1
|
Radomski MV, Anheluk M, Carroll G, Zola J. Purpose in Life as an Explicit Outcome of Occupational Therapy. Am J Occup Ther 2024; 78:7803347010. [PMID: 38502315 DOI: 10.5014/ajot.2024.050428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/21/2024] Open
Abstract
Purpose in life is increasingly understood to be important to health and well-being. Despite occupational therapy's long history of using occupations to advance health and the linkage between a subclass of occupations and purpose in life, the term is nearly absent from the American Occupational Therapy Association's documents and the profession's empirical literature. We propose that the profession explicitly name purpose in life as among our intervention outcomes and address disruptions of purpose in life in practice. This can be accomplished by first investing in purpose in our own lives, discussing the topic with colleagues and students, identifying possible purpose disruptions in our clients, and using direct or indirect intervention approaches to help clients reconnect to purpose in their lives. By explicitly naming purpose in life as part of the domain of occupational therapy, we become poised to leverage human occupation to address both a broad societal gap and our clients' needs for a renewal of purpose in life.
Collapse
Affiliation(s)
- Mary Vining Radomski
- Mary Vining Radomski, PhD, OTR/L, is Senior Scientific Adviser, Courage Kenny Research, Allina Health, Minneapolis, MN;
| | - Mattie Anheluk
- Mattie Anheluk, MOT, OTR/L, is Outpatient Occupational Therapist and Research Therapist, Courage Kenny Rehabilitation Institute, Minneapolis, MN
| | - Ginger Carroll
- Ginger Carroll, MS, OT, is Project Manager, Juniper, a program of Trellis, Arden Hills, MN
| | - Joette Zola
- Joette Zola, BS, OTR/L, is Outpatient Occupational Therapist and Research Therapist, Courage Kenny Rehabilitation Institute, Minneapolis, MN
| |
Collapse
|
2
|
Monéger J, Chatard A, Selimbegović L. The defeated self: Evidence that entrapment moderates first name priming effects on failure-thought accessibility. SELF AND IDENTITY 2022. [DOI: 10.1080/15298868.2022.2099454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Jean Monéger
- Department of psychology, University of Poitiers, Poitiers, France
- Research Center on Cognition and Learning, CNRS, Poitiers, France
| | - Armand Chatard
- Department of psychology, University of Poitiers, Poitiers, France
- Research Center on Cognition and Learning, CNRS, Poitiers, France
- Clinical Research Unit, Centre Hospitalier Laborit, Poitiers, France
| | - Leila Selimbegović
- Department of psychology, University of Poitiers, Poitiers, France
- Research Center on Cognition and Learning, CNRS, Poitiers, France
| |
Collapse
|
3
|
Styck AC, George DR. Evaluating the Impact of Community Gardening on Sense of Purpose for Persons Living with Dementia: A Cluster-Randomized Mixed Methods Pilot Study. J Alzheimers Dis Rep 2022; 6:359-367. [PMID: 36072363 PMCID: PMC9397880 DOI: 10.3233/adr-220018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Accepted: 06/09/2022] [Indexed: 11/15/2022] Open
Abstract
Background: Gardening has been shown to have positive effects on persons living with dementia, but no studies have explored the effects of gardening on sense of purpose. Objective: Explore how gardening may influence sense of purpose for people with dementia. Methods: Ten residents with dementia diagnoses living in a skilled care facility participated in hour-long gardening sessions twice weekly at outdoor raised beds over a two-month duration. One group (n = 5) donated vegetables to a food pantry while the other (n = 5) harvested produce for personal use. Semi-structured interviews with participants and their caregivers conducted post-intervention were analyzed for themes. Results: Participants and caregivers reported biopsychosocial benefits of gardening, identifying four main themes: 1) Gardening outdoors provided specific physical benefits that improved quality of life; 2) Working on a project in a group setting improved mood and fostered a sense of community; 3) Gardening promoted reminiscence and reinforced a sense of self; 4) Gardening provided participants with a sense of purpose and pride. Conclusion: Gardening has biopsychosocial benefits for persons living with dementia, and there appears to be additive benefit linked to improved sense of purpose via charitable giving.
