Fischer Ian C, Tsai Jack, Harpaz-Rotem Ilan, McCutcheon Victoria E, Schulenberg Stefan E, Pietrzak Robert H
Indiana University-Purdue University at Indianapolis (IUPUI) (ICF), Indianapolis, IN; VA Maryland Health Care System (ICF), Baltimore, MD.
National Center on Homelessness among Veterans, Homeless Programs Office (JT), Tampa, FL; University of Texas Health Science Center at Houston (JT), Houston, TX.
Am J Geriatr Psychiatry. 2023 Feb;31(2):87-93. doi: 10.1016/j.jagp.2022.09.010. Epub 2022 Sep 24.
To determine the current prevalence of perceived purpose in life (PIL) and its association with screening positive for mental disorders and suicidality in a nationally representative sample of predominantly older U.S. veterans.
Data were analyzed from the 2019-2020 National Health and Resilience in Veterans Study (N = 4,069; M = 62.2). Veterans were classified into three groups based on perceived PIL level (i.e., low, average, and high). Self-report assessments were administered to screen for mental disorders and suicidality.
Most veterans endorsed average PIL (71.7%), while 16.0% endorsed low PIL and 12.4% endorsed high PIL. A "dose-response" association was observed between PIL and outcomes. High PIL was associated with 42%-94% reduced odds of screening positive for major depressive, generalized anxiety, posttraumatic stress, and substance use disorders, as well as suicide attempts, ideation, and future intent.
Higher PIL is associated with lower odds of mental disorders and suicidality in U.S. veterans, underscoring the potential importance of interventions to bolster PIL in this population.
在以美国老年退伍军人为主要对象的具有全国代表性的样本中，确定当前生活目的感（PIL）的流行情况及其与精神障碍筛查呈阳性和自杀倾向的关联。
对2019 - 2020年退伍军人健康与复原力全国性研究的数据进行分析（N = 4069；平均年龄62.2岁）。根据生活目的感水平，退伍军人被分为三组（即低、中、高）。采用自我报告评估来筛查精神障碍和自杀倾向。
大多数退伍军人的生活目的感为中等水平（71.7%），16.0%的人生活目的感较低，12.4%的人生活目的感较高。在生活目的感与各项结果之间观察到一种“剂量反应”关联。生活目的感高与重度抑郁、广泛性焦虑、创伤后应激和物质使用障碍以及自杀未遂、自杀意念和未来自杀意图筛查呈阳性的几率降低42% - 94%相关。
在美国退伍军人中，较高的生活目的感与精神障碍和自杀倾向的较低几率相关，这凸显了在这一人群中加强生活目的感干预措施的潜在重要性。
