-person differences in purpose were not related to chronic inflammation. Conclusions: These results suggest that greater within-person increases in purpose may protect health processes particularly in early old age but become less effective in advanced old age.
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Sutin AR, Luchetti M, Stephan Y, Terracciano A. Purpose in life and cognitive performance and informant ratings of cognitive decline, affect, and activities. J Int Neuropsychol Soc 2024; 30:244-252. [PMID: 37609873 PMCID: PMC10884354 DOI: 10.1017/s1355617723000516] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/24/2023]
Abstract
OBJECTIVE To examine (1) the association between purpose in life and multiple domains of cognitive function and informant-rated cognitive decline, affect, and activities; (2) whether these associations are moderated by sociodemographic factors, cognitive impairment, or depression; (3) whether the associations are independent of other aspects of well-being and depressive symptoms. METHOD As part of the 2016 Harmonized Cognitive Assessment Protocol from the Health and Retirement Study, participants completed a battery of cognitive tests and nominated a knowledgeable informant to rate their cognitive decline, affect, and activities. Participants with information available on their purpose in life from the 2014/2016 Leave Behind Questionnaire were included in the analytic sample (N = 2,812). RESULTS Purpose in life was associated with better performance in every cognitive domain examined (episodic memory, speed-attention, visuospatial skills, language, numeric reasoning; median β =.10, p <.001; median d =.53). Purpose was likewise associated with informant-rated cognitive decline and informant-rated affective and activity profiles beneficial for cognitive health (median β =.18, p < .001; median d =.55). There was little evidence of moderation by sociodemographic or other factors (e.g., depression). Life satisfaction, optimism, positive affect, and mastery were generally associated with cognition. When tested simultaneously with each other and depressive symptoms, most dimensions were reduced to non-significance; purpose remained a significant predictor. CONCLUSIONS Purpose in life is associated with better performance across numerous domains of cognition and with emotional and behavioral patterns beneficial for cognitive health that are observable by knowledgeable others. These associations largely generalize across demographic and clinical groups and are independent of other aspects of well-being.
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Hill PL, Morstead T, Pfund GN, Burrow AL, DeLongis A, Sin NL. Examining changes in sense of purpose before, during, and after COVID-19 vaccination. Vaccine 2024; 42:1087-1093. [PMID: 38246844 DOI: 10.1016/j.vaccine.2024.01.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Revised: 12/18/2023] [Accepted: 01/08/2024] [Indexed: 01/23/2024]
Abstract
Multiple studies have focused on the role of psychosocial factors as predictors of COVID-19 vaccination willingness and uptake, with less attention paid to whether vaccination itself could influence wellbeing. The current study evaluated this possibility with respect to sense of purpose, the perception one has goals and a direction in life, building on previous evidence this factor may influence vaccination willingness and decision-making. Across seven waves of monthly data from February to August 2021, participants (n = 2169, mage = 48.0 years) across Canada and the United States reported on their sense of purpose and vaccination status. Using piecewise regression models, results indicated that sense of purpose did not appear to fluctuate in the month prior to, during, or following COVID-19 vaccination. However, across most months of the survey, vaccinated participants did report greater sense of purpose relative to unvaccinated participants. These findings are discussed with respect to whether health behaviors, such as vaccination, should be viewed as behaviors indicative of leading a purposeful life.
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Affiliation(s)
- Patrick L Hill
- Department of Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, MO, USA.
| | - Talia Morstead
- Department of Psychology, University of British Columbia, Vancouver, BC, Canada
| | - Gabrielle N Pfund
- Department of Medical Social Sciences, Northwestern University, Evanston, IL, USA
| | | | - Anita DeLongis
- Department of Psychology, University of British Columbia, Vancouver, BC, Canada
| | - Nancy L Sin
- Department of Psychology, University of British Columbia, Vancouver, BC, Canada
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Hill PL, Olaru G, Allemand M. Examining sense of purpose and conscientiousness as unique correlates of health: A bifactor examination. J Health Psychol 2024:13591053241226814. [PMID: 38312017 DOI: 10.1177/13591053241226814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2024] Open
Abstract
Conscientiousness and sense of purpose consistently predict health, wellbeing, and health behavior. However, it remains an open question whether they are unique or overlapping predictors of health and wellbeing. The current study considered this question using the MOSAiCH study, a nationally representative sample of 2305 Swiss adults (M: 52.33 years old; SD = 17.36). Participants reported on sense of purpose and conscientiousness, in addition to multiple health, wellbeing, and health behavior indicators (e.g. dietary practices, activity engagement, health conditions, psychological concerns, and doctor visits). Results found conscientiousness and sense of purpose were moderately associated with multiple health, wellbeing, and health behavior indicators. Bifactor modeling was employed to test the incremental validity of conscientiousness and sense of purpose, when accounting for their shared variance. The specific factor for purpose predicted outcomes even when accounting for conscientiousness. However, conscientiousness had little incremental validity over the general factor.
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Bakhshandeh Bavarsad M, Stephens C. Social network type contributes to purpose in life among older people, mediated by social support. Eur J Ageing 2024; 21:5. [PMID: 38231456 PMCID: PMC10794679 DOI: 10.1007/s10433-024-00799-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/08/2024] [Indexed: 01/18/2024] Open
Abstract
A sense of Purpose in Life is an important aspect of ageing well which is related to older adult's social relationships. Social network types and the different sources of support they provide are theorized here as a pathway to maintaining a sense of purpose as we age. The study utilized a population sample from the 2016 and 2020 NZ Health, Work, and Retirement (NZHWR) longitudinal survey waves; N = 2869 (mean age of 65.82 years (SD = 6.40). A structural equation model investigated the relationship between Social Network Type and Purpose in Life and the mediating role of Social Support. The final model had a good fit to the data and explained 33.7% of the variance in Purpose in Life. Private, Self-Contained and Family Dependent network types (2016) were negatively related to Purpose in Life 4 years later (2020). Support from sense of Attachment, Reassurance of Worth, Reliable Alliance and Social Integration played a mediating role between Social Network type and Purpose in Life. These findings highlight the importance of social networks in maintaining a sense of purpose among older adults and highlight pathways for the types of networks, and kinds of social support they offer, which contribute to a sense of purpose in life. They underscore the importance of social support for the well-being of older adults and highlight the need to consider the quality and type of social networks and support they provide, when designing interventions to enhance well-being.
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Affiliation(s)
| | - Christine Stephens
- School of Psychology, Massey University, Private Bag 11-222, Palmerston North, New Zealand.
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Sutin AR, Luchetti M, Stephan Y, Sesker AA, Terracciano A. Purpose in life and stress: An individual-participant meta-analysis of 16 samples. J Affect Disord 2024; 345:378-385. [PMID: 38706462 PMCID: PMC11068359 DOI: 10.1016/j.jad.2023.10.149] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/07/2024]
Abstract
Background Purpose in life is a psychological resource that has been associated with better regulation of stress. The present research reports a coordinated analysis of the association between purpose in life and subjective stress and evaluates potential sociodemographic and mental health moderators of this association. Methods With individual participant data from 16 samples (total N=108,391), linear regression examined the association between purpose in life and general subjective feelings of stress, controlling for sociodemographic characteristics. Results Greater purpose in life was associated with less subjective stress (meta-analytic estimate=-.228, 95% Confidence Interval=-.292, -.164; p<.001). Interaction terms between sociodemographic factors and purpose tested in the individual samples and synthesized with meta-analysis were not significant, which indicated that the association between purpose and stress was similar across age, sex, race, ethnicity, and education. The association was also not moderated by psychological distress. Meta-regressions further indicated that this association was generally similar across scale length, content of the purpose measure, and across samples from Eastern and Western countries. Limitations The associations reported are observational. Experimental work is needed to evaluate causality. Conclusions Purpose in life is associated with less subjective stress across populations. Less subjective stress may be one mechanism through which purpose contributes to better mental and physical health.
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Affiliation(s)
| | | | | | - Amanda A. Sesker
- Florida State University College of Medicine
- University of Minnesota Medical School–Duluth
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Taylor SL, Elwy AR, Bokhour BG, Coggeshall SS, Cohen A, Der-Martirosian C, Haderlein T, Haun J, Kligler B, Kloehn AT, Lorenz KA, Lott B, Shin MH, Schult T, Toyama J, Whitehead AM, Zhang X, Zeliadt SB. Measuring Patient-Reported Use and Outcomes From Complementary and Integrative Health Therapies: Development of the Complementary and Integrative Health Therapy Patient Experience Survey. GLOBAL ADVANCES IN INTEGRATIVE MEDICINE AND HEALTH 2024; 13:27536130241241259. [PMID: 38585239 PMCID: PMC10998493 DOI: 10.1177/27536130241241259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Revised: 02/06/2024] [Accepted: 03/04/2024] [Indexed: 04/09/2024]
Abstract
Background Assessing the use and effectiveness of complementary and integrative health (CIH) therapies via survey can be complicated given CIH therapies are used in various locations and formats, the dosing required to have an effect is unclear, the potential health and well-being outcomes are many, and describing CIH therapies can be challenging. Few surveys assessing CIH therapy use and effectiveness exist, and none sufficiently reflect these complexities. Objective In a large-scale Veterans Health Administration (VA) quality improvement effort, we developed the "Complementary and Integrative Health Therapy Patient Experience Survey", a longitudinal, electronic patient self-administered survey to comprehensively assess CIH therapy use and outcomes. Methods We obtained guidance from the literature, subject matter experts, and Veteran patients who used CIH therapies in designing the survey. As a validity check, we completed cognitive testing and interviews with those patients. We conducted the survey (March 2021-April 2023), inviting 15,608 Veterans with chronic musculoskeletal pain with a recent CIH appointment or referral identified in VA electronic medical records (EMR) to participate. As a second validity check, we compared VA EMR data and patient self-reports of CIH therapy utilization a month after survey initiation and again at survey conclusion. Results The 64-item, electronic survey assesses CIH dosing (amount and timing), delivery format and location, provider location, and payor. It also assesses 7 patient-reported outcomes (pain, global mental health, global physical health, depression, quality of life, stress, and meaning/purpose in life), and 3 potential mediators (perceived health competency, healthcare engagement, and self-efficacy for managing diseases). The survey took 17 minutes on average to complete and had a baseline response rate of 45.3%. We found high degrees of concordance between self-reported and EMR data for all therapies except meditation. Conclusions Validly assessing patient-reported CIH therapy use and outcomes is complex, but possible.
