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

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.

Making Sense of Chinese Employees' Suicidal Ideation: A Psychological Strain-Life Meaning Model

Using the strain theory of suicide, this study examines how psychological strains influence suicide ideation via the mediating mechanism of the meaning in life. To check the hypothesized model, data were drawn from professional employees ( n=687) across six organizations of various business types to increase the variability of respondent perception and the generalizability of the study findings. The results showed significant correlations among psychological strains, meaning in life, and suicide ideation. Furthermore, this study provides evidence for the mediation effect of meaning in life in the relationship between psychological strain and suicide ideation. Implications and future directions are discussed.

Autoethnography and cognitive adaptation: two powerful buffers against the negative consequences of workplace bullying and academic mobbing

Work is undoubtedly fundamental to human life, social development and the economic development of individuals, organizations and nations. However, the experience of working is not always pleasant as there are many instances where relationships between workers could deteriorate, leading to practices and behaviours that could be characterized as workplace bullying and/or mobbing. The current study is an exploratory study which used autoethnography to investigate experiences of academic bullying and mobbing, and relates the practices to power structures in academic institutions. Specifically, the author shares personal experiences and explores the physical and emotional pain of being bullied and mobbed. The author also outlines how both autoethnography and meaning in life strategies were used to cope with the physical and emotional distresses associated with the negative experiences. By outlining the success of the meaning in life strategies, the author hopes to inspire other "victims" to move from victims to being survivors of bullying and mobbing.

Work Engagement and Flourishing at Work Among Nuns: The Moderating Role of Human Values

Faith-based organizations are a key player in major sectors of activity for maintaining the welfare state, including health, education, and social services. This paper uses a multivariate regression model in an attempt to identify the factors that affect the relationship between work engagement and flourishing. The paper also discusses the empirical research gap that has been identified in the literature about the moderated effect of human values on this relationship. This study is based on a sample of 142 nuns of a congregation belonging to a religious organization with an international scope and a Catholic inspiration. The case of religious women who have chosen to live a life consistent with the charism of the congregation constitutes a paradigmatic and unique environment to investigate the potential alignment of personal values with professional activity. This work unveils two main findings. First, the more engaged nuns are in their work (social action to serve the poorest and most disadvantaged people), the more they flourish in their working environment and in their personal lives. Second, Schwartz's values reinforce the relationship between the professional role (work engagement) and the personal role (flourishing at work). In conclusion, flourishing at work could be improved through work engagement and this relationship is moderated by human values. These results add insights to better know the relationship among life and work domains.

Meaning Through Attachment: An Integrative Framework

We propose an integrative framework, advancing attachment as a vital factor in the development and maintenance of meaning throughout life. First, early attachment experiences provide a foundation for recognizing patterns and acquiring a sense of order and coherence. Furthermore, interactions with sensitive attachment figures stimulate mentalization capacities and exploration of the inner and outer environment, enabling the formation of complex representations of self, others, and the world, ultimately also molding how individuals appraise meaning in their lives. Second, attachment security can serve as an enduring and powerful resource for handling threats to meaning. When confronted with disruptions to meaning, secure attachment provides a coherent set of representations to fall back on and maintain or regain a firm sense of order and meaning under challenging circumstances. Moreover, by promoting cognitive openness and tolerance of ambiguity, secure attachment facilitates flexible and realistic adjustment of meaning representations when encountering discrepant information.

Autonomy, Competence, Relatedness, and Beneficence: A Multicultural Comparison of the Four Pathways to Meaningful Work

Meaningful work is a key element of positive functioning of employees, but what makes work meaningful? Based on research on self-determination theory, basic psychological needs, and prosocial impact, we suggest that there are four psychological satisfactions that substantially influence work meaningfulness across cultures: autonomy (sense of volition), competence (sense of efficacy), relatedness (sense of caring relationships), and beneficence (sense of making a positive contribution). We test the relationships between these satisfactions and perceived meaningful work in Finland (n = 594, employees of several organizations), India (n = 342, collected through Mturk), and the United States (n = 373, collected through Mturk). Regression analyses show that - except for competence in United States - all four satisfactions are significantly and independently associated with meaningful work. Moreover, structural equation modeling shows that they fully mediated the relationship between occupational position and work meaningfulness in India and in the United States. In sum, the results support the importance of these four satisfactions in explaining the psychological underpinnings of meaningful work.

