4.5 Article

The association between purpose/meaning in life and verbal fluency and episodic memory: a meta-analysis of >140,000 participants from up to 32 countries

Journal

INTERNATIONAL PSYCHOGERIATRICS
Volume 34, Issue 3, Pages 263-273

Publisher

CAMBRIDGE UNIV PRESS
DOI: 10.1017/S1041610220004214

Keywords

fluency; cognitive aging; purpose in life; meaning in life; cross-cultural

Funding

  1. National Institute on Aging of the National Institutes of Health [R01AG053297, R01AG068093]
  2. National Institute on Aging [NIA-U01AG009740, AG-9775, AG-21079, AG-033285, AG-041868, 2RO1AG7644-01A1, 2RO1AG017644, U01_AG09740-13S2, P01_AG005842, P01_AG08291, P30_AG12815, R21_AG025169, Y1-AG-4553-01, IAG_BSR0611, OGHA_04-064, HHSN271201300071C]
  3. MacArthur Foundation Research Network on Successful Midlife Development (MIDUSI)
  4. National Institute on Aging (MIDUS II) [P01-AG020166]
  5. General Clinical Research Centers Program [M01-RR023942, M01-RR00865]
  6. National Center for Advancing Translational Sciences [UL1TR000427]
  7. Vilas Estate Trust
  8. National Science Foundation
  9. Spencer Foundation
  10. Graduate School of the University of Wisconsin-Madison
  11. Office for National Statistics
  12. Irish Government
  13. Atlantic Philanthropies
  14. Irish Life PLC
  15. Brazilian Ministry of Health (DECIT/SCTIE -Department of Science and Technology from the Secretariat of Science, Technology and Strategic Inputs) [404965/2012-1]
  16. COSAPI/DAPES/SAS -Healthcare Coordination of Older Adults, Department of Strategic and Programmatic Actions from the Secretariat of Health Care) [20836, 22566, 23700]
  17. Brazilian Ministry of Science, Technology, Innovation and Communication
  18. European Commission [QLK6CT-2001-00360, SHARE-I3: RII-CT-2006062193, COMPARE: CIT5-CT-2005-028857, SHARELIFE: CIT4-CT-2006-028812, 211909, 227822, 261982, 676536, 654221]
  19. DG Employment, Social Affairs Inclusion
  20. German Ministry of Education and Research
  21. Max Planck Society for the Advancement of Science

Ask authors/readers for more resources

The study found a strong association between having a sense of purpose and meaning in life with better verbal fluency and episodic memory performance, with consistent results across different demographic groups and cultural contexts. Purpose and meaning may be effective targets for interventions aimed at promoting healthier cognitive aging.
Objectives: Feelings of purpose and meaning in life are protective against consequential cognitive outcomes, including reduced risk of Alzheimer's disease and dementia. Purpose and meaning are likely to also be associated with cognitive functions on the pathway to dementia. The objective of the current research was to test whether both purpose in life and meaning in life are associated with higher verbal fluency and better episodic memory and whether these associations varied by sociodemographic characteristics or economic characteristics of the country. Design: Prospective meta-analysis of cross-sectional associations based on individual participant data. Setting: Established cohort studies with measures of either purpose in life or meaning in life and verbal fluency and episodic memory. Participants: Across the cohorts, there were over 140,000 participants from 32 countries from North and South America, Europe, and the Middle East. Results: The meta-analysis indicated that purpose and meaning were associated with better performance on both the verbal fluency (meta-analytic partial r = .098, 95% confidence interval [CI] = .080, .116, p < .001) and episodic memory (r = .117, 95% CI = .100, .135, p < .001) task and that these associations were similar across measures of purpose in life and meaning in life. There was modest evidence that these associations were slightly stronger in relatively lower-income countries, and there was less consistent evidence that they varied by age, gender, or education. Discussion: These findings indicate a robust association between purpose/meaning and both verbal fluency and episodic memory across demographic groups and cultural context. Purpose/meaning may be a useful target of intervention for healthier cognitive aging.

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