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Affiliation(s)
- Stephanie L Taylor
- Center for the Study of Healthcare Innovation, Implementation and Policy, Greater Los Angeles VA Healthcare System, Los Angeles, CA, USA
- Department of Medicine and Department of Health Policy and Management, UCLA, Los Angeles, CA, USA
| | - A Rani Elwy
- Center for Healthcare Organization and Implementation Research, VA Bedford, Bedford, MA, USA and VA Boston Healthcare Systems, Boston, MA, USA
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School, Brown University, Providence, RI, USA
| | - Barbara G Bokhour
- Center for Healthcare Organization and Implementation Research, VA Bedford, Bedford, MA, USA and VA Boston Healthcare Systems, Boston, MA, USA
- Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, USA
| | - Scott S Coggeshall
- Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Healthcare System, Seattle, WA, USA
- Department of Health Services, School of Public Health, University of Washington, Seattle, WA, USA
| | - Amy Cohen
- Division of Education, American Psychiatric Association, Washington, DC, USA
| | - Claudia Der-Martirosian
- Center for the Study of Healthcare Innovation, Implementation and Policy, Greater Los Angeles VA Healthcare System, Los Angeles, CA, USA
- Veterans Emergency Management Evaluation Center, Office of Patient Care Services, North Hills, CA, USA
| | - Taona Haderlein
- Center for the Study of Healthcare Innovation, Implementation and Policy, Greater Los Angeles VA Healthcare System, Los Angeles, CA, USA
- Veterans Emergency Management Evaluation Center, Office of Patient Care Services, North Hills, CA, USA
| | - Jolie Haun
- James A. Haley Veterans Hospital, Tampa, FL, USA
- College of Public Health at University of South Florida, Tampa, FL, USA
| | - Benjamin Kligler
- Office of Patient Centered Care and Cultural Transformation, Veterans Health Administration, Washington, DC, USA
| | - Alex T Kloehn
- Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Healthcare System, Seattle, WA, USA
| | - Karl A Lorenz
- Center for Innovation to Implementation, VA Palo Alto Healthcare System, Palo Alto, CA, USA
- Division of Primary Care and Population Health, Stanford School of Medicine, Stanford, CA, USA
| | - Briana Lott
- Center for the Study of Healthcare Innovation, Implementation and Policy, Greater Los Angeles VA Healthcare System, Los Angeles, CA, USA
| | - Marlena H Shin
- Center for Healthcare Organization and Implementation Research, VA Bedford, Bedford, MA, USA and VA Boston Healthcare Systems, Boston, MA, USA
| | - Tammy Schult
- Office of Patient Centered Care and Cultural Transformation, Veterans Health Administration, Washington, DC, USA
| | - Joy Toyama
- Center for the Study of Healthcare Innovation, Implementation and Policy, Greater Los Angeles VA Healthcare System, Los Angeles, CA, USA
| | - Alison M Whitehead
- Office of Patient Centered Care and Cultural Transformation, Veterans Health Administration, Washington, DC, USA
| | - Xiaoyi Zhang
- Department of Biomedical Informatics and Medical Education, School of Medicine, University of Washington, Seattle, WA, USA
| | - Steven B Zeliadt
- Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Healthcare System, Seattle, WA, USA
- Department of Health Services, School of Public Health, University of Washington, Seattle, WA, USA
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Eliacin J, Patterson SM, Mendez DM, Burgess DJ, Traylor MH, Borden MY, Slaven JE, Matthias MS. Findings from a Peer-Facilitated, Social Isolation Intervention in the Veterans Health Administration Healthcare System: A Mixed-Methods, Pilot Feasibility Study. J Gen Intern Med 2023; 38:3460-3471. [PMID: 37723366 PMCID: PMC10713941 DOI: 10.1007/s11606-023-08387-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Accepted: 08/21/2023] [Indexed: 09/20/2023]
Abstract
BACKGROUND Social isolation is a global public health threat. Veterans are particularly at risk for social isolation due to high rates of comorbid physical and mental health problems. Yet, effective interventions are limited. OBJECTIVES Our primary objective was to assess the feasibility and acceptability of CONNECTED, a novel, transdiagnostic intervention to reduce social isolation that includes individual and group components and is delivered by peers via telehealth. Secondary objectives were to identify appropriate outcome measures and explore preliminary intervention effects. METHODS This was a two-phase study. In Phase 1, to evaluate study feasibility, we surveyed 200 veterans to assess prevalence of social isolation and their interest in social connectedness interventions. In Phase 2, we employed a mixed-methods, pre-post study design in which we piloted CONNECTED with 19 veterans through 2 successive cohorts to further assess feasibility, to evaluate acceptability, and to explore preliminary effectiveness. Quantitative analyses involved descriptive and bivariate analyses as well as multivariate modeling. Qualitative interviews were analyzed using thematic analysis. RESULTS For Phase 1, 39% of veterans surveyed were socially isolated. Participants who were ≤ 55 years old, caregivers, and those who experienced unmet social needs were more likely to report social isolation. Over 61% expressed interest in VA programs to reduce social isolation. For Phase 2, the pilot intervention, recruitment rate was 88% and the enrollment rate was 86%. Retention rates for the two cohorts were 80% and 50%, respectively, and satisfaction rates among intervention completers were 100%. Results also showed statistically significant improvements in social isolation (+ 5.91, SD = 4.99; p = .0028), social support (+ 0.74, SD = 1.09; p = .03), anxiety (-3.92, SD = 3.73; p = .003), and depression (-3.83, SD = 3.13; p = .001). Results for the other measures were not statistically significant. CONCLUSION CONNECTED is a feasible and acceptable intervention and is likely to be an effective tool to intervene on social isolation among veterans.
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Affiliation(s)
- Johanne Eliacin
- Department of Veterans Affairs, VA HSR&D Center for Health Information and Communication, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA.
- National Center for PTSD, VA Boston Healthcare System, Boston, MA, USA.
- Regenstrief Institute, Indianapolis, IN, USA.
- Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
| | - Scott M Patterson
- Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA
- Department of Psychiatry, Roudebush VA Medical Center, Indianapolis, IN, USA
| | - Diana M Mendez
- Department of Psychiatry, Orlando VA Healthcare System, Orlando, FL, USA
| | - Diana J Burgess
- Center for Care Delivery and Outcomes Research, Minneapolis VA Healthcare System, Minneapolis, MN, USA
- Department of Medicine, University of Minnesota, Minneapolis, MN, USA
| | - Morgan H Traylor
- Department of Veterans Affairs, VA HSR&D Center for Health Information and Communication, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA
| | - Maria Y Borden
- Department of Veterans Affairs, VA HSR&D Center for Health Information and Communication, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA
| | - James E Slaven
- Deparmtent of Biostatistics and Health Data Science, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Marianne S Matthias
- Department of Veterans Affairs, VA HSR&D Center for Health Information and Communication, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA
- Regenstrief Institute, Indianapolis, IN, USA
- Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA
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14
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Boreham ID, Schutte NS. The relationship between purpose in life and depression and anxiety: A meta-analysis. J Clin Psychol 2023; 79:2736-2767. [PMID: 37572371 DOI: 10.1002/jclp.23576] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 07/05/2023] [Accepted: 07/19/2023] [Indexed: 08/14/2023]
Abstract
Purpose in life consists of having a sense of meaning and purpose regarding one's activities as well as an overall sense that life is meaningful. This study reports a comprehensive assessment of the relationship of purpose in life with depression and anxiety. A meta-analysis (total n = 66,468, total k = 99) investigated the association of purpose in life with depression and anxiety. Across samples, greater purpose in life was significantly associated with lower levels of depression and anxiety. The mean weighted effect size between purpose in life and depression was r = -0.49, [95% confidence intervals, CIs: -0.52, -0.45], p < 0.001. For the purpose in life and anxiety the mean weighted effect size was r = -0.36, [95% CIs: -0.40, -0.32], p < 0.001. The association of purpose in life with mental health was stronger for clinical populations, especially with regard to the relationship with anxiety. Both approach deficits and avoidance motivation are argued to play a role in the relationship between purpose and psychopathology, with greater purpose potentially limiting avoidance tendencies and reducing the effects of depression and anxiety. Understanding the role that purpose in life may play in depression and anxiety could help to inform current conceptualizations of these disorders and improve treatment outcomes.
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Affiliation(s)
- Ian D Boreham
- Department of Psychology, University of New England, Armidale, Australia
| | - Nicola S Schutte
- Department of Psychology, University of New England, Armidale, Australia
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15
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Vita A, Barlati S, Deste G, Nibbio G, Penn DL, Pinkham AE, McIntyre RS, Harvey PD. Life engagement in people living with schizophrenia: predictors and correlates of patient life engagement in a large sample of people living in the community. Psychol Med 2023; 53:7943-7952. [PMID: 37522514 PMCID: PMC10755242 DOI: 10.1017/s0033291723002106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Revised: 06/24/2023] [Accepted: 07/10/2023] [Indexed: 08/01/2023]
Abstract
BACKGROUND Life engagement represents a holistic concept that encompasses outcomes reflecting life-fulfilment, well-being and participation in valued and meaningful activities, which is recently gaining attention and scientific interest. Despite its conceptual importance and its relevance, life engagement represents a largely unexplored domain in schizophrenia. The aims of the present study were to independently assess correlates and predictors of patient life engagement in a large and well-characterized sample of schizophrenia patients. METHODS To assess the impact of different demographic, clinical, cognitive and functional parameters on life engagement in a large sample of patients with schizophrenia, data from the social cognition psychometric evaluation project were analyzed. RESULTS Overall schizophrenia and depressive symptom severity, premorbid IQ, neurocognitive performance, social cognition performance both in the emotion processing and theory of mind domains, functional capacity, social skills performance and real-world functioning in different areas all emerged as correlates of patient life engagement. Greater symptom severity and greater impairment in real-world interpersonal relationships, social skills, functional capacity and work outcomes emerged as individual predictors of greater limitations in life engagement. CONCLUSIONS Life engagement in people living with schizophrenia represents a holistic and complex construct, with several different clinical, cognitive and functional correlates. These features represent potential treatment targets to improve the clinical condition and also facilitate the process of recovery and the overall well-being of people living with schizophrenia.
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Affiliation(s)
- Antonio Vita
- Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy
- Department of Mental Health and Addiction Services, ASST Spedali Civili of Brescia, Brescia, Italy
| | - Stefano Barlati
- Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy
- Department of Mental Health and Addiction Services, ASST Spedali Civili of Brescia, Brescia, Italy
| | - Giacomo Deste
- Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy
- Department of Mental Health and Addiction Services, ASST Spedali Civili of Brescia, Brescia, Italy
| | - Gabriele Nibbio
- Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy
| | - David L. Penn
- Department of Psychology, University of North Carolina, Chapel Hill, NC, USA
- School of Psychology, Australian Catholic University, Melbourne, VIC, Australia
| | - Amy E. Pinkham
- Department of Psychology, School of Behavioral and Brain Sciences, The University of Texas at Dallas, Richardson, TX, USA
| | - Roger S. McIntyre
- Department of Psychiatry and Pharmacology, University of Toronto, Toronto, Canada
- Brain and Discovery Foundation (BCDF), Toronto, Canada
| | - Philip D. Harvey
- Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA
- Research Service, Miami VA Healthcare System, Miami, FL, USA
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16
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Berkowitz L, Mateo C, Salazar C, Samith B, Sara D, Pinto V, Martínez X, Calzada M, von Schultzendorff A, Pedrals N, Bitran M, Echeverría G, Ruini C, Ryff C, Rigotti A. Healthy Eating as Potential Mediator of Inverse Association between Purpose in Life and Waist Circumference: Emerging Evidence from US and Chilean Cohorts. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:7099. [PMID: 38063529 PMCID: PMC10705882 DOI: 10.3390/ijerph20237099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Revised: 08/15/2023] [Accepted: 08/18/2023] [Indexed: 12/18/2023]
Abstract
High sense of purpose in life, a fundamental domain of eudaimonic well-being, has been consistently associated with lower risk for various obesity-related chronic diseases. Although this psychological feature correlates with some health behaviors as potential mediators, its association with healthy eating remains less explored. In addition, studies of these psycho-behavioral and health relationships in the South American population are lacking. This research sought to assess: (1) the cross-sectional association between self-reported purpose in life and overall healthy eating patterns, and (2) healthy food intake as a potential mediator of the inverse relationship between purpose in life and waist circumference. Data collected of 2060 US adults from the MIDUS study (5 ± 12 years, 55% women, mostly white people, and 42.5% obese) and 223 Chilean adults from the CHILEMED study (46.6 ± 9 years, 58.3% women, and 71.3% obese) were used. Anthropometric and sociodemographic variables were collected. Sense of purpose was assessed using the purpose in life subscale of the Ryff's psychological well-being questionnaire. Diet quality was evaluated using healthy eating or low-fat diet indexes, according to extant food intake data in each cohort. The relationship between these variables was estimated by bivariate and multivariate linear regressions with appropriate adjustments. To establish whether a better diet quality could mediate a link of purpose in life and improved nutritional status (assessed by waist circumference), the association between these three variables was tested by bootstrapping-based mediation analysis. Our results show significant associations of sense of purpose with healthy eating and low-fat dietary patterns in both US and Chilean cohorts, respectively, even after adjusting for sociodemographic variables. According to the mediation analysis, the relationship between sense of purpose and waist circumference, as an indicator of abdominal obesity, appears to be partially mediated by healthier food intake in both samples. In conclusion, our findings suggest a plausible mechanism underlying the favorable impact of this well-being dimension on physical health. Given its protective effects, interventions aimed at increasing purpose in life may facilitate adherence to better dietary patterns, which, in turn, will reduce the risk for obesity-related chronic diseases.
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Affiliation(s)
- Loni Berkowitz
- Departamento de Nutrición, Diabetes y Metabolismo, Escuela de Medicina, Pontificia Universidad Católica, Santiago 8331150, Chile; (L.B.); (B.S.); (M.C.); (N.P.); (G.E.)
- Centro de Nutrición Molecular y Enfermedades Crónicas, Escuela de Medicina, Pontificia Universidad Católica, Santiago 8331150, Chile; (C.M.); (C.S.); (D.S.); (V.P.); (X.M.); (A.v.S.); (M.B.)
| | - Camila Mateo
- Centro de Nutrición Molecular y Enfermedades Crónicas, Escuela de Medicina, Pontificia Universidad Católica, Santiago 8331150, Chile; (C.M.); (C.S.); (D.S.); (V.P.); (X.M.); (A.v.S.); (M.B.)
| | - Cristian Salazar
- Centro de Nutrición Molecular y Enfermedades Crónicas, Escuela de Medicina, Pontificia Universidad Católica, Santiago 8331150, Chile; (C.M.); (C.S.); (D.S.); (V.P.); (X.M.); (A.v.S.); (M.B.)
| | - Bárbara Samith
- Departamento de Nutrición, Diabetes y Metabolismo, Escuela de Medicina, Pontificia Universidad Católica, Santiago 8331150, Chile; (L.B.); (B.S.); (M.C.); (N.P.); (G.E.)