People Searching for Meaning in Their Lives Find Literature More Engaging

Why are some people interested in complex literature and others not? This study experimentally investigated this question by assessing what cognitive traits moderated responses to literary and less-literary fictional vignettes. Specifically, participants were exposed to two variants of a celebrated literary text, one altered so as to remove overtly literary elements. A moderation analysis was performed on responses with respect to three variables: need for cognition (NC); meaning in life (measured in two subscales, search for meaning [SM] and presence of meaning [PM]); and intentionality/mentalizing ability (IM). Results showed that SM moderated interpretive response to the textual variation, such that those with increasing scores on the SM scale were increasingly more likely to rate the literary vignettes as worthy of appreciation. This result, in turn, gave grounds for a second study that investigated the role played by cloze values in identifying a text as “literary.” The latter study showed that the literary and less-literary vignettes exhibited significant differences in cloze values. Taken together, these studies suggest that differences in responsiveness to literary materials may well be driven by preexisting cognitive factors.

Examining a Sequential Mediation Model of Chinese University Students' Well-Being: A Career Construction Perspective

Despite career construction theory attends to individual subjective career and provides a useful lens to study well-being, extant research has yielded limited insights into the mechanisms through which career construction variables influence individual well-being. To address this important gap, the present study examined a mediation model that links indicators of career adaptivity (big-five personality and approach/avoidance traits) to psychological well-being (psychological flourishing and life satisfaction) through career adaptability and in sequent meaning of life (presence of life meaning and search for life meaning) among a sample of Chinese university students (N = 165). The results of a two-wave survey study showed that career adaptability and presence of life meaning mediated the effects of openness to experience, consciousness, approach trait, and avoidance trait on individual well-being in sequence. The results also showed that approach trait’s effect on presence of meaning was partially mediated by career adaptability; career adaptability’s effect on psychological flourishing was partially mediated by presence of meaning. These findings advance understanding of antecedents to individual well-being from a career construction perspective, and carry implications for career education and counseling practices.

Finding Meaning in Nostalgia

Nostalgia—defined as sentimental longing for one's past—is a self-relevant, albeit deeply social, and an ambivalent, albeit more positive than negative, emotion. As nostalgia brings the past into present focus, it has existential implications. Nostalgia helps people find meaning in their lives, and it does so primarily by increasing social connectedness (a sense of belongingness and acceptance), and secondarily by augmenting self-continuity (a sense of connection between one's past and one's present). Also, nostalgia-elicited meaning facilitates the pursuit of one's important goals. Moreover, nostalgia acts as a buffer against existential threats. In particular, it shields against meaning threat, and buffers the impact of mortality salience on meaning, collective identity, accessibility of mortality-related thoughts, and death anxiety. Finally, nostalgia confers psychological benefits to individuals with chronic or momentary meaning deficits. These benefits are higher subjective vitality, lower stress, and regulation of meaning-seeking in response to boredom. Taken together, nostalgia helps people attain a more meaningful life, protects from existential threat, and contributes to psychological equanimity.

Denver Spirited Heart: Mixed-Methods Pilot Study of a Psychospiritual Intervention for Heart Failure Patients

BACKGROUND

Increased spiritual well-being is related to quality of life (QOL) in patients with heart failure (HF). However, consistent and deliberate integration of spirituality into HF patient care has received limited attention.

OBJECTIVE

The aim of this study was to evaluate the feasibility, acceptability, and preliminary evidence regarding the efficacy of a resource-sparing psychospiritual intervention to improve QOL in HF patients.

METHODS

A 12-week mail-based intervention addressing spirituality, stress, coping, and adjusting to illness was developed and tested using a mixed-methods, 1-group pretest-posttest pilot study design. A convenience sample of patients with HF completed prestudy and poststudy questionnaires, including the Kansas City Cardiomyopathy Questionnaire, Patient Health Questionnaire, Meaning in Life Questionnaire, and Functional Assessment of Chronic Illness Therapy-Spiritual. Research staff conducted semistructured interviews with program completers. Interviews were coded and analyzed using conventional content analysis.

RESULTS

Participants (N = 33; 82% male; mean age, 61 years) completed 87% of baseline data collection, an average of 9 intervention modules, and 55% of poststudy questionnaires. Participants rated all the modules as at least moderately helpful, and qualitative themes suggested that patients found the intervention acceptable and beneficial. Most participants believed spirituality should continue to be included, although they disagreed on the extent to which religion should remain. Participants who completed the intervention reported evidence suggesting increased QOL (Kansas City Cardiomyopathy Questionnaire; effect size [ES], 0.53), decreased depressive symptoms (Patient Health Questionnaire-9; ES, 0.62), and less searching for meaning (Meaning in Life Questionnaire; ES, 0.52).

CONCLUSIONS

Results indicate that a module-based program integrating spirituality and psychosocial coping strategies was feasible and acceptable and may improve QOL. This preliminary study suggests that clinicians be open to issues of spirituality as they may relate to QOL in patients with HF. Future research will test a revised intervention.