Can Ikigai Predict Anxiety, Depression, and Well-being?

Ikigai and suicidal ideation in Japan during the COVID-19 pandemic

BACKGROUND

Ikigai i.e., a Japanese concept relating to purpose in life but that is somewhat broader, has been associated with better physical and mental health. However, little is known about its association with suicidality. This study examined the association between ikigai and suicidal ideation in the Japanese general population during the COVID-19 pandemic.

METHODS

Data were analyzed from 3371 adults aged ≥18 who participated in an online survey in March 2023. Information on ikigai and pandemic-related suicidal ideation was obtained from self-reports. Logistic regression was used to examine associations.

RESULTS

In a fully adjusted analysis, compared to those with ikigai, individuals who did not know if they had ikigai (OR: 1.96, 95 % CI: 1.36-2.82) or did not have ikigai (OR: 2.50, 95 % CI: 1.74-3.57) had significantly higher odds of suicidal ideation. In sex- and age-stratified analyses, not having ikigai was associated with significantly higher odds of suicidal ideation in all population subgroups with the highest odds being observed in individuals aged ≥60 (OR: 6.27, 95 % CI: 2.02-19.45).

CONCLUSIONS

An absence of ikigai was associated with higher odds of suicidal ideation during the COVID-19 pandemic. Future research should examine the association between ikigai and suicidal behavior as well as explore the potential mechanisms linking ikigai and suicidality.

Ikigai and probable anxiety among adults in Japan

BACKGROUND

Ikigai is a Japanese concept that has been equated with having a sense of purpose in life. It has previously been linked to better physical health, although, as yet, there has been comparatively little research on its association with mental health outcomes. This study examined the association between ikigai and anxiety in the Japanese general population.

METHODS

Data were analyzed from 3701 adults who participated in an online survey in 2023. Information on ikigai was obtained with a single-item question, while the Generalized Anxiety Disorder-7 (GAD-7) scale was used to assess probable anxiety. Logistic regression was used to examine associations between the variables.

RESULTS

In a fully adjusted analysis, compared to those with ikigai, individuals who reported that they did not have ikigai had over twice the odds of anxiety (OR: 2.04, 95%CI: 1.36-3.06). In a sex-stratified analysis, an absence of ikigai was associated with higher odds of probable anxiety in both men and women. However, when the analysis was stratified by age, in the fully adjusted model, not having ikigai was associated with significantly higher odds of probable anxiety in adults aged 35-59 (OR: 2.97, 95%CI: 1.63-5.41) but not in those aged 18-34 (OR: 1.28, 95%CI: 0.64-2.54) or ≥ 60 years old (OR: 1.59, 95%CI: 0.52-4.87).

LIMITATIONS

This study used cross-sectional data obtained in an online survey.

CONCLUSION

An absence of ikigai is associated with higher odds of probable anxiety among Japanese men and women and middle-aged adults.

[Surgeon well-being and mindfulness-A narrative review on how come, for what reason, why in times of surgeon shortage]

In the Anglo-American world the field of surgeon well-being is already very prominent, while in Germany it is still underrepresented. In this article, we aim to analyze the challenges and factors that affect the well-being of surgeons, including stress, burnout, workload, job satisfaction, autonomy, leadership, teamwork and work-life integration. Additionally, we discuss the connection between surgeon well-being and the shortage of new talent in surgery, which is currently being exacerbated by increasing treatment and physician demands, the age development of specialists and an overall high turnover. Finally, we propose several solutions that can be implemented at individual, institutional and systemic levels to promote and maintain the well-being of surgeons. These include improving working conditions, providing resources and support, promoting resilience and mindfulness and recognizing and appreciating achievements.

"It's always happy to see me": Exploring LOVOT robots as companions for older adults

Background

AI-enabled social robots present the potential to resolve the loneliness and social isolation of older adults in long-term care (LTC). There is limited research on how older adults perceive and make sense of these robots and how human-robot companionship is formed. This study investigated older adults' experiences using LOVOT, a social robot.

Methods

Using an ethnographic study design, we introduced LOVOT robots to a Canadian LTC home for four weekly interaction sessions. Thirty-six residents, seven family members and two healthcare staff participated. Data collection involved observational field notes and conversational interviews. The analysis was guided by ikigai, a Japanese well-being concept.

Findings

Reflexive thematic analysis identified four key themes. 1) Joy: The robot offers joy and excitement through interactions. 2) Acceptance: For older adults with mobility or cognitive impairments, LOVOT gives consistent positive responses, offering a sense of unconditional acceptance. 3) Creativity: The robot's non-verbal communication allows older adults to grow creative imagination, encouraging personal expression and expanding interaction possibilities. 4) "Not for me": Not all participants like the LOVOT robot.

Conclusion

AI-enabled social robots show potential in supporting the psychosocial needs of older adults, which have broader implications for LTC practices and future research directions. Future research should further explore the creative utility of social robots among LTC residents.

Factors Related to Ikigai among Home-visit Rehabilitation Users Aged 75 Years and Older Receiving Home Medical and Nursing Care in Japan

OBJECTIVE

This study investigated the factors that influence Ikigai among people aged 75 years and older using home medical and nursing care with home-visit rehabilitation.

METHODS

This cross-sectional study involved 66 home-visit rehabilitation users aged 75 years or older who received home medical and nursing care at 2 home-care nursing stations. The following attributes were evaluated: Ikigai-9, life-space assessment (LSA), home-based LSA (Hb-LSA), Frenchay activities index (FAI), functional independence measure (FIM), self-efficacy for activities of daily living (SEADL), self-efficacy scale for going out among community-dwelling elderly (SEGE), and physical function. The correlation between Ikigai-9 scores and each assessment was examined. Multiple regression analysis was performed using the Ikigai-9 as the dependent variable and the correlated items as independent variables.