- Centro de Nutrición Molecular y Enfermedades Crónicas, Escuela de Medicina, Pontificia Universidad Católica, Santiago 8331150, Chile; (C.M.); (C.S.); (D.S.); (V.P.); (X.M.); (A.v.S.); (M.B.)
| | - Daniela Sara
- Centro de Nutrición Molecular y Enfermedades Crónicas, Escuela de Medicina, Pontificia Universidad Católica, Santiago 8331150, Chile; (C.M.); (C.S.); (D.S.); (V.P.); (X.M.); (A.v.S.); (M.B.)
| | - Victoria Pinto
- Centro de Nutrición Molecular y Enfermedades Crónicas, Escuela de Medicina, Pontificia Universidad Católica, Santiago 8331150, Chile; (C.M.); (C.S.); (D.S.); (V.P.); (X.M.); (A.v.S.); (M.B.)
- Carrera de Nutrición y Dietética and Centro de Nutrición Molecular y Enfermedades Crónicas, Facultad de Medicina, Pontificia Universidad Católica, Santiago 8331150, Chile
| | - Ximena Martínez
- Centro de Nutrición Molecular y Enfermedades Crónicas, Escuela de Medicina, Pontificia Universidad Católica, Santiago 8331150, Chile; (C.M.); (C.S.); (D.S.); (V.P.); (X.M.); (A.v.S.); (M.B.)
| | - Mariana Calzada
- Departamento de Nutrición, Diabetes y Metabolismo, Escuela de Medicina, Pontificia Universidad Católica, Santiago 8331150, Chile; (L.B.); (B.S.); (M.C.); (N.P.); (G.E.)
- Centro de Nutrición Molecular y Enfermedades Crónicas, Escuela de Medicina, Pontificia Universidad Católica, Santiago 8331150, Chile; (C.M.); (C.S.); (D.S.); (V.P.); (X.M.); (A.v.S.); (M.B.)
| | - Andrea von Schultzendorff
- Centro de Nutrición Molecular y Enfermedades Crónicas, Escuela de Medicina, Pontificia Universidad Católica, Santiago 8331150, Chile; (C.M.); (C.S.); (D.S.); (V.P.); (X.M.); (A.v.S.); (M.B.)
| | - Nuria Pedrals
- Departamento de Nutrición, Diabetes y Metabolismo, Escuela de Medicina, Pontificia Universidad Católica, Santiago 8331150, Chile; (L.B.); (B.S.); (M.C.); (N.P.); (G.E.)
- Centro de Nutrición Molecular y Enfermedades Crónicas, Escuela de Medicina, Pontificia Universidad Católica, Santiago 8331150, Chile; (C.M.); (C.S.); (D.S.); (V.P.); (X.M.); (A.v.S.); (M.B.)
| | - Marcela Bitran
- Centro de Nutrición Molecular y Enfermedades Crónicas, Escuela de Medicina, Pontificia Universidad Católica, Santiago 8331150, Chile; (C.M.); (C.S.); (D.S.); (V.P.); (X.M.); (A.v.S.); (M.B.)
| | - Guadalupe Echeverría
- Departamento de Nutrición, Diabetes y Metabolismo, Escuela de Medicina, Pontificia Universidad Católica, Santiago 8331150, Chile; (L.B.); (B.S.); (M.C.); (N.P.); (G.E.)
- Centro de Nutrición Molecular y Enfermedades Crónicas, Escuela de Medicina, Pontificia Universidad Católica, Santiago 8331150, Chile; (C.M.); (C.S.); (D.S.); (V.P.); (X.M.); (A.v.S.); (M.B.)
| | - Chiara Ruini
- Department for Life Qualities Studies, University of Bologna, 40126 Rimini, Italy;
| | - Carol Ryff
- Institute on Aging, University of Wisconsin-Madison, Madison, WI 53715-1149, USA;
| | - Attilio Rigotti
- Departamento de Nutrición, Diabetes y Metabolismo, Escuela de Medicina, Pontificia Universidad Católica, Santiago 8331150, Chile; (L.B.); (B.S.); (M.C.); (N.P.); (G.E.)
- Centro de Nutrición Molecular y Enfermedades Crónicas, Escuela de Medicina, Pontificia Universidad Católica, Santiago 8331150, Chile; (C.M.); (C.S.); (D.S.); (V.P.); (X.M.); (A.v.S.); (M.B.)
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17
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Patel KN, Lincoln B, Gomez LAM, Lopez AC, Ting T, Lund TJ, Liang B. MentorOn: A peer mentoring program developed for COVID-19 times. JOURNAL OF COMMUNITY PSYCHOLOGY 2023; 51:3152-3170. [PMID: 36950766 DOI: 10.1002/jcop.23030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Revised: 03/02/2023] [Accepted: 03/07/2023] [Indexed: 06/18/2023]
Abstract
Burgeoning research has documented COVID-19's detrimental impacts globally, especially on the lives of adolescents. The present study examined the positive influences of a virtual, cross-age peer mentoring program on the development of adolescent participants in the face of the hardships created by the pandemic. In particular, this study focuses on the experiences of high school participants who served as both mentors and mentees in the program. Semi-structured interviews with participating high schoolers (n = 13) were coded and analyzed using the thematic analysis process. The interview data indicated that increased social support, the agency in prosocial pursuits, and greater purpose engagement resulted from their participation in the program. Results are discussed in the context of self-determination theory: youths' needs for relatedness, competence, and autonomy. The program met these basic needs among participants which in turn supported purpose exploration during the pandemic.
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Affiliation(s)
- Kira N Patel
- Department of Counseling, Developmental and Educational Psychology, Boston College, Chestnut Hill, Massachusetts, USA
| | - Brenna Lincoln
- Department of Counseling, Developmental and Educational Psychology, Boston College, Chestnut Hill, Massachusetts, USA
| | | | - Ana C Lopez
- Department of Counseling, Developmental and Educational Psychology, Boston College, Chestnut Hill, Massachusetts, USA
| | - Tobin Ting
- Social Studies Department, Lexington High School, Lexington, Massachusetts, USA
| | - Terese J Lund
- Psychology Department, Wingate University, Wingate, North Carolina, USA
| | - Belle Liang
- Department of Counseling, Developmental and Educational Psychology, Boston College, Chestnut Hill, Massachusetts, USA
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18
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Hung C, Ni Y, Geldhof GJ, Berg J, McMahon R. Life goal selection pattern and purpose in adolescence: A latent class analysis. J Adolesc 2023; 95:1365-1376. [PMID: 37345900 DOI: 10.1002/jad.12209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Revised: 05/09/2023] [Accepted: 06/12/2023] [Indexed: 06/23/2023]
Abstract
PURPOSE This study aims to investigate the goal selection patterns among adolescents and examines the extent to which goals focused on oneself, relationships, and the larger community were associated with variability of daily purpose and mean level sense of purpose in life. METHODS Participants were 213 high school students with an average age of 15.18 years in an urban public school district in the Northeast United States. Students were asked to select their three most important goals one time and report on their sense of purpose once a day for 3 weeks in spring of 2022. Latent class analysis was used to classify students by the type of goals selected. Differences in the overall sense of purpose and its subscales by class were examined. RESULTS A model with four classes (Self and Inner Circle, Inner Circle, Other-Oriented, and Self-Oriented) best fits the data. There were no statistical group differences in the variability of daily purpose and overall sense of purpose. Only one pairwise comparison was significant and indicated that students in the Other-Oriented group perceived their purpose as more meaningful than students in the Self and Inner Circle group. CONCLUSIONS Findings from this study provide a lens into goal prioritization patterns among adolescents. Further, although students who were more likely to select other-oriented goals had somewhat higher perceptions of sense of purpose, findings support the concept of equifinality by suggesting that a sense of purpose may be actualized through a diverse set of specific goals.
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Affiliation(s)
- ChenYu Hung
- American Institutes for Research, Arlington, Virginia, USA
| | - Yue Ni
- Oregon State University, Corvallis, Oregon, USA
| | | | - Juliette Berg
- American Institutes for Research, Arlington, Virginia, USA
| | - Robert McMahon
- American Institutes for Research, Arlington, Virginia, USA
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19
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Barcaccia B, Couyoumdjian A, Di Consiglio M, Papa C, Cancellieri UG, Cervin M. Purpose in life as an asset for well-being and a protective factor against depression in adolescents. Front Psychol 2023; 14:1250279. [PMID: 37829070 PMCID: PMC10566624 DOI: 10.3389/fpsyg.2023.1250279] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Accepted: 08/30/2023] [Indexed: 10/14/2023] Open
Abstract
Purpose in life, which is a central component of the eudaimonic paradigm of well-being, has been sparsely examined in adolescence. This is unfortunate as adolescence is characterised by identity development and is a key period for the onset of mental disorders. To inform future research on well-being and purpose in life in adolescents, we drew factors from several fields of research, including mental health and psychological factors, and explored which factors were most strongly associated with purpose in life. Data were collected in a sample of 444 Italian adolescents (Mage = 16.30 [SD = 1.50], range: 14 to 20 years; 58% girls) and associations with mental health (stress, anxiety, depression, anger), psychological traits (mindfulness, self-hate, self-inadequacy, self-reassurance, isolation), and sociodemographic variables (age, sex, place of birth) were examined. Regression, dominance, and network analyses indicated that a stronger sense of purpose in life was associated with lower depressive symptoms, higher levels of self-reassurance, and being born in Italy. Our findings suggest that purpose in life is an important asset for well-being in adolescents and may protect against depression. Future longitudinal and/or experimental research should examine the potential protective role of purpose in life in relation to adolescent depression and how self-reassurance and sociodemographic factors (e.g., immigrant background) are involved.
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Affiliation(s)
- Barbara Barcaccia
- Department of Psychology, Sapienza University of Rome, Rome, Italy
- Associazione di Psicologia Cognitiva APC and Scuola di Psicoterapia Cognitiva Srl SPC, Rome, Italy
| | | | | | - Carolina Papa
- Department of Psychology, Sapienza University of Rome, Rome, Italy
| | | | - Matti Cervin
- Department of Clinical Sciences, Lund University, Lund, Sweden
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20
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Lohani M, Pfund GN, Bono TJ, Hill PL. Starting school with purpose: Self-regulatory strategies of first-semester university students. Appl Psychol Health Well Being 2023; 15:723-739. [PMID: 36217594 PMCID: PMC10083189 DOI: 10.1111/aphw.12407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Accepted: 09/22/2022] [Indexed: 11/28/2022]
Abstract
Purposefulness may facilitate self-regulation; however, little is known about the self-regulatory strategies that are implemented by purposeful individuals. Given the multiple regulatory challenges students face in their social and academic lives, a central aim of the current work was to consider how purposefulness and self-regulation are linked during the first semester of university. This 13-week-long study was conducted with first-semester college students (N = 256) in the United States of America to examine whether weekly fluctuations in purposefulness may be connected to the use of traditionally adaptive (problem-solving) and maladaptive (rumination and experiential avoidance) self-regulation strategies. Consistent with our hypothesis, at the within- and between-person level, higher purposefulness was associated with greater use of problem-solving, lower rumination, and lower experiential avoidance at the weekly level. The findings imply purposefulness is an important individual difference that may explain better or worse self-regulatory abilities.
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Affiliation(s)
- Monika Lohani
- Department of Educational Psychology, University of Utah, Salt Lake City, Utah, USA
| | - Gabrielle N Pfund
- Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, Missouri, USA
| | - Timothy J Bono
- Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, Missouri, USA
| | - Patrick L Hill
- Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, Missouri, USA
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21
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Pfund GN. Applying an Allportian Trait Perspective to Sense of Purpose. JOURNAL OF HAPPINESS STUDIES 2023; 24:1625-1642. [PMID: 37193057 PMCID: PMC10081294 DOI: 10.1007/s10902-023-00644-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/02/2023] [Indexed: 05/18/2023]
Abstract
Sense of purpose captures the extent to which one feels that they have personally meaningful goals and directions guiding them through life. While this construct has illustrated its ability to robustly predict desirable outcomes-ranging from happiness to mortality-the nature of this construct remains unclear. I begin by describing different definitions and measures from the purpose literature. From there, I review the debates suggesting that it should be classified as a component of identity development, a facet of well-being, or even a virtue. In the current paper, I argue that sense of purpose could be best served when qualified as a trait, building from the eight components of defining a trait from Allport's (1931) paper: "What is a trait of personality?". Using this classic piece as a framework, I integrate empirical and theoretical work on purpose and personality to dive into whether sense of purpose is a trait. I conclude by discussing the challenges and implications of bolstering sense of purpose if it is best classified as a trait.
