Sense of Purpose in Life and Cardiovascular Disease: Underlying Mechanisms and Future Directions
Open accessAbstract
Purpose of review In this review, we synthesize recent research that has reported associations of a higher sense of purpose in life with reduced risk of developing cardiovascular disease (CVD), and then explore mechanisms that might underlie these associations. Recent findings Accumulating observational and experimental evidence suggests that having a higher sense of purpose might influence CVD risk through three pathways: (1) enhancement of other psychological and social resources that buffer against the cardiotoxic effects of overwhelming stress; (2) indirect effects through health behaviors; and (3) direct effects on biological pathways. A sense of purpose in life is emerging as an independent risk factor for incident CVD. A key remaining question is whether purpose causally effects CVD risk; in the "Future Research Directions" section, we focus on work needed to establish causality and provide suggestions for next steps.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
A greater sense of purpose in life is associated with better cardiovascular health, longevity, and reduced risk of CVD, including decreased risk of both MI and stroke.
“A greater sense of purpose in life has been associated with better cardiovascular health, longevity, and reduced risk of CVD, 72 including decreased risk of both MI 73 and stroke. 74”
From Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association (2021) · cites this paper as [72]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Subjective well-being: Three decades of progress.
Diener, E., Suh, E. M., Lucas, R. E., & Smith, H. L. (1999) · Psychological Bulletin · doi:10.1037/0033-2909.125.2.276 · Cited by 12,910 · see citing works
Mostly Harmless Econometrics: An Empiricist's Companion
Angrist, J. D., & Pischke, J.-S. (2009) · doi:10.1515/9781400829828 · Cited by 9,467 · see citing works
Causal Diagrams for Epidemiologic Research
Greenland, S., Pearl, J., & Robins, J. M. (1999) · Epidemiology · doi:10.1097/00001648-199901000-00008 · Cited by 3,728 · see citing works
Psychological Well-Being Revisited: Advances in the Science and Practice of Eudaimonia
Ryff, C. D. (2014) · Psychotherapy and Psychosomatics · doi:10.1159/000353263 · Cited by 2,976 · see citing works
The three meanings of meaning in life: Distinguishing coherence, purpose, and significance
Martela, F., & Steger, M. F. (2016) · The Journal of Positive Psychology · doi:10.1080/17439760.2015.1137623 · Cited by 1,401 · see citing works
On the promotion of human flourishing
VanderWeele, T. J. (2017) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1702996114 · Cited by 1,387 · see citing works
Counterfactuals and Causal Inference: Methods and Principles for Social Research
Morgan, S. L., & Winship, C. (2014) · Cambridge University Press · doi:10.1017/cbo9781107587991 · Cited by 1,037 · see citing works
Reconsidering happiness: The costs of distinguishing between hedonics and eudaimonia
Kashdan, T. B., Biswas-Diener, R., & King, L. A. (2008) · The Journal of Positive Psychology · doi:10.1080/17439760802303044 · Cited by 1,027 · see citing works
McKnight, P. E., & Kashdan, T. B. (2009) · Review of General Psychology · doi:10.1037/a0017152 · Cited by 965 · see citing works
Positive health: connecting well–being with biology
Ryff, C. D., Singer, B. H., & Dienberg Love, G. (2004) · Philosophical Transactions of the Royal Society of London. Series B: Biological Sciences · doi:10.1098/rstb.2004.1521 · Cited by 916 · see citing works
The Life Engagement Test: Assessing Purpose in Life
