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Meaning in Life and Health: Proactive Health Orientation Links Meaning in Life to Health Variables Among American Undergraduates

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Abstract

Mounting research has demonstrated relationships between meaning in life (MIL) and a wide range of health-relevant outcomes, including health symptoms, health-promoting behaviors, health-risking behaviors, cognitive decline, and mortality. Despite these provocative results, there have been few efforts to explain why meaning and health should be linked. It is proposed that meaning supports a more positive health orientation among people, which in turn is related to more positive health behaviors and health. This model was tested using structural path analysis in a healthy, but health-risk-prone, sample of 571 undergraduate students, focusing on health criterion variables of health symptoms, attitudes toward condom use, and substance abuse. Two aspects of health orientation, proactive health orientation and health information discounting, were assessed. Direct relationships were observed between MIL and health criterion variables, as well as indirect relationships carried by combinations of both health orientations. In a generally healthy, health-risk-prone sample, MIL was beneficially related to health symptoms, risky condom attitudes, and substance use. Proactive health orientation and health information discounting statistically explained some of these relationships, suggesting new avenues for intervening to promote healthy lifestyle factors and prevent adverse health outcomes.

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References

  • Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211.

    Article  Google Scholar 

  • Allard, R. (1989). Beliefs about AIDS as determinants of preventive practices and of support for coercive measures. American Journal of Public Health, 79, 448–452.

    Article  Google Scholar 

  • Antonovsky, A. (1987). Unraveling the mystery of health: How people manage stress and stay well. San Francisco: Jossey-Bass.

    Google Scholar 

  • Arbuckle, J. L. (2008). AMOS 17 user’s guide. Chicago: SPSS Inc.

    Google Scholar 

  • Armitage, C., & Conner, M. (2000). Social cognition models and health behaviour: A structured review. Psychology and Health, 15(2), 173–189.

    Article  Google Scholar 

  • Arnett, J. (2000). Emerging adulthood: A theory of development from the late teens through the twenties. American Psychologist, 55(5), 469–480.

    Article  Google Scholar 

  • Batthyany, A., & Guttmann, D. (2006). Empirical research on logotherapy and meaning-oriented psychotherapy: An annotated bibliography (1st ed.). Phoenix: Zeig: Tucker and Theisen Inc.

    Google Scholar 

  • Bond, G. G., Aiken, L. S., & Somerville, S. C. (1992). The health belief model and adolescents with insulin-dependent diabetes mellitus. Health Psychology, 11, 190–198.

    Article  Google Scholar 

  • Bower, J. E., Kemeny, M. E., Taylor, S. E., & Fahey, J. L. (2003). Finding positive meaning and its association with natural killer cell cytotoxicity among participants in a bereavement-related disclosure intervention. Annals of Behavioral Medicine, 25, 146–155.

    Article  Google Scholar 

  • Boyle, P. A., Barnes, L. L., Buchman, A. S., & Bennett, D. A. (2009). Purpose in life is associated with mortality among community-dwelling older persons. Psychosomatic Medicine, 71, 574–579.

    Article  Google Scholar 

  • Boyle, P. A., Buchman, A. S., Barnes, L. L., & Bennett, D. A. (2010). Effect of a purpose in life on risk of incident Alzheimer Disease and mild cognitive impairment in community-dwelling older persons. Archives of General Psychiatry, 67, 304–310.

    Article  Google Scholar 

  • Boyle, P. A., Buchman, A. S., Wilson, R. S., Yu, L., Schneider, J. A., & Bennett, D. A. (2012). Effect of purpose in life on the relation between Alzheimer disease pathologic changes on cognitive function in advanced age. Archives of General Psychiatry, 69, 499–504.

    Article  Google Scholar 

  • Brassai, L., Piko, B. F., & Steger, M. F. (2012). Existential attitudes and Eastern European adolescents’ problem and health behaviors: Highlighting the role of the search for meaning in life. Psychological Record, 62, 719–734.

  • Burns, A. (1992). The expanded health belief model as a basis for enlightened health care practice and research. Journal of Health Care Marketing, 28, 258–271.

    Google Scholar 

  • Carpenter, C. (2010). A meta-analysis of the effectiveness of health belief model variables in predicting behavior. Health Communication, 25(8), 661–669.

    Article  Google Scholar 

  • Centers for Disease Control and Prevention (2011). 2010 Sexually transmitted diseases surveillance centers for disease control and prevention. Obtained online 2 Dec 2012 from: http://www.cdc.gov/std/stats10/toc.htm.

  • College Health Association. (2001). National college health assessment: ACHA-NCHA reliability and validity analyses. Baltimore, MD: American College Health Association.

    Google Scholar 

  • Core Institute. (2012). Executive summary. Obtained online 2 Dec 2012 from: http://core.siu.edu/pdfs/report10.pdf.