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Affiliation(s)
- Gabrielle N. Pfund
- Department of Medical Social Sciences, Northwestern University, 625 N. Michigan Ave., 22nd Floor, Chicago, IL 60611 USA
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22
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Fullen MC, Smith JL, Clarke PB, Westcott JB, McCoy R, Tomlin CC. Holistic Wellness Coaching for Older Adults: Preliminary Evidence for a Novel Wellness Intervention in Senior Living Communities. J Appl Gerontol 2023; 42:427-437. [PMID: 36307916 DOI: 10.1177/07334648221135582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
Although resident wellness is increasingly a priority in senior living communities, there are few programs that promote holistic wellness in later life. A total of 79 residents (ages 71 to 97; M = 84.27, SD = 6.46) from eight senior living communities completed a pilot study of a novel, staff-led wellness coaching program consisting of resident-driven goals and individual and group coaching sessions. Participants completed surveys at three time points (pre-program, post-program, and 1-month follow-up). Repeated measures ANOVAs revealed positive changes in resident health satisfaction, physical quality of life (QOL), psychological QOL, loneliness, relatedness, competence, and sense of purpose. Some of these results (i.e., psychological QOL, loneliness) persisted at follow-up. Residents reported high satisfaction with the program. These findings have implications for the application of holistic wellness frameworks in later life, as well as the development and implementation of wellness coaching programs with older adults.
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Affiliation(s)
| | | | - Philip B Clarke
- Department of Counseling, 8676Wake Forest University, Winston-Salem, NC, USA
| | | | - Regina McCoy
- 14616University of North Carolina at Greensboro, Greensboro, NC, USA
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23
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Hill PL, Best RD, Pfund GN, Cardador MT, Strecher VJ. Older Adults Place Greater Importance Than Younger Adults on a Purposeful Retirement. Int J Aging Hum Dev 2023; 96:160-173. [PMID: 35673268 DOI: 10.1177/00914150221106093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Objective: Regarding retirement, some but not all people decline in sense of purpose, and retirees may view maintaining a sense of purpose as nonessential. These findings suggest individual differences both in the importance placed on being purposeful during retirement in general and the discrepancy for purpose importance prior to and during retirement. Method: This study surveyed U.S. adults (n = 2009, Mage = 48.51) asking them about how they viewed having a purpose in two life stages: before and during retirement, as well as personality and demographic questions. Results: Findings suggest that, overall, people believe it is important to have a purpose and direction during retirement. This tendency was greater among older adults, and those higher on conscientiousness or lower on neuroticism. However, working status did not play a role in the perceived importance of purpose during the retirement period. Moreover, age differentiated who perceives during-retirement purpose as more important than prior-to-retirement purpose. Conclusion: The current findings add to our understanding of when individuals expect to be purposeful and counter the claims that older adults may place less importance on being purposeful. Instead, these findings point to the need for continuing work on how to help older adults maintain or find a purpose in life following retirement.
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Affiliation(s)
- Patrick L Hill
- Department of Psychological and Brain Sciences, 7548Washington University in St. Louis, St. Louis, MO, USA
| | - Rachel D Best
- Ferkauf Graduate School of Psychology, 2007Yeshiva University, New York, NY, USA
| | - Gabrielle N Pfund
- Department of Psychological and Brain Sciences, 7548Washington University in St. Louis, St. Louis, MO, USA
| | - M Teresa Cardador
- School of Labor and Employment Relations, 14589University of Illinois at Urbana-Champaign, Champaign, IL, USA
| | - Victor J Strecher
- School of Public Health, 1259University of Michigan, Ann Arbor, Michigan, USA.,Kumanu Inc., Ann arbor, MI, USA
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24
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Hill PL, Pfund GN, Allemand M. The PATHS to Purpose: A New Framework Toward Understanding Purpose Development. CURRENT DIRECTIONS IN PSYCHOLOGICAL SCIENCE 2023. [DOI: 10.1177/09637214221128019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023]
Abstract
Academic and lay interest has accrued over recent years with respect to how people develop a purpose in life. However, few theoretical models exist for understanding this developmental process as well as how to connect one’s overarching purpose in life to their daily feelings of purposefulness. The current article presents the PATHS (Purpose As Trait, Habit, and State) model, borrowing from clinical and personality development literatures. This framework allows researchers to consider purpose as a more enduring life direction (trait level), as an automatized routine acting in accordance with one’s goals (habit level), and as a more momentary reflection or feeling that one is engaged in purposeful pursuits (state level). Using this framework provides researchers with a valuable tool toward explaining how people progress toward purpose, via natural development or intervention, as well as the potential influences in this process.
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Affiliation(s)
- Patrick L. Hill
- Department of Psychological and Brain Sciences, Washington University in St. Louis
| | - Gabrielle N. Pfund
- Department of Psychological and Brain Sciences, Washington University in St. Louis
- Department of Medical Social Sciences, Northwestern University
| | - Mathias Allemand
- University Research Priority Program “Dynamics of Healthy Aging,” University of Zurich
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Musich S, Wang SS, Kraemer S, Yeh CS. The association of psychological protective factors with caregiver mental health outcomes. Geriatr Nurs 2023; 50:174-180. [PMID: 36791542 DOI: 10.1016/j.gerinurse.2023.01.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Revised: 01/19/2023] [Accepted: 01/20/2023] [Indexed: 02/15/2023]
Abstract
The primary objectives were to investigate the association of resilience, purpose-in-life, and social connections in additive combinations with mental health outcomes of caregivers: 1) reduced levels of loneliness and/or depression; and 2) higher levels of positive perception of aging and quality of life. The study sample was identified from adults age ≥65, who had completed a survey during May-June 2018 or May-June 2019, and self-identified as caregivers (N=1,015; 15.4%). Resilience, purpose-in-life, and social connections were dichotomized as high/low; then counted with equal weighting 0 to 3. Among caregiver respondents, 24%, 29%, 32%, and 15% had 0, 1, 2, or 3 of these protective factors, respectively. As the number of protective factors increased, loneliness and depression decreased and positive perception of aging and quality of life increased. Caregiver interventions that include a focus on psychological protective factors may help to buffer caregiving-related stress thereby improving mental health and quality of life.
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Affiliation(s)
- Shirley Musich
- Research for Aging Populations, Optum Labs, 315 E. Eisenhower Parkway, Suite 305, Ann Arbor, MI 48108, 248-626-0082.
| | - Shaohung S Wang
- Research for Aging Populations, Optum Labs, 315 E. Eisenhower Parkway, Suite 305, Ann Arbor, MI 48108, 248-626-0082
| | - Sandra Kraemer
- Medicare & Retirement, UnitedHealthcare Alliances, PO Box 9472, Minneapolis, MN 55440, 952-931-5866
| | - Charlotte S Yeh
- AARP Services, Inc., 601 E. Street, N.W., Washington, D.C. 20049, 202-434-7531
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Wilson ME, Hill PL. From adversity to activism: A psychobiographical case study of Cori Bush. J Pers 2023; 91:180-192. [PMID: 35778899 DOI: 10.1111/jopy.12748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Revised: 06/15/2022] [Accepted: 06/23/2022] [Indexed: 02/07/2023]
Abstract
INTRODUCTION Cori Bush is a prominent modern activist in the U.S., becoming involved in activism following Michael Brown's death. Bush, like many activists before her, has set clear goals for social change, yet work is needed to understand why Bush (and like others) became an activist when others did not. One potential reason may be that these exemplars found purpose in life in activism. Thus, the current psychobiography explores the purpose in life of Cori Bush, a prominent activist and politician in the U.S., as well as what factors emerge for how Bush found her purpose in life. METHOD The present research gathered public materials (e.g., speeches) from Bush and coded materials for the presence and depth of both themes of purpose and factors predicting purpose. RESULTS Activism was the most prominent theme of purpose for Bush, with some pro-social purposes also occurring. Multiple personal factors emerged as influences on her activist purpose, including extraversion, psychological flexibility, and action-oriented coping style. Additionally, the situational factors of discriminatory experiences and Michael Brown's death emerged as factors. CONCLUSION These results suggest that Bush has an activist purpose in life and that she found this purpose through a combination of personal and situational factors.
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Affiliation(s)
- Megan E Wilson
- Department of Psychological & Brain Sciences, Washington University in St. Louis, St. Louis, Missouri, USA
| | - Patrick L Hill
- Department of Psychological & Brain Sciences, Washington University in St. Louis, St. Louis, Missouri, USA
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Blonigen D, Hyde J, McInnes DK, Yoon J, Byrne T, Ngo T, Smelson D. Integrating data analytics, peer support, and whole health coaching to improve the health outcomes of homeless veterans: Study protocol for an effectiveness-implementation trial. Contemp Clin Trials 2023; 125:107065. [PMID: 36572239 DOI: 10.1016/j.cct.2022.107065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Revised: 12/15/2022] [Accepted: 12/21/2022] [Indexed: 12/24/2022]
Abstract
BACKGROUND Homelessness is a strong determinant of acute care service utilization (inpatient hospitalization, emergency department visits) among US adults. Data analytics, peer support, and patient-centered approaches can collectively offer high-quality care for homeless patients who frequently utilize acute care ("super utilizers"). However, few outpatient programs have integrated these components and tested their effectiveness for this patient population. OBJECTIVE To test the effectiveness and implementation potential of a novel intervention that integrates data analytics with peers trained in whole health coaching ("Peer Whole Health") to reduce use of acute care among homeless adults. METHODS Using a randomized controlled trial design at two US Veterans Health Administration Medical Centers, we plan to enroll 220 veterans in primary care on VHA's Homeless Registry who are flagged on a super-utilizer clinical dashboard. Participants will complete a baseline interview, be randomized to Enhanced Usual Care (EUC; primary care and data analytics) or EUC plus 18 sessions of Peer Whole Health over 6 months, and be re-interviewed at 3, 6, and 9 months. Qualitative interviews with primary care staff and patients will identify facilitators and barriers to more widespread implementation of the intervention. DISCUSSION The primary hypothesis is that those who receive the intervention will have fewer total days of all-cause hospitalization. If confirmed, the findings can provide healthcare systems that serve homeless super-utilizers with a high-value approach to care that can be integrated into primary care services and reduce overall costs for these patients. CLINICAL TRIAL REGISTRATION The study is registered with ClinicalTrials.gov (NCT05176977).
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Affiliation(s)
- Daniel Blonigen
- HSR&D Center for Innovation to Implementation, VA Palo Alto Health Care System, Palo Alto, CA, USA; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA.
| | - Justeen Hyde
- HSR&D Center for Healthcare Organization and Implementation Research, VA Bedford HealthCare System, Bedford, MA, USA; Boston University School of Medicine, Boston, MA, USA
| | - D Keith McInnes
- HSR&D Center for Healthcare Organization and Implementation Research, VA Bedford HealthCare System, Bedford, MA, USA; Department of Health Law Policy and Management, Boston University School of Public Health, Boston, MA, USA
| | - Jean Yoon
- HSR&D Center for Innovation to Implementation, VA Palo Alto Health Care System, Palo Alto, CA, USA; Health Economics Resource Center, VA Palo Alto Health Care System, Palo Alto, CA, USA
| | - Thomas Byrne
- HSR&D Center for Healthcare Organization and Implementation Research, VA Bedford HealthCare System, Bedford, MA, USA
| | - Tu Ngo
- VA Bedford HealthCare System, Bedford, MA, USA
| | - David Smelson
- HSR&D Center for Healthcare Organization and Implementation Research, VA Bedford HealthCare System, Bedford, MA, USA; Department of Medicine, University of Massachusetts Chan Medical School, Worcester, MA, USA
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McGowan AL, Boyd ZM, Kang Y, Bennett L, Mucha PJ, Ochsner KN, Bassett DS, Falk EB, Lydon-Staley DM. Within-Person Temporal Associations Among Self-Reported Physical Activity, Sleep, and Well-Being in College Students. Psychosom Med 2023; 85:141-153. [PMID: 36728904 PMCID: PMC9918680 DOI: 10.1097/psy.0000000000001159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
OBJECTIVE A holistic understanding of the naturalistic dynamics among physical activity, sleep, emotions, and purpose in life as part of a system reflecting wellness is key to promoting well-being. The main aim of this study was to examine the day-to-day dynamics within this wellness system. METHODS Using self-reported emotions (happiness, sadness, anger, anxiousness) and physical activity periods collected twice per day, and daily reports of sleep and purpose in life via smartphone experience sampling, more than 28 days as college students ( n = 226 young adults; mean [standard deviation] = 20.2 [1.7] years) went about their daily lives, we examined day-to-day temporal and contemporaneous dynamics using multilevel vector autoregressive models that consider the network of wellness together. RESULTS Network analyses revealed that higher physical activity on a given day predicted an increase of happiness the next day. Higher sleep quality on a given night predicted a decrease in negative emotions the next day, and higher purpose in life predicted decreased negative emotions up to 2 days later. Nodes with the highest centrality were sadness, anxiety, and happiness in the temporal network and purpose in life, anxiety, and anger in the contemporaneous network. CONCLUSIONS Although the effects of sleep and physical activity on emotions and purpose in life may be shorter term, a sense of purpose in life is a critical component of wellness that can have slightly longer effects, bleeding into the next few days. High-arousal emotions and purpose in life are central to motivating people into action, which can lead to behavior change.
