<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xml:lang="EN" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Psychol.</journal-id>
<journal-title>Frontiers in Psychology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Psychol.</abbrev-journal-title>
<issn pub-type="epub">1664-1078</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fpsyg.2021.777751</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Psychology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>What Matters Most in Life? A German Cohort Study on the Sources of Meaning and Their Neurobiological Foundations in Four Age Groups</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Karwetzky</surname> <given-names>Christopher</given-names></name>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1061685/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Werdecker</surname> <given-names>Lena</given-names></name>
<uri xlink:href="http://loop.frontiersin.org/people/1510266/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Esch</surname> <given-names>Tobias</given-names></name>
<xref ref-type="corresp" rid="c002"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/136820/overview"/>
</contrib>
</contrib-group>
<aff><institution>Faculty of Health, Institute for Integrative Health Care and Health Promotion, Witten/Herdecke University</institution>, <addr-line>Witten</addr-line>, <country>Germany</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Pninit Russo-Netzer, Achva Academic College, Israel</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Rosa Scardigno, University of Bari Aldo Moro, Italy; Xiying Li, Shaanxi Normal University, China</p></fn>
<corresp id="c001">&#x002A;Correspondence: Christopher Karwetzky, <email>christopher.karwetzky@uni-wh.de</email></corresp>
<corresp id="c002">Tobias Esch, <email>tobias.esch@uni-wh.de</email></corresp>
<fn fn-type="other" id="fn004"><p>This article was submitted to Positive Psychology, a section of the journal Frontiers in Psychology</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>30</day>
<month>11</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>12</volume>
<elocation-id>777751</elocation-id>
<history>
<date date-type="received">
<day>15</day>
<month>09</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>10</day>
<month>11</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2021 Karwetzky, Werdecker and Esch.</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Karwetzky, Werdecker and Esch</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>Existing work in the field of positive psychology suggests that people can draw meaning from a variety of sources. The present study aimed to identify the most important sources of meaning and to explore the role of age and neural adaptation processes in this context. As part of a large German cohort study, 1,587 individuals between 12 and 94 years were asked to provide a maximum of five responses to the question &#x201C;What matters most to you in life?&#x201D; We divided the study population into four age groups and analyzed the obtained answers qualitatively and quantitatively using (1) word clouds and (2) frequency comparisons based on a summarizing content analysis. A chi-squared test was used to test the observed differences between age groups. Identified sources of meaning could be clustered into 16 main and 76 subcategories, with <italic>relationships</italic> (by 90% of respondents) and <italic>health and well-being</italic> (by 65% of respondents) being the most frequently named main categories, followed by a <italic>good living environment</italic> (by 28%), <italic>(leisure) time</italic> (by 26%), and <italic>work</italic> (by 24%). The study revealed some remarkable age-related patterns. While the importance of <italic>partnership</italic> increased with age, <italic>social networks</italic> were less important to older individuals. We also found that, for example, the importance of <italic>self-realization</italic>, <italic>success and career</italic> decreased with age, while the opposite was true for <italic>life satisfaction</italic> and <italic>peace and harmony</italic>. <italic>Security</italic> was most important to individuals in the two middle age groups between 30 and 69 years. The study advances our understanding of meaning across various ages by showing that individuals of different ages perceive different things as meaningful to them. Interpreting our results in the light of a neurobiological model of motivation systems, we argue that neural adaptation processes may play an important role in the (changing) perceptions of meaning throughout life.</p>
</abstract>
<kwd-group>
<kwd>sources of meaning</kwd>
<kwd>meaningfulness</kwd>
<kwd>neurobiology</kwd>
<kwd>motivation</kwd>
<kwd>aging</kwd>
</kwd-group>
<counts>
<fig-count count="2"/>
<table-count count="3"/>
<equation-count count="0"/>
<ref-count count="44"/>
<page-count count="9"/>
<word-count count="6584"/>
</counts>
</article-meta>
</front>
<body>
<sec id="S1" sec-type="intro">
<title>Introduction</title>
<p>Earliest records teach us that the pursuit of a good and meaningful life has always been an important aspiration of mankind. But what aspects enrich our lives and fill them with meaning? What matters most? The research on meaning in life addresses these questions, defining meaning as a construct of human experience that provides life with direction through coherence, purpose, and significance (<xref ref-type="bibr" rid="B25">Martela and Steger, 2016</xref>). It is influenced by multiple factors including, but not limited to, achievements, relationships, work, religion, spirituality, self-transcendence, generativity, personal growth, leisure activities, traditions, and values (<xref ref-type="bibr" rid="B34">Reker and Woo, 2011</xref>; <xref ref-type="bibr" rid="B35">Schnell, 2020</xref>). Findings from different countries indicate that perceptions regarding meaning in life have a cultural component. For example, in Denmark, generativity was ranked as a primary source of meaning (<xref ref-type="bibr" rid="B31">Pedersen et al., 2018</xref>), whereas in a Brazilian study the most important source of meaning was attributed to religion (<xref ref-type="bibr" rid="B12">Dam&#x00E1;sio et al., 2013</xref>). By contrast, human relationships (family/interpersonal relations) were at the foreground of meaning in studies from New Zealand (<xref ref-type="bibr" rid="B20">Groudan and Jose, 2014</xref>), the United States (<xref ref-type="bibr" rid="B13">De Vogler and Ebersole, 1981</xref>; <xref ref-type="bibr" rid="B4">Baum and Stewart, 1990</xref>), and the Netherlands (<xref ref-type="bibr" rid="B14">Debats, 1999</xref>). Furthermore, the perception of meaning in life also correlates with important psychological factors such as health, anxiety/hypochondria (<xref ref-type="bibr" rid="B44">Yek et al., 2017</xref>), cognition (<xref ref-type="bibr" rid="B1">Aftab et al., 2019</xref>), and depression (<xref ref-type="bibr" rid="B41">van der Heyden et al., 2015</xref>; <xref ref-type="bibr" rid="B43">Volkert et al., 2019</xref>).</p>
