Understanding the Search for Meaning in Life: Personality, Cognitive Style, and the Dynamic Between Seeking and Experiencing Meaning

Attachment Anxiety Mitigates the Well-Being Costs of Object Attachment

Abstract. Clinical and personality research consistently demonstrates that people can form unhealthy and problematic attachments to material possessions. To better understand this tendency, the current paper extends past research demonstrating that anxieties about other people motivate these attachments. These findings suggest that although object attachment generally correlates with poorer well-being, it may attenuate well-being deficits associated with insecurity about close relationships. The current paper presents two studies using converging correlational ( N = 394) and diary methods ( N = 413) to test whether object attachments’ association with poorer well-being is moderated by relationship uncertainties. We find that both trait (Study 1) and state (Study 2) insecurities about others eliminated, and in some cases reversed, the negative psychological correlates of object attachment. These effects, however, were only observed when focusing on between-person variation in both studies; within-person analysis demonstrated that state variation in object attachment predicted better psychological well-being. These results highlight a need for more nuanced studies of object attachment and well-being.

The Role of Demoralization and Meaning in Life (DEMIL) in Influencing Suicidal Ideation Among Patients Affected by Chronic Pain: Protocol of a Single-Center, Observational, Case-Control Study

BACKGROUND

Chronic pain is a significant risk factor for suicidal ideation (SI) and suicidal behavior (SB), including a 20%-40% prevalence rate of SI, a prevalence between 5% and 14% of suicide attempts, and a doubled risk of death by suicide in patients with chronic pain compared to controls. In most studies, associations between chronic pain and suicidality are robust, even after adjusting for the effect of sociodemographics and psychiatric comorbidity, and particularly for depressive conditions. A number of specific conditions that can modulate suicidality risk in patients with chronic pain have been investigated, but there is a need for their more specific characterization. Numerous recent studies have shown that demoralization and meaning in life (MiL) constructs affect suicidality as risk and protective factors, respectively. These constructs have been mainly investigated in patients with somatic illness and in community-dwelling individuals who may present with SI or SB independently of a psychiatric diagnosis of depression. However, a paucity of studies investigated them in suicidal patients affected by chronic pain.

OBJECTIVE

The primary objective of this project is to investigate the relationship between demoralization and MiL on SI risk in patients with chronic pain. The secondary objectives are (1) to test whether demoralization can occur independently of depression in patients with chronic pain and SI, (2) to examine whether the expected association between demoralization and SI may be explained by a sole dimension of demoralization: hopelessness, (3) to examine whether the presence of MiL, but not the search for MiL, is associated with less SI, and (4) to explore whether previously described MiL profiles (ie, high presence-high search, high presence-low search, moderate presence-moderate search, low presence-low search, and low presence-high search) emerge in our cohort.

METHODS

This project is a single-center, observational, case-control study-the Demoralization and Meaning in Life (DEMiL) study-conducted by the Division of Clinical Pharmacology and Toxicology, the Multidisciplinary Pain Centre, and the Service of Liaison Psychiatry and Crisis Intervention at the Geneva University Hospitals. Self- and hetero-administered questionnaires were conducted among patients and controls, matched by age and gender. The Ethics Committee of the Canton of Geneva approved the scientific utilization of collected data (project No. 2017-02138; decision dated January 25, 2018). Data have been analyzed with SPSS, version 23.0, software (IBM Corp).

RESULTS

From March 1, 2018, to November 30, 2019, 70 patients and 70 controls were enrolled. Statistical analyses are still in progress and are expected to be finalized in November 2020. To date, we did not observe any unfavorable event for which a causal relationship with the collection of health-related personal data could be ruled out. Results of this study are expected to form the basis for possible prevention and psychotherapeutic interventions oriented toward demoralization and MiL constructs for suicidal patients with chronic pain.

CONCLUSIONS

The interest in exploring demoralization and MiL in chronic pain patients with SI arises from the common clinical observation that experiencing chronic pain often requires a revision of one's life goals and expectations. Hence, the impact of chronic pain is not limited to patients' biopsychosocial functioning, but it affects the existential domain as well. The major clinical implications in suicidal patients with chronic pain consist in trying to (1) delineate a more precise and individualized suicide risk profile, (2) improve detection and prevention strategies by investigating SI also in individuals who do not present with a clinically diagnosed depression, and (3) enhance the panel of interventions by broadening supportive or psychotherapeutic actions, taking into consideration the existential condition of a person who suffers and strives to deal with his or her suffering.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID)

DERR1-10.2196/24882.

Disease Acceptance and Eudemonic Well-Being Among Adults With Physical Disabilities: The Mediator Effect of Meaning in Life

The acceptance of disability is recognized as one of the most frequently mentioned factors that plays a particularly significant role in subjective well-being. However, so far, only a very small amount of research has been undertaken to clarify how and why acceptance of illness relates to eudemonic well-being. Hence, comprehension of the direct and indirect effects underlying this relationship seems essential for interventions that increase the recovery of people with impairments and enhance their quality of life. The current research was aimed at investigating the association between acceptance of illness, meaning in life, and eudemonic well-being, as well as the possible mediatory effect of meaning in life on the relationship between acceptance of illness and well-being. The sample consisted of 102 participants (71% women) aged between 20 and 64 years. The respondents had a range of different impairments (e.g., cerebral palsy, neurological disorders, spinal muscular atrophy, and sight defects). The Acceptance of Illness Scale, the Meaning in Life Questionnaire, and the Ryff Scales of Psychological Well-Being were used. It was confirmed that acceptance of illness correlated positively and significantly with the presence of meaning, self-acceptance, positive relations, environmental mastery, personal growth, general well-being, cohesion, flexibility, communication, and family satisfaction. The presence of meaning mediated the relationship between acceptance of illness and general well-being with its four other dimensions: self-acceptance, environmental mastery, purpose in life, and personal growth. Conversely, the search for meaning did not have any mediatory effect on this relationship.