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Affiliation(s)
- Amanda L. McGowan
- Annenberg School for Communication, University of Pennsylvania, Philadelphia, PA, USA
- Department of Psychology, Concordia University, Montréal, Québec, Canada
| | - Zachary M. Boyd
- Department of Mathematics, Brigham Young University, Provo, UT, USA
| | - Yoona Kang
- Annenberg School for Communication, University of Pennsylvania, Philadelphia, PA, USA
| | - Logan Bennett
- Annenberg School for Communication, University of Pennsylvania, Philadelphia, PA, USA
| | - Peter J. Mucha
- Department of Mathematics, Dartmouth College, Hanover, NH, USA
| | - Kevin N. Ochsner
- Department of Psychology, Columbia University, New York City, NY, USA
| | - Dani S. Bassett
- Department of Bioengineering, School of Engineering and Applied Science, University of Pennsylvania, Philadelphia, PA, USA
- Department of Physics & Astronomy, College of Arts and Sciences, University of Pennsylvania, Philadelphia, PA, USA
- Department of Electrical & Systems Engineering, School of Engineering and Applied Science, University of Pennsylvania, Philadelphia, PA, USA
- Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
- Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
- Santa Fe Institute, Santa Fe, NM, USA
| | - Emily B. Falk
- Annenberg School for Communication, University of Pennsylvania, Philadelphia, PA, USA
- Department of Psychology, University of Pennsylvania, Philadelphia, PA, USA
- Marketing Department, and Operations, Information and Decision Department, Wharton School, University of Pennsylvania, PA, USA
| | - David M. Lydon-Staley
- Annenberg School for Communication, University of Pennsylvania, Philadelphia, PA, USA
- Department of Bioengineering, School of Engineering and Applied Science, University of Pennsylvania, Philadelphia, PA, USA
- Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA
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Hill PL, Allemand M, Burrow AL. Trust in purpose, or trust and purpose?: Institutional trust influences the association between sense of purpose and COVID-19 vaccination. J Psychosom Res 2023; 165:111119. [PMID: 36549075 PMCID: PMC9755134 DOI: 10.1016/j.jpsychores.2022.111119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Revised: 12/10/2022] [Accepted: 12/10/2022] [Indexed: 12/23/2022]
Abstract
OBJECTIVE Having a sense of purpose is associated with a wide variety of positive health outcomes, largely because purposeful individuals appear to take better care of themselves physically. However, work is limited regarding the role of purpose during health crises, such as the COVID-19 pandemic. METHOD The current cross-sectional study investigated whether having a sense of purpose was associated COVID-19 vaccination rates and willingness, among a Swiss adult sample (n = 2328, Mean = 52.33 years), after accounting for participants' trust in different institutions. RESULTS Results found that adults with higher levels of institutional trust were more likely to be vaccinated (rs range from 0.06 to 0.13) or were willing to do so (rs range from 0.22 to 0.39). Sense of purpose was associated modestly with greater vaccination status (r = 0.06). However, sense of purpose moderated several associations between trust and vaccination outcomes. Namely, sense of purpose was associated with greater likelihood for vaccination when individuals reported greater trust in university research centers and political institutions. CONCLUSION Findings are discussed with respect to how they shape our understanding of purpose-health associations.
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Affiliation(s)
- Patrick L. Hill
- Department of Psychological and Brain Sciences, Washington University in St. Louis,Corresponding author at: 416B Psychology Building, Washington University in St. Louis, 1 Brookings Drive, St. Louis, MO 63130, USA
| | - Mathias Allemand
- University Research Priority Program “Dynamics of Healthy Aging”, University of Zurich, Zurich, Switzerland
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Bronk KC, Reichard RJ, Qi Li J. A co-citation analysis of purpose: trends and (potential) troubles in the foundation of purpose scholarship. THE JOURNAL OF POSITIVE PSYCHOLOGY 2023. [DOI: 10.1080/17439760.2023.2168563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Affiliation(s)
- Kendall Cotton Bronk
- Division of Behavioral and Organizational Science, Claremont Graduate University, Claremont, California, USA
| | - Rebecca J. Reichard
- Division of Behavioral and Organizational Science, Claremont Graduate University, Claremont, California, USA
| | - Jia Qi Li
- Division of Behavioral and Organizational Science, Claremont Graduate University, Claremont, California, USA
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Röcke C, Luo M, Bereuter P, Katana M, Fillekes M, Gehriger V, Sofios A, Martin M, Weibel R. Charting everyday activities in later life: Study protocol of the mobility, activity, and social interactions study (MOASIS). Front Psychol 2023; 13:1011177. [PMID: 36760916 PMCID: PMC9903074 DOI: 10.3389/fpsyg.2022.1011177] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Accepted: 12/15/2022] [Indexed: 01/25/2023] Open
Abstract
Prominent theories of aging emphasize the importance of resource allocation processes as a means to maintain functional ability, well-being and quality of life. Little is known about which activities and what activity patterns actually characterize the daily lives of healthy older adults in key domains of functioning, including the spatial, physical, social, and cognitive domains. This study aims to gain a comprehensive understanding of daily activities of community-dwelling older adults over an extended period of time and across a diverse range of activity domains, and to examine associations between daily activities, health and well-being at the within- and between-person levels. It also aims to examine contextual correlates of the relations between daily activities, health, and well-being. At its core, this ambulatory assessment (AA) study with a sample of 150 community-dwelling older adults aged 65 to 91 years measured spatial, physical, social, and cognitive activities across 30 days using a custom-built mobile sensor ("uTrail"), including GPS, accelerometer, and audio recording. In addition, during the first 15 days, self-reports of daily activities, psychological correlates, contexts, and cognitive performance in an ambulatory working memory task were assessed 7 times per day using smartphones. Surrounding the ambulatory assessment period, participants completed an initial baseline assessment including a telephone survey, web-based questionnaires, and a laboratory-based cognitive and physical testing session. They also participated in an intermediate laboratory session in the laboratory at half-time of the 30-day ambulatory assessment period, and finally returned to the laboratory for a posttest assessment. In sum, this is the first study which combines multi-domain activity sensing and self-report ambulatory assessment methods to observe daily life activities as indicators of functional ability in healthy older adults unfolding over an extended period (i.e., 1 month). It offers a unique opportunity to describe and understand the diverse individual real-life functional ability profiles characterizing later life.
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Affiliation(s)
- Christina Röcke
- University Research Priority Program ‘Dynamics of Healthy Aging’, University of Zurich, Zurich, Switzerland,Center for Gerontology, University of Zurich, Zurich, Switzerland,*Correspondence: Christina Röcke, ✉
| | - Minxia Luo
- University Research Priority Program ‘Dynamics of Healthy Aging’, University of Zurich, Zurich, Switzerland,Department of Psychology, University of Zurich, Zurich, Switzerland
| | - Pia Bereuter
- University Research Priority Program ‘Dynamics of Healthy Aging’, University of Zurich, Zurich, Switzerland,Institute of Geomatics, University of Applied Sciences and Arts Northwestern Switzerland, Muttenz, Switzerland
| | - Marko Katana
- University Research Priority Program ‘Dynamics of Healthy Aging’, University of Zurich, Zurich, Switzerland,Department of Psychology, University of Zurich, Zurich, Switzerland
| | - Michelle Fillekes
- University Research Priority Program ‘Dynamics of Healthy Aging’, University of Zurich, Zurich, Switzerland,Department of Geography, University of Zurich, Zurich, Switzerland
| | - Victoria Gehriger
- University Research Priority Program ‘Dynamics of Healthy Aging’, University of Zurich, Zurich, Switzerland,Department of Psychology, University of Zurich, Zurich, Switzerland
| | - Alexandros Sofios
- University Research Priority Program ‘Dynamics of Healthy Aging’, University of Zurich, Zurich, Switzerland,Department of Geography, University of Zurich, Zurich, Switzerland
| | - Mike Martin
- University Research Priority Program ‘Dynamics of Healthy Aging’, University of Zurich, Zurich, Switzerland,Center for Gerontology, University of Zurich, Zurich, Switzerland,Department of Psychology, University of Zurich, Zurich, Switzerland
| | - Robert Weibel
- University Research Priority Program ‘Dynamics of Healthy Aging’, University of Zurich, Zurich, Switzerland,Department of Geography, University of Zurich, Zurich, Switzerland
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Schimschal SE, Cleary M, Kornhaber RA, Barnett T, Visentin DC. Psychometric Evaluation of the Grit Psychological Resources Scale (GPRS). J Multidiscip Healthc 2023; 16:913-925. [PMID: 37041887 PMCID: PMC10083025 DOI: 10.2147/jmdh.s401652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Accepted: 03/16/2023] [Indexed: 04/13/2023] Open
Abstract
Background Psychological resources have been shown to play a prominent role in buffering against stress and are associated with various positive constructs, including grit, defined as having the disposition to pursue long-term goals with both passion and perseverance. Objective The objective of this study was to validate a new scale developed to measure the psychological resources of grit. Methods A quantitative research study was conducted online with an international sample of 277 adults from a range of professional backgrounds. The psychometric properties of the 20-item Grit Psychological Resources Scale (GPRS) were evaluated by performing tests of reliability and validity. Results Reliability tests provided evidence of high internal consistency (α = 0.91) and test-retest reliability (r = 0.75). Demographic variables did not significantly predict scores or influence survey completion. Face, content and convergent validity provided additional psychometric support for the GPRS with this sample. Confirmatory factor analysis results supported a second-order model with four sub-scales. The first-order factors loaded highly onto the second-order factor, with correlations ranging from 0.80 to 0.97. Conclusion The GPRS showed satisfactory psychometric properties, indicating that the scale is a reliable and valid instrument for measuring the psychological resources of grit. This scale can be used to identify more targeted developmental approaches for personal and professional growth. Further, the tool enables information to be gathered on changes pre- and post-improvement initiatives to assess their effectiveness in training and continuing education.