<p>Findings on the relationship between meaning and age are not conclusive. While some authors report higher levels of meaning in older people (<xref ref-type="bibr" rid="B36">Schnell and Becker, 2007</xref>; <xref ref-type="bibr" rid="B38">Steger et al., 2009</xref>), others found an inverted U-shape with a peak around age 60 (<xref ref-type="bibr" rid="B1">Aftab et al., 2019</xref>). Interestingly, empirical research also points to age-related differences regarding the sources of meaning. While younger adults tend to draw meaning from the achievement of personal goals, self-realization, or the fulfillment of basic needs, older individuals draw meaning from spirituality, engagement in society, traditions, and self-transcendence (<xref ref-type="bibr" rid="B32">Reker et al., 1987</xref>; <xref ref-type="bibr" rid="B33">Reker and Wong, 1988</xref>; <xref ref-type="bibr" rid="B22">Hupkens et al., 2018</xref>). It is unclear whether the observed changes form part of a gradual, ongoing process, or occur in response to particular life experiences (or in certain time intervals) as suggested by <xref ref-type="bibr" rid="B2">Alter and Hershfield (2014)</xref>. One potential explanation for the changed perception regarding the source of meaning is due to adjustments in life goals throughout the life span (<xref ref-type="bibr" rid="B42">van Rast and Marcoen, 2000</xref>). The adjustment of life goals entails a different perception of&#x2014;and ability to distinguish&#x2014;between realistic and unrealistic goals, depending on learning processes and the expectation of the number of years of life remaining (<xref ref-type="bibr" rid="B3">Argyle, 1999</xref>; <xref ref-type="bibr" rid="B9">Carstensen et al., 1999</xref>; <xref ref-type="bibr" rid="B8">Brandtst&#x00E4;dter, 2015</xref>).</p>
<p>Although empirical research has significantly improved our understanding of meaning in life, there is still no definitive picture of its sources, possible changes in perception regarding these sources across different age groups, and the underlying physiological processes related to this. This article seeks to better understand the sources of meaning and therefore provide valuable insights for society but also for each individual.</p>
<sec id="S1.SS1">
<title>Research Objectives</title>
<p>By evaluating data from a large German cohort study, we attempted to identify and quantify the sources of meaning in four age groups. We hypothesized that specific factors determine the perception of meaning in life and that these determinants vary across age groups. The results are discussed in the light of a <italic>neurobiological model of motivation systems</italic>, a model that relates perceptions of a &#x201C;good life&#x201D; to lifelong neurophysiological growth and maturation processes. This article is part of a larger study on the determinants of happiness, life satisfaction, and meaning.</p>
</sec>
</sec>
<sec id="S2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="S2.SS1">
<title>Participants</title>
<p>Our analyses are based on a survey conducted in Germany between September 2017 and January 2018. In total, 1,587 people aged between 12 and 94 participated in the study.</p>
<p>The distribution of our sample, comprising both males and females, across four age groups is shown in <xref ref-type="table" rid="T1">Table 1</xref>.</p>
<table-wrap position="float" id="T1">
<label>TABLE 1</label>
<caption><p>Study population and distribution across different age groups.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td/>
<td valign="top" align="center">Total</td>
<td valign="top" align="center">Age group 1 (&#x2264;29 years)</td>
<td valign="top" align="center">Age group 2 (30 to 49 years)</td>
<td valign="top" align="center">Age group 3 (50 to 69 years)</td>
<td valign="top" align="center">Age group 4 (&#x2265;70 years)</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Study participants</td>
<td valign="top" align="center">1,587 (100%)</td>
<td valign="top" align="center">367 (23%)</td>
<td valign="top" align="center">552 (35%)</td>
<td valign="top" align="center">506 (32%)</td>
<td valign="top" align="center">162 (10%)</td>
</tr>
<tr>
<td valign="top" align="left">Male</td>
<td valign="top" align="center">587 (37%)</td>
<td valign="top" align="center">130 (36%)</td>
<td valign="top" align="center">173 (31%)</td>
<td valign="top" align="center">181 (36%)</td>
<td valign="top" align="center">103 (64%)</td>
</tr>
<tr>
<td valign="top" align="left">Female</td>
<td valign="top" align="center">1,000 (63%)</td>
<td valign="top" align="center">237 (64%)</td>
<td valign="top" align="center">379 (69%)</td>
<td valign="top" align="center">325 (64%)</td>
<td valign="top" align="center">59 (36%)</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>For cross-generational comparisons, we defined four age groups:</p>
<list list-type="simple">
<list-item><p>Age group 1: up to 29 years</p>
</list-item>
<list-item><p>Age group 2: 30 to 49 years</p>
</list-item>
<list-item><p>Age group 3: 50 to 69 years</p>
</list-item>
<list-item><p>Age group 4: 70 years or older</p>
</list-item>
</list>
<p>The age groups should reflect typical phases of life, such as youth and education (Age group 1), starting work, building a career and establishing a family (Age group 2), middle adulthood (Age group 3), and retirement (Age group 4).</p>
<p>The sample largely represents Germany&#x2019;s actual demographic distribution. Participants in Age group 2 were slightly overrepresented (35 vs. 28%), while those in Age group 4 were slightly underrepresented (10 vs. 17%; <xref ref-type="bibr" rid="B17">Federal Statistical Office, 2021</xref>). Overall, more females (1,000) than males (587) participated in the study, with some differences between age groups.</p>
</sec>
<sec id="S2.SS2">
<title>Survey Instrument</title>
<p>Data was collected using both online and paper questionnaires. The questionnaire began with the question &#x201C;What matters most to you in life?&#x201D;. Participants could give a maximum of five answers. No prioritization was asked for, and no word limit was set for the responses.</p>
<p>Furthermore, we queried various socio-demographic variables, such as age, subjective health status, financial worries, occupational status, or city size although not all collected variables were relevant for this part of the study. To ensure the questionnaire&#x2019;s comprehensibility, we pre-tested it with 15 individuals in August 2017.</p>
</sec>
<sec id="S2.SS3">
<title>Sampling and Recruitment</title>
<p>The relevant population comprised all persons aged 10 years and older living in Germany. Individuals with cognitive impairments (e.g., dementia) were excluded from participation. We shared information about the possibility to participate in the survey <italic>via</italic> radio (Deutschlandfunk), television (WDR), social media (Facebook), and the Witten/Herdecke University&#x2019;s webpage. In addition to an online survey (1,027 participants), 560 people were recruited in various public settings (e.g., caf&#x00E9;s, trains), four general practitioners&#x2019; and ophthalmologists&#x2019; practices, and two schools. All study participants received extensive information material on the study objectives and the processing of the data collected.</p>
<p>The study obtained ethics approval from the Witten/Herdecke University&#x2019;s Ethics Committee (ethics vote no. 138/2017).</p>
</sec>
<sec id="S2.SS4">
<title>Analysis</title>
<p>A two-stage procedure was selected to answer the research questions. First, we generated word clouds to graphically analyze the unprocessed material. Articles, pronouns, and adverbs were excluded from the word clouds to focus on content-bearing words.</p>
<p>Subsequently, we conducted a summarizing content analysis according to <xref ref-type="bibr" rid="B26">Mayring (2000)</xref> to investigate the answers in a structured way. All analyses were carried out in MAXQDA 2020 (<xref ref-type="bibr" rid="B23">Kuckartz and R&#x00E4;diker, 2019</xref>). Methodologically, the content analysis followed comprehensive rules, which we defined in advance using a 7-step process model (see <xref ref-type="fig" rid="F1">Figure 1</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p>Schematic overview of the qualitative content analysis approach.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fpsyg-12-777751-g001.tif"/>
</fig>
