Purpose in life and grip strength: An individual-participant meta-analysis of 115,972 participants from 24 countries across four continents.

This research examines the replicability and generalizability of the association between purpose in life and grip strength. An individual-participant meta-analysis of 27 samples (total N=115,972) from 24 countries that spanned four continents (Asia, Europe, North and South America) with self-reported purpose in life and dynamometer-assessed grip strength. Purpose in life was associated with stronger grip strength in every sample and aggregated in a random-effects meta-analysis (meta-analytic estimate=.06, p<.001). The association was similar across samples from different world regions and not moderated by methodological factors (e.g., scale content). The association was apparent across age, sex, race, and education and slightly stronger among males and participants with relatively less education. Every standard deviation in purpose was associated with a 23% lower likelihood of weak grip strength (meta-analytic OR=.81, 95% CI=.79-.84, p<.001) based on a standard threshold. Purpose in life is associated with grip strength, a marker of overall musculoskeletal health. The association replicates across diverse locations around the world and generalizes across sociodemographic groups.

The Pain Descriptors Used by Individuals with Musculoskeletal Pain from Northern India.

Background: Chronic pain is a common health problem worldwide that results in significant costs to society and has negative impacts on the individuals with chronic pain. In order to study and treat pain, valid and reliable pain assessment is necessary, including assessment of pain quality. However, all of the most commonly used measures of pain quality were developed in Western countries. Evidence has shown that some of these measures are not content valid for use in non-Western countries. Moreover, it remains unclear which pain descriptors are universal across people from different countries who speak different languages, and which are specific to individuals from a particular country or even from a particular region within one country. Aim: The current study sought to: (1) identify the number and frequency of words used by native speakers of Hindi in northern India to describe their pain; (2) compare the rates of descriptor use in these individuals with samples of individuals from Nepal and the USA; and (3) investigate the content validity of the most commonly used pain quality measures for measuring pain in this Hindi-speaking population. Methods: Two hundred and forty individuals with chronic musculoskeletal pain who speak and understand Hindi were asked to describe their pain. Results: The results showed overlap as well as differences in the words used to describe pain with samples of individuals with pain from other countries. Moreover, none of the pain quality measures examined were found to be content valid in the Hindi-speaking sample, suggesting that these measures need to be adapted to assess pain quality in this population. Conclusion: The study findings confirm the conclusion that pain quality measures developed in one country or in one pain population are not necessarily valid for assessing pain quality in a population from another country. The findings also suggest the possibility that a measure could be developed which would allow for more valid assessment of pain quality in individuals with pain from different countries.

Psychometric Properties of the Dutch Surrender to God Scale: Relationships with Religious Behavior, God Representation, Well-being, and Health.

Given that surrender to God has been associated with health and well-being in believers, research in this area would benefit from the availability of scales outside the United States, where these were first developed. To this end, we conducted two studies (N = 130 and N = 574) in Christian samples in the Netherlands to test the psychometric properties of a Dutch translation of the Surrender to God Scale (D-StGS). In addition, the abbreviated Religious Surrender Scale-2 was tested to examine whether the two-item scale would show validity and reliability, as this would benefit research in which there are time (and other) constraints on assessment. Both scales showed adequate to excellent internal consistency, convergent validity with religious coping and religious orientation, and predictive validity; specifically with (I) lower anxiety, stress, and depression symptoms and (II) higher scores on religious behavior and meaning in life. Likewise, both scales were related to (III) more positive, supportive, and ruling, and less passive, anxious, and angry God representations. However, explorative factor analysis of the D-StGS in the first study resulted in two factors (Imitation of God's will and Peace through God's will), which were confirmed with confirmatory factory analysis in the second study. It can be concluded that the D-StGS and abbreviated scale are useful for future research in Christian samples.

Career adaptability and correlating factors among secondary vocational nursing students in China.