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Affiliation(s)
- Sarah E Schimschal
- Centre for Rural Health, School of Health Sciences, University of Tasmania, Launceston, Tasmania, Australia
- Correspondence: Sarah E Schimschal, Centre for Rural Health, School of Health Sciences, Locked Bag 1322, Launceston, Tasmania, 7250, Australia, Email
| | - Michelle Cleary
- School of Nursing, Midwifery & Social Sciences, CQUniversity, Sydney, New South Wales, Australia
| | - Rachel A Kornhaber
- School of Nursing, University of Tasmania, Sydney, New South Wales, Australia
| | - Tony Barnett
- Centre for Rural Health, School of Health Sciences, University of Tasmania, Launceston, Tasmania, Australia
| | - Denis C Visentin
- School of Health Sciences, University of Tasmania, Sydney, New South Wales, Australia
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O'Brien E, Whitman K, Buerke M, Galfalvy H, Szanto K. Life-Satisfaction, Engagement, Mindfulness, Flourishing, and Social Support: Do they Predict Depression, Suicide Ideation, and History of Suicide Attempt in Late Life? Am J Geriatr Psychiatry 2022; 31:415-424. [PMID: 36682987 PMCID: PMC10164675 DOI: 10.1016/j.jagp.2022.12.192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 12/12/2022] [Accepted: 12/26/2022] [Indexed: 12/31/2022]
Abstract
OBJECTIVE Suicide is an outcome arising from a combination of risk and protective factors. Examining psychological resilience traits associated with successful aging may help to better understand late-life suicide and depression. We examined self-reported protective factors including mindfulness, life satisfaction and engagement, flourishing, and subjective and objective social support in a high suicide-risk sample of depressed older adults. METHODS Participants were 297 individuals aged 55+ (mean age: 64.2): 92 depressed suicide attempters, 138 depressed individuals who never attempted suicide, and 67 non-psychiatric comparisons. Using linear and binomial logistic regression, we examined the effects of a combined Protective Factor value on presence and severity of depression and suicidal ideation, and history of suicide attempt. RESULTS Relative to the non-psychiatric comparison group, all depressed participants had significantly lower Protective Factor values. Higher Protective Factor value was associated with lower likelihood of depression, depression severity, and likelihood of ideation, but was not associated with ideation severity or history of suicide attempt. Participants with one standard deviation higher Protective Factor had lower odds of ideation incidence by a factor of OR=0.68 (95%CI=0.48-0.96). CONCLUSION Resiliency characteristics relevant to psychological wellbeing and successful aging may mitigate the emergence of depression and suicidal ideation, as well as the severity of depression in late-life. The Resilience Factor used in this study can help clinicians nuance their appraisal of depression and suicide risk.
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Affiliation(s)
- Emma O'Brien
- Department of Psychiatry (OBE, WK, SK), University of Pittsburgh School of Medicine, Pittsburgh, PA
| | - Kathrine Whitman
- Department of Psychiatry (OBE, WK, SK), University of Pittsburgh School of Medicine, Pittsburgh, PA
| | - Morgan Buerke
- Department of Psychology (BM), University of Southern Mississippi, Hattiesburg, MS
| | - Hanga Galfalvy
- Department of Psychiatry (GH), Columbia University College of Physicians and Surgeons, New York, NY; Department of Molecular Imaging and Neuropathology (GH), New York State Psychiatric Institute, New York, NY
| | - Katalin Szanto
- Department of Psychiatry (OBE, WK, SK), University of Pittsburgh School of Medicine, Pittsburgh, PA.
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Zhang D, Xu Z, Yang Z, Zhou W, Cheung PMH, Kam-pui Lee E, Zhong B, Xu D, Li X, Xie Y, Yang G, Xiao S, Wong SYS. Association of meaning in life with preventive healthcare use among Chinese adults: are there age and gender differences? BMC Public Health 2022; 22:2308. [PMID: 36494639 PMCID: PMC9733181 DOI: 10.1186/s12889-022-14699-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Accepted: 11/22/2022] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Meaning in life could be of clinical importance in stimulating healthy and preventive behaviors. The study aimed to investigate the association between meaning in life and preventive healthcare use among Chinese adults, and to assess their age and gender differences in the association. METHODS A cross-sectional online survey was conducted among 1444 adults aged 18-64 years in February 2020 in China. Logistic regression models were employed to examine the association of meaning in life with preventive health checkups and assess their age and gender differences. RESULTS The mean score of meaning in life was 5.801 (Standard Deviation = 1.349) out of 7. Each unit increase on the level of meaning in life was associated with 12.2% higher likelihood of using preventive health checkups (any type) (adjusted odds ratio 1.122, 95% confidence interval 1.015-1.241) after adjustment for sociodemographic factors, comorbidity and other psychological health factors. Meaning in life was significantly associated with the uses of X-ray (1.125, 1.010-1.253), B-ultrasound (1.176, 1.058-1.306), and blood testing (1.152, 1.042-1.274). The associations between meaning in life and these types of preventive healthcare increased with age, but there were no gender differences in these associations. CONCLUSION Higher meaning in life was independently related to more preventive health checkups. Strategies to strengthen health education and interventions to improve experience of meaning in life might be an important component to increase preventive healthcare use in China.
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Affiliation(s)
- Dexing Zhang
- grid.10784.3a0000 0004 1937 0482JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China ,grid.10784.3a0000 0004 1937 0482CUHK Thomas Jing Mindfulness Centre for Research and Training, The Chinese University of Hong Kong, Hong Kong, China
| | - Zijun Xu
- grid.10784.3a0000 0004 1937 0482JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
| | - Zuyao Yang
- grid.10784.3a0000 0004 1937 0482JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
| | - Weiju Zhou
- grid.10784.3a0000 0004 1937 0482JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
| | - Peter Man-hin Cheung
- grid.10784.3a0000 0004 1937 0482JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
| | - Eric Kam-pui Lee
- grid.10784.3a0000 0004 1937 0482JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China ,grid.10784.3a0000 0004 1937 0482CUHK Thomas Jing Mindfulness Centre for Research and Training, The Chinese University of Hong Kong, Hong Kong, China
| | - Baoliang Zhong
- grid.33199.310000 0004 0368 7223Wuhan Mental Health Center, Huazhong University of Science & Technology, Wuhan, China
| | - Dong Xu
- grid.284723.80000 0000 8877 7471School of Health Management, Southern Medical University, Guangzhou, China
| | - Xue Li
- grid.194645.b0000000121742757Department of Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China ,grid.194645.b0000000121742757Department of Pharmacology and Pharmacy, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China
| | - Yaojie Xie
- grid.194645.b0000000121742757School of Nursing, The Polytechnic University of Hong Kong, Hong Kong, China
| | - Gao Yang
- grid.221309.b0000 0004 1764 5980Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong, China
| | - Shuiyuan Xiao
- grid.216417.70000 0001 0379 7164Xiangya School of Public Health, Central South University, Changsha, China
| | - Samuel Yeung-shan Wong
- grid.10784.3a0000 0004 1937 0482JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China ,grid.10784.3a0000 0004 1937 0482CUHK Thomas Jing Mindfulness Centre for Research and Training, The Chinese University of Hong Kong, Hong Kong, China
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Scott JET, Mazzucchelli TG, Luszcz MA, Walker R, Windsor TD. A behavioural activation intervention to increase engagement with life and wellbeing in older adults: Study protocol for a randomised controlled trial. BMC Psychol 2022; 10:288. [PMID: 36471403 PMCID: PMC9720975 DOI: 10.1186/s40359-022-00988-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Accepted: 11/13/2022] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND Meaningful activity engagement is a critical element of ageing well. Interventions designed to increase activity engagement tend to be activity-specific and do not always meet the needs of older adults with diverse interests and capacities. Behavioural activation (BA) provides a promising person-centred framework for promoting engagement in valued activities. This study will examine the effectiveness of a behavioural activation-based intervention for promoting engagement with life and wellbeing among older adults. METHOD Participants will be randomly allocated to one of two conditions (BA intervention, Active Control) and take part in a six-week intervention that consists of one-on-one weekly sessions of up to one hour to be administered either via telephone or online video conferencing with a trained facilitator. This study will recruit 120 + participants aged 65 + who score at or below the median on a test of life engagement. Participants will complete questionnaires of primary and secondary measures both pre-program, one-week and three months post-program. Participants will also complete a daily diary questionnaire during the fourth and fifth weeks of the intervention. The primary outcome measure is the Life Engagement Test, and secondary outcome measures include assessments of subjective wellbeing, psychological wellbeing, mental health, self-reported health, social engagement, loneliness and life satisfaction. DISCUSSION The outcomes from this study will provide evidence as to whether a BA based approach represents an effective method for promoting engagement with life and wellbeing among older community-dwelling adults. TRIAL REGISTRATION Australian New Zealand Clinical Trials Registry (Reg no. ACTRN 12621001192875). Trial retrospectively registered 6th September, 2021.
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Affiliation(s)
- Julia E. T. Scott
- grid.1014.40000 0004 0367 2697College of Education, Psychology and Social Work, Flinders University, Adelaide, SA Australia
| | - Trevor G. Mazzucchelli
- grid.1032.00000 0004 0375 4078School of Population Health, Curtin University, Perth, WA Australia
| | - Mary A. Luszcz
- grid.1014.40000 0004 0367 2697College of Education, Psychology and Social Work, Flinders University, Adelaide, SA Australia
| | - Ruth Walker
- grid.1014.40000 0004 0367 2697Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, SA Australia
| | - Tim D. Windsor
- grid.1014.40000 0004 0367 2697College of Education, Psychology and Social Work, Flinders University, Adelaide, SA Australia
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Pfund GN, Hill PL. Correlated Change in Sense of Purpose and Romantic Relationship Quality. PERSONAL RELATIONSHIPS 2022; 29:875-893. [PMID: 36588976 PMCID: PMC9799130 DOI: 10.1111/pere.12453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/02/2022] [Accepted: 09/02/2022] [Indexed: 06/17/2023]
Abstract
Sense of purpose, or feeling that that one has personally meaningful goals and directions guiding them through life, consistently predicts a variety of desirable well-being, health, and social outcomes. However, work has been limited with respect to evaluating it as a predictor and promoter of romantic relationships, or how purpose may develop in these contexts. For instance, healthy romantic relationships could also help individuals develop and maintain a higher sense of purpose. With cross-sectional evidence finding positive associations between sense of purpose and romantic relationship commitment and satisfaction, the current study expanded on past work by using longitudinal data with three months between two measurement occasions (Time 1: N = 2243; Time 2: N = 1284) to evaluate whether sense of purpose predicted relationship status over time and how changes in relationship quality and sense of purpose were associated. Results showed that greater sense of purpose predicted maintaining a romantic relationship, but did not predict later romantic relationship quality, while higher romantic relationship quality predicted an increase in sense of purpose. Findings are discussed regarding why people with a higher sense of purpose may be more likely to stay in relationships as well as the role that positive romantic relationships may play in helping maintain a higher sense of purpose.
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Affiliation(s)
| | - Patrick L. Hill
- Department of Psychological and Brain Sciences, Washington University in St. Louis
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Pfund GN, Spears I, Norton SA, Bogdan R, Oltmanns TF, Hill PL. Sense of purpose as a potential buffer between mental health and subjective cognitive decline. Int Psychogeriatr 2022; 34:1045-1055. [PMID: 36111484 DOI: 10.1017/s1041610222000680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
OBJECTIVES Purposeful adults may experience greater cognitive resilience because sense of purpose may help buffer against the effects of depressive symptoms and loneliness. We also evaluated whether these associations differed by race. DESIGN This study uses a wave of self-report data from the SPAN study of psychosocial aging. SETTING Participants come from a representative sample of older adults in St. Louis. PARTICIPANTS Participants (N = 595) ages range from 65 to 78 (Mage = 71.46), with 18.3% of participants identifying as Black/African-American. MEASURES Sense of purpose was assessed with the Life Engagement Test, depressive symptoms with the Beck Depression Inventory-II, loneliness with the UCLA Loneliness Scale, and subjective cognitive decline with the AD-8. RESULTS Correlational analyses supported predictions that sense of purpose was negatively related to subjective cognitive decline, whereas depressive symptoms and loneliness were positively related (|r|s > .30, ps < .001). For loneliness, but not depression, this association was moderated by sense of purpose (b = -0.43, p < .001). A relatively high sense of purpose attenuated associations between loneliness and subjective cognitive decline. A three-way race × purpose × loneliness interaction (b = -0.25, p = .021) revealed that the buffering effects of sense of purpose on subjective cognitive decline were stronger for Black adults. DISCUSSION This study provided partial support for the buffering hypothesis, showing that sense of purpose may help mitigate the cognitive decrements associated with loneliness. Future research needs to consider how purpose-promoting programs may support healthy cognitive aging, particularly among Black older adults and those who experience greater social isolation.
