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生活目的与抑郁和焦虑之间的关系:一项元分析。

The relationship between purpose in life and depression and anxiety: A meta-analysis.

作者信息

Boreham Ian D, Schutte Nicola S

机构信息

Department of Psychology, University of New England, Armidale, Australia.

出版信息

J Clin Psychol. 2023 Dec;79(12):2736-2767. doi: 10.1002/jclp.23576. Epub 2023 Aug 12.

Abstract

Purpose in life consists of having a sense of meaning and purpose regarding one's activities as well as an overall sense that life is meaningful. This study reports a comprehensive assessment of the relationship of purpose in life with depression and anxiety. A meta-analysis (total n = 66,468, total k = 99) investigated the association of purpose in life with depression and anxiety. Across samples, greater purpose in life was significantly associated with lower levels of depression and anxiety. The mean weighted effect size between purpose in life and depression was r = -0.49, [95% confidence intervals, CIs: -0.52, -0.45], p < 0.001. For the purpose in life and anxiety the mean weighted effect size was r = -0.36, [95% CIs: -0.40, -0.32], p < 0.001. The association of purpose in life with mental health was stronger for clinical populations, especially with regard to the relationship with anxiety. Both approach deficits and avoidance motivation are argued to play a role in the relationship between purpose and psychopathology, with greater purpose potentially limiting avoidance tendencies and reducing the effects of depression and anxiety. Understanding the role that purpose in life may play in depression and anxiety could help to inform current conceptualizations of these disorders and improve treatment outcomes.

摘要

生活目的包括对自身活动有意义感和目标感,以及对生活整体有意义的感觉。本研究报告了对生活目的与抑郁和焦虑之间关系的全面评估。一项荟萃分析(样本总量n = 66468,研究总数k = 99)调查了生活目的与抑郁和焦虑之间的关联。在所有样本中,更强的生活目的与更低水平的抑郁和焦虑显著相关。生活目的与抑郁之间的平均加权效应量为r = -0.49,[95%置信区间,CI:-0.52,-0.45],p < 0.001。生活目的与焦虑之间的平均加权效应量为r = -0.36,[95% CI:-0.40,-0.32],p < 0.001。生活目的与心理健康之间的关联在临床人群中更强,尤其是在与焦虑的关系方面。研究认为,趋近缺陷和回避动机在目的与精神病理学之间的关系中都起作用,更强的目的可能会限制回避倾向,并减轻抑郁和焦虑的影响。了解生活目的在抑郁和焦虑中可能发挥的作用有助于为当前对这些疾病的概念化提供信息,并改善治疗效果。

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