Scheier, M. F., Wrosch, C., Baum, A., Cohen, S., Martire, L. M., Matthews, K. A., Schulz, R., & Zdaniuk, B. (2006) · Journal of Behavioral Medicine · doi:10.1007/s10865-005-9044-1 · Cited by 539 · see citing works
Cohen, R., Bavishi, C., & Rozanski, A. (2016) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000274 · Cited by 447 · see citing works
Positive Psychological Well-Being and Cardiovascular Disease
Kubzansky, L. D., Huffman, J. C., Boehm, J. K., Hernandez, R., Kim, E. S., Koga, H. K., Feig, E. H., Lloyd-Jones, D. M., Seligman, M. E. P., & Labarthe, D. R. (2018) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2018.07.042 · Cited by 429 · see citing works
Self-citationPurpose in life and use of preventive health care services
Kim, E. S., Strecher, V. J., & Ryff, C. D. (2014) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1414826111 · Cited by 332 · see citing works
Self-citationCausal inference and longitudinal data: a case study of religion and mental health
VanderWeele, T. J., Jackson, J. W., & Li, S. (2016) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-016-1281-9 · Cited by 322 · see citing works
Steptoe, A., & Fancourt, D. (2019) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1814723116 · Cited by 254 · see citing works
Purpose in Life Predicts Better Emotional Recovery from Negative Stimuli
Schaefer, S. M., Morozink Boylan, J., van Reekum, C. M., Lapate, R. C., Norris, C. J., Ryff, C. D., & Davidson, R. J. (2013) · PLoS ONE · doi:10.1371/journal.pone.0080329 · Cited by 249 · see citing works
Kim, E. S., Sun, J. K., Park, N., Kubzansky, L. D., & Peterson, C. (2013) · Journal of Behavioral Medicine · doi:10.1007/s10865-012-9406-4 · Cited by 244 · see citing works
Self-citationPurpose in Life and Positive Health Outcomes Among Older Adults
Musich, S., Wang, S. S., Kraemer, S., Hawkins, K., & Wicker, E. (2018) · Population Health Management · doi:10.1089/pop.2017.0063 · Cited by 219 · see citing works
Sense of Life Worth Living (Ikigai) and Mortality in Japan: Ohsaki Study
Sone, T., Nakaya, N., Ohmori, K., Shimazu, T., Higashiguchi, M., Kakizaki, M., Kikuchi, N., Kuriyama, S., & Tsuji, I. (2008) · Psychosomatic Medicine · doi:10.1097/psy.0b013e31817e7e64 · Cited by 202 · see citing works
Sloan, R. P., Schwarz, E., McKinley, P. S., Weinstein, M., Love, G., Ryff, C., Mroczek, D., Choo, T.-H., Lee, S., & Seeman, T. (2017) · Health Psychology · doi:10.1037/hea0000397 · Cited by 80 · see citing works
Tsenkova, V. K., Love, G. D., Singer, B. H., & Ryff, C. D. (2007) · Psychosomatic Medicine · doi:10.1097/psy.0b013e318157466f · Cited by 63 · see citing works
Purposiveness and Leisure-Time Physical Activity in Women in Early Midlife
Holahan, C. K., Holahan, C. J., Velasquez, K. E., Jung, S., North, R. J., & Pahl, S. A. (2011) · Women & Health · doi:10.1080/03630242.2011.617811 · Cited by 43 · see citing works
Flagged first, then by citations
Research works printed but not linked: 87
- [1]Benjamin EJ, Muntner P, Alonso A, Bittencourt MS, Callaway CW, Carson AP, Heart disease and stroke statistics-2019 update: a report from the American Heart Association. Circulation. 2019; 139: e56– 528. 30700139
- [2]Mensah GA, Wei GS, Sorlie PD, Fine LJ, Rosenberg, Kaufmann PG, Decline in cardiovascular mortality. Circ Res. 2017; 120: 366– 80. 28104770 PMC5268076
- [4]Steptoe A. Happiness and health. Annu Rev Public Health. 2019; 40: 339– 59. 30601719
- [5]Pressman SD, Jenkins BN, Moskowitz JT. Positive affect and health: what do we know and where next should we go? Annu Rev Psychol. 2019; 70: 627– 50. 30260746
- [6]Scheier MF, Carver CS. Dispositional optimism and physical health: a long look back, a quick look forward. 2018; 73: 1082– 94. PMC6309621 30525784
- [9]Seligman MEP. Positive health. Appl Psychol Int Rev. 2008; 57: 3– 18.