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Affiliation(s)
- Gabrielle N Pfund
- Department of Psychological and Brain Sciences, Washington University, St. Louis, MO, USA
| | - Isaiah Spears
- Department of Psychological and Brain Sciences, Washington University, St. Louis, MO, USA
| | - Sara A Norton
- Department of Psychological and Brain Sciences, Washington University, St. Louis, MO, USA
| | - Ryan Bogdan
- Department of Psychological and Brain Sciences, Washington University, St. Louis, MO, USA
| | - Thomas F Oltmanns
- Department of Psychological and Brain Sciences, Washington University, St. Louis, MO, USA
| | - Patrick L Hill
- Department of Psychological and Brain Sciences, Washington University, St. Louis, MO, USA
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McIntyre RS, Ismail Z, Watling CP, Weiss C, Meehan SR, Musingarimi P, Thase ME. Patient-reported outcome measures for life engagement in mental health: a systematic review. J Patient Rep Outcomes 2022; 6:62. [PMID: 35689159 PMCID: PMC9187792 DOI: 10.1186/s41687-022-00468-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Accepted: 05/17/2022] [Indexed: 01/07/2023] Open
Abstract
Background Life engagement in the context of mental health is a broad term that describes positive health aspects relating to cognition, vitality, motivation and reward, and the ability to feel pleasure—concepts that are meaningful to patients. The aim of this systematic literature review was to identify validated patient-reported outcomes (PROs) that can assess any aspect of life engagement in adults, in the field of general mental health. Methods This was a systematic literature review of articles in English from the MEDLINE database (date of search: September 9, 2020). The search strategy had three components: (1) terms to capture PROs; (2) terms to capture mental health; and (3) terms to capture aspects of life engagement. Articles were eligible if they included a PRO that: (1) is named; (2) can be used across mental health disorders; (3) is used to assess any aspect of life engagement; and (4) has undergone psychometric validation and/or qualitative content validation. A list of PROs was extracted. Results A total of 1585 records were screened and 233 articles were eligible for inclusion. Within these 233 articles, 49 distinct PROs were identified, two of which specifically captured their authors’ interpretation of life engagement: the Engaged Living Scale (ELS) and the Life Engagement Test (LET). However, while the ELS and LET covered motivation and reward, life fulfillment, and value-based living, neither scale captured the cognitive or vitality aspects of life engagement. The remaining identified PROs generally captured single aspects of life engagement, most commonly motivation/reward/energy–apathy, pleasure–anhedonia, and mental/psychological well-being. Conclusion Numerous PROs are available that may capture aspects of life engagement. However, a need remains for a new PRO that can be used in clinical trials to provide a more comprehensive description of the improvements in life engagement that patients with mental health disorders may experience with successful treatment.
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Lemétayer F, Florquin M, Chastagner P, Lanfranchi JB. Life engagement and anxiety-depressive symptoms in adolescents and young adults with or without a cancer history and their mothers: A dyadic analytic approach. Eur J Cancer Care (Engl) 2022; 31:e13745. [PMID: 36245427 DOI: 10.1111/ecc.13745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Revised: 07/29/2022] [Accepted: 09/27/2022] [Indexed: 12/01/2022]
Abstract
OBJECTIVE The aim of the present study was to examine the dyadic relationships between symptoms of anxiety and depression and life engagement in mother-adolescent and young adult (AYA) dyads with and without a history of cancer. METHODS One hundred mother-AYA dyads and 50 mother-AYA cancer survivor dyads self-reported anxiety and depressive symptoms and life engagement. Multilevel modelling analyses were used to test actor-partner interdependence models. RESULTS Significant actor effects of depressive symptoms on life engagement were found for AYAs and their mothers in both groups. But this effect was significantly attenuated downward in AYAs with a history of cancer. In addition, only AYAs' depressive symptoms exerted a significant effect on mothers' life engagement, indicating the presence of significant partner effects for mothers. CONCLUSION AYAs' and mothers' depressive symptoms are related to life engagement. Mothers' perception of depressive symptoms relates not only to their own perception of life engagement but also to that of their AYAs. These findings show the complex relationships that exist between AYAs and their mothers and point to the mechanisms through which AYAs-related variables affect mother outcomes, in the two groups of AYAs.
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Affiliation(s)
| | | | - Pascal Chastagner
- Service d'Hématologie pédiatrique, Hôpital d'Enfants, Vandoeuvre-les-Nancy, France
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Dew MA, DiMartini AF, Posluszny DM, Myaskovsky L, Switzer GE, Puttarajappa C, Hickey GW, Sanchez PG, DeVito Dabbs AJ. Health-related quality of life and psychological indicators of thriving 15-19 years after heart or lung transplantation. Clin Transplant 2022; 36:e14768. [PMID: 35801650 PMCID: PMC9756395 DOI: 10.1111/ctr.14768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Revised: 06/29/2022] [Accepted: 07/05/2022] [Indexed: 12/01/2022]
Abstract
BACKGROUND Survival into the second decade after cardiothoracic transplantation (CTX) is no longer uncommon. Few data exist on any health-related quality of life (HRQOL) impairments survivors face, or whether they may even experience positive psychological outcomes indicative of "thriving" (e.g., personal growth). We provide such data in a long-term survivor cohort. METHODS Among 304 patients prospectively studied across the first 2 years post-CTX, we re-interviewed patients ≥15 years post-CTX. We (a) examined levels of HRQOL and positive psychological outcomes (posttraumatic growth related to CTX, purpose in life, life satisfaction) at follow-up, (b) evaluated change since transplant with mixed-effects models, and (c) identified psychosocial and clinical correlates of study outcomes with multivariable regression. RESULTS Of 77 survivors, 64 (83%) were assessed (35 heart, 29 lung recipients; 15-19 years post-CTX). Physical HRQOL was poorer than the general population norm and earlier post-transplant levels (P's < .001). Mental HRQOL exceeded the norm (P < .001), with little temporal change (P = .070). Mean positive psychological outcome scores exceeded scales' midpoints at follow-up. Life satisfaction, assessed longitudinally, declined over time (P < .001) but remained similar to the norm at follow-up. Recent hospitalization and dyspnea increased patients' likelihood of poor physical HRQOL at follow-up (P's ≤ .022). Lower sense of mastery and poorer caregiver support lessened patients' likelihood of positive psychological outcomes (P's ≤ .049). Medical comorbidities and type of CTX were not associated with study outcomes at follow-up. CONCLUSIONS Despite physical HRQOL impairment, long-term CTX survivors otherwise showed favorable outcomes. Clinical attention to correlates of HRQOL and positive psychological outcomes may help maximize survivors' well-being.
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Affiliation(s)
- Mary Amanda Dew
- Department of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
- Departments of Psychology, Epidemiology, and Biostatistics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
- Department of Acute and Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania, USA
- Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Andrea F. DiMartini
- Department of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
- Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| | - Donna M. Posluszny
- Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
- UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania, USA
| | - Larissa Myaskovsky
- Department of Internal Medicine, University of New Mexico School of Medicine and Center for Healthcare Equity in Kidney Disease, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, USA
| | - Galen E. Switzer
- Department of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
- Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
- Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| | - Chethan Puttarajappa
- Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| | - Gavin W. Hickey
- Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
- UPMC Heart and Vascular Institute, Pittsburgh, Pennsylvania, USA
| | - Pablo G. Sanchez
- Department of Cardiothoracic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| | - Annette J. DeVito Dabbs
- Department of Acute and Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania, USA
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Abstract
OBJECTIVE Previous research has demonstrated that retirees tend to report lower levels for sense of purpose compared to working adults. However, it remains unclear whether adults show differences in the extent to which they expect to be purposeful during retirement, and what that may mean for the propensity to plan for retirement. METHOD The current study examined this question in a cross-sectional sample of 492 adults (Age: M = 39.28, SD = 8.35) prior to retirement. Participants completed an adapted measure to capture expected purposeful engagement during retirement, along with sense of purpose, retirement planning, and the Big Five personality traits. RESULTS Factor analyses and zero-order correlations suggested that purposeful retirement perceptions are related yet distinct from sense of purpose in general, and adults on average expect a moderately purposeful retirement. Purposeful retirement scores were associated with multiple retirement planning scales, and remained predictive of retirement preparation even when accounting for the Big Five and demographic factors. CONCLUSION Adults differ in how purposeful they expect to be during their future retirement. Moreover, these differences may be a valuable consideration when understanding how to promote retirement planning.
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Affiliation(s)
- Patrick L Hill
- Department of Psychological and Brain Sciences, Washington University in St. Louis, St Louis, MO, USA
| | - Gabrielle N Pfund
- Department of Psychological and Brain Sciences, Washington University in St. Louis, St Louis, MO, USA
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Travezaño-Cabrera A, Vilca LW, Quiroz-Becerra J, Huerta SL, Delgado-Vallejos R, Caycho-Rodríguez T. Meaning of life questionnaire (MLQ) in peruvian undergraduate students: study of its psychometric properties from the perspective of classical test theory (CTT). BMC Psychol 2022; 10:206. [PMID: 36002892 PMCID: PMC9400558 DOI: 10.1186/s40359-022-00913-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Accepted: 08/16/2022] [Indexed: 11/24/2022] Open
Abstract
Background The study of the meaning of life is essential since it plays a protective role in the mental health of university students. However, no studies have shown the adequate psychometric functioning of the MLQ in Latin American university students. For this reason, this research aims to evaluate the internal structure using CTT models, obtain evidence of validity based on the relationship with other variables, perform factorial invariance according to gender, and estimate the reliability of the MLQ. Methods A sample of 581 Peruvian undergraduate students of both sexes (29.5% men and 70.5% women) between the ages of 18 and 35 (M = 22.6; SD = 3.3) was collected. Along with the MLQ, other instruments were applied to measure satisfaction with life (SWLS), subjective well-being (WBI), and depression (PHQ-9). Results In the present study was evidenced that the model of two related factors of nine items presents better adjustment indices (RMSEA = .075; SRMR = .059; CFI = .97; TLI = .96) compared to other models. Also, it was shown that the factorial structure of the MLQ is strictly invariant for the group of men and women. It was also shown that the presence of meaning was positively related to satisfaction with life (.63) and well-being (.60) and negatively to depression (− .56). In contrast, the search for meaning was not significantly related to life satisfaction (− .05) and well-being (− .07); but yes, to depression (.19). Conclusion It is concluded that the MLQ from the perspective of CTT has shown adequate evidence of reliability and validity. Therefore, it could be used in future studies and evaluation and intervention processes. In addition, the study provides the first evidence of the psychometric functioning of the scale in university students from Latin America.
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Affiliation(s)
| | - Lindsey W Vilca
- South American Center for Education and Research in Public Health, Universidad Norbert Wiener, Lima, Perú.
| | | | - Samy L Huerta
- Departamento de Psicología, Universidad Peruana Unión, Lima, Perú
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Pfund GN, DeLongis A, Sin N, Morstead T, Hill PL. Being active for a purpose: Evaluating the bi-directional associations between monthly purpose and physical activity. Soc Sci Med 2022; 310:115300. [PMID: 36037609 DOI: 10.1016/j.socscimed.2022.115300] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Revised: 06/28/2022] [Accepted: 08/14/2022] [Indexed: 11/29/2022]
Abstract
BACKGROUND Sense of purpose is a salient predictor of health outcomes, at least partially because individuals with a higher sense of purpose appear to engage in healthier lifestyle behaviors. Yet, little work has considered the role that greater physical activity may play in allowing individuals to maintain or develop a higher sense of purpose. METHODS Using five waves of monthly data (total n = 2337), the current study investigates the bi-directional association between sense of purpose and monthly reports of average time spent per day in moderate and vigorous physical activity utilizing Random Intercept Cross-Lagged Panel models. RESULTS Findings suggested differences based on physical activity intensity. For moderate physical activity, concurrent within-person associations revealed that during months when sense of purpose was higher relative to a person's usual level, they also spent more time than usual engaging in moderate physical activity. Bi-directional cross-lagged effects indicated that higher sense of purpose predicted more next-month moderate physical activity, and vice versa. Only between-person associations were evident for vigorous physical activity, such that people with a higher sense of purpose on average spent more time in vigorous physical activity on average. The discussion focuses on the methodological advances of the current study, as well as implications for future research.
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Affiliation(s)
- Gabrielle N Pfund
- Psychological & Brain Sciences, Washington University in St. Louis, St. Louis, MO, USA; Department of Medical Social Sciences, Chicago, IL, USA.
| | - Anita DeLongis
- Department of Psychology, University of British Columbia, Vancouver, BC, Canada.
| | - Nancy Sin
- Department of Psychology, University of British Columbia, Vancouver, BC, Canada.
| | - Talia Morstead
- Department of Psychology, University of British Columbia, Vancouver, BC, Canada.
| | - Patrick L Hill
- Psychological & Brain Sciences, Washington University in St. Louis, St. Louis, MO, USA.