Background: Career adaptability significantly affects college students' career happiness in the future, and it is essential to make a detailed evaluation of its correlation for making a targeted intervention plan. However, the applicability of occupational adaptability to secondary vocational nursing students is still an unexplored field in academic research. Objective: This study aimed to investigate the current situation of career adaptability and its influencing factors on secondary vocational nursing students in medical schools. Methods: A total of 1,414 secondary vocational nursing students from three secondary colleges and universities in Southwest China from July 2022 to September 2022 were selected for the survey. A questionnaire was used to assess secondary vocational nursing students' sociodemographic, Career Adaptability, Psychological Control Sources, and the Meaning in Life. Statistical analyses were performed using Pearson's correlation analysis, t-test, analysis of variance and multiple. Results: Secondary vocational nursing students scored (51.03 ± 9.64) for the meaning in life, (81.46 ± 25.39) for psychological control sources, and (94.12 ± 15.55) for career adaptability. Career resilience was significantly and positively correlated with the opportunity and internal control factors of psychological control sources (r = 0.091, -0.488, p < 0.01); and career adaptability was significantly and positively correlated with the sense of seeking meaning and possessing meaning factors of sense of meaning in life (r = 0.725, 0.734, p < 0.01); Multiple linear regression analysis revealed that academic performance, mother's educational level, search for meaning, sense of meaningfulness, opportunities, and internal control entered the regression equation (p < 0.05), explaining 64% of the total variance. Conclusion: The overall career adaptability of secondary vocational nursing students is at a moderately high level, with significant individual differences closely correlated with locus of control, meaning in life, and career adaptability. Nursing educators can provide targeted intervention measures based on influencing factors to promote the development of secondary vocational nursing students' career adaptability, enabling them to better adapt to future clinical work.

Emotion and cognition: on the cognitive processing model of nostalgia.

Nostalgia is a common emotional phenomenon, but its complexity has resulted in a limited understanding and interpretation. This study, grounded in emotional cognitive science, develops a cognitive processing model of nostalgia, encompassing its triggering mechanism, cognitive processes, and effects. The analysis indicates that nostalgia functions as an adaptive mechanism for individuals with deficiencies in belongingness and low-avoidance tendencies, helping them cope with disruptions in self-continuity by forging symbolic social bonds in a distant and idealized timespace. Essentially, nostalgia allows individuals to reconstruct alternate systems of meaning and value, which serve as references for defining self-worth and identity. This study advances the understanding of the complex cognitive processing involved in nostalgia and also provides an important reference for the study of complex emotions.

Different impacts of parental psychological and behavioral control on the cultivation of advantageous strength in Chinese rural adolescent.

Introduction: Numerous studies have focused on the mental and behavioral problems or negative emotions of adolescents when examining the impact of parental control. However, limited research has explored the relationship between parental control and adolescents' future planning, neglecting the distinctions between parental psychological and behavioral control, as well as the significant roles of personal growth initiative and meaning in life. The present study aims to investigate the differential effects of parental psychological control and behavioral control on the future planning of rural adolescents in China. Methods: A sample of 909 individuals (13.60±0.93 years old, 470 boys and 439 girls) completed a self-report questionnaire anonymously. The study utilized the Adolescent Future Orientation Questionnaire, Parental Control Questionnaire, Adolescents' Personal Growth Initiative Scale, and Meaning in Life Questionnaire. Results: The findings revealed that parental control significantly influenced the future planning of Chinese rural adolescents, with psychological control and behavioral control exerting distinct impacts in this process. Specifically, parental psychological control was found to have a direct negative effect on adolescents' future planning, while also exhibiting a positive influence due to the masking effect of meaning in life; it did not negatively affect adolescents' future planning through their personal growth initiative. On the other hand, parental behavioral control was observed to directly and positively impact adolescents' future planning, as well as positively influence it through the mediating role of personal growth initiative and the chain mediating role of personal growth initiative and meaning in life. Discussion: These results suggest that the influence of parental control on adolescents' future planning is not a simple, singular mechanism, but rather a multi-layered and complex process, yielding mixed outcomes as a result of psychological control, behavioral control, and other factors. This complexity should be taken into consideration in educational practices and future research endeavors.

Relations between perceived social support and prosocial behavior among Chinese college students during online learning: Testing mediation and moderation models of meaning in life.

Base the protective role of perceived social support and meaning in life, the function of meaning in life as a mediator and moderator of perceived social support and prosocial behavior among Chinese college students enrolled in online learning was examined in this study. This survey was completed by 459 college students in total (Mean age = 19.65, SD = 1.21). The results shown that Chinese college students' perceived social support and prosocial behavior during online learning were significant lower than normal offline learning, but meaning in life was no significant difference. Perceived social support, prosocial behavior and meaning in life were all positive correlated with each other. The relationship between perceived social support and prosocial behavior was mediated and moderated by meaning in life. These findings enrich the research on prosocial behavior among college students by examining possible pathways linking factors associated to prosocial behavior during online learning. The findings suggest the need to promote prosocial behavior development through cultivate perceived social support and meaning in life among college students.