- [10]Sin NL. The protective role of positive well-being in cardiovascular disease: review of current evidence, mechanisms, and clinical implications. Curr Cardiol Rep. 2016; 18: 106. 27612475 PMC5060088
- [13]Czekierda K, Banik A, Park CL, Luszczynska A. Meaning in life and physical health: systematic review and meta-analysis. Health Psychol Rev. 2017; 11: 387– 418. 28488471
- [14]Roepke AM, Jayawickreme E, Riffle OM. Meaning and health: a systematic review. Appl Res Qual Life. 2014; 9: 1055– 79.
- [15]• George LS, Park CL. Meaning in life as comprehension, purpose, and mattering: toward integration and new research questions. Rev Gen Psychol. 2016; 20: 205– 20. •Emerging theoretical and empirical work has led to the recent development of a tripartite model of meaning in life, which consists of three subconstructs: (1) purpose in life; (2) coherence/comprehension; and (3) significance/mattering. This is one of the 2 key papers that discusses this new conceptual model.
- [18]Heintzelman SJ, King LA. Life is pretty meaningful. Am Psychol. 2014; 69: 561– 74. 24490907
- [20]Bronk KC. Purpose in life: A critical component of optimal youth development. 1st ed. Springer Science & Business Media; 2013.
- [21]George LS, Park CL. Are meaning and purpose distinct? An examination of correlates and predictors. J Posit Psychol. 2013; 8: 365– 75.
- [23]Tanno K, Sakata K, Ohsawa M, Onoda T, Itai K, Yaegashi Y, Associations of ikigai as a positive psychological factor with all-cause mortality and cause-specific mortality among middle-aged and elderly Japanese people: findings from the Japan Collaborative Cohort Study. J Psychosom Res. 2009; 67: 67– 75. 19539820
- [25]Kim ES, Sun JK, Park N, Peterson C. Purpose in life and reduced incidence of stroke in older adults: the health and retirement study. J Psychosom Res. 2013; 74: 427– 32. 23597331
- [27]Yu L, Boyle PA, Wilson RS, Levine SR, Schneider JA, Bennett DA. Purpose in life and cerebral infarcts in community-dwelling older people. Stroke. 2015; 46: 1071– 6. 25791714 PMC4461202
- [28]Alimujiang A, Wiensch A, Boss J, Fleischer NL, Mondul AM, McLean K, Association between life purpose and mortality among US adults older than 50 years. JAMA Netw Open. 2019; 2:e194270–e194270. PMC6632139 31125099
- [29]Hill PL, Weston SJ. Evaluating eight-year trajectories for sense of purpose in the health and retirement study. Aging Ment Health. 2019; 23: 233– 7. 29212348
- [30]Reker GT, Peacock EJ, Wong PT. Meaning and purpose in life and well-being: a life-span perspective. J Gerontol. 1987; 42: 44– 9. 3794195
- [31]Damon W, Menon J, Cotton Bronk K. The development of purpose during adolescence. Appl Dev Sci. 2003; 7: 119– 28.
- [32]Hill PL, Turiano NA, Spiro A, Mroczek DK. Understanding inter-individual variability in purpose in life: longitudinal findings from the VA Normative Aging Study. Psychol Aging. 2015; 30: 529– 33. 26146887 PMC4556536
- [33]Ko H-J, Hooker K, Geldhof GJ, McAdams DP. Longitudinal purpose in life trajectories: examining predictors in late midlife. Psychol Aging. 2016; 31: 693– 8. 27684106
- [35]van Reekum CM, Urry HL, Johnstone T, Thurow ME, Frye CJ, Jackson CA, Individual differences in amygdala and ventromedial prefrontal cortex activity are associated with evaluation speed and psychological well-being. J Cogn Neurosci. 2007; 19: 237– 48. 17280513
- [36]Polenick CA, Kales HC, Birditt KS. Perceptions of purpose in life within spousal care dyads: associations with emotional and physical caregiving difficulties. Ann Behav Med. 2018; 52: 77– 87. 29538622 PMC6361277
- [37]Hill PL, Sin NL, Turiano NA, Burrow AL, Almeida DM. Sense of purpose moderates the associations between daily stressors and daily well-being. Ann Behav Med. 52: 724– 9. 30010709 PMC6052784
- [39]Zika S, Chamberlain K. Relation of hassles and personality to subjective well-being. J Pers Soc Psychol. 1987; 53: 155– 62.