  • DeHart, D. D., & Birkimer, J. C. (1997). Trying to practice safer sex: Development of the sexual risks scale. Journal of Sex Research, 34, 11–25.

    Article  Google Scholar 

  • DePaola, S. J., & Ebersole, P. (1995). Meaning in life categories of elderly nursing home residents. International Journal of Aging and Human Development, 40, 227–236.

    Article  Google Scholar 

  • DeVogler, K. L., & Ebersole, P. (1981). Adults’ meaning in life. Psychology Reports, 49, 87–90.

    Article  Google Scholar 

  • DeVogler, K. L., & Ebersole, P. (1983). Young adolescents’ meaning in life. Psychological Reports, 52, 427–431.

    Article  Google Scholar 

  • Douglas, K. A., Collins, J. L., Warren, C., Kann, L., Gold, R., Clayton, S., et al. (1997). Results from the 1995 national college health risk behavior survey. Journal of American College Health, 46, 55–66.

    Article  Google Scholar 

  • Dutta-Bergman, M. (2004). Primary sources of health information: Comparisons in the domain of health attitudes, health cognitions, and health behaviors. Health Communication, 16(3), 273–288.

    Article  Google Scholar 

  • Dyer, C. B., Pickens, S., & Burnett, J. (2007). Vulnerable elders: When it is no longer safe to live alone. Journal of the American Medical Association, 298, 1448–1450.

    Article  Google Scholar 

  • Emmons, R., & McCullough, M. (2003). Counting blessings versus burdens: An experimental investigation of gratitude and subjective well-being in daily life. Journal of Personality and Social Psychology, 84(2), 377–389.

    Article  Google Scholar 

  • Godin, G., & Kok, G. (1996). The theory of planned behavior: A review of its applications to health-related behaviors. American Journal of Health Promotion, 11(2), 87–98.

    Article  Google Scholar 

  • Guadagnoli, E., & Velicer, W. F. (1988). Relation of sample size to the stability of component patterns. Psychological Bulletin, 103, 265–275.

    Article  Google Scholar 

  • Haberman, S., & Luffey, D. (1998). Weighing in college students’ diet and exercise behaviors. Journal of American College Health, 46, 189–192.

    Article  Google Scholar 

  • Hingson, R., Heeren, T., Winter, M., & Wechsler, H. (2005). Magnitude of alcohol-related mortality and morbidity among US college students ages 18–24: Changes from 1998 to 2001. Annual Review of Public Health, 26(1), 259–279. doi:10.1146/annurev.publhealth.26.021304.144652.

    Article  Google Scholar 

  • Holahan, C. K., Holahan, C. J., & Suzuki, R. (2008). Purposiveness, physical activity, and perceived health in cardiac patients. Disability and Rehabilitation, 30(23), 1772–1778.

    Article  Google Scholar 

  • Holahan, C. K., & Suzuki, R. (2006). Motivational factors in health promoting behavior in later aging. Activities, Adaptation and Aging, 30(1), 47–60.

    Article  Google Scholar 

  • Homan, K. J., & Boyatzis, C. (2010). Religiosity, sense of meaning, and health behavior in older adults. International Journal for the Psychology of Religion, 20, 173–186.

    Article  Google Scholar 

  • Hu, L., & Bentler, P. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55.

    Article  Google Scholar 

  • Ishida, R., & Okada, M. (2006). The effects of a firm purpose in life on anxiety and sympathetic nervous activity caused by emotional stress: assessment by psycho-physiological method. Stress and Health, 22, 275–281.

    Article  Google Scholar 

  • Janz, N., & Becker, M. (1984). The health belief model: A decade later. Health Education Quarterly, 11, 1–47.

    Article  Google Scholar 

  • Kasl, S. A., & Cobb, S. (1966). Health behavior, illness behavior, and sick role behavior: 1. Health and illness behavior. Archives of Environmental Health, 12, 24M6.

    Article  Google Scholar 

  • King, L., Hicks, J., Krull, J., & Del Gaiso, A. (2006). Positive affect and the experience of meaning in life. Journal of Personality and Social Psychology, 90(1), 179–196.

    Article  Google Scholar 

  • Kramer, J. R., Chan, G., Dick, D. M., Kuperman, S., Bucholz, K. K., Edenberg, H. J., et al. (2008). Multiple-domain predictors of problematic alcohol use in young adulthood. Journal of Studies on Alcohol and Drugs, 69, 649–659.

    Article  Google Scholar 

  • Krause, N. (2004). Stressors in highly valued roles, meaning in life, and the physical health status of older adults. Journal of Gerontology: Psychological Sciences and Social Sciences, 59B, S287–S297.