Collapse
Affiliation(s)
| | - Daniel R. George
- Department of Humanities, Penn State College of Medicine, Hershey, PA, USA
| |
Collapse
|
4
|
Radomski MV, Anheluk M, Carroll GL, Grabe K, Halsten JW, Kath K, Kreiger RA, Lunos ME, Rabusch S, Swenson KK, Zola J. Preliminary Efficacy of an Occupation-Oriented Purpose in Life Intervention After Breast Cancer. Can J Occup Ther 2022; 89:115-126. [PMID: 35040344 DOI: 10.1177/00084174211073264] [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: 11/15/2022]
Abstract
Background. Purpose in life is important to health and well-being; purpose disruption often goes unidentified after breast cancer. Purpose. To evaluate the efficacy of a purpose renewal intervention and utility of a screening question for identifying people with purpose-related distress. Method. In this prospective pretest-posttest study, participants with breast cancer received an 8-session purpose renewal group intervention (n = 35). Participants completed standardized measures of meaning and purpose at pretest, posttest, and two-month follow-up and a forced-choice Purpose Status Question (PSQ) at pretest. Findings. Participants made statistically significant pretest-to-posttest and pretest-to-follow-up improvements. The PSQ demonstrated construct validity: 40% of participants lacked purpose direction at pretest and this subgroup made significantly greater improvements than participants who reported purpose direction at pretest. Implications. The PSQ warrants further study as a screener to identify people with purpose-related distress. Many breast cancer survivors may benefit from a purpose in life intervention; a subgroup may benefit more.
Collapse
|
5
|
Meaning in Life Moderates Relations between Personality and Temperament and Nonsuicidal Self-Injury in Hospitalized Adolescents. J Youth Adolesc 2022; 51:1622-1635. [PMID: 35478302 DOI: 10.1007/s10964-022-01615-3] [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: 01/14/2022] [Accepted: 04/09/2022] [Indexed: 10/18/2022]
Abstract
Previous research indicates that sensation seeking, emotion dysregulation, and impulsivity are predictive of non-suicidal self-injury (NSSI). A body of research supports that meaning in life predicts improved mental health and well-being, including fewer suicidal thoughts and attempts, yet no research has examined the moderating effects of meaning in life on the relations between personality and temperament and NSSI. Given the growing incidence rates of NSSI among adolescents and the potential lifelong consequences of NSSI, it is imperative to better understand the factors that reduce the rates at which adolescents in a clinical sample engage in NSSI. The present study investigates if the protective factors of meaning in life moderate the relation between personality and temperament variables and NSSI among 126 adolescents (71% female, Mage = 16.1, SD = 1.1, range 13-18, 80% White) residing in an inpatient psychiatric hospital who endorsed NSSI in the last 12 months. Results from hurdle modeling indicate that two subtypes of meaning in life, presence of meaning in life and search for meaning of life, may serve as robust protective factors against engagement in NSSI among a clinical sample of adolescents. Additionally, results suggest that search for meaning, but not presence of meaning in life, variables moderate the relations between personality and temperament and NSSI. Results provide evidence that meaning in life is an understudied variable of importance in understanding how to prevent or treat NSSI. It also underscores the need to develop, refine, and test meaning-making interventions.
Collapse
|
6
|
Jouhki H, Oksanen A. To Get High or to Get Out? Examining the Link between Addictive Behaviors and Escapism. Subst Use Misuse 2022; 57:202-211. [PMID: 34809536 DOI: 10.1080/10826084.2021.2002897] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Background: Escapism is a tendency to seek escape and distraction from reality or real-life problems. Past research regards escapism as a negative inducement that leads to adverse consequences when combined with substance use and other addictive activities. Existing knowledge on escapism's connection to addiction is mostly based on studies with restricted populations and lacks a comprehensive view.Objectives: Using an extensive data set, our aim was to investigate whether escapism has a consistent association with different types of addictive behaviors. In this study, we examined (1) the extent to which escapism is related to alcohol consumption, smoking, drug use, and gambling and (2) whether escapism moderates the relation between problem drinking and life satisfaction.Methods: We used cross-sectional survey data from a nationally representative stratified random sample of 2,285 respondents aged 16 to 80 years (mean [M] 45.18; standard deviation [SD] 18.75; 51.25% males) living in Finland. Linear and logistic regression models estimated the association of escapism and alcohol consumption, smoking, drug use, and gambling. The second part of the analysis focused on life satisfaction.Results: Escapism was associated with alcohol consumption, smoking and drug use, but not with gambling. Escapism moderated the association between life satisfaction and problematic alcohol use, indicating that problem drinking with escapist motives predicts lower life satisfaction than problematic alcohol use alone.Conclusions/Importance: Escapism bears a consistent relation to substance use and is a particularly strong predictor of alcohol consumption. Escapism can serve as an initial motive, a reinforcer, and an amplifier of addictive behaviors.