From Shattered Goals to Meaning in Life: Life Crafting in Times of the COVID-19 Pandemic

The novel COVID-19 pandemic has created an extraordinary situation for our generation, with many countries being on lockdown. With this, new situation comes many psychological challenges not only for health care workers and people suffering from COVID-19 but also for the general population. Adapting to the new situation can be demanding. Experts have suggested that emotions during this situation are very similar to grief, and people experience emptiness and sadness about the loss of their normal lives, which can even lead to a loss of meaning in life. In this paper, we argue that life crafting could offer a way to help people cope with the situation and renew their sense of meaning. A life crafting intervention is based on theoretical insights from multiple areas of research, like positive psychology, expressive writing, and the salutogenesis framework. Life-crafting interventions help people find meaning in life by focusing on their ideal future, and helping them set goals, and make concrete plans to achieve those goals and overcome obstacles. Since having a clear purpose or meaning in life has been shown to have many benefits, we propose that it can also help people to cope with the psychological effects of the pandemic. A life-crafting intervention can offer people a chance to evaluate their goals in a time of uncertainty and rediscover meaning in life to guide them through these difficult times.

Chinese college students' ability to recognize facial expressions based on their meaning-in-life profiles: An eye-tracking study

OBJECTIVE

People can be categorized into one of four meaning-in-life profiles: High Presence High Search (HPHS), High Presence Low Search (HPLS), Low Presence High Search (LPHS), and Low Presence Low Search (LPLS).The main goal of this study is to provide a theoretical explanation for why Chinese people with different meaning-in-life profiles have different mental health levels than Western people, based on their emotional-cognitive-processing ability.

METHOD

We adopted eye-movement analysis and recognition-judgment experimental paradigm concerning absolute-recognition judgment and relative-recognition judgment in our study. Moreover, we applied a multifactor and multilevel mixed-experimental design. We selected 118 participants for the experiments from the 788 Chinese college students who responded.

RESULTS

Our results showed that HPHS individuals preferred positive-emotion pictures, LPLS individuals preferred negative-emotion pictures, HPLS individuals preferred positive- and neutral-emotion pictures, and LPHS individuals preferred neutral-emotion pictures. Moreover, HPHS individuals were better at accurately processing facial expression from pictures, while LPLS individuals lacked such ability. The fine-processing ability of HPLS and LPHS individuals was lower than that of HPHS yet higher than that of LPLS individuals. Moreover, the features of HPLS individuals were closer to HPHS, while those of LPHS individuals were closer to LPLS.

CONCLUSIONS

Our findings support the hypothesis that meaning-in-life profiles have different immediate processing abilities and preferences regarding facial expression recognition and different emotional-cognitive-processing ability.

The Influence of Life-and-Death Views on the Well-Being of Chinese Tujia Ethnic Adolescents

The purpose of this study was to evaluate how a person's view of life and death might influence various aspects of well-being. Similar studies have been conducted with adolescents in different cultures, but not with Chinese Tujia ethnic adolescents. Tujia adolescents (N = 309) completed the Meaning in Life Questionnaire (MLQ), the Death Attitude Profile (DAP), the Satisfaction with Life Scale (SWLS) and the Happiness Inventory (HI). Results indicated that Chinese Tujia ethnic adolescents maintain a relatively positive life-and-death view and overall well-being. Meaning in life and death attitude both corresponded with overall well-being. A dominance analysis indicated that meaning in life can predict the well-being of a person better than a death attitude. Limitations and future directions are discussed.

The Living Ladder: Introduction and Validity Over 6-Month Follow-Up of a One-Item Measure of Readiness to Continue Living in Suicidal Patients

OBJECTIVE

The ability to predict suicide outcomes is limited by the lack of consideration of protective factors. This study examined the validity of the Living Ladder, a measure of readiness to continue living among individuals thinking of suicide.

METHODS

The Living Ladder consists of one item that assesses an individual's readiness to continue living when thinking about suicide. Participants (N = 130) completed the Living Ladder in-person at baseline and by-phone at 1-, 3-, and 6-month follow-up. The prospective association of the Living Ladder with suicidal ideation and risk for a suicide attempt was examined using models adjusting for baseline ideation and suicide attempts, respectively.

RESULTS

Each rung on the Living Ladder was associated with 18% lower likelihood of suicidal ideation, OR (95% CI) = 0.82 (0.68, 0.96), and less severe suicidal ideation among those with ideation. Scores >2, indicating contemplation of living, were associated with 64% lower risk for a suicide attempt, HR (95% CI) = 0.36 (0.13, 0.98). Findings for suicidal ideation were replicated when administered by-phone.

CONCLUSIONS

The Living Ladder is a one-item measure that is prospectively associated with suicidal ideation and suicide attempts. Findings support the relevance of motivation to live to suicide outcomes.

The Science of Meaning in Life

Meaning in life has long been a mystery of human existence. In this review, we seek to demystify this construct. Focusing on the subjective experience of meaning in life, we review how it has been measured and briefly describe its correlates. Then we review evidence that meaning in life, for all its mystery, is a rather commonplace experience. We then define the construct and review its constituent facets: comprehension/coherence, purpose, and existential mattering/significance. We review the many experiences that have been shown to enhance meaning in life and close by considering important remaining research questions about this fascinating topic.