    Article  Google Scholar 

  • Krause, N. (2007). Evaluating the stress-buffering function of meaning in life among older people. Journal of Aging and Health, 19, 792–812.

    Article  Google Scholar 

  • Krause, N. (2009). Meaning in life and mortality. Journal of Gerontology: Social Sciences, 64B(4), 517–527.

    Article  Google Scholar 

  • Lindfors, P., Lundberg, O., & Lundberg, U. (2006). Allostatic load and clinical risk as related to sense of coherence in middle-aged women. Psychosomatic Medicine, 68, 801–807.

    Article  Google Scholar 

  • MacInnis, D., Moorman, C., & Jaworski, B. (1991). Enhancing and measuring consumers’ motivation, opportunity, and ability to process brand information from ads. Journal of Marketing, 55, 32–53.

    Article  Google Scholar 

  • Marks, J., Stiloup, D., & Gerberding, J. (2004). Actual causes of death in the United States, 2000. Journal of the American Medical Association, 291, 1238–1245.

    Article  Google Scholar 

  • Mirza, S. A., & Somers, C. L. (2004). Future orientation among Caucasian and Arab-American adolescents. School Psychology International, 25, 361–372.

    Article  Google Scholar 

  • Mokdad, A., Serdula, M., Dietz, W., Bowman, B., Marks, J., & Koplan, J. (2000). The continuing epidemic of obesity in the United States. Journal of the American Medical Association, 284(13), 1650–1651.

    Article  Google Scholar 

  • Moorman, C., & Matulich, E. (1993). A model of consumers’ preventative health behaviors: The role of health motivation and health ability. Journal of Consumer Research, 20, 208–228.

    Article  Google Scholar 

  • NCES National Center for Education Statistics. (2010). “Digest of education statistics: 2010,” at http://nces.ed.gov/programs/digest/d12, Accessed 28 Jan 2013.

  • Noar, S., Morokoff, P., & Redding, C. (2001). An examination of transtheoretical predictors of condom use in late-adolescent heterosexual men. Journal of Applied Biobehavioral Research, 6(1), 1–26.

    Article  Google Scholar 

  • Paquette, M. C. (2005). Perceptions of healthy eating: state of knowledge and research gaps. Canadian Journal of Public Health, 96, 16–19.

    Google Scholar 

  • Park, C. L. (2007). Religiousness/spirituality and health: A meaning systems perspective. Journal of Behavioral Medicine, 30, 319–328.

    Article  Google Scholar 

  • Park, C., & Mittal, B. (1985). A theory of involvement in consumer behavior: Problems and issues. In J. Sheth (Ed.), Research in consumer behavior. Greenwich CT: JAI.

    Google Scholar 

  • Paul, E., McManus, B., & Hayes, A. (2000). Hookups: Characteristics and correlates of college students’ spontaneous and anonymous sexual experiences. Journal of Sex Research, 37(1), 76–88.

    Article  Google Scholar 

  • Preacher, K., Rucker, D., & Hayes, A. (2007). Addressing moderated mediation hypotheses: Theory, methods, and prescriptions. Multivariate Behavioral Research, 42(1), 185–227.

    Article  Google Scholar 

  • Rosenstock, I. M. (1966). Why people use health services. Milbank Memorial Fund Quarterly, 44, 94–127.

    Article  Google Scholar 

  • Rosenstock, I., Strecher, V., & Becker, M. (1988). Social learning theory and the Health Belief Model. Health Education Quarterly, 15(2), 175–183.

    Article  Google Scholar 

  • Rucker, D., Preacher, K., Tormala, Z., & Petty, R. (2011). Mediation analysis in social psychology: Current practices and new recommendations. Social and Personality Psychology Compass, 5(6), 359–371.

    Article  Google Scholar 

  • Rumptz, M., Tobias, C., Rajabiun, S., Bradford, J., Cabral, H., Young, R., et al. (2007). Factors associated with engaging socially marginalized HIV-positive persons in primary care. AIDS Patient Care and STDs, 21(1), S30–S39.

    Article  Google Scholar 

  • Ryff, C. D., & Singer, B. (1996). Psychological well-being: Meaning, measurement, and implications for psychotherapy research. Psychotherapy and psychosomatics, 65, 14–23.

  • Ryff, C. D., & Singer, B. (1998a). The contours of positive human health. Psychological Inquiry, 9(1), 1.

    Article  Google Scholar 

  • Ryff, C. D., & Singer, B. (1998b). The role of purpose in life and personal growth in positive human health. In P. T. P. Wong & P. S. Fry (Eds.), The human quest for meaning: A handbook of psychological research and clinical applications. Mahwah, NJ: Lawrence Erlbaum Associates Inc, Publishers.

    Google Scholar 

  • Ryff, C. D., & Singer, B. H. (2006). Best news yet on the six-factor model of well-being. Social Science Research, 35, 1103–1119.