RESULTS

The Hb-LSA, FAI, FIM, SEADL, and SEGE were correlated with Ikigai-9. Among the correlated items, the FAI was selected for multiple regression analysis.

CONCLUSION

Home-visit rehabilitation users aged 75 and over may be more likely to feel Ikigai if they have higher instrumental ADLs.

Relationship between Ikigai and longitudinal changes in serum HDL cholesterol levels: the Circulatory Risk in Communities Study (CIRCS)

BACKGROUND

Having positive psychological well-being has been associated with serum high-density lipoprotein cholesterol (HDLC), but no longitudinal study to date has examined the association between Ikigai and serum HDLC. Therefore, we examined the association between Ikigai and change in serum HDLC over time using a cohort dataset spanning 2010-2018.

METHODS

The study included 471 men and 776 women aged 40-74 years who underwent a cardiovascular examination in 2010 and were asked their levels of Ikigai. We combined "definitely yes" and "yes" as "with Ikigai" and recorded "a little" as "with a little Ikigai" and "no" as "without Ikigai". We measured serum HDLC using direct methods. The association between Ikigai and serum HDLC levels at baseline, and changes in this relationship during an eight-year period, were analyzed using linear mixed-effect models.

RESULTS

At the baseline, relative to those without Ikigai, women with Ikigai had higher serum HDLC (baseline difference in those with a little Ikigai = 7.52 mg/dl, 95% confidence interval [CI]: 1.12 to 13.9 and in those with Ikigai = 8.11 mg/dl, 95% CI: 1.54 to 14.7). The difference in serum HDLC between women with and without Ikigai remained over the eight-year follow-up period. There were no similar Ikigai-associated differences in the serum HDLC of men.

CONCLUSIONS

Women with Ikigai showed differences in serum HDLC that were observed at baseline and persisted over time.

Biopsychosocial Consideration of Ikigai in Older Adults in Japan through a Cross-Sectional Study

Ikigai-a Japanese concept that includes elements such as life's purpose and meaning-has been reported to be associated with various systemic health conditions, such as the risk of developing physical dysfunction or death in older adults. However, there are no reports that comprehensively examine the psychological and social aspects of Ikigai. We attempted to clarify the characteristics of Ikigai by examining it from a biopsychosocial model using physical, psychological, and social perspectives through a cross-sectional study on sarcopenia, frailty and healthy life expectancy in a hilly and mountainous area of Japan. Koyadaira in Mima City, which is located in a hilly and mountainous region on Shikoku Island in Japan, was targeted. This cross-sectional study included 105 outpatients aged 65 and over, with an average age of 79.02 ± 6.91 years. Ikigai (self-rating score on a scale of 0 (no Ikigai) to 5 (the highest Ikigai)) participants' level of physical activity (the Physical Activity Scale for the Elderly, PASE), degree of depression (the Geriatric Depression-15 Scale, GDS-15), cognitive function (the Mini-Mental State Examination, MMSE) and social isolation (the abbreviated Lubben Social Network Scale, LSNS-6) was assessed. Significant positive correlations were found between PASE and MMSE. The LSNS-6 significantly correlated with the MMSE and GDS-15. In a path model, out of four paths from PASE, GDS-15, MMSE, and LSNS-6 to Ikigai, the path from the GDS-15 alone was significant (correlation coefficient -0.271, p < 0.01). The adaptability of this model was good. This study indicates that depressive status has a large impact on Ikigai, along with physical, cognitive, and social conditions; thus, it is appropriate to consider that an affective psychological status, such as depressive symptoms, is a fundamental condition for having Ikigai.

Comparing The Mediterranean and The Japanese Dietary Pattern in Relation to Longevity - A Narrative Review

The Mediterranean dietary pattern (MDP) and Japanese dietary pattern (JDP) have received increasing attention from the scientific community and media, predominantly due to their association with increased longevity and health. Although similarities between the two dietary patterns are evident, a detailed comparison between them is still relatively unexplored. This narrative review aimed to explore the similarities and differences between the MDP and JDP in terms of longevity while also reflecting on the adoption of these diets by other populations outside their regions of origin. Both dietary patterns are plant-based, minimally processed, and sustainable for their respective regions and have been shown to significantly prolong life expectancy in different populations. Nevertheless, these dietary patterns also differ in terms of macronutrient ratios, food preparation and consumption and individual cultural characteristics of each population. Additionally, both dietary patterns are part of broader lifestyle patterns, which include other behaviors, such as abstaining from smoking, engaging in regular physical activity, having low stress levels and a sense of community, spirituality/religiousness and purpose. The promotion of these two dietary patterns should be implemented in other regions after considering cultural and socio-economical characteristics.

Common Humanity as an Under-acknowledged Mechanism for Mental Health Peer Support

Mental health peer support (PS) is a relational approach to recovery. Service users are helped through a relationship focused on connection with a PS worker who shares similar experiences. Despite the strong evidence base, the mechanisms of action for mental health PS are under-researched. Several theories have been proposed to explain the mechanisms, including social comparison theory (SCT). SCT highlights the benefits arising from emphasising differences between a service user and the PS worker. An unintended consequence is that connection between them may be reduced. We propose common humanity (CH) as an under-acknowledged mechanism of action. CH is an experience recognising that there are other people living with similar suffering, and helps us regulate emotions. A CH-informed connection-based PS relationship may help a service user in different ways from a SCT-informed comparison-based PS relationship. Future PS research can investigate emotional self-regulation to establish whether CH-related outcomes arise from PS.