<p>Frequencies were first calculated for the main and then for the subcategories. To analyze the share of participants that mentioned a particular category, we divided the number of codings per category by the number of participants. In cases where participants gave several answers that could be assigned to the same main or subcategory, we counted only one coding per category. We used the chi-squared test to analyze differences between age groups and considered <italic>P</italic> &#x2264; 0.05 statistically significant.</p>
<p>In total, we received 6,609 responses from 1,587 respondents, which corresponds to an average of 4.2 responses per participant. However, some differences were observed in the distribution of responses by age groups. In Age groups 1&#x2013;3, the average number of responses ranged from 4.1 to 4.4, while in Age group 4 it was only 3.3.</p>
<p>All analyses were conducted in German. We then translated the results into English.</p>
</sec>
</sec>
<sec id="S3" sec-type="results">
<title>Results</title>
<sec id="S3.SS1">
<title>Word Clouds</title>
<p>For all participants across the various age groups, <italic>health</italic>, <italic>family</italic>, and&#x2014;by some distance&#x2014;<italic>friends</italic> were mentioned most frequently as being most important to them in life. The next most frequently mentioned group of terms comprised <italic>work</italic>, <italic>love</italic>, <italic>time</italic>, and <italic>children</italic>. As shown in <xref ref-type="fig" rid="F2">Figure 2</xref>, <italic>money</italic> did not feature as often as could be expected among the 50 most frequently used words to describe factors that contribute meaning to life.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption><p>Word cloud representing the distribution of responses from the overall study population.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fpsyg-12-777751-g002.tif"/>
</fig>
<p>A comparison of the responses from the youngest and the oldest age group is shown in <xref ref-type="supplementary-material" rid="DS1">Supplementary Figure 1</xref>. We observed that <italic>health</italic> and <italic>family</italic> were mentioned very often in both age groups. Interestingly, <italic>friends</italic>, <italic>work</italic>, and <italic>time</italic> were mentioned more often by younger individuals, whereas, for example, <italic>partnership</italic> and <italic>peace</italic> were mentioned more often by older respondents.</p>
</sec>
<sec id="S3.SS2">
<title>Summarizing Content Analysis</title>
<p>The summarizing content analysis resulted in 16 main and 76 subcategories. We present the overall categorization including exemplary responses in <xref ref-type="supplementary-material" rid="DS1">Supplementary Table 1</xref>.</p>
<p>The frequencies at the <bold>main category level</bold> for the overall study population and four age groups are shown in <xref ref-type="table" rid="T2">Table 2</xref>. We sorted the categories in descending order according to the frequency with which topics that could be allocated to them were mentioned in the overall study population (column &#x201C;Total&#x201D;).</p>
<table-wrap position="float" id="T2">
<label>TABLE 2</label>
<caption><p>Distribution of responses across the main categories for the overall study population and according to different age groups.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td/>
<td valign="top" align="left">Main categories</td>
<td valign="top" align="center">Total<xref ref-type="table-fn" rid="t2fn1"><sup>1</sup></xref></td>
<td valign="top" align="center">Age group 1</td>
<td valign="top" align="center">Age group 2</td>
<td valign="top" align="center">Age group 3</td>
<td valign="top" align="center">Age group 4</td>
<td valign="top" align="center">&#x03C7;<sup>2</sup></td>
<td valign="top" align="center">(df)</td>
<td valign="top" align="center"><italic>P</italic></td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t2fns1">&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">Relationships</td>
<td valign="top" align="center">90%</td>
<td valign="top" align="center">93%</td>
<td valign="top" align="center">91%</td>
<td valign="top" align="center">87%</td>
<td valign="top" align="center">85%</td>
<td valign="top" align="center">13.82</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">0.003</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t2fns1">&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">Health and well-being</td>
<td valign="top" align="center">65%</td>
<td valign="top" align="center">50%<xref ref-type="table-fn" rid="t2fnb"><sup>b</sup></xref></td>
<td valign="top" align="left">65%</td>
<td valign="top" align="center">71%</td>
<td valign="top" align="center">76%</td>
<td valign="top" align="center">52.84</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t2fns1">&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">Good living environment</td>
<td valign="top" align="center">28%</td>
<td valign="top" align="center">17%<xref ref-type="table-fn" rid="t2fnb"><sup>b</sup></xref></td>
<td valign="top" align="left">24%</td>
<td valign="top" align="center">38%<xref ref-type="table-fn" rid="t2fna"><sup>a</sup></xref></td>
<td valign="top" align="left">36%</td>
<td valign="top" align="center">55.83</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t2fns1">&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">(Leisure) time</td>
<td valign="top" align="center">26%</td>
<td valign="top" align="center">28%</td>
<td valign="top" align="center">31%<xref ref-type="table-fn" rid="t2fna"><sup>a</sup></xref></td>
<td valign="top" align="left">24%</td>
<td valign="top" align="center">10%<xref ref-type="table-fn" rid="t2fnb"><sup>b</sup></xref></td>
<td valign="top" align="left">21.19</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t2fns1">&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">Work</td>
<td valign="top" align="center">24%</td>
<td valign="top" align="center">31%<xref ref-type="table-fn" rid="t2fna"><sup>a</sup></xref></td>
<td valign="top" align="left">27%</td>
<td valign="top" align="center">22%</td>
<td valign="top" align="center">4%<xref ref-type="table-fn" rid="t2fnb"><sup>b</sup></xref></td>
<td valign="top" align="left">51.29</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t2fns1">&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">Security</td>
<td valign="top" align="center">18%</td>
<td valign="top" align="center">10%<xref ref-type="table-fn" rid="t2fnb"><sup>b</sup></xref></td>
<td valign="top" align="left">20%</td>
<td valign="top" align="center">24%<xref ref-type="table-fn" rid="t2fna"><sup>a</sup></xref></td>
<td valign="top" align="left">10%<xref ref-type="table-fn" rid="t2fnb"><sup>b</sup></xref></td>
<td valign="top" align="left">40.43</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t2fns1">&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">Personal growth</td>
<td valign="top" align="center">14%</td>
<td valign="top" align="center">18%<xref ref-type="table-fn" rid="t2fna"><sup>a</sup></xref></td>
<td valign="top" align="left">16%</td>
<td valign="top" align="center">9%<xref ref-type="table-fn" rid="t2fnb"><sup>b</sup></xref></td>
<td valign="top" align="left">7%<xref ref-type="table-fn" rid="t2fnb"><sup>b</sup></xref></td>
<td valign="top" align="left">24.39</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t2fns1">&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">Sense and meaningfulness</td>
<td valign="top" align="center">12%</td>
<td valign="top" align="center">8%<xref ref-type="table-fn" rid="t2fnb"><sup>b</sup></xref></td>
<td valign="top" align="left">15%</td>
<td valign="top" align="center">14%</td>
<td valign="top" align="center">8%</td>
<td valign="top" align="center">12.42</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t2fns1">&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">Happiness</td>
<td valign="top" align="center">11%</td>