- [40]Skrabski A, Kopp M, Rózsa S, Réthelyi J, Rahe RH. Life meaning: an important correlate of health in the Hungarian population. Int J Behav Med. 2005; 12: 78– 85. 15901216
- [41]Smith BW, Zautra AJ. Purpose in life and coping with knee-replacement surgery. Occup Ther J Res. 2000; 20: 96S– 99S.
- [42]Peter C, Muller R, Post MWM, van Leeuwen CMC, Werner CS, Geyh S, Depression in spinal cord injury: assessing the role of psychological resources. Rehabil Psychol. 2015; 60: 67– 80. 25706193
- [43]Miao M, Gan Y. How does meaning in life predict proactive coping? The self-regulatory mechanism on emotion and cognition. J Pers. 2019; 87: 579– 92. 29999537
- [44]Miao M, Gan Y. The promotional role of meaning in life in future-oriented coping: positive affect as a mediator. Int J Psychol. 2018; 30362105
- [45]Miao M, Zheng L, Gan Y. Meaning in life promotes proactive coping via positive affect: a daily diary study. J Happiness Stud. 2017; 18: 1683– 96.
- [47]Hooker SA, Masters KS, Park CL. A meaningful life is a healthy life: a conceptual model linking meaning and meaning salience to health. Rev Gen Psychol. 2018; 22: 11– 24.
- [48]Burrow AL, Spreng RN. Waiting with purpose: a reliable but small association between purpose in life and impulsivity. Personal Individ Differ. 2016; 90: 187– 9. PMC4668943 26640312
- [49]Li J-B, Salcuni S, Delvecchio E. Meaning in life, self-control and psychological distress among adolescents: a cross-national study. Psychiatry Res. 2019; 272: 122– 9. 30580135
- [50]Rush CL, Hooker SA, Ross KM, Frers AK, Peters JC, Masters KS. Brief report: Meaning in life is mediated by self-efficacy in the prediction of physical activity. J Health Psychol. In Press; 30791727
- [51]Zilioli S, Slatcher RB, Ong AD, Gruenewald TL. Purpose in life predicts allostatic load ten years later. J Psychosom Res. 2015; 79: 451– 7. 26526322 PMC4684637
- [52]Kang Y, Strecher VJ, Kim ES, Falk EB. Purpose in life and conflict-related neural responses during health decision making. Health Psychol. 2019; 38: 545– 52. 31008647 PMC7233478
- [53]Frankl VE. Man’s search for meaning. Boston: Beacon Press; 2006.