Ultra-overt therapy: a novel medical approach centered on patient consciousness.

Within the realms of human and artificial intelligence, the concepts of consciousness and comprehension are fundamental distinctions. In the clinical sphere, patient awareness regarding medication and its physiological processes plays a crucial role in determining drug efficacy and outcomes. This article introduces a novel perspective on prescription practices termed "Ultra-Overt Therapy" (UOT). A review of current supporting evidence was conducted through a non-systematic search in PubMed and Google Scholar, focusing on concepts such as the "mind-body relationship," "placebo response," "neuroscience," and "complementary medicine." Our findings, rooted in the mechanisms of the "placebo effect," the intricacies of "intersubjective therapy," the potency of "interoceptive awareness," and other domains of medical science, suggest that UOT holds theoretical promise. Future research endeavors focusing on these areas may elucidate the global impact of this method on medical treatment and patient care.

Adult attachment and love psychological stress among college students: the mediating role of core self-evaluation and the moderating role of meaning in life.

BACKGROUND: With college students going into dating relationships, dating partners become their new attachment figures. We aimed to investigate the relationship between adult attachment, and love psychological stress among college students, which also explored the roles of core self-evaluation and meaning in life. METHODS: We conducted a questionnaire survey on 813 college students using the adult attachment scale, core self-evaluation scale, meaning in life scale, and love psychological stress scale. We constructed a moderated mediation model to analyze the relationship between adult attachment and love psychological stress, as well as the mediating effect of core self-evaluation and the moderating effect of meaning in life. RESULTS: The results showed that after controlling for single parent or not, adult attachment significantly negatively predicted love psychological stress of college students. Core self-evaluation partially mediated the relationship between adult attachment and love psychological stress of college students. The second half of the mediation model was moderated by meaning in life, that is, with the increase of meaning in life, the negative predictive effect of core self-evaluation on love psychological stress of college students gradually strengthened. The findings of this study demonstrate the detrimental impact of adult attachment on love psychological stress of college students, as well as the mediating core self-evaluation and the moderating role of meaning in life. CONCLUSIONS: The mediating and moderating effect of adult attachment between love psychological stress, as well as the mediating effect of core self-evaluation and the moderating effect of meaning in life were confirmed. Overall, promoting the healthy development of adult attachment and helping them shape a positive meaning in life can enhance individuals' core self-evaluation, thus alleviating love psychological stress among college students. It can also provide references for mental health education in colleges and universities.

Positive Social Mentalities and Quality of Spiritual Living in Old Age: Roles of Social Participation and Life Meaning.

Quality of spiritual living (QSL) in old age is closely related to the health and well-being of older adults. It is necessary to explore the psychosocial factors and mechanisms that affect the QSL of older adults. The researchers investigated 512 older Chinese people using the positive social mentalities scale, social participation scale, sense of life meaning scale, and spiritual living self-assessment questionnaire. (1) Positive social mentalities (PSMs), social participation (SP), and life meaning (LM) had significant positive correlations with QSL of older adults; (2) SP and LM had serial mediating effects between PSMs and QSL. PSMs influenced QSL through the serial mediating effects of SP and LM. It revealed the critical psychosocial factors and the mechanism affecting QSL in old age, which can provide scientific reference for implementing an active aging strategy.

Meaning in life of elite athletes: A person-oriented study.