<td valign="top" align="center">16%<xref ref-type="table-fn" rid="t2fna"><sup>a</sup></xref></td>
<td valign="top" align="left">11%</td>
<td valign="top" align="center">9%</td>
<td valign="top" align="center">4%<xref ref-type="table-fn" rid="t2fnb"><sup>b</sup></xref></td>
<td valign="top" align="left">20.59</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Values</td>
<td valign="top" align="center">10%</td>
<td valign="top" align="center">10%</td>
<td valign="top" align="center">11%</td>
<td valign="top" align="center">11%</td>
<td valign="top" align="center">10%</td>
<td valign="top" align="center">0.09</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">0.993</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t2fns1">&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">Freedom</td>
<td valign="top" align="center">10%</td>
<td valign="top" align="center">7%<xref ref-type="table-fn" rid="t2fnb"><sup>b</sup></xref></td>
<td valign="top" align="left">15%<xref ref-type="table-fn" rid="t2fna"><sup>a</sup></xref></td>
<td valign="top" align="left">9%</td>
<td valign="top" align="center">6%</td>
<td valign="top" align="center">23.58</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Life satisfaction</td>
<td valign="top" align="center">9%</td>
<td valign="top" align="center">10%</td>
<td valign="top" align="center">8%</td>
<td valign="top" align="center">9%</td>
<td valign="top" align="center">12%</td>
<td valign="top" align="center">1.79</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">0.616</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t2fns1">&#x002A;</xref></td>
<td valign="top" align="left">Material possessions</td>
<td valign="top" align="center">9%</td>
<td valign="top" align="center">11%</td>
<td valign="top" align="center">8%</td>
<td valign="top" align="center">9%</td>
<td valign="top" align="center">3%<xref ref-type="table-fn" rid="t2fnb"><sup>b</sup></xref></td>
<td valign="top" align="left">9.58</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">0.023</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Social rank</td>
<td valign="top" align="center">4%</td>
<td valign="top" align="center">4%</td>
<td valign="top" align="center">4%</td>
<td valign="top" align="center">5%</td>
<td valign="top" align="center">2%</td>
<td valign="top" align="center">2.66</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">0.448</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Other</td>
<td valign="top" align="center">4%</td>
<td valign="top" align="center">5%</td>
<td valign="top" align="center">4%</td>
<td valign="top" align="center">3%</td>
<td valign="top" align="center">2%</td>
<td valign="top" align="center">5.07</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">0.167</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Long life</td>
<td valign="top" align="center">0%</td>
<td valign="top" align="center">0%</td>
<td valign="top" align="center">0%</td>
<td valign="top" align="center">1%</td>
<td valign="top" align="center">1%</td>
<td valign="top" align="center">4.49</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">0.213</td>
</tr>
<tr>
<td valign="top" colspan="11"><hr/></td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Codings per participant</td>
<td valign="top" align="center">4.2</td>
<td valign="top" align="center">4.1</td>
<td valign="top" align="center">4.4</td>
<td valign="top" align="center">4.2</td>
<td valign="top" align="center">3.3</td>
<td/>
<td/>
<td/>
</tr>
<tr>
<td/>
<td valign="top" align="left">N</td>
<td valign="top" align="center">1,587</td>
<td valign="top" align="center">367</td>
<td valign="top" align="center">552</td>
<td valign="top" align="center">506</td>
<td valign="top" align="center">162</td>
<td/>
<td/>
<td/>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="t2fn1"><p><italic><sup>1</sup>Table is sorted in descending order in column &#x201C;Total&#x201D;.</italic></p></fn>
<fn id="t2fna"><p><italic><sup>a</sup>Standardized residuals &#x2265; 2.</italic></p></fn>
<fn id="t2fnb"><p><italic><sup>b</sup>Standardized residuals &#x2264; &#x2212;2. Significance levels (Pearson&#x2019;s chi-squared test):</italic></p></fn>
<fn id="t2fns1"><p><italic>&#x002A;P &#x003C; 0.05; &#x002A;&#x002A;P &#x003C; 0.01; and &#x002A;&#x002A;&#x002A;P &#x003C; 0.001.</italic></p></fn>
</table-wrap-foot>
</table-wrap>
<p>In terms of all respondents, 90% considered <italic>relationship</italic>-associated aspects to be very important. <italic>Health and well-being</italic> were placed second with 65%, and approximately a quarter of respondents mentioned aspects related to a <italic>good living environment</italic> (28%), <italic>(leisure) time</italic> (26%), and <italic>work</italic> (24%).</p>
<p>When comparing the responses obtained from different age groups, we observed some significant differences. Although <italic>relationships</italic> remained at the top of the list in all age groups, their frequency decreased from 93% in Age group 1 to 85% in Age group 4, whereas <italic>health and well-being</italic> and a <italic>good living environment</italic> were mentioned more frequently by older than by younger participants.</p>
<p>Additionally, the analysis also showed some interesting age-specific differences regarding less frequently mentioned aspects. For example, <italic>Personal growth</italic> was particularly important for younger people (Age group 1), while <italic>security</italic> and <italic>sense and meaningfulness</italic> were mentioned most often by Age groups 2 and 3.</p>
<p>Some other notable variations were observed for the main categories <italic>happiness</italic>, <italic>life satisfaction</italic>, and <italic>freedom</italic>. While 16% of the participants in Age group 1 mentioned aspects related to momentary <italic>happiness</italic>, this proportion fell to only 4% in Age group 4. Although <italic>freedom</italic> was regarded as being very important by 15% of respondents in Age group 2, this perception was shared less frequently by those in Age group 3 (9%), and Age group 4 (6%). <italic>Material possessions</italic> were mentioned significantly less often in Age group 4 (3%) than among younger participants.</p>
<p>The <bold>frequencies at the subcategory</bold> level are shown in <xref ref-type="table" rid="T3">Table 3</xref>. The categories were again sorted in descending order according to their frequency in the responses of the overall study population (column &#x201C;Total&#x201D;). To facilitate readability, the table only includes subcategories that contain codes from at least 5% of the study participants in at least one age group, while the frequency of the remaining subcategories is presented in aggregated form (&#x201C;Total other subcategories&#x201D;). Only 12% of the survey respondents mentioned any of these remaining subcategories, indicating that most codings are covered by the displayed categories.</p>
<table-wrap position="float" id="T3">
<label>TABLE 3</label>
<caption><p>Distribution of responses across the subcategories for the overall study population and according to different age groups.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td/>
<td valign="top" align="left">Subcategories</td>
<td valign="top" align="left">Main categories</td>
<td valign="top" align="center">Total<xref ref-type="table-fn" rid="t3fn1"><sup>1</sup></xref></td>
<td valign="top" align="center">Age group 1</td>
<td valign="top" align="center">Age group 2</td>
<td valign="top" align="center">Age group 3</td>
<td valign="top" align="center">Age group 4</td>
<td valign="top" align="center">&#x03C7;<sup>2</sup></td>
<td valign="top" align="center">(df)</td>
<td valign="top" align="center"><italic>P</italic></td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t3fns1">&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">Family</td>