- [55]Hill PL, Edmonds GW, Hampson SE. A purposeful lifestyle is a healthful lifestyle: linking sense of purpose to self-rated health through multiple health behaviors. J Health Psychol. 2017; PMC5665713 28810459
- [56]Hooker SA, Masters KS. Purpose in life is associated with physical activity measured by accelerometer. J Health Psychol. 2016; 21: 962– 71. 25104777
- [57]Holahan CK, Holahan CJ, Suzuki R. Purposiveness, physical activity, and perceived health in cardiac patients. Disabil Rehabil. 2008; 30: 1772– 8. 19031205
- [59]Morimoto Y, Yamasaki S, Ando S, Koike S, Fujikawa S, Kanata S, Purpose in life and tobacco use among community-dwelling mothers of early adolescents. BMJ Open. 2018; 8: e020586. PMC5914705 29678982
- [60]Thege BK, Urbán R, Kopp MS. Four-year prospective evaluation of the relationship between meaning in life and smoking status. Subst Abuse Treat Prev Policy. 2013; 8: 8. 23433067 PMC3598484
- [61]Konkolÿ Thege B, Bachner YG, Martos T, Kushnir T. Meaning in life: does it play a role in smoking? Subst Use Misuse. 2009; 44: 1566– 77. 19938911
- [62]Konkolÿ Thege B, Stauder A, Kopp MS. Relationship between meaning in life and intensity of smoking: do gender differences exist? Psychol Health. 2010; 25: 589– 99. 20204929
- [63]Lappan S, Thorne CB, Long D, Hendricks PS. Longitudinal and reciprocal relationships between psychological well-being and smoking. Nicotine Tob Res. 2018; PMC7297014 30219867
- [64]Chen Y, Kim ES, Koh HK, Frazier AL, VanderWeele TJ. Sense of mission and subsequent health and well-being among young adults: an outcome-wide analysis. Am J Epidemiol. 2019; 188: 664– 73. 30649174 PMC6438813
- [65]Abramoski K, Pierce J, Hauck C, Stoddard S. Variations in adolescent purpose in life and their association with lifetime substance use. J Sch Nurs. 2018; 34: 114– 20. 29512434
- [66]Kinnier RT, Metha AT, Keim JS, Okey JL, Depression, meaninglessness, and substance abuse in “normal” and hospitalized adolescents. J Alcohol Drug Educ. 1994; 39: 101– 11.
- [67]Padelford BL. Relationship between drug involvement and purpose in life. J Clin Psychol. 1974; 30: 303– 5. 4854084
- [68]Nicholson T, Higgins W, Turner P, James S, Stickle F, Pruitt T. The relation between meaning in life and the occurrence of drug abuse: a retrospective study. Psychol Addict Behav. 1994; 8: 24– 8.
- [69]Shean GD, Fechtmann F. Purpose in life scores of student marihuana users. J Clin Psychol. 1971; 27: 112– 3. 5539311
- [70]Harlow LL, Newcomb MD, Bentler PM. Depression, self-derogation, substance use, and suicide ideation: lack of purpose in life as a mediational factor. J Clin Psychol. 1986; 42: 5– 21. 3950015
- [71]Newcomb MD, Harlow LL. Life events and substance use among adolescents: mediating effects of perceived loss of control and meaninglessness in life. J Pers Soc Psychol. 1986; 51: 564– 77. 3489832
- [72]Krentzman AR, Cranford JA, Robinson EAR. Long-term increases in purpose in life are associated with remission from alcohol dependence. Alcohol Treat Q. 2015; 33: 252– 69.
- [73]Martin RA, MacKinnon S, Johnson J, Rohsenow DJ. Purpose in life predicts treatment outcome among adult cocaine abusers in treatment. J Subst Abuse Treat. 2011; 40: 183– 8. 21129893 PMC3031725
- [74]Roos CR, Kirouac M, Pearson MR, Fink BC, Witkiewitz K. Examining temptation to drink from an existential perspective: associations among temptation, purpose in life, and drinking outcomes. Psychol Addict Behav J Soc Psychol Addict Behav. 2015; 29: 716– 24. PMC4558413 25730630
- [75]Kim ES, Hershner SD, Strecher VJ. Purpose in life and incidence of sleep disturbances. J Behav Med. 2015; 38: 590– 597. 25822118
- [76]Phelan CH, Love GD, Ryff CD, Brown RL, Heidrich SM. Psychosocial predictors of changing sleep patterns in aging women: a multiple pathway approach. Psychol Aging. 2010; 25: 858– 66. 20731498 PMC3780608
- [77]Turner AD, Smith CE, Ong JC. Is purpose in life associated with less sleep disturbance in older adults? Sleep Sci Pract. 2017; 1: 14.