    Article  Google Scholar 

  • Sammallahti, P. R., Holi, M. J., Komulainen, E. J., & Aalberg, V. A. (1996). Comparing two self-report measures of coping: The sense of coherence scale and the defense styles questionnaire. Journal of Clinical Psychology, 52, 517–524.

    Article  Google Scholar 

  • Sheeran, P., Abraham, C., & Orbell, S. (1999). Psychosocial correlates of heterosexual condom use: A meta-analysis. Psychological Bulletin, 125, 90–132.

    Article  Google Scholar 

  • Shrout, P., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7(4), 422–445.

    Article  Google Scholar 

  • Steenhuis, I. H. M., Bos, A. E. R., & Mayer, B. (2006). (Mis)interpretation of body weight in adult women and men. Journal of Human Nutrition and Dietetics, 19, 219–228.

    Article  Google Scholar 

  • Steger, M. F. (2006). An illustration of issues in factor extraction and identification of dimensionality in psychological assessment data. Journal of Personality Assessment, 86(3), 263–272.

    Article  Google Scholar 

  • Steger, M. F. (2009). Meaning in life. In S. J. Lopez (Ed.), Oxford handbook of positive psychology (2nd ed.). Oxford, UK: Oxford University Press.

    Google Scholar 

  • Steger, M. F. (2012). Experiencing meaning in life: Optimal functioning at the nexus of spirituality, psychopathology, and well-being. In P. T. P. Wong (Ed.), The human quest for meaning (2nd ed.). New York: Routledge.

    Google Scholar 

  • Steger, M. F., Frazier, P., & Zacchanini, J. L. (2008a). Terrorism in two cultures: Traumatization and existential protective factors following the September 11th attacks and the Madrid train bombings. Journal of Trauma and Loss, 13, 511–527.

    Article  Google Scholar 

  • Steger, M. F., Kashdan, T. B., Sullivan, B. A., & Lorentz, D. (2008b). Understanding the search for meaning in life: Personality, cognitive style, and the dynamic between seeking and experiencing meaning. Journal of Personality, 76, 199–228.

    Article  Google Scholar 

  • Steger, M. F., Mann, J., Michels, P., & Cooper, T. (2009). Meaning in life, anxiety, depression, and general health among smoking cessation patients. Journal of Psychosomatic Research, 67, 353–358.

    Article  Google Scholar 

  • Substance Abuse and Mental Health Services Administration (2011). Results from the 2010 National Survey on Drug Use and Health: Summary of National Findings, NSDUH Series H-41, HHS Publication No. (SMA) 11-4658. Rockville, MD: Substance Abuse and Mental Health Services Administration.

  • Takkinen, S., Suutama, T., & Ruoppila, I. (2001). More meaning by exercising? Physical activity as a predictor of a sense of meaning in life and of self-rated health and functioning in old age. Journal of Aging and Physical Activity, 9(2), 128–141.

    Google Scholar 

  • Task Force of the National Advisory Council on Alcohol Abuse and Alcoholism, National Institute on Alcohol Abuse and Alcoholism. A Call to Action: Changing the Culture of Drinking at U.S. Colleges. Obtained online December 2, 2012 from: http://www.collegedrinkingprevention.gov/media/taskforcereport.pdf.

  • Velicer, W., & Fava, J. (1998). Affects of variable and subject sampling on factor pattern recovery. Psychological Methods, 3(2), 231–251.

    Article  Google Scholar 

  • Vesely, S. K., Wyatt, V. H., Oman, R. F., Aspy, C. B., Kegler, M. C., Rodine, S., et al. (2004). The potential protective effects of youth assets from adolescent sexual risk behavior. Journal of Adolescent Health, 34, 356–365.

    Article  Google Scholar 

  • Winters, K.C., & Zenilman, J.M. (1994). Simple Screening instruments for outreach for alcohol and other drug abuse and infectious diseases: Treatment improvement protocol (TIP) series. US Department of Health and Human Services, Public Health Services. Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment. Rockville, MD.

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  1. Department of Psychology, Colorado State University, Mail Stop 1876, Fort Collins, CO, 80523-1876, USA

    Michael F. Steger, Arissa R. Fitch-Martin, Jena Donnelly & Kathryn M. Rickard

  2. North-West University-Vaal Triangle Campus, Vanderbijlpark, South Africa

    Michael F. Steger

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  1. Michael F. Steger
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Steger, M.F., Fitch-Martin, A.R., Donnelly, J. et al. Meaning in Life and Health: Proactive Health Orientation Links Meaning in Life to Health Variables Among American Undergraduates. J Happiness Stud 16, 583–597 (2015). https://doi.org/10.1007/s10902-014-9523-6

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