<td valign="top" align="left">Relationships</td>
<td valign="top" align="center">68%</td>
<td valign="top" align="center">72%</td>
<td valign="top" align="center">70%</td>
<td valign="top" align="center">66%</td>
<td valign="top" align="center">57%</td>
<td valign="top" align="center">13.12</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">0.004</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t3fns1">&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">Health for me</td>
<td valign="top" align="left">Health and well-being</td>
<td valign="top" align="center">61%</td>
<td valign="top" align="center">49%<xref ref-type="table-fn" rid="t3fnb"><sup>b</sup></xref></td>
<td valign="top" align="center">60%</td>
<td valign="top" align="center">67%</td>
<td valign="top" align="center">72%</td>
<td valign="top" align="center">38.03</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t3fns1">&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">Social network</td>
<td valign="top" align="left">Relationships</td>
<td valign="top" align="center">44%</td>
<td valign="top" align="center">60%<xref ref-type="table-fn" rid="t3fna"><sup>a</sup></xref></td>
<td valign="top" align="center">42%</td>
<td valign="top" align="center">39%</td>
<td valign="top" align="center">27%<xref ref-type="table-fn" rid="t3fnb"><sup>b</sup></xref></td>
<td valign="top" align="center">61.75</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t3fns1">&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">Partnership</td>
<td valign="top" align="left">Relationships</td>
<td valign="top" align="center">18%</td>
<td valign="top" align="center">14%</td>
<td valign="top" align="center">19%</td>
<td valign="top" align="center">17%</td>
<td valign="top" align="center">26%<xref ref-type="table-fn" rid="t3fna"><sup>a</sup></xref></td>
<td valign="top" align="center">11.83</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">0.008</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t3fns1">&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">Financial security</td>
<td valign="top" align="left">Security</td>
<td valign="top" align="center">16%</td>
<td valign="top" align="center">7%<xref ref-type="table-fn" rid="t3fnb"><sup>b</sup></xref></td>
<td valign="top" align="center">18%</td>
<td valign="top" align="center">22%<xref ref-type="table-fn" rid="t3fna"><sup>a</sup></xref></td>
<td valign="top" align="center">9%<xref ref-type="table-fn" rid="t3fnb"><sup>b</sup></xref></td>
<td valign="top" align="center">42.74</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t3fns1">&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">Love and trust</td>
<td valign="top" align="left">Relationships</td>
<td valign="top" align="center">15%</td>
<td valign="top" align="center">21%<xref ref-type="table-fn" rid="t3fna"><sup>a</sup></xref></td>
<td valign="top" align="center">17%</td>
<td valign="top" align="center">12%</td>
<td valign="top" align="center">8%<xref ref-type="table-fn" rid="t3fnb"><sup>b</sup></xref></td>
<td valign="top" align="center">20.65</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t3fns1">&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">Peace and harmony</td>
<td valign="top" align="left">Good living environment</td>
<td valign="top" align="center">13%</td>
<td valign="top" align="center">6%<xref ref-type="table-fn" rid="t3fnb"><sup>b</sup></xref></td>
<td valign="top" align="center">9%<xref ref-type="table-fn" rid="t3fnb"><sup>b</sup></xref></td>
<td valign="top" align="center">19%<xref ref-type="table-fn" rid="t3fna"><sup>a</sup></xref></td>
<td valign="top" align="center">22%<xref ref-type="table-fn" rid="t3fna"><sup>a</sup></xref></td>
<td valign="top" align="center">54.94</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Activity/entertainment hobbies</td>
<td valign="top" align="left">(Leisure) time</td>
<td valign="top" align="center">12%</td>
<td valign="top" align="center">16%</td>
<td valign="top" align="center">11%</td>
<td valign="top" align="center">13%</td>
<td valign="top" align="center">9%</td>
<td valign="top" align="center">6.56</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">0.087</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t3fns1">&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">To have time and spend it with what/those you love</td>
<td valign="top" align="left">(Leisure) time</td>
<td valign="top" align="center">10%</td>
<td valign="top" align="center">9%</td>
<td valign="top" align="center">15%<xref ref-type="table-fn" rid="t3fna"><sup>a</sup></xref></td>
<td valign="top" align="center">7%</td>
<td valign="top" align="center">1%<xref ref-type="table-fn" rid="t3fnb"><sup>b</sup></xref></td>
<td valign="top" align="center">35.91</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Satisfaction for me</td>
<td valign="top" align="left">Life satisfaction</td>
<td valign="top" align="center">9%</td>
<td valign="top" align="center">9%</td>
<td valign="top" align="center">8%</td>
<td valign="top" align="center">8%</td>
<td valign="top" align="center">11%</td>
<td valign="top" align="center">1.71</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">0.635</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t3fns1">&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">Nature</td>
<td valign="top" align="left">Good living environment</td>
<td valign="top" align="center">8%</td>
<td valign="top" align="center">3%<xref ref-type="table-fn" rid="t3fnb"><sup>b</sup></xref></td>
<td valign="top" align="center">7%</td>
<td valign="top" align="center">13%<xref ref-type="table-fn" rid="t3fna"><sup>a</sup></xref></td>
<td valign="top" align="center">7%</td>
<td valign="top" align="center">32.69</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t3fns1">&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">Happiness for me</td>
<td valign="top" align="left">Happiness</td>
<td valign="top" align="center">8%</td>
<td valign="top" align="center">14%<xref ref-type="table-fn" rid="t3fna"><sup>a</sup></xref></td>
<td valign="top" align="center">8%</td>
<td valign="top" align="center">5%<xref ref-type="table-fn" rid="t3fnb"><sup>b</sup></xref></td>
<td valign="top" align="center">2%<xref ref-type="table-fn" rid="t3fnb"><sup>b</sup></xref></td>
<td valign="top" align="center">31.44</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t3fns1">&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">Self-realization</td>
<td valign="top" align="left">Personal growth</td>
<td valign="top" align="center">6%</td>
<td valign="top" align="center">8%</td>
<td valign="top" align="center">8%</td>
<td valign="top" align="center">4%<xref ref-type="table-fn" rid="t3fnb"><sup>b</sup></xref></td>
<td valign="top" align="center">2%<xref ref-type="table-fn" rid="t3fnb"><sup>b</sup></xref></td>
<td valign="top" align="center">17.21</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t3fns1">&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">Health for us or others</td>
<td valign="top" align="left">Health and well-being</td>
<td valign="top" align="center">6%</td>
<td valign="top" align="center">2%<xref ref-type="table-fn" rid="t3fnb"><sup>b</sup></xref></td>
<td valign="top" align="center">7%</td>
<td valign="top" align="center">7%</td>
<td valign="top" align="center">8%</td>
<td valign="top" align="center">13.62</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">0.004</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t3fns1">&#x002A;</xref></td>
<td valign="top" align="left">Money</td>
<td valign="top" align="left">Material possessions</td>
<td valign="top" align="center">5%</td>
<td valign="top" align="center">7%</td>
<td valign="top" align="center">5%</td>
<td valign="top" align="center">5%</td>