- [79]Wilson RS, Capuano AW, James BD, Amofa P, Arvanitakis Z, Shah R, Purpose in life and hospitalization for ambulatory care-sensitive conditions in old age. Am J Geriatr Psychiatry. 2018; 26: 364– 74. 28780129 PMC5773406
- [82]Friedman EM, Hayney M, Love GD, Singer BH, Ryff CD. Plasma interleukin-6 and soluble IL-6 receptors are associated with psychological well-being in aging women. Health Psychol. 2007; 26: 305– 13. 17500617
- [83]Cole SW, Levine ME, Arevalo JMG, Ma J, Weir DR, Crimmins EM. Loneliness, eudaimonia, and the human conserved transcriptional response to adversity. Psychoneuroendocrinology. 2015; 62: 11– 7. 26246388 PMC4637182
- [84]Friedman EM, Ryff CD. Living well with medical comorbidities: a biopsychosocial perspective. J Gerontol B Psychol Sci Soc Sci. 2012; 67: 535– 44. 22377799 PMC3441187
- [85]Morozink JA, Friedman EM, Coe CL, Ryff CD. Socioeconomic and psychosocial predictors of interleukin-6 in the MIDUS national sample. Health Psychol. 2010; 29: 626– 35. 20954777 PMC2991411
- [86]Hafez D, Heisler M, Choi H, Ankuda CK, Winkelman T, Kullgren JT. Association between purpose in life and glucose control among older adults. Ann Behav Med. 2018; 52: 309– 18. 30084896 PMC6082637
- [87]Boylan JM, Tsenkova VK, Miyamoto Y, Ryff CD. Psychological resources and glucoregulation in Japanese adults: findings from MIDJA. Health Psychol. 2017; 36: 449– 57. 28192004 PMC5398939
- [88]Rasmussen NH, Smith SA, Maxson JA, Bernard ME, Cha SS, Agerter DC, Association of HbA1c with emotion regulation, intolerance of uncertainty, and purpose in life in type 2 diabetes mellitus. Prim Care Diabetes. 2013; 7: 213– 21. 23685023
- [90]Boylan JM, Ryff CD. Psychological well-being and metabolic syndrome: findings from the midlife in the United States national sample. Psychosom Med. 2015; 77: 548– 58. 25984827 PMC4459930
- [91]Radler BT, Rigotti A, Ryff CD. Persistently high psychological well-being predicts better HDL cholesterol and triglyceride levels: findings from the Midlife in the U.S. (MIDUS) longitudinal study. Lipids Health Dis. 2018; 17: 1. 29298716 PMC5751819
- [93]Shahabi L, Karavolos K, Everson-Rose SA, Lewis TT, Matthews KA, Sutton-Tyrrell K, Associations of psychological well-being with carotid intima media thickness in African American and White middle-aged women. Psychosom Med. 2016; 78: 511– 9. 26761714 PMC4851588
- [94]Low CA, Matthews KA, Kuller LH, Edmundowicz D. Psychosocial predictors of coronary artery calcification progression in postmenopausal women. Psychosom Med. 2011; 73: 789– 94. 22042881 PMC3211069
- [95]Kubota Y, Heiss G, MacLehose RF, Roetker NS, Folsom AR. Association of educational attainment with lifetime risk of cardiovascular disease. JAMA Intern Med. 2017; 177: 1165– 72. 28604921 PMC5710437
- [96]Li S, Okereke OI, Chang S-C, Kawachi I, VanderWeele TJ. Religious service attendance and lower depression among women-a prospective cohort study. Ann Behav Med. 2016; 50: 876– 84. 27393076 PMC5127763
- [97]Ward SJ, King LA. Work and the good life: how work contributes to meaning in life. Res Organ Behav. 2017; 37: 59– 82.
- [98]Sumner R More education, more purpose in life? A comparison of purpose across adults with different levels of education. Appl Res Qual Life. 2017; 12: 17– 34.