The Severity of Traumatic Stress Associated with COVID-19 Pandemic, Perception of Support, Sense of Security, and Sense of Meaning in Life among Nurses: Research Protocol and Preliminary Results from Poland

The COVID-19 pandemic can not only affect physical health, but also mental health, resulting in sleep problems, depression, and traumatic stress. Our research investigates the level of posttraumatic stress, perceived social support, opinions on positive and negative consequences of the pandemic, sense of security and sense of meaning among nurses in the face of this new and not fully understood global epidemiological phenomenon. For this purpose, computer-assisted web interviews were conducted between May 1 and May 15, 2020. Participating nurses completed the following research tools: The Impact Event Scale-Revised (IES-R), The Multidimensional Scale of Perceived Social Support (MSPSS), The Changes in Outlook Questionnaire (CIOQ), The Safety Experience Questionnaire (SEQ) and The Meaning in Life Questionnaire (MLQ). Three hundred and twenty-five nurses of an average age of 39.18 ± 11.16 years and working throughout Poland joined the study. The average overall IES-R score in the study group was 1.78 ± 0.65. Among the dimensions of traumatic stress, the highest score was obtained in the "avoidance" dimension was 1.86 ± 0.73. Amongst participating nurses, the highest support rates were provided by significant others (22.58 ± 5.22). Higher average scores were noted among participants in the subscale measuring positive psychological changes (18.56 ± 4.04). The mean MLQ score was 5.33 ± 0.87. A slightly higher result was observed in the subscale "presence" (5.35 ± 1.14). The results of the research implemented during the period of severe psychological pressure associated with the COVID-19 pandemic provided information on symptoms of traumatic stress in the examined group of nurses. Their sense of security has been lowered and accompanied by an intensified reflection on issues concerning security. However, their current sense of meaning in life remains higher than the tendency to searching for it. The surveyed nurses received individual support mostly from significant others (i.e., other than family and friends). They see positive changes resulting from painful experiences related to the COVID-19 pandemic, which can be characterized by adaptation in the form of post-traumatic growth.

Meaning-making as a mediator of anxiety and depression reduction during cognitive behavioral therapy intervention in participants with adjustment disorders

There is a consensus among researchers about the link between low meaning in life and anxiety and depressive symptoms. One unanswered question is whether meaning-making is a mediator of the change in anxiety and depression symptoms in participants with adjustment disorders during cognitive behavioural therapy (CBT) treatment. The aims of this study were (a) to analyse whether there was meaning-making during the application of the CBT, (b) to analyse whether meaning-making was a mediator of anxiety psychopathology and (c) to analyse whether meaning-making was a mediator of depressive symptoms. The sample was composed of 115 patients who satisfied the full Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 criteria for adjustment disorder as their primary diagnosis and completed CBT treatment in a primary care mental health service: 74.78% women, n = 86, and 25.22% men, n = 29, with a mean age of 41.89 (standard deviation [SD] = 10.39) years. The diagnosis was established using the Structured Clinical Interview for DSM-5 (SCID-5), and participants filled out the Beck Anxiety Inventory, the Beck Depression Inventory and Purpose in Life questionnaires. The therapists were clinical psychologists with experience in clinical assessment. A repeated-measures analysis of variance (ANOVA) and two mediation analyses using the bootstrap method were performed. The results indicated that (a) There was meaning-making during the CBT because the treated sample showed a statistically significant improvement in meaning in life, and (b) meaning-making during the CBT was a partial mediator between anxiety symptoms and depressive symptoms before and after the treatment. The present study suggests that meaning in life could be an important variable in the psychopathology of adjustment disorders.

The Role of Life Planning in Finding Purpose and Living Out One’s Career Calling Among Indonesian Emerging Adults

The ability to plan effectively has been reported to have a positive effect on one’s life satisfaction, sense of direction, and future positive experiences. As emerging adults begin to discover what they want to be, they must also choose what kind of career they will pursue. The current perspective on career development views planning one’s career as a part of one’s larger life planning. Surprisingly, research examining how planning contributes to one’s presence of purpose and career is still lacking. The aim of this research is to assess the effect of planning on one’s career calling and purpose. The results show that planning positively predicted the presence of purpose and living out one’s career calling. Planning was not a significant predictor of the search for purpose, while the search for purpose negatively predicted the presence of purpose.

The supervisory relationship from an attachment perspective: Connections to burnout and sense of coherence in health professionals

Supervision is an essential part of the training and work environment of health professionals, especially of psychotherapists and clinical/health psychologists. However, although the supervisory process is always a relational one and may therefore be influenced by attachment dynamics, the importance of the supervisory relationship for the professional's performance and the well‐being of the supervisee has yet to be fully examined.

In this cross‐sectional observational study, the Experiences in Close Relationships‐Revised (ECR‐RD; avoidant and anxious attachment), the Supervisory Relationship Questionnaire (SRQ), the Maslach Burnout Inventory (MBI) and the Sense of Coherence Scale (SOC‐13) were analysed for 346 (81.8% female) health professionals.

Considering professional experience and number of supervision sessions as control variables, a better supervisory relationship negatively predicted burnout symptoms (β = −.31) but positively predicted sense of coherence (β = .31, both p < .01). The final model, including avoidant and anxious attachment as additional predictors, explained 30% of the variance in burnout symptoms and 41% of the variance in sense of coherence.

The results underline the importance of the supervisory relationship for the well‐being and the professional performance of health professionals. Interactions between the supervisory relationship and underlying attachment parameters should be further explored in future studies.