<td valign="top" align="center">1%<xref ref-type="table-fn" rid="t3fnb"><sup>b</sup></xref></td>
<td valign="top" align="center">8.20</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">0.042</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Societal security</td>
<td valign="top" align="left">Good living environment</td>
<td valign="top" align="center">5%</td>
<td valign="top" align="center">6%</td>
<td valign="top" align="center">5%</td>
<td valign="top" align="center">4%</td>
<td valign="top" align="center">2%</td>
<td valign="top" align="center">2.86</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">0.414</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t3fns1">&#x002A;&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">Success and career</td>
<td valign="top" align="left">Work</td>
<td valign="top" align="center">4%</td>
<td valign="top" align="center">11%<xref ref-type="table-fn" rid="t3fna"><sup>a</sup></xref></td>
<td valign="top" align="center">3%</td>
<td valign="top" align="center">2%<xref ref-type="table-fn" rid="t3fnb"><sup>b</sup></xref></td>
<td valign="top" align="center">0%<xref ref-type="table-fn" rid="t3fnb"><sup>b</sup></xref></td>
<td valign="top" align="center">52.56</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t3fns1">&#x002A;</xref></td>
<td valign="top" align="left">AE: Fulfilment</td>
<td valign="top" align="left">Sense and meaningfulness</td>
<td valign="top" align="center">4%</td>
<td valign="top" align="center">4%</td>
<td valign="top" align="center">6%<xref ref-type="table-fn" rid="t3fna"><sup>a</sup></xref></td>
<td valign="top" align="center">3%</td>
<td valign="top" align="center">2%</td>
<td valign="top" align="center">9.47</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">0.024</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t3fns1">&#x002A;</xref></td>
<td valign="top" align="left">Holidays/travel</td>
<td valign="top" align="left">(Leisure) time</td>
<td valign="top" align="center">4%</td>
<td valign="top" align="center">4%</td>
<td valign="top" align="center">6%</td>
<td valign="top" align="center">4%</td>
<td valign="top" align="center">1%<xref ref-type="table-fn" rid="t3fnb"><sup>b</sup></xref></td>
<td valign="top" align="center">9.02</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">0.029</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Self-determination</td>
<td valign="top" align="left">Freedom</td>
<td valign="top" align="center">4%</td>
<td valign="top" align="center">2%</td>
<td valign="top" align="center">5%</td>
<td valign="top" align="center">5%</td>
<td valign="top" align="center">4%</td>
<td valign="top" align="center">5.56</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">0.135</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Recognition</td>
<td valign="top" align="left">Social rank</td>
<td valign="top" align="center">4%</td>
<td valign="top" align="center">4%</td>
<td valign="top" align="center">4%</td>
<td valign="top" align="center">5%</td>
<td valign="top" align="center">2%</td>
<td valign="top" align="center">2.75</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">0.431</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">New experiences and challenges</td>
<td valign="top" align="left">Personal growth</td>
<td valign="top" align="center">4%</td>
<td valign="top" align="center">5%</td>
<td valign="top" align="center">5%</td>
<td valign="top" align="center">2%</td>
<td valign="top" align="center">3%</td>
<td valign="top" align="center">6.39</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">0.094</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Joy and satisfaction at work</td>
<td valign="top" align="left">Work</td>
<td valign="top" align="center">4%</td>
<td valign="top" align="center">4%</td>
<td valign="top" align="center">5%</td>
<td valign="top" align="center">3%</td>
<td valign="top" align="center">1%<xref ref-type="table-fn" rid="t3fnb"><sup>b</sup></xref></td>
<td valign="top" align="center">7.19</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">0.066</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">A society worth living in</td>
<td valign="top" align="left">Good living environment</td>
<td valign="top" align="center">4%</td>
<td valign="top" align="center">2%</td>
<td valign="top" align="center">3%</td>
<td valign="top" align="center">5%</td>
<td valign="top" align="center">3%</td>
<td valign="top" align="center">4.26</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">0.235</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="table-fn" rid="t3fns1">&#x002A;&#x002A;</xref></td>
<td valign="top" align="left">Faith and spirituality</td>
<td valign="top" align="left">Sense and meaningfulness</td>
<td valign="top" align="center">3%</td>
<td valign="top" align="center">2%</td>
<td valign="top" align="center">2%</td>
<td valign="top" align="center">6%<xref ref-type="table-fn" rid="t3fna"><sup>a</sup></xref></td>
<td valign="top" align="center">4%</td>
<td valign="top" align="center">12.57</td>
<td valign="top" align="center">(3)</td>
<td valign="top" align="center">0.006</td>
</tr>
<tr>
<td/>
<td valign="top" align="left"><italic>Total other subcategories</italic></td>
<td/>
<td valign="top" align="center"><italic>12%</italic></td>
<td valign="top" align="center"><italic>12%</italic></td>
<td valign="top" align="center"><italic>12%</italic></td>
<td valign="top" align="center"><italic>13%</italic></td>
<td valign="top" align="center"><italic>11%</italic></td>
<td/>
<td/>
<td/>
</tr>
<tr>
<td valign="top" colspan="11"><hr/></td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Codings per participant</td>
<td/>
<td valign="top" align="center">4.2</td>
<td valign="top" align="center">4.1</td>
<td valign="top" align="center">4.4</td>
<td valign="top" align="center">4.2</td>
<td valign="top" align="center">3.3</td>
<td/>
<td/>
<td/>
</tr>
<tr>
<td/>
<td valign="top" align="left">N</td>
<td/>
<td valign="top" align="center">1,587</td>
<td valign="top" align="center">367</td>
<td valign="top" align="center">552</td>
<td valign="top" align="center">506</td>
<td valign="top" align="center">162</td>
<td/>
<td/>
<td/>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="t3fn1"><p><italic><sup>1</sup>Table is sorted in descending order in column &#x201C;Total&#x201D; and contains only subcategories that have a frequency &#x2265; 5% in at least one age group.</italic></p></fn>
<fn id="t3fna"><p><italic><sup>a</sup>Standardized residuals &#x2265; 2.</italic></p></fn>
<fn id="t3fnb"><p><italic><sup>b</sup>Standardized residuals &#x2264; &#x2212;2. Significance levels (Pearson&#x2019;s chi-squared test):</italic></p></fn>
<fn id="t3fns1"><p><italic>&#x002A;P &#x003C; 0.05; &#x002A;&#x002A;P &#x003C; 0.01; and &#x002A;&#x002A;&#x002A;P &#x003C; 0.001.</italic></p></fn>
</table-wrap-foot>
</table-wrap>
<p>Within <italic>relationships</italic>, which was the most important main category, <italic>family</italic> (68%), <italic>social network</italic> (44%), and <italic>partnership</italic> (18%) were the most frequent subcategories. When comparing the responses between age groups with increasing age, the frequency of responses involving <italic>family</italic> and, in particular, <italic>social network</italic> decreased, while a <italic>partnership</italic> was mentioned more often by older than by younger people. In the main category <italic>health and well-being</italic>, which was the second most important category at the upper level, both <italic>health for me</italic> and <italic>health for us or others</italic> appeared to be more important for older than for younger individuals. Although <italic>financial security</italic> was important to 18% of respondents in Age group 2 and 22% in Age group 3, interestingly the values were much lower for Age group 1 (7%) and Age group 4 (9%). Aspects related to <italic>peace and harmony</italic> were mentioned more frequently by older participants, as was shown by the difference between the responses of Age group 1 (6%) and Age group 4 (22%). The opposite was observed in terms of <italic>success and career</italic>, as aspects of this subcategory were mentioned more frequently by respondents in Age group 1 (11%) than by respondents in subsequent age groups (3% or less). Overall, aspects that are more material or performance-oriented such as <italic>money</italic>, <italic>self-realization</italic>, and <italic>new experiences and challenges</italic> were mentioned less often by older participants.</p>