- [99]Harel O, Mitchell EM, Perkins NJ, Cole SR, Tchetgen Tchetgen EJ, Sun B, Multiple imputation for incomplete data in epidemiologic studies. Am J Epidemiol. 2018; 187: 576– 84. 29165547 PMC5860387
- [100]Perkins NJ, Cole SR, Harel O, Tchetgen Tchetgen EJ, Sun B, Mitchell EM, Principled approaches to missing data in epidemiologic studies. Am J Epidemiol. 2018; 187: 568– 75. 29165572 PMC5860376
- [101]Sun B, Perkins NJ, Cole SR, Harel O, Mitchell EM, Schisterman EF, Inverse-probability-weighted estimation for monotone and nonmonotone missing data. Am J Epidemiol. 2018; 187: 585– 91. 29165557 PMC5860553
- [103]Glymour MM, Kubzansky LD. Causal inference in psychosocial epidemiology. In: Kivimaki M, Batt DG, Kawachi I, Steptoe A. Routledge International Handbook of Psychosocial Epidemiology. Routledge; 2017. p. 35– 60.
- [105]Morgan SL, Winship C. Counterfactuals and causal inference. 2nd ed. Cambridge University Press; 2014.
- [107]Klein N Prosocial behavior increases perceptions of meaning in life. J Posit Psychol. 2017; 12: 354– 61.
- [108]Friedman EM, Ruini C, Foy R, Jaros L, Sampson H, Ryff CD. Lighten UP! A community-based group intervention to promote psychological well-being in older adults. Aging Ment Health. 2015; 1– 7. 26460594 PMC5636191
- [109]Mens MG, Helgeson VS, Lembersky BC, Baum A, Scheier MF. Randomized psychosocial interventions for breast cancer: impact on life purpose. Psychooncology. 2015; PMC4945105 26123574
- [110]Breitbart W, Rosenfeld B, Pessin H, Applebaum A, Kulikowski J, Lichtenthal WG. Meaning-centered group psychotherapy: an effective intervention for improving psychological well-being in patients with advanced cancer. J Clin Oncol. 2015; 33: 749– 54. 25646186 PMC4334778
- [111]Rosenfeld B, Cham H, Pessin H, Breitbart W. Why is meaning-centered group psychotherapy (mcgp) effective? Enhanced sense of meaning as the mechanism of change for advanced cancer patients. Psychooncology. 2018; 27: 654– 60. 29136683 PMC5807154
Cited by
Sorted by citations
Levine, G. N., Cohen, B. E., Commodore-Mensah, Y., Fleury, J., Huffman, J. C., Khalid, U., Labarthe, D. R., Lavretsky, H., Michos, E. D., Spatz, E. S., et al. (2021) · Circulation · doi:10.1161/cir.0000000000000947 · Cited by 865 · see citing works
Self-citationDang, K., Kirk, M. A., Monette, G., Katz, J., & Ritvo, P. (2021) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2021.03.001 · Cited by 16 · see citing works
- Authors
- Kim, E. S., Delaney, S. W., & Kubzansky, L. D.
- Affiliations
- Harvard University (US)
- Corresponding author
- Kim, Eric S.
- Venue
- Current Cardiology Reports
- Published
- 2019-10-31
- Volume
- 21
- Issue
- 11
- Pages
- 135-135
- ISSN
- 1523-3782 (ISSN-L)
- 1534-3170
- PMC
- PMC10683927
- OpenAlex
- W2984812529
- Cited by
- 142
- References
- 23
- Citations by year
- 2026: 12 · 2025: 30 · 2024: 32 · 2023: 21 · 2022: 20 · 2021: 18 · 2020: 9
- FWCI
- 2.13
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Current Cardiology Reports (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute on Aging (K99AG055696)
- National Heart, Lung, and Blood Institute (T32HL098048)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
- Keywords
- sense of purpose in life, cardiovascular disease, cardiovascular risk factors, psychological resources, social resources, stress buffering, health behavior, biological pathways, causal inference, psychocardiology
- MeSH terms
- Cardiovascular Diseases, Goals, Humans, Motivation, Risk Factors, Stress, Psychological, Health Behavior, Intention
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review