People's subjective sense of meaning in life is a flourishing research topic in psychology but remains underexplored in sport psychology. This study uses a person-oriented method to shed light on meaning in the lives of elite athletes (i.e., latent profile analysis) to identify distinct profiles of sources of meaning in life, and compare the extent to which these profiles differ in relation to athletic identity, life satisfaction, and self-esteem. A sample of 593 Swiss elite athletes (50.4% women, 49.6% men; Mage = 24.78 years, SD = 4.93) participated in the study. The Meaning and Purpose Scales (MAPS) were used to assess athletes' perceptions of meaningfulness, crisis of meaning, and sources of meaning. Athletes demonstrated higher overall meaningfulness, lower crisis of meaning, and prioritized different sources of meaning compared to the general population. Latent profile analysis revealed three distinct meaning profiles: (1) athletes with multiple meanings (n = 351), (2) athletes with low meaning (n = 126), and (3) faith-based athletes (n = 110). Notably, the athletes in the first and last profile exhibited higher life satisfaction and self-esteem. The identified profiles demonstrate that athletes differ both in the degree and the types of meaning in life. The findings align with studies outside of sport that suggest that meaning in life, in addition to being an end-value in itself, is also related to enhanced life satisfaction and self-esteem. Personalized meaning-focused interventions can be valuable for applied practice with elite athletes.

"It Is as if I Gave a Gift to Myself": A Qualitative Phenomenological Study on Working Adults' Leisure Meaning, Experiences, and Participation.

Leisure participation is a fundamental human and occupational right throughout life for working people, particularly in adulthood. A total of 28 working adults representing diverse regions of Turkey, from middle-class backgrounds, aged between 25 and 50, and without any known health conditions, were interviewed to gain insights into their leisure participation during the period September 2021-May 2022. The acquired data were analysed using the interpretative phenomenological analysis (IPA) approach. The analysis identified six main themes and twenty-two subthemes: the meaning of leisure, recovery from work, facilitators and barriers, well-being, occupational injustice, and flow of life. Participants distinguished between "free time" and "leisure time", defining the latter as purposeful engagement in enjoyable, meaningful activities. This study emphasises the dynamic interplay of factors influencing leisure participation among Turkish working adults, including working conditions, financial resources, social support systems, and opportunities for participation, with some effects of COVID-19 pandemic. One can shift from well-being to a lack of well-being, and this can result in occupational injustices that may arise in the flow of life, as unsupportive consequences of participation limitations among working adults. By acknowledging and enhancing leisure as a crucial aspect of well-being, this research underscores the importance of promoting resilience and holistic health among working individuals.

Progress Toward Meaning-as-Goal and Its Association with Pain, Functioning, and Global Meaning and Purpose Among Veterans with Co-occurring Chronic Pain and PTSD.

BACKGROUND: Co-occurring chronic pain and posttraumatic stress disorder (PTSD) is associated with poorer physical and mental functioning and well-being. Treatments often incorporate goal-setting around personally meaningful behaviors; however, it is unclear whether intentionally focusing on improving meaning and purpose in life (i.e., meaning-as-goal) may also serve as a helpful treatment target. The objective of the current study is to determine whether reported progress toward meaning-as-goal at 6 months is associated with pain severity and interference, physical and mental health functioning, and global meaning and purpose at 6- and 12-months. METHODS: Data were collected as part of an evaluation effort focused on VA's Whole Health System implementation efforts. VA electronic health records were linked to survey data across three time points (baseline, 6 months, and 12 months) from Veterans with both chronic pain and PTSD across 18 VA sites. A total of 1341 Veterans met inclusion criteria (mean age = 62, SD = 11.7). RESULTS: Regression analyses showed that progress toward meaning-as-goal was significantly associated with all 6-month variables, with standardized coefficients ranging from - 0.14 (pain severity and interference) to .37 (global meaning and purpose), in addition to all 12-month variables, with standardized coefficients ranging from - .13 (pain severity and interference) to .31 (global meaning and purpose). CONCLUSIONS: Efforts to intentionally promote meaning and purpose as part of evidence-based treatment for chronic pain and PTSD may lead to decreased pain and improved physical and mental health functioning and global meaning and purpose. With coefficients ranging from small to moderate effect sizes, more work is needed to better understand how best to maximize meaning-related goals.

Searching for meaning and purpose in elite sport: A narrative review of sport psychology literature with theoretical insights from psychology.