</sec>
</sec>
<sec id="S4" sec-type="discussion">
<title>Discussion</title>
<sec id="S4.SS1">
<title>Interpretation of Key Findings</title>
<p>The study aimed to identify and compare the perceived sources of meaning in a randomly selected sample of persons in Germany, and to determine the differences in these perceptions across four different age groups. By examining the categorization derived from the data, the large number of categories identified (16 main and 76 subcategories) indicates that, for the sample in question, meaning can be drawn from many sources. Despite the relatively large number of categories, the analysis showed that <italic>relationships</italic> (especially <italic>family</italic>) were overwhelmingly ranked as being the most important source of meaning, followed by <italic>health and well-bein</italic>g. Further aspects such as a <italic>good living environment</italic>, which includes the subcategories <italic>peace and harmony</italic>, <italic>societal security</italic>, and <italic>environmental protection</italic>, as well as <italic>(leisure) time</italic> were also indicated as being important sources of meaning, although not nearly as important as <italic>relationships</italic>. Toward the middle of the range of the frequency of responses, aspects related to <italic>work</italic> and <italic>success</italic> were mentioned, alongside <italic>freedom</italic> or <italic>personal growth</italic>. <italic>Material possessions</italic> or <italic>social rank</italic> were of great importance to relatively few people.</p>
<p>When comparing the results between the four predefined age groups, we found some interesting differences, such as the higher level of importance attributed to <italic>partnership</italic>, <italic>peace and harmony</italic>, and a lower level of importance attributed to <italic>social networks, success and career</italic>, and <italic>self-realization</italic> in older people.</p>
<p>The <bold>neurobiological model of motivation systems</bold> (<xref ref-type="bibr" rid="B16">Esch, 2017</xref>; <xref ref-type="bibr" rid="B27">Michaelsen and Esch, 2021</xref>) hypothesizes that many of these changes can, at least partly, be attributed to age effects. According to this model, our perceptions of meaning and well-being are subject to lifelong neurophysiological processes of growth, pushing maturation and translating experiences into neuronal structures (&#x201C;neuronal plasticity&#x201D;). The model distinguishes three motivation systems (A, B, and C), that are ultimately aligned under the primary goal of optimally adapting to our socio-cultural environment throughout our lives.</p>
<p>The Wanting System (also &#x201C;Type A Motivation&#x201D;) characterizes the first phase of life including young adulthood. To adequately capture this phase of life in our analyses, we broadly clustered Age group 1 up to age 29. It is clear that this is a broad clustering of several phases (childhood, adolescence, and early adulthood) into one broad phase. However, it is worth noting that according to the model, these phases share similar neurobiological characteristics, i.e., great potential for freedom and adaptation, and incomplete neural preparation for the concrete challenges of life. Under the strong influence of dopamine, peak moments are perceived as a thrill or &#x201C;happiness.&#x201D; Against the background of Type A Motivation, it seems plausible that <italic>success and career</italic> could be identified as important sources of meaning in life in Age group 1. Similarly, factors such as <italic>social network</italic>, <italic>material possessions</italic>, <italic>happiness for me</italic>, <italic>leisure time</italic>, <italic>self-realization</italic> and <italic>success, and career</italic> were named more often by respondents in this age group than by older respondents.</p>
<p>The Threat-Avoidance System (also &#x201C;Type B Motivation&#x201D;) assumes that our body activates its stress physiology more often as we adapt and mature. This correlates to the observation that in midlife, many people prefer to &#x201C;persist and defend&#x201D; rather than to &#x201C;conquer,&#x201D; because they increasingly crave security and try to avoid stress (see also <xref ref-type="bibr" rid="B37">Stefano et al., 2005</xref>). In the results of our survey, this increased need for safety and protection was apparent from the responses of Age groups 2 and 3, which attributed increasing importance to <italic>financial security</italic> and a decreased importance to categories such as <italic>freedom</italic> or <italic>success and career</italic>.</p>
<p>Finally, the Non-Wanting-System (&#x201C;Type C Motivation&#x201D; or &#x201C;Quiescence&#x201D;) is characterized by altruism and affiliation. If individuals adapt to the circumstances of life and mature, lasting satisfaction, inner serenity, and self-knowledge (&#x201C;wisdom&#x201D;) can increasingly develop with age. Our results showed some patterns that could indicate the development of Type C Motivation in the Age group 4 respondents. Firstly, according to the neurobiological model, experiences (and stress) lead to an adjustment of aspirations and a focus on the essential. This could be the reason why the respondents in Age group 4 on average provided a lower number of sources of meaning (3.3/5 possible responses) as opposed to respondents from other age groups (4+/5 possible responses). Furthermore, the increased importance attributed to inner <italic>peace and harmony</italic> and <italic>partnership</italic> by respondents in Age group 3 and Age group 4, corresponding with the decreased importance attributed to <italic>self-realization</italic> and <italic>money</italic> for Age groups 2&#x2013;4 as a factor of increasing age, suggest an increasing development away from a Type B toward Type C motivation.</p>
<p>An overview of the <italic>neurobiological model of motivation systems</italic>, including involved brain areas, is presented in <xref ref-type="supplementary-material" rid="DS1">Supplementary Figure 2</xref>.</p>
<p>In general, we interpret the high number of responses across all age groups pertaining to <italic>family</italic> to indicate the significance of generativity in people&#x2019;s lives. This finding is consistent with those from the study conducted in Denmark by <xref ref-type="bibr" rid="B31">Pedersen et al. (2018)</xref> and Schnell&#x2019;s research involving people from different countries, age groups, and psychological conditions (<xref ref-type="bibr" rid="B35">Schnell, 2020</xref>). According to the neurobiological model, the transmission of experiences, knowledge, and cultural heritage to subsequent generations (&#x201C;generativity&#x201D;) is of great importance, especially in later years, which could explain the positive correlation that some researchers have found between grandparenting, perceived meaning, and subjective well-being (e.g., <xref ref-type="bibr" rid="B30">Park, 2018</xref>).</p>