Professional quality of life, depression, and meaning in life among helping professionals: The moderating role of self-competence in death work

We examined the moderating role of self-competence in death work, and the relationships of professional quality of life with personal well-being and self-competence in death work. Two hundred helping professionals (mean age = 40.43, 85.5% female) completed a questionnaire. Better professional quality of life (i.e., a higher level of compassion satisfaction and lower levels of burnout and secondary traumatic stress) was associated with better personal well-being and self-competence in death work. Self-competence in death work moderated the negative impact of a lower level of compassion satisfaction on depression. Implications on self-care of helping professionals doing death work are discussed.

When is search for meaning in life beneficial for well-being? A cross-national study

Previous research has found cross-national variations in the association between search for meaning in life (SMIL) and well-being (i.e. SMIL-WB link). This study extended and tested a "self-improvement hypothesis" that accounts for such cross-national variations based on an international database-the sixth wave of World Values Survey. SMIL represents a self-improvement effort which is more demanded in contexts with stronger external constraints. Thus, we expected a stronger positive SMIL-WB link in such contexts. A series of multilevel analyses was used to verify this hypothesis. The results showed that the SMIL-WB link varied across different societies, with well-being indexed by happiness, life satisfaction and subjective health. Moreover, external constraints from cultural, social-institutional, economic and ecological contexts (collectivism, peace threats, economic scarcity and environmental threats) moderated the SMIL-WB links. We thus call for advancing SMIL theory by considering person-context interaction.

Dignity Therapy Helps Terminally Ill Patients Maintain a Sense of Peace: Early Results of a Randomized Controlled Trial

Introduction: Dignity Therapy (DT) is a brief, individualized, narrative psychotherapy developed to reduce psychosocial and existential distress, and promote dignity, meaning, and hope in end of life patients. Previous studies have shown that DT was effective in reducing anxiety and depression, and improving dignity-related distress. However, less is known about its efficacy on spiritual well-being. The aim of this study is to contribute to the existing literature by investigating the effects of DT on specific dimensions of spiritual well-being, demoralization and dignity-related distress in a sample of terminally ill patients. Methods: A randomized, controlled trial was conducted with 64 terminally ill patients who were randomly assigned to the intervention group (DT + standard palliative care) or the control group (standard palliative care alone). The primary outcome measures were Meaning, Peace, and Faith whereas the secondary outcome measures were (loss of) Meaning and purpose, Distress and coping ability, Existential distress, Psychological distress, and Physical distress. All measures were assessed at baseline (before the intervention), 7-10 and 15-20 days after the baseline assessment. The trial was registered with ClinicalTrials.gov (Protocol Record NCT04256239). Results: The MANOVA yielded a significant effect for the Group X Time interaction. ANOVA with repeated measures showed a significant effect of time on peace and a significant Group X Time interaction effect on peace. Post hoc comparisons revealed that, while there was a decrease in peace from pre-treatment to follow-up and from post-treatment to follow-up in the control group, there was no such trend in the intervention group. Discussion: This study provides initial evidence that patients in the DT intervention maintained similar levels of peace from pre-test to follow-up, whereas patients in the control group showed a decrease in peace during the same time period. We did not find significant longitudinal changes in measures of meaning, faith, loss of meaning and purpose, distress and coping ability, existential, psychological and physical distress. The findings of our study are of relevance in palliative care and suggest the potential clinical utility of DT, since they offer evidence for the importance of this intervention in maintaining peace of mind for terminally ill patients.

Distinct Routes to Understand the Relationship Between Dispositional Optimism and Life Satisfaction: Self-Control and Grit, Positive Affect, Gratitude, and Meaning in Life

Over the last years, understanding the implications of prospective thinking toward the future has become of increasing interest. This study aims to delve into the relation between dispositional optimism, one of the most relevant prospective constructs, and life satisfaction. Additionally, we also seek to prove the mediating effect of different cognitive and affective variables associated with both hedonic and eudaimonic well-being on this relationship. A first study is conducted with 275 secondary students to assess the relationship between optimism and life satisfaction through self-control and grit (14.82, SD = 1.07), which indicates a mediating effect of grit but not of self-control. A second study is carried out with 1,356 university students (21.5, SD = 2.35) to demonstrate the mediating effect of positive affect on dispositional optimism and life satisfaction. Results show a strong relationship between optimism and positive affect, but no mediating effect on life satisfaction. Finally, a third study comprising 371 secondary students (14.12, SD = 1.78) demonstrates the existence of a serial multiple mediation from gratitude and meaning in life over the relationship between optimism and life satisfaction. Implications are discussed in terms of how prospective variables like dispositional optimism may lead to an increase in subjective well-being (SWB) through different affective and cognitive mechanisms.

Optimizing Students' Mental Health and Academic Performance: AI-Enhanced Life Crafting

One in three university students experiences mental health problems during their study. A similar percentage leaves higher education without obtaining the degree for which they enrolled. Research suggests that both mental health problems and academic underperformance could be caused by students lacking control and purpose while they are adjusting to tertiary education. Currently, universities are not designed to cater to all the personal needs and mental health problems of large numbers of students at the start of their studies. Within the literature aimed at preventing mental health problems among students (e.g., anxiety or depression), digital forms of therapy recently have been suggested as potentially scalable solutions to address these problems. Integrative psychological artificial intelligence (AI) in the form of a chatbot, for example, shows great potential as an evidence-based solution. At the same time, within the literature aimed at improving academic performance, the online life-crafting intervention in which students write about values and passions, goals, and goal-attainment plans has shown to improve the academic performance and retention rates of students. Because the life-crafting intervention is delivered through the curriculum and doesn't bear the stigma that is associated with therapy, it can reach larger populations of students. But life-crafting lacks the means for follow-up or the interactiveness that online AI-guided therapy can offer. In this narrative review, we propose to integrate the current literature on chatbot interventions aimed at the mental health of students with research about a life-crafting intervention that uses an inclusive curriculum-wide approach. When a chatbot asks students to prioritize both academic as well as social and health-related goals and provides personalized follow-up coaching, this can prevent -often interrelated- academic and mental health problems. Right on-time delivery, and personalized follow-up questions enhance the effects of both -originally separated- intervention types. Research on this new combination of interventions should use design principles that increase user-friendliness and monitor the technology acceptance of its participants.