Collapse
Affiliation(s)
- Hannu Jouhki
- Faculty of Social Sciences, Tampere University, Tampere, Finland.,A-Clinic Foundation, Helsinki, Finland
| | - Atte Oksanen
- Faculty of Social Sciences, Tampere University, Tampere, Finland
| |
Collapse
|
7
|
A prospective study of college student depressive symptoms, sense of purpose, and response to a COVID-19 campus shutdown. PERSONALITY AND INDIVIDUAL DIFFERENCES 2021; 189:111475. [PMID: 34955576 PMCID: PMC8692084 DOI: 10.1016/j.paid.2021.111475] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Revised: 12/14/2021] [Accepted: 12/16/2021] [Indexed: 02/04/2023]
Abstract
Individual differences can shape the way major life events are experienced. In this study, we explored the unique and interactive effects of depressive symptoms and sense of purpose on downstream appraisals of a COVID-19 college campus shutdown. Data were from a sample of U.S. college students (n = 152) surveyed prior to widespread COVID-19 transmission (Time 1; early fall 2019), and again just after their university closed as a protective measure (Time 2; mid-spring 2020). Depressive symptoms were positively associated, whereas sense of purpose was negatively associated, with cross-sectional reports of social status change due to shutdown. Depressive symptoms at Time 1 positively predicted perceived external control of the situation at Time 2, and sense of purpose at Time 1 positively predicted changes to worldview at Time 2. Purpose and depressive symptoms evidenced high rank-order stability from Time 1 to Time 2. This study represents a rare documentation of college students' feelings and experiences before, and during, a historical moment. The implications of these findings for future research are discussed.
Collapse
|
8
|
Chen YL, Ho HY, Hsiao RC, Lu WH, Yen CF. Correlations between Quality of Life, School Bullying, and Suicide in Adolescents with Attention-Deficit Hyperactivity Disorder. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17093262. [PMID: 32392842 PMCID: PMC7246627 DOI: 10.3390/ijerph17093262] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/20/2020] [Revised: 04/30/2020] [Accepted: 05/05/2020] [Indexed: 12/24/2022]
Abstract
Although adolescents with attention-deficit hyperactivity disorder (ADHD) have a higher risk of suicidality and more problems related to school bullying, and quality of life (QoL) is reportedly associated with school bullying, suicide, and ADHD, no study has examined their correlation. This study examined the complex relationships between QoL, school bullying, suicide, and ADHD symptoms. A total of 203 adolescents with ADHD aged between 12 and 18 years were recruited. School bullying and QoL were examined using the Chinese version of the School Bullying Experience Questionnaire and the Taiwanese Quality of Life Questionnaire for Adolescents. Network model analysis was conducted to graphically present their relationships. We identified triangular correlations between school bullying, QoL, and suicidality, indicating possible pathways from school bullying to suicidality, and the originating or mediating roles of personal competence and psychological well-being. Furthermore, the ADHD symptoms of inattention and hyperactivity/impulsivity may differentially regulate these pathways. Longitudinal studies are warranted to confirm these findings.
Collapse
Affiliation(s)
- Yi-Lung Chen
- Department of Healthcare Administration, Asia University, Taichung 41354, Taiwan; (Y.-L.C.); (H.-Y.H.)
- Department of Psychology, Asia University, Taichung 41354, Taiwan
| | - Hsing-Ying Ho
- Department of Healthcare Administration, Asia University, Taichung 41354, Taiwan; (Y.-L.C.); (H.-Y.H.)
| | - Ray C. Hsiao
- Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Children’s Hospital, Seattle, WA 98105, USA;
| | - Wei-Hsin Lu
- Department of Psychiatry, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi City 60002, Taiwan
- Department of Senior Citizen Service Management, Chia Nan University of Pharmacy and Science, Tainan 71710, Taiwan
- Correspondence: (W.-H.L.); (C.-F.Y.); Tel.: +886-5-2765041 (W.-H.L.); +886-7-3121101 (ext. 6816) (C.-F.Y.)
| | - Cheng-Fang Yen
- Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
- Department of Psychiatry, School of Medicine and Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
- Correspondence: (W.-H.L.); (C.-F.Y.); Tel.: +886-5-2765041 (W.-H.L.); +886-7-3121101 (ext. 6816) (C.-F.Y.)
