U.S. Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, VA Connecticut Healthcare System, West Haven, CT, USA.
Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Int Psychogeriatr. 2023 Oct;35(10):560-565. doi: 10.1017/S1041610222001223. Epub 2023 Jan 30.
Perceived purpose in life (PIL) has been linked to a broad range of adverse physical, mental, and cognitive outcomes. However, limited research has examined factors associated with PIL that can be targeted in prevention and treatment efforts in aging populations at heightened risk of adverse outcomes. Using data from predominantly older US veterans, we sought to identify important correlates of PIL.
Cross-sectional data were analyzed from the 2019-2020 National Health and Resilience in Veterans Study, which surveyed a nationally representative sample of 4069 US military veterans ( = 62.2). Elastic net and relative importance analyses were conducted to evaluate sociodemographic, military, health, and psychosocial variables that were strongly associated with PIL.
Of the 39 variables entered into an elastic net analysis, 10 were identified as significant correlates of PIL. In order of magnitude, these were resilience (18.7% relative variance explained [RVE]), optimism (12.1%), depressive symptoms (11.3%), community integration (10.7%), gratitude (10.2%), loneliness (9.8%), received social support (8.6%), conscientiousness (8.5%), openness to experience (5.4%), and intrinsic religiosity (4.7%).
Several modifiable psychosocial factors emerged as significant correlates of PIL in US military veterans. Interventions designed to target these factors may help increase PIL and mitigate risk for adverse health outcomes in this population.
生活目的感(PIL)与广泛的身体、心理和认知结果不良有关。然而,有限的研究探讨了与 PIL 相关的因素,这些因素可以针对处于高风险不良后果的老年人群体的预防和治疗工作进行干预。本研究使用主要来自美国老年退伍军人的数据,旨在确定 PIL 的重要相关因素。
对 2019-2020 年全国健康和退伍军人韧性研究的横断面数据进行了分析,该研究调查了来自美国具有代表性的 4069 名退伍军人样本(n=62.2)。进行了弹性网络和相对重要性分析,以评估与 PIL 密切相关的社会人口学、军事、健康和心理社会变量。
在纳入弹性网络分析的 39 个变量中,有 10 个变量被确定为 PIL 的显著相关因素。按数量级排列,这些因素分别是韧性(18.7%的相对方差解释[RVE])、乐观(12.1%)、抑郁症状(11.3%)、社区融合(10.7%)、感恩(10.2%)、孤独(9.8%)、获得的社会支持(8.6%)、尽责性(8.5%)、开放性体验(5.4%)和内在宗教信仰(4.7%)。
在美军退伍军人中,有几个可改变的心理社会因素被确定为 PIL 的显著相关因素。针对这些因素的干预措施可能有助于提高 PIL,并减轻该人群不良健康结果的风险。