Meaning-Centered Interventions for Patients With Advanced or Terminal Cancer: A Meta-analysis

BACKGROUND

For patients with advanced or terminal cancer undergoing hospice or palliative care, spiritual care based on meaning-centered intervention (MCI) has become an essential form of support.

OBJECTIVE

The aim of this study was to characterize MCI systematically and the effectiveness of hospice and palliative care for patients with advanced or terminal cancer.

METHODS

MEDLINE via PubMed, Cochrane Library CENTRAL, EMBASE, CINAHL, and several Korean electronic databases were searched from inception to May 2017. The RevMan 5.3 program of the Cochrane Library was used for data analysis.

RESULTS

A meta-analysis was conducted of 10 controlled trials (6 randomized and 4 nonrandomized) featuring 623 patients with cancer. Meaning-centered interventions were compared with usual care control groups or other psychosocial interventions. The weighted average effect sizes across studies were -0.96 (P < .001, I = 7%) for meaning in life, -0.37 (P = .002, I = 0%) for spiritual well-being, -0.48 (P < .001, I = 0%) for quality of life, -0.28 (P = .02, I = 0%) for anxiety, and -0.31 (P = .02, I = 17%) for physical symptoms.

CONCLUSION

Spiritual care based on MCI may help to improve the physical, psychosocial, and spiritual well-being of patients with advanced or terminal cancer.

IMPLICATION FOR PRACTICE

Meaning-centered interventions could be a valuable way to enhance quality of life at the end stage for patients with advanced or terminal cancer.

Exploring academics beliefs about the meaning of life to inform mental health clinical practice

The aim of this research was to understand academic's beliefs about the meaning of life to gain knowledge to inform mental health clinical practice and research. Qualitative research was conducted using descriptive text and interviews from a sample of Australian midlife academic staff from one university who described their beliefs about the meaning of life. Their beliefs included that: life is a journey of self-development, is about religious or non-religious beliefs, is about living well, is about family, love and relationships, and is about making a difference. These findings may be used by mental health clinicians to help clients explore their beliefs about the meaning of life. Consumers with depression may suffer from meaninglessness, existential crises, severe depression and risk suicide. Working on understanding their beliefs about the meaning of life may result in better mental health outcomes for these people.

Meaning in life as a protective factor against suicidal tendencies in Chinese University students

BACKGROUND

A substantial increase in rates of suicide worldwide, especially among late adolescents and young adults, has been observed. It is important to identify specific risk and protective factors for suicide-related behaviors among late adolescents and young adults. Identifying specific factors across the masses, not only in the Western, but also in the Asian context, helps researchers develop empirically informed intervention methods for the management of protective and risk factors of suicide.

METHODS

In the current study, 2074 students (706 males), filled out the Meaning in Life Questionnaire, with subscales of Search for Meaning (MLQ-S) and Presence of Meaning (MLQ-P); the Future Disposition Inventory-24 (FDI-24), with subscales of Positive Focus (PF), Suicide Orientation (SO), and Negative Focus (NF); and the Beck Hopelessness Scale (BHS). These scales measure protective and risk factors that are linked to suicidal behaviors; while suicidal behaviors were measured by the Suicidal Behaviors Questionnaire-Revised (SBQ-R). Mediation analyses were performed to test the models with both the MLQ-S and MLQ-P as the mediators between a) hopelessness, as measured by BHS and suicidal behaviors; and b) PF, SO, and NF, as measured by FDI-24, and suicidal behaviors.

RESULTS

We found that only MLQ-P mediated the relation between hopelessness and suicidal behaviors; while both MLQ-P and MLQ-S mediated PF, SO, and NF (as measured by FDI-24), and suicidal behaviors, respectively.

CONCLUSION

Meaning in life, including both the presence of meaning in life and search for meaning, can be good protective factors against suicidal behaviors.

The Seeking Of Noetic Goals Revisited Among Spanish Young People

This study examined the factor structure and psychometric properties of the Seeking O f Noetic Goals (SONG) scale and analyzed the correlations with the Purpose in Life (PIL) scale and the gender-related differences. A cross-sectional method design was used. Participants were 349 Spanish undergraduates (225 women, 64.5%, and 124 men, 35.5%), with ages ranging between 18 and 26 years, M = 20.85, SD = 2.16. Spanish versions of both the SONG and PIL were used. A two-factor model (Need for Meaning and Expectations) with eight items (SONG-8), which showed a good fit and internal consistency, as well as a negative correlation with the PIL, was obtained. Men had higher scores than women on the scale and in both factors, and differences were significant for the total score of the SONG-8. A valid, robust, and parsimonious model for the SONG was obtained. The SONG and the PIL are complementary scales.