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Scott JET, Luszcz MA, Walker R, Mazzucchelli T, Windsor TD. Barriers to activity engagement in older adulthood: Results of a community survey. Australas J Ageing 2022; 42:176-184. [PMID: 35962524 DOI: 10.1111/ajag.13124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2021] [Revised: 05/30/2022] [Accepted: 07/10/2022] [Indexed: 11/29/2022]
Abstract
OBJECTIVES Losses that occur with age can create barriers to meaningful activity engagement, a crucial aspect of ageing well. Research on this topic is frequently qualitative, with few studies accessing large community samples. This study (a) assessed the frequency specific personal and environmental barriers (such as poor health and limited transport access), identified by older adults in previous research, were endorsed; (b) used latent class analysis (LCA) to identify population subgroups based on combinations of these barriers, and (c) examined associations of subgroups with purpose in life and quality of life. METHODS Four hundred and thirty-two randomly selected Australian adults aged 65+ years (average age 76.7, 58% female) completed a telephone survey. They were asked whether certain barriers affected engagement and provided data on sense of purpose and quality of life. RESULTS Physical health/mobility were the most frequently reported barriers, followed by sensory difficulties, financial limitations, and caring responsibilities. The LCA revealed up to three subgroups/classes of participants according to the barriers endorsed. Class 1 had low endorsement of all barriers, including physical health. The majority of Class 2 endorsed physical health barriers and other barriers more frequently than Class 1. Class 3 were comparable to Class 2, but also frequently endorsed community access barriers. Class 1 were younger and reported a greater sense of purpose and higher quality of life. CONCLUSIONS Physical health/mobility barriers to engagement are those most frequently endorsed by older adults. These barriers may increase vulnerability to, or exacerbate the impact of additional barriers, such as sensory difficulties, access to transport and lack of finances.
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Affiliation(s)
- Julia E T Scott
- College of Education, Psychology and Social Work, Flinders University, Adelaide, South Australia, Australia
| | - Mary A Luszcz
- College of Education, Psychology and Social Work, Flinders University, Adelaide, South Australia, Australia
| | - Ruth Walker
- College of Nursing and Health Sciences/Caring Futures Institute, Flinders University, Adelaide, South Australia, Australia
| | - Trevor Mazzucchelli
- School of Psychology, Curtin University, Perth, Western Australia, Australia
| | - Tim D Windsor
- College of Education, Psychology and Social Work, Flinders University, Adelaide, South Australia, Australia
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Musich S, Wang SS, Schaeffer JA, Kraemer S, Wicker E, Yeh CS. The association of physical activity with loneliness, social isolation, and selected psychological protective factors among older adults. Geriatr Nurs 2022; 47:87-94. [PMID: 35905635 DOI: 10.1016/j.gerinurse.2022.07.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Revised: 07/07/2022] [Accepted: 07/08/2022] [Indexed: 11/04/2022]
Abstract
The primary objectives were to investigate the association of physical activity levels with 1) loneliness and social isolation; 2) protective factors: resilience, purpose-in-life, and perception of aging; and 3) the impact of these factors on healthcare expenditure patterns across physical activity levels. The study sample was identified from adults age ≥65 who completed a health survey in 2018 or 2019 (N=6,652). Among survey respondents, the prevalence of low, moderate, and high physical activity levels was 29%, 31%, and 41%, respectively. Moderate and high physical activity were associated with 15%-30% lower likelihoods of loneliness and social isolation; and with 27% to 150% higher protective factors. In addition, physical activity was associated with the mitigation of increased healthcare expenditures associated with loneliness, social isolation, and low levels of protective factors. Thus, physical activity could serve as an intervention to reduce loneliness and social isolation, augment protective factors, and mitigate excess healthcare expenditures.
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Affiliation(s)
- Shirley Musich
- Research for Aging Populations, Optum Labs, 315 E. Eisenhower Parkway, Suite 305, Ann Arbor, MI 48108, United States.
| | - Shaohung S Wang
- Research for Aging Populations, Optum Labs, 315 E. Eisenhower Parkway, Suite 305, Ann Arbor, MI 48108, United States
| | - James A Schaeffer
- Research for Aging Populations, Optum Labs, 315 E. Eisenhower Parkway, Suite 305, Ann Arbor, MI 48108, United States
| | - Sandra Kraemer
- UnitedHealthcare Medicare & Retirement, PO Box 9472, Minneapolis, MN 55440, United States
| | - Ellen Wicker
- AARP Services, Inc., 601 E. Street, NW, Washington, DC 20049, United States
| | - Charlotte S Yeh
- AARP Services, Inc., 601 E. Street, NW, Washington, DC 20049, United States
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Sharma S, Bluck S. Older adults recall memories of life challenges: the role of sense of purpose in the life story. CURRENT PSYCHOLOGY 2022; 42:1-16. [PMID: 35874962 PMCID: PMC9294762 DOI: 10.1007/s12144-022-03439-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/30/2022] [Indexed: 11/12/2022]
Abstract
Late life is still often characterized as a time of loss and decline. The current study moved beyond this view, using both the resilience framework and the life story approach to highlight the rich life experiences of older adults. Doing so created an opportunity to explore perspectives on sense of purpose in life, from the vantage point of old age. The study had two central questions. That is, how have older adults drawn on their sense of purpose across their lives, and what factors led to the development of a sense of purpose? Following guidelines for the consensual qualitative research method (CQR; Hill et al., The Counseling Psychologist, 25(4), 517-572, 1997; Hill & Knox, 2021), in-depth, semi-structured interviews were conducted with 18 older women and men (aged 60 - 100 years) and transcribed for analysis. The CQR method revealed seven domains in the interviews. Three domains were relevant to the first research question, including: overcoming life challenges to pursue purpose, perspective-taking to maintain purpose, and purpose as part of one's religion. Four domains provided insights on the second research question: life background influencing purpose, shifts in purpose across life, fulfilling purpose across life, and obstacles to pursuing purpose in life. Findings highlighted how older people use sense of purpose as a guide in the face of life's inevitable challenges. They also revealed the unique life story paths that lead to the development of purpose across individuals' lifetimes. The implications of maintaining a sense of purpose in life, across the later years, are discussed.
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Affiliation(s)
- Shubam Sharma
- Department of Psychological Sciences, Kennesaw State University, Kennesaw, GA USA
| | - Susan Bluck
- Department of Psychology, University of Florida, Gainesville, FL USA
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Sutin AR, Luchetti M, Aschwanden D, Lee JH, Sesker AA, Stephan Y, Terracciano A. Sense of purpose in life and concurrent loneliness and risk of incident loneliness: An individual-participant meta-analysis of 135,227 individuals from 36 cohorts. J Affect Disord 2022; 309:211-220. [PMID: 35483500 PMCID: PMC9133197 DOI: 10.1016/j.jad.2022.04.084] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Revised: 02/23/2022] [Accepted: 04/13/2022] [Indexed: 10/18/2022]
Abstract
BACKGROUND Sense of purpose, the feeling that one's life is goal-oriented and driven, tends to be protective for psychological health. Less is known about its relation with social health, particularly loneliness. We test whether the cross-sectional association between purpose and loneliness is replicable and whether purpose protects against the development of incident loneliness over time. METHODS Participants from 36 cohorts (total N = 135,227; age range 18-109) reported on their sense of purpose, loneliness, and psychological distress. Follow-up measures of loneliness were available in 28 cohorts that ranged from six weeks to 15 years. Prospective, random-effect meta-analysis was used to summarize the cross-sectional and longitudinal associations from each cohort. RESULTS Sense of purpose was associated significantly with less loneliness in all 36 cohorts, controlling for sociodemographic factors (meta-analytic mean effect estimate = -0.31, 95% CI = -0.34, -0.29, p < .001). This association was stronger among participants experiencing concurrent severe psychological distress. Sense of purpose was protective against the development of new incident loneliness (meta-analytic mean hazard ratio estimate = 0.85, 95% CI = 0.82, 0.87, p < .001). Age did not moderate any of the associations. LIMITATIONS Limitations include the lack of lower-income countries. The mechanisms that explain this association also need to be identified in future research. CONCLUSIONS Sense of purpose is associated with less loneliness and with protection against developing loneliness over time, associations that replicated across cohorts from North America, South America, Europe, and the Middle East. Sense of purpose may be a useful target of intervention to prevent or reduce loneliness, especially among individuals suffering from psychological distress.
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Affiliation(s)
| | | | | | - Ji Hyun Lee
- Florida State University College of Medicine, United States
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Pfund GN, Hofer M, Allemand M, Hill PL. Being Social May Be Purposeful in Older Adulthood: A Measurement Burst Design. Am J Geriatr Psychiatry 2022; 30:777-786. [PMID: 34924274 DOI: 10.1016/j.jagp.2021.11.009] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/02/2021] [Revised: 11/15/2021] [Accepted: 11/16/2021] [Indexed: 12/19/2022]
Abstract
OBJECTIVE Sense of purpose predicts a wide array of positive health, cognitive, and well-being outcomes during older adulthood. However, work is limited regarding how social relations correspond to purposefulness in daily life. The current study explored daily social interactions as a route to daily purposefulness in older adults, using a measurement burst design. METHODS Older adults completed surveys for three 5-day bursts each spread 6 months apart (Mage = 70.75, SD = 7.23; N = 104). RESULTS Multilevel models demonstrated that on days when individuals reported more positive social interactions, they reported feeling more purposeful (est. = 0.39, 95% CI [0.28, 0.51]) when accounting for health, employment, and relationship status. Employment status moderated this association, as daily social interactions were more strongly associated with daily purpose for unemployed/retired individuals (est. = -0.23, 95% CI [-0.38, -0.08]). CONCLUSION Positive social interactions thus may help older adults maintain purposefulness, particularly after retirement.
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Affiliation(s)
- Gabrielle N Pfund
- Department of Psychological and Brain Sciences (GNP, PLH), Washington University in St. Louis, St. Louis, MO.
| | - Matthias Hofer
- Department of Communication and Media Research (MH), University of Zurich, Zurich, Switzerland; University Research Priority Program Dynamics of Healthy Aging Research, University of Zurich (MH, MA), Zurich, Switzerland
| | - Mathias Allemand
- Department of Psychology (MA), University of Zurich, Zurich, Switzerland; University Research Priority Program Dynamics of Healthy Aging Research, University of Zurich (MH, MA), Zurich, Switzerland
| | - Patrick L Hill
- Department of Psychological and Brain Sciences (GNP, PLH), Washington University in St. Louis, St. Louis, MO
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The health impacts of place-based creative programmes on older adults' health: A critical realist review. Health Place 2022; 76:102839. [PMID: 35691142 DOI: 10.1016/j.healthplace.2022.102839] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 05/09/2022] [Accepted: 05/25/2022] [Indexed: 11/22/2022]
Abstract
Place-based creative programmes can help alleviate the structural and place-related problems that affect older adults' health. However, it is unclear why these programmes achieve positive outcomes, and how these may vary across contexts. This critical realist review aimed to address these gaps. We were able to evidence why these programmes may work for older people's mental, social and physical health. Place-based creative programmes impact on health because they support social relatedness, motivation, self-continuity and self-efficacy. However, the circumstances under which and for whom these programmes work remain hidden since existing studies do not report sufficiently on context. We set out some of the general aspects of context that could form the basis of minimum standards for reporting.
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Pfund GN, Ratner K, Allemand M, Burrow AL, Hill PL. When the end feels near: sense of purpose predicts well-being as a function of future time perspective. Aging Ment Health 2022; 26:1178-1188. [PMID: 33645341 DOI: 10.1080/13607863.2021.1891203] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
OBJECTIVES While sense of purpose is a robust predictor of well-being, little work has considered whether the associations vary based on future time perspective. Exploring this possibility is important given that the extent to which one may pursue their life aims could be dependent upon how much time they feel that they have remaining. METHODS Using three samples (total n = 2333), the current study considered the association between sense of purpose and future time perspective. Moderation tests also examined whether the associations between sense of purpose and three well-being components (positive affect, negative affect, life satisfaction) differed as a function of future time perspective. RESULTS Across all three studies, people with a broader time perspective reported a higher sense of purpose. Both constructs predicted greater well-being, even after accounting for chronological age. Future time perspective moderated the associations between sense of purpose and well-being, such that the negative association between sense of purpose and negative affect was stronger for those with a broader time perspective and the positive association between sense of purpose and life satisfaction was stronger for those with a limited time perspective. CONCLUSION The well-being benefits associated with sense of purpose in adulthood may depend on future time perspective. Findings are discussed in the context of how purpose can be harnessed to enhance well-being even when older adults feel that their time left is limited.
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Affiliation(s)
- Gabrielle N Pfund
- Department of Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, MO, USA
| | - Kaylin Ratner
- Department of Human Development, Cornell University, Ithaca, NY, USA
| | - Mathias Allemand
- Department of Psychology and University Research Priority Program Dynamics of Healthy Aging Research, University of Zurich, Zurich, Switzerland
| | - Anthony L Burrow
- Department of Human Development, Cornell University, Ithaca, NY, USA
| | - Patrick L Hill
- Department of Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, MO, USA
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