Athletes' stories about their experiences in elite sport inevitably evoke the notion of meaning, a concept, which has appeared in many shapes and forms within sport psychology. Qualitative scholarship, for example, has generated a large literature base on the meaning of experience (i.e., implicit meaning) in elite sport. However, the experience of meaning(fulness) (i.e., existential meaning) has received less scholarly attention and has rarely been the explicit study object. To assist theorizing and the empirical investigation of meaning and purpose in elite sport in these early stages, we take stock of the emerging body of literature in sport psychology. The article has three parts: Firstly, we distinguish between implicit and existential meaning to delineate our study object. Secondly, we introduce psychological theory to show how existential meaning can be conceptualized (e.g., dimensions, sources, crisis of meaning). Thirdly, we analyzed 23 studies in a narrative review approach to understand how meaning (n = 17) and purpose (n = 6) in elite sport have been understood, and what we know about these concepts empirically. The current scholarship revealed itself heterogenous in terms of study designs, methodologies, theoretical frameworks, and conceptualizations of meaning and purpose. Findings are discussed in eight overarching themes (e.g., moments when meaning and purpose are questioned; as mechanism and indicator of growth following adversity) to map the reviewed literature comprehensibly and to provide a foundation for applied work. The article concludes by highlighting unresolved issues and proposing future directions for studying and applying existential meaning in elite sport.

Increased Breathiness in Adolescent Kiezdeutsch Speakers: A Marker of Multiethnolectal Group Affiliation?

Kiezdeutsch is a multiethnolectal variety of German spoken by young people from multicultural communities that exhibits lexical, syntactic, and phonetic differences from standard German. A rather salient and pervasive feature of this variety is the fronting of the standard palatal fricative /ç/ (as in ich "I") to [ɕ] or [ʃ]. Previous perception work shows that this difference is salient and carries social meaning but dependent on the listener group. Further investigations also point to the significance of /ɔɪ/-fronting in production; however, whether this is salient in perception has not yet been investigated. In several (multi)ethnolectal varieties, differences in voice quality compared to the standard have been identified. Therefore, in this study, we present an acoustic comparison of voice quality in adolescent speakers of Kiezdeutsch and standard German, with results showing that Kiezdeutsch speakers produce a breathier voice quality. In addition, we report on a perception test designed to examine the social meaning of voice quality in combination with two segmental cues: coronalization of /ç/ and /ɔɪ/-fronting. The results indicate perceptual gradience for phonetic alternations detected in Kiezdeutsch with coronalization of /ç/ being a highly salient and reliable marker, whereas fronting of /ɔɪ/ and breathy voice do not appear to be clearly enregistered features of Kiezdeutsch by all listeners. Thus, even though we find differences in production, these may not necessarily be relevant in perception, pointing toward enregisterment- like sound change-being a continuous process of forming learned associations through tokens of experiences.

Meaning in life mediates the effects of sense of self and prosocial behaviours on anhedonia: A path analysis.

BACKGROUND: Anhedonia, the loss of interest and pleasure, is a core symptom of depression that is resistant to treatment. Anhedonic young people describe a weakened sense of self and reduced meaning in life. Knowing if these experiences predict anhedonia could reveal novel targets for intervention development. METHODS: We recruited young people (N = 429, mean age: 20 years) with a range of depression scores. Using path analysis, we examined anhedonia, sense of self, meaning in life, and prosocial behaviours cross-sectionally and longitudinally at ∼5-month follow-up (N = 160). RESULTS: Cross-sectionally, sense of self (ß =. 81, p < .001) and prosocial behaviours (ß = 0.37, p < .001) had direct effects on meaning in life, and meaning in life had a direct effect on anhedonia (ß = -0.11, p < .001). Sense of self (ß = -0.09, p < .001) and prosocial behaviours (ß = -0.04, p < .001) had indirect effects on anhedonia, mediated by meaning in life. In the longitudinal analysis, sense of self at T1 had a direct effect on meaning in life at T2 (ß = 0.36, p < .01) and an indirect effect on anhedonia at T2 (ß = -0.05, p < .01), mediated by meaning in life. LIMITATIONS: Approximately 70 % of the participants were female. Future studies should include equal numbers of males and females. CONCLUSION: We provide novel evidence that targeting meaning in life, sense of self, or prosocial behaviours in psychotherapeutic interventions could be effective in alleviating anhedonia.

Purpose in Life and Cognitive Function in the Malaysian Ageing and Retirement Study.