The Presence and the Search Constructs of Meaning in Life in Suicidal Patients Attending a Psychiatric Emergency Department

Meaning in Life (MiL) is considered protective against suicidal behavior (SB). However, few studies specifically addressed the role of the constructs, "presence of MiL" and "search for MiL," and their dynamic interplay. In this cross-sectional study of patients with SB (N = 199) visiting a psychiatric Emergency Department for either suicidal ideation (SI) or suicide attempt (SA), we pursued the following objectives: 1) to explore the relationship between the two constructs; 2) to verify the protective value of presence of MiL on SB; and 3) to assess the influence of search for MiL on the relationship between presence of MiL and SI. The two constructs were found to be independent of one another. Higher presence of MiL was globally associated with lower SB levels, particularly SI. Search for MiL was not related to SB and did not moderate the relationship between presence of MiL and SI. In conclusion, formal support for the role of presence of MiL against SB in a psychiatric sample was demonstrated. These findings, with a view toward refinement of SB risk assessment and new psychotherapeutic approaches, may lead to an enrichment of the dialogue with suicidal patients to help alleviate their unbearable suffering. Our conclusions must be replicated in psychiatric clinical populations in settings other than a psychiatric ED and by using a longitudinal prospective and case-control study design.

Life Crafting as a Way to Find Purpose and Meaning in Life

Having a purpose in life is one of the most fundamental human needs. However, for most people, finding their purpose in life is not obvious. Modern life has a way of distracting people from their true goals and many people find it hard to define their purpose in life. Especially at younger ages, people are searching for meaning in life, but this has been found to be unrelated to actually finding meaning. Oftentimes, people experience pressure to have a "perfect" life and show the world how well they are doing, instead of following up on their deep-felt values and passions. Consequently, people may need a more structured way of finding meaning, e.g., via an intervention. In this paper, we discuss evidence-based ways of finding purpose, via a process that we call "life crafting." This process fits within positive psychology and the salutogenesis framework - an approach focusing on factors that support human health and well-being, instead of factors that cause disease. This process ideally starts with an intervention that entails a combination of reflecting on one's values, passions and goals, best possible self, goal attainment plans, and other positive psychology intervention techniques. Important elements of such an intervention are: (1) discovering values and passion, (2) reflecting on current and desired competencies and habits, (3) reflecting on present and future social life, (4) reflecting on a possible future career, (5) writing about the ideal future, (6) writing down specific goal attainment and "if-then" plans, and (7) making public commitments to the goals set. Prior research has shown that personal goal setting and goal attainment plans help people gain a direction or a sense of purpose in life. Research findings from the field of positive psychology, such as salutogenesis, implementation intentions, value congruence, broaden-and-build, and goal-setting literature, can help in building a comprehensive evidence-based life-crafting intervention. This intervention can aid individuals to find a purpose in life, while at the same time ensuring that they make concrete plans to work toward this purpose. The idea is that life crafting enables individuals to take control of their life in order to optimize performance and happiness.

Religious Commitment and Well-Being in College Students: Examining Conditional Indirect Effects of Meaning in Life

There is systematic and quantitative evidence that religious commitment is associated with indicators of well-being, such as positive emotions and moods, absence of negative emotions, and satisfaction with life; however, researchers remain far from a consensus regarding which mechanisms may account for these observed relationships. Although religious commitment influences well-being through many different mechanisms, meaning in life is probably the predominant one. Thus, we examined the bidimensional conceptualization of meaning in life as a potential mechanism between religious commitment and well-being. The study was cross-sectional in nature. Survey data were collected from 92 college students, aged 17-21. A battery of self-report measures was used for tapping religious commitment, well-being, and meaning in life. Even though presence of meaning, search for meaning, religious commitment, and well-being correlated moderately with each other, presence of meaning carried a substantial proportion of variance in predicting well-being for girls/women. This study suggests that religious commitment influences a person's sense of meaning in life, which, in turn, influences her/his well-being. And, we hope that these results encourage professionals to explore with their clients the fundamental questions of meaning and purpose in life.

Surviving and Thriving: Fundamental Social Motives Provide Purpose in Life

Purpose in life (PIL) is often associated with grand achievements and existential beliefs, but recent theory suggests that it might ultimately track gainful pursuit of basic evolved goals. Five studies (N = 1,993) investigated the relationships between fundamental social motives and PIL. In Study 1, attribution of a life goal pursuit to disease avoidance, affiliation, or kin care motives correlated with higher PIL. Studies 2 and 3 found correlations of self-protection, disease avoidance, affiliation, mate retention, and kin care motives with PIL after controlling for potential confounds. Study 4 showed that writing about success in the status, mating, and kin care domains increased PIL. Study 5 replicated the effect for mating and kin care, but not for status. Results imply that fundamental motives link to PIL through a sense of progress, rather than raw desire. Overall, this set of studies suggests that pursuit of evolved fundamental goals contributes to a purposeful life.

Relationship between meaning in life and death anxiety in the elderly: self-esteem as a mediator

Background

Death anxiety is a common phenomenon in all societies. Older adults may be more prone to death anxiety than their younger counterparts; however, death anxiety among older adults is not well understood. This study explores the relationship between meaning in life, self-esteem, and death anxiety in senior citizens in China.

Methods

A total of 283 older adults participated in this study; data were collected via the Meaning in Life Questionnaire, the Rosenberg Self-Esteem Scale, and the Death Anxiety Scale.

Results

Results show that the dimensions of meaning in life, presence of meaning (r = − 0.43, p < 0.01), search for meaning (r = − 0.31, p < 0.01), and self-esteem (r = − 0.54, p < 0.01) were each negatively correlated with death anxiety. Regression analysis reveals that meaning in life significantly predicted self-esteem and death anxiety (F = 45.70, p < 0.01; R² = 0.33). Path analysis indicated that self-esteem either completely or partially mediated the effects of meaning in life on death anxiety in older adults.