| |
Collapse
|
9
|
Self-efficacy as a mediator of the relationship between meaning in life and subjective well-being in cardiac patients. CURRENT ISSUES IN PERSONALITY PSYCHOLOGY 2019. [DOI: 10.5114/cipp.2019.89168] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
|
10
|
Munawar K, Tariq O. Exploring Relationship Between Spiritual Intelligence, Religiosity and Life Satisfaction Among Elderly Pakistani Muslims. JOURNAL OF RELIGION AND HEALTH 2018; 57:781-795. [PMID: 28110428 DOI: 10.1007/s10943-017-0360-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
This study is an effort to explore the relationship between spiritual intelligence, religiosity and life satisfaction in elderly Pakistani Muslims. A non-probability purposive sampling technique is utilized in order to recruit a sample of 100 elderly people (n = 50 men; n = 50 = women). Standardized questionnaires were used for collecting data. Data analysis was carried out using Pearson product-moment correlation analysis and independent sample t test. Findings revealed a significant correlation between spiritual intelligence, religiosity and life satisfaction among Pakistani elderly Muslim people. Gender differences were considered while conducting the study, and findings are valid for both male and female elderly Pakistani Muslims. Some findings of this study endorse findings of some previous studies, and it adds latest insights to the existing body of knowledge on the subject.
Collapse
Affiliation(s)
- Khadeeja Munawar
- Department of Psychology, University of Wah, Quaid Avenue, The Mall, Wah Cantt, Pakistan.
- Institute of Applied Psychology, University of the Punjab, Quaid-e-Azam Campus, Lahore, Pakistan.
| | - Omama Tariq
- Institute of Applied Psychology, University of the Punjab, Quaid-e-Azam Campus, Lahore, Pakistan
| |
Collapse
|
11
|
Bosqui TJ, Marshoud B. Mechanisms of change for interventions aimed at improving the wellbeing, mental health and resilience of children and adolescents affected by war and armed conflict: a systematic review of reviews. Confl Health 2018; 12:15. [PMID: 29760768 PMCID: PMC5941634 DOI: 10.1186/s13031-018-0153-1] [Citation(s) in RCA: 34] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2017] [Accepted: 03/08/2018] [Indexed: 12/31/2022] Open
Abstract
Despite increasing research and clinical interest in delivering psychosocial interventions for children affected by war, little research has been conducted on the underlying mechanisms of change associated with these interventions. This review aimed to identify these processes in order to inform existing interventions and highlight research gaps. A systematic review of reviews was conducted drawing from academic databases (PubMed, PILOTS, Cochrane Library for Systematic Reviews) and field resources (e.g. Médecins Sans Frontières and the Psychosocial Centre of the International Federation of Red Cross and Red Crescent Societies), with extracted data analysed using Thematic Content Analysis. Thirteen reviews of psychosocial or psychological interventions for children and adolescents (< 25 years old) affected by war, armed conflict or political violence were identified, covering over 30 countries worldwide. Qualitative analysis identified 16 mechanisms of change, one of which was an adverse mechanism. Themes included protection from harm, play, community and family capacity building, strengthening relationships with caregivers, improved emotional regulation, therapeutic rapport, trauma processing, and cognitive restructuring; with the adverse mechanism relating to the pathologising of normal reactions. However, only 4 mechanisms were supported by strong empirical evidence, with only moderate or poor quality evidence supporting the other mechanisms. The poor quality of supporting evidence limits what can be inferred from this review's findings, but serves to highlight clinically informed mechanisms of change for existing and widely used non-specialist interventions in the field, which urgently need rigorous scientific testing to inform their continued practice.
Collapse
Affiliation(s)
- Tania Josiane Bosqui
- Department of Psychology, American University of Beirut, Riad El-Solh, Beirut, 1107 2020 Lebanon
| | | |
Collapse
|
12
|
Turner A. Chassidic Teachings and Modern Psychology: Toward a More Unified Approach. JOURNAL OF RELIGION AND HEALTH 2016; 55:973-985. [PMID: 26507951 DOI: 10.1007/s10943-015-0145-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
This article describes how many modern psychological constructs and theories exist in older as well as newer Chassidic and Jewish teachings, particularly those of Chabad Lubavitch. This exploration points toward a potential benefit for a unification of psychology and Chassidic teachings. Psychological theories and constructs explored are Freudian psychoanalysis, cognitive dissonance, cognitive restructuring/reframing, self-efficacy/planned behavior, and logotherapy/existentialism. The article then concludes with a discussion of possible implications of moving toward a unified approach for clinical practitioners.
Collapse
Affiliation(s)
- Akiva Turner
- Health Care Sciences Department, Nova Southeastern University, Fort Lauderdale, FL, USA.
| |
Collapse
|