OBJECTIVES: Evidence for the association between purpose in life and cognitive health is primarily from North American and European samples. This study evaluates this association in a large sample from Malaysia, an upper-middle-income country in Southeast Asia. METHODS: Participants (N = 5,579) from the Malaysian Ageing and Retirement Study reported on their purpose in life and subjective memory and were administered tasks that measured episodic memory, verbal fluency, and overall cognitive function. RESULTS: Purpose was associated with better subjective memory (ß=.13), episodic memory (ß=.06), verbal fluency (ß=.12), and overall cognitive function (ß=.07) (ps < .001). The associations were similar across sex and retirement status; purpose was more strongly related to subjective memory and overall cognitive function among older participants. Behavioral/social factors accounted for up to one-third of the associations, but all associations remained statistically significant. CONCLUSIONS: The positive association between purpose and cognition generalizes to a middle-income country in Southeast Asia. Similar to Western samples, behavioral and social factors accounted for part but not all the association. More research is needed in lower- and other middle-income countries to fully evaluate generalizability. CLINICAL IMPLICATIONS: Purpose may help support healthier cognitive aging across diverse populations and be a useful target to improve cognitive aging outcomes.

Having, making and feeling home as a European immigrant in the United Kingdom post-Brexit referendum: An interpretative phenomenological study.

Migrants' subjective sense of home deserves further research attention. In the particular context of the United Kingdom's (UK's) decision to leave the European Union ('Brexit'), we interviewed 10 European citizens living in the UK about their sense of home, using interpretative phenomenological analysis (IPA). In our analysis, we identified themes of (1) having more than one home, (2) making and finding a new home, (3) being permanently different from the non-migrant population and (4) a concern about feeling safe and welcome. Migration and sense of home involved building and rebuilding personal and social identity. Making a new home was effortful, and neither the old home nor the difference from the native population ever disappeared psychologically. This adds an experiential aspect to the idea of 'integration' in acculturation. Different notions of home were linked to different experiences of the impact of the Brexit referendum. We discuss the connections between acculturation, sense of home and lived experience and propose lived identity as a fruitful subject matter for social psychology.

Predictors of preparedness for well-dying among middle-aged and older adults.

BACKGROUND: This study investigated psychosocial factors related to preparedness for well-dying among middle-aged and older adults and verified a model that can predict it along with psychosocial factors and demographic profiles to provide useful information for intervention. METHODS: The participants were 340 middle-aged and older Korean adults aged 40-79 years. The predictive models were verified using stepwise regression and decision tree analyses. RESULTS: The results revealed that personality, meaning of life, hardiness, intrinsic religiosity, death anxiety, family support, subjective well-being, and expectations for future life were significantly correlated with preparedness for well-dying among middle-aged and older adults. A stepwise regression analysis revealed that meaning of life accounted for the greatest variance in preparedness for well-dying. A decision tree model predicting preparedness for well-dying included search for meaning, the presence of a spouse, family support, having a job, tenacity, conscientiousness, and positive emotions. CONCLUSION: These findings suggest that search for meaning and tenacity in middle-aged and older adults as well as the presence of a spouse or occupation and family support may play important roles in preparing for well-dying.

Effects of perceived stress on college students' sleep quality: a moderated chain mediation model.

BACKGROUND: Perceived Stress has been shown as a key contributor to sleep quality, but the underlying mechanism between perceived stress and sleep quality remains unknown. This study aimed to investigate the impact of perceived stress on sleep quality of college students and the chain mediating roles of presence of meaning in life (PML) and depression, as well as the moderating role of search for meaning in life (SML). METHODS: Participants were 8178 college students (4599 boys and 3579 girls; Mage = 19.10 years, SD = 1.08) who completed self-report questionnaire, including the Perceived Stress Scale (PSS), the Pittsburgh Sleep Quality Index (PSQI), the Meaning in Life Questionnaire (MLQ), and the Patient Health Questionnaire-9 (PHQ-9). RESULTS: The results showed that higher perceived stress was directly related to poorer sleep quality. This negative impact on sleep quality was mediated through the chained roles of PML and depression. Additionally, the study found that SML moderates the influence of perceived stress, PML and depression on sleep quality. Specifically, for individuals actively search for meaning, the adverse effects of perceived stress and depression on sleep quality are diminished. Concurrently, the positive influence of PML on sleep quality is enhanced. CONCLUSION: This study revealed that the PML and depression mediate the effect of perceived stress on sleep quality, with SML playing a significant protective role. These results emphasize the necessity of integrating strategies to enhance PML and SML into interventions designed to improve emotion management and sleep quality among college students.