Conclusions

Overall, meaning in life appears to be significantly correlated with death anxiety in older adults, and self-esteem can mediate this effect.

Social Media Approval Reduces Emotional Arousal for People High in Narcissism: Electrophysiological Evidence

We used event-related potentials (ERPs) to examine if posting a "selfie" and receiving validation from others in the form of "likes" on social media can help narcissists reduce psychological distress. After all participants completed the narcissistic personality inventory (NPI) and experienced social exclusion, participants completed an auditory startle task that elicits the P3 to white noise-an ERP component that reflects emotional arousal and is sensitive to psychological distress. Participants were then randomly assigned to either view a personal "selfie" that quickly received a significant number of ostensibly real "likes" (selfie with likes condition), view a "selfie" with no feedback (selfie only condition), or view a neutral picture before (neutral picture condition) completing the auditory startle task again. Results revealed that participants high on the Leadership/Authority subscale of the NPI in the "selfie" with "likes" condition demonstrated a pre-post manipulation decrease in P3 mean amplitude, relative to participants in the other two conditions. These results suggest that approval via social media can help certain kinds of narcissists alleviate distress from social exclusion.

Values-Based Behavioral Activation for Chronic Pain in Primary Care: A Pilot Study

Chronic pain is prevalent and can be complex to manage in primary care. Encouraging patients with chronic pain to engage in valued activities has been associated with reduced disability and distress. This single-arm, mixed methods pilot study examined whether adding a values-based behavioral activation intervention to a chronic pain protocol is feasible and acceptable in an urban, underserved family medicine residency clinic. Patients (N = 30) living with chronic pain completed a values assessment and co-created a plan with a psychologist to engage in values-based activities. Patients completed self-report measures of psychological health and functioning pre- and post-intervention and a qualitative interview at the follow-up visit. The intervention was considered feasible and acceptable. Patients reported high levels of satisfaction and enjoyment of the intervention and significantly less pain interference at follow-up compared to baseline. Values-based behavioral activation for chronic pain may be implemented as part of behavioral health practice in primary care.

Authenticity and rumination mediate the relationship between loneliness and well-being

In recent years, plentiful data has emerged indicating the detrimental effects of loneliness on well-being. One of the challenges for researchers dealing with this issue is to find the mechanism underlying the relationship. The present study investigated 293 adults, aged 19-40, and examined whether authenticity and rumination functioned as mediators in the relationship between loneliness and well-being (and its three domains – pleasure, engagement, and meaning). The results of the study confirmed the loneliness-well-being link and, additionally, revealed potential mechanisms explaining this relationship, which were of different character in the cases of the particular domains of well-being. As it turned out, authenticity was the sole significant mediator in the relationship between loneliness and meaning, and rumination played the role of key mediator between loneliness and pleasure. Both these mediators had their share in the indirect effects of loneliness on engagement and overall well-being. The relations revealed between loneliness and authenticity are, in turn, congruent with recent conceptualizations of authenticity, which emphasize the interpersonal sources of this variable.

The Meaning in Life in Suicidal Patients: The Presence and the Search for Constructs. A Systematic Review

Background and Objectives: Research on suicidal behavior (SB) has frequently focused more on risk factors than protective factors. Since the historic works of Viktor E. Frankl, who inquired how some Nazi concentration camps prisoners maintained their will to live though confronted with pervasive absurdity, Meaning in Life (MiL) has been interpreted as a potent resiliency factor. MiL then declined along a multitude of theoretical perspectives and was associated with various functioning domains of the individual. Surprising, few studies investigated the role of MiL on SB. We aimed to review and synthetize current literature on possible associations between MiL and SB, which included suicidal ideation (SI), suicidal attempts (SA), and completed suicide, focusing on two MiL constructs (the presence of MiL and search for MiL) from the Michael F. Steger’s recent conceptualization. Material andMethods: A systematic strategy following PRISMA guidelines was used to search for relevant articles in Pubmed/MEDLINE, Scopus, PsycINFO, and ScienceDirect (January 1980–February 2019) and yielded 172 articles, 37 of which met our inclusion criteria. Results: MiL emerged as a protective factor against SI, SA, and completed suicides, directly or through mediation/moderation models with other SB-related variables. When distinguishing the presence of MiL and the search for MiL, a consensual protective impact was described for the former. Data for the latter were less consistent but rather oriented towards a non-protective impact Conclusions: These findings could have clinical repercussions for SB prevention, in both suicide risk assessment refinement and psychotherapeutic interventions. Further research is needed to examine the dynamic interplay of the two constructs.

Lack of meaning, purpose and direction in life in personality disorder: A comparative quantitative approach using Livesley's General Assessment of Personality Disorder

Meaning in life is a motivational force and an existential theme for many people. The concept of meaning comprises purpose, comprehension and mattering. According to the Section III model of personality disorder (DSM-5), lack of meaning, purpose and direction in life is part of personality dysfunction. The present study aimed to determine the association between personality disorder (PD), personality dysfunction and 'lack of meaning, purpose and direction' as a distinct facet of personality dysfunction, using Livesley's self-report questionnaire-the General Assessment of Personality Disorder. This comparative quantitative study showed significant differences in lack of meaning, purpose and direction between a group of patients with PD (n = 126, PD with depression n = 51 and PD without depression n = 75), a group of non-PD patients (n = 76, with depression n = 27 and without depression n = 49) and a control group (n = 444). The PD groups had similar scores as the non-PD patients with depression. Lack of meaning was significantly associated with 'difficulty setting and attaining goals' in all groups, with 'lack of affiliative relationships' in the PD groups and 'sense of inner emptiness' in the PD group without depression and in controls. © 2019 John Wiley & Sons, Ltd.

