Meaning in Life and Its Relationship With Physical, Mental, and Cognitive Functioning: A Study of 1,042 Community-Dwelling Adults Across the Lifespan

被引:44
作者
Aftab, Awais [1 ,2 ]
Lee, Ellen E. [1 ,2 ,3 ]
Klaus, Federica [1 ,2 ,3 ]
Daly, Rebecca [1 ,3 ]
Wu, Tsung-Chin [3 ,4 ]
Tu, Xin [1 ,3 ,5 ]
Huege, Steven [1 ,2 ]
Jeste, Dilip, V [1 ,3 ,6 ]
机构
[1] Univ Calif San Diego, Dept Psychiat, La Jolla, CA 92023 USA
[2] VA San Diego Healthcare Syst, La Jolla, CA USA
[3] Univ Calif San Diego, Sam & Rose Stein Inst Res Aging, La Jolla, CA 92023 USA
[4] Univ Calif San Diego, Dept Math, La Jolla, CA 92023 USA
[5] Univ Calif San Diego, Dept Family Med & Publ Hlth, La Jolla, CA 92023 USA
[6] Univ Calif San Diego, Dept Neurosci, La Jolla, CA 92023 USA
基金
瑞士国家科学基金会; 美国国家卫生研究院;
关键词
HEALTH; VALIDATION; SCHIZOPHRENIA; RESILIENCE; COMPASSION; OPTIMISM; SCALE;
D O I
10.4088/JCP.19m13064
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: To examine the relationship of presence and search for meaning in life with age, physical and mental well-being, and cognitive functioning across the adult lifespan. Methods: Cross-sectional data from 1,042 adults in the Successful AGing Evaluation (SAGE)-a multicohort study of adult community-dwelling residents of San Diego County, California-were analyzed. Presence of meaning ("Presence") and search for meaning in life ("Search") were assessed with the Meaning in Life Questionnaire. Physical and mental well-being were measured using the Short Form 36 Health Survey (SF36). Telephone Interview for Cognitive Status-modified was employed to screen for overall cognitive function. Study data were collected from January 2013 to June 2014. Results: Presence of meaning exhibited an inverted U-shaped relationship whereas Search showed a U-shaped relationship with age (with Presence peaking and Search reaching the lowest point around age 60). Statistical modeling using generalized estimating equations revealed that physical well-being (SF-36 physical composite score) correlated negatively with age (P< .001) and positively with Presence (P < .001), and there was an age groupx Presence interaction (P= .018), such that the relationship was stronger in subjects over age 60. Mental well-being correlated positively with age (P < .001) and Presence (P < .001) and negatively with Search (P= .002). Cognitive function correlated inversely with age (P < .001) and with Search (P < .001). Significant covariates of Presence and Search had small effect sizes, except for a medium effect size for satisfaction with life and Presence in adults over age 60 (P<.001). Conclusions: Presence and search for meaning in life are important for health and well-being, though the relationships differ in adults younger and older than 60 years. Better understanding of the longitudinal relationships of meaning of life with well-being is warranted to design interventions to increase meaning of life and improve health and functioning.
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页数:8
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