Life is short, stay awake: Death anxiety and bedtime procrastination

In the present study, the relation between bedtime procrastination and death anxiety, and also the moderator roles of gender and purpose in life were investigated. Data were collected from 245 participants through an online survey. The results revealed that gender, but not purpose in life, moderated the relation between death anxiety and bedtime procrastination. The effect of death anxiety on bedtime procrastination was significant only for males. Further, this effect was still significant even after controlling circadian energy and self-control. The findings can be explained based on the Terror Management Theory. Bedtime procrastination can be considered risk-taking behavior, and it functions as a world view for males. Moreover, males might have regarded sleep as a waste of time, and therefore, delayed bedtime to increase their non-sleeping lifetime.

Is Searching for Meaning in Life Related to Civic Engagement?: Individual- and Society-Level Moderators

Going beyond previous research suggesting that the search for meaning in life (hereafter "search for meaning") is associated with civic engagement, this study investigated the moderating effects of personal and cultural values on the associations between the search for meaning and two kinds of civic engagement (i.e., pro-environmental engagement and political engagement). Based on the dataset of the sixth wave of the World Values Survey (WVS), multi-level analyses showed that the association between the search for meaning (in terms of thinking about meaning and purpose of life) and pro-environmental engagement was stronger when people held stronger values of openness to change (vs. conservation) and prioritized environmental wellness. The association between the search for meaning and political engagement was stronger when people endorsed stronger values of openness to change, showed a greater interest in politics and attributed greater importance to politics. At the society level, the association between the search for meaning and civic engagement was stronger in societies with a lower power distance. Implications for individual differences of the meaning search are discussed.

The mediating and moderating effects of meaning in life on the relationship between depression and quality of life in patients with dysphagia

AIMS AND OBJECTIVES

To identify whether meaning in life has moderating and mediating effects on the relationship between depression and quality of life in patients with dysphagia.

BACKGROUND

Dysphagic patients typically have multidimensional problems, such as depression, which can negatively influence their quality of life. Meaning in life, therefore, can be used as a psychological resource that may enhance quality of life for these patients.

DESIGN

A descriptive cross-sectional research design was used.

METHODS

Ninety patients with dysphagia were recruited for a survey from eight general and rehabilitation hospitals in Korea. The questionnaires, which included the Korean version of the Swallowing Quality of Life scale developed by Cha, the Center for Epidemiological Studies-Depression Scale developed by Radloff, and the Purpose in Life test developed by Crumbaugh and Maholick, were used for data collection. Descriptive statistics, Hayes' PROCESS macro and Cronbach's alpha were used for data analyses.

RESULTS

Meaning in life was found to mediate the relationship between depression and quality of life in patients with dysphagia. However, the index of moderation was not statistically significant, which mean that meaning in life did not moderate the relationship between the patients' depression and quality of life.

CONCLUSIONS

Meaning in life had a mediating effect on the relationship between depression and quality of life in patients with dysphagia. Thus, to improve the quality of life of patients with dysphagia, nurses should apply interventions to help them find meaning in life.

RELEVANCE TO CLINICAL PRACTICE

Meaning in life can be used as a nursing intervention strategy to improve the quality of life for patients living with dysphagia and depression.

Meaning in life, self-control and psychological distress among adolescents: A cross-national study

Meaning in life refers to the sense made of, and significance felt regarding, the nature of one's being and existence and includes two dimensions (i.e., presence of meaning and search for meaning, Steger et al., 2006). This research aimed to: (1) compare the mean level differences in presence of meaning and search for meaning among Chinese and Italian adolescents; (2) examine the association between presence of and search for meaning and psychological distress; (3) test self-control as a mediator in the aforesaid relationship, and (4) compare the direct and the indirect effects between the two samples. To this end, self-report questionnaires were administered to Chinese (N = 270) and Italian (N = 279) adolescents. Results showed that Chinese adolescents reported greater search for meaning than their Italian counterparts. Moreover, presence of meaning was negatively related to psychological distress whereas search for meaning was positively related to psychological distress, through self-control in both samples with similar magnitude. Collectively, the findings contribute to the knowledge about the influence of meaning in life on adolescent psychological health and the underlying mechanisms. The dialectic model of meaning in life, a model that assumes cultural differences in presence of meaning and search for meaning, is partially supported.

Italian Validation of the Meaning in Life Questionnaire: Factor Structure, Reliability, Convergent, and Discriminant Validity

Several studies highlighted the role of meaning in life as a major component of well-being and researchers have developed different measures to assess the features of this construct. In the present study, the psychometric properties of the Meaning in Life Questionnaire were investigated in the Italian context. The Meaning in Life Questionnaire is a 10-item scale measuring perceived presence of and search for meaning in life, conceptualized as two separate factors. The former refers to perceived meaning and purpose in life, the latter to the active commitment to find meaning in life. Participants were 464 adults aged 20 to 60 years ( M = 39.34; SD = 10.86; 54.7% women). Factor structure was inspected through exploratory and confirmatory factor analyses using a split-sample approach. Internal consistency was assessed through Cronbach’s alphas, interitem and item-scale correlations. Convergent and discriminant validity with measures of well-being, personality, mental health, and physical health were also evaluated. Factor analyses supported the adequacy of the Meaning in Life Questionnaire two-factor structure in the Italian context; internal consistency measures corroborated the measure’s reliability; and correlation matrix coefficients sustained convergent and discriminant validity. Results showed that the Meaning in Life Questionnaire is a valid and reliable measure to assess meaning in life and its relationship with well-being within the Italian context.