<p>While the significance of relationships for meaning was apparent for all age groups, it was interesting to note a difference in emphasis regarding relationship types among the different age groups surveyed. In our results, the importance attributed to <italic>social networks</italic> decreased in Age group 4, while <italic>partnership</italic>-related aspects were regarded as becoming increasingly important with increasing age. It thus appears that the need for social interaction shifts from having a large circle of friends in younger years to the core of <italic>partnership</italic> and <italic>family</italic> as people grow older.</p>
<p>Regarding the importance of <italic>health and well-being</italic>, our analyses showed a gradual increase in the number of responses with increasing age. This was an interesting finding since our quantitative analyses of the same database showed that the correlation between health and life satisfaction was weaker among older than younger individuals,<sup><xref ref-type="fn" rid="footnote1">1</xref></sup>. Other authors have controversially discussed the relationship between health and subjective well-being (e.g., <xref ref-type="bibr" rid="B29">Okun et al., 1984</xref>; <xref ref-type="bibr" rid="B5">Berg et al., 2006</xref>; <xref ref-type="bibr" rid="B19">Gana et al., 2013</xref>; <xref ref-type="bibr" rid="B39">Steptoe et al., 2015</xref>), with several studies pointing toward a &#x201C;health paradox.&#x201D; Although the importance of health for meaning and well-being tends to increase with increasing age, only a few illnesses are statistically associated with lower levels of subjective well-being (<xref ref-type="bibr" rid="B6">Berg et al., 2009</xref>, <xref ref-type="bibr" rid="B7">2011</xref>; <xref ref-type="bibr" rid="B21">Hanson et al., 2019</xref>; <xref ref-type="bibr" rid="B28">N&#x00E4;sman et al., 2020</xref>). According to the neurobiological model, physical health is especially important to experience happiness driven by the Wanting System (Type A Motivation), which is typically seen during adolescence and young adulthood. As we grow older and mature, a certain level of physical discomfort and health problems can be regarded as &#x201C;part of life&#x201D; and thus be perceived as being less of an impairment to subjective well-being.</p>
<p>Finally, <italic>faith and spirituality</italic>, which have been identified as very important sources of meaning in other countries (e.g., Brazil and Italy) and especially among older individuals (e.g., <xref ref-type="bibr" rid="B12">Dam&#x00E1;sio et al., 2013</xref>; <xref ref-type="bibr" rid="B24">Manuti et al., 2016</xref>), did not play a significant role in this study. This difference could potentially be attributed to cultural and/or socio-economic differences. However, according to the sociodemographic data collected, the proportion of religious or faithful individuals increased from age group to age group; reaching 63% in the oldest group. In the youngest age group, it was only 29%.</p>
<p>From a societal perspective, this study has a number of practical implications and stimulates further thought in a variety of ways. The perception of older people as important contributors to our cultural heritage, the widespread goal of eternal health and youth, and the extraordinary importance of community and connection for each individual but also our society as a whole (e.g., <xref ref-type="bibr" rid="B11">Costabile et al., 2021</xref>) are just a few examples.</p>
</sec>
<sec id="S4.SS2">
<title>Strengths, Limitations, and Outlook</title>
<p>The present study is characterized by strengths, but also limitations, that should be considered when interpreting the results.</p>
<p>To assess the quality of our category system, a second rater re-coded the responses of 100 participants. Cohen&#x2019;s Kappa (<xref ref-type="bibr" rid="B10">Cohen, 1960</xref>), which was used as a measure of agreement between the first and the second coding, had a value of 0.97. This value points to a high quality of the category system and the overall coding, as values between 0.61 and 0.80 are usually classified as <italic>substantial</italic>, and values between 0.81 and 1.00 as <italic>almost perfect</italic> (<xref ref-type="bibr" rid="B18">Fleiss, 1981</xref>). Furthermore, the 16th main category <italic>other</italic> accounted for only 0.95% of all codings, indicating that almost all mentions were covered by the 15 content-bearing categories. Finally, the study had a sample size that is substantial compared to most other qualitative studies on the sources of meaning (e.g., <xref ref-type="bibr" rid="B15">Delle Fave et al., 2013</xref>; <italic>N</italic> = 666; <xref ref-type="bibr" rid="B20">Groudan and Jose, 2014</xref>; <italic>N</italic> = 247).</p>
<p>Regarding the limitations, the use of cross-sectional instead of longitudinal data should be highlighted. Instead of following the same people over a longer period, we surveyed individuals of different ages and conducted frequency comparisons across age groups. Although the use of cross-sectional data is common due to time constraints, it is important to understand that age effects are only one possible explanation for the patterns observed. Secondly, the study is limited by some inequalities in the sample, namely the unequal gender distribution and the underrepresented cohort size in the oldest age group. Finally, the study did not investigate the neurophysiological changes which, according to Esch&#x2019;s model, are assumed to underlie the different motivation types. Hence, they cannot be directly used for an explanation of the observed patterns. Future studies should examine, longitudinally if possible, the relationship between specific neural adaptations and changes in sources of meaning.</p>
<p>In order to analyze in more detail the observed differences between countries, e.g., in the importance of religion and faith, it would be interesting to replicate this study in other regions. Finally, we recommend investigating possible changes in the sources of meaning after extraordinary life events and traumatic experiences, as some authors have observed changes in the definition of life goals after such events (e.g., <xref ref-type="bibr" rid="B40">Triplett et al., 2012</xref>).</p>
</sec>
</sec>
<sec id="S5" sec-type="conclusion">
<title>Conclusion</title>
<p>The most important sources of meaning in the context of the German society were identified based on a representative sample of approximately 1,600 people, comprising individuals between the ages of 12 and 94 years. The results were further clustered according to four age groups to identify similarities and differences regarding perceived sources of meaning among individuals of different ages. We found that, across all age groups, aspects associated with <italic>relationships</italic> and <italic>health</italic> are most often considered as being important. For many sources of meaning, we identified age-related differences. While the importance of <italic>partnership</italic> increased significantly with age, the importance of <italic>social networks</italic> was lower in older individuals. Further age-related differences could be observed, for example, in the striving for <italic>material possessions</italic> (almost meaningless in Age group 4), <italic>self-realization</italic> and <italic>success and career</italic> (decrease with increasing age), <italic>security</italic> (most pronounced in midlife), and <italic>peace and harmony</italic> (significantly higher after midlife). Except for <italic>financial security</italic>, monetary aspects were not of great importance to the participants of this study. We interpreted the results in the light of a <italic>neurobiological model of motivation systems</italic>, arguing that the observed patterns are interrelated and represent the consequence of lifelong neurophysiologic adaptation processes.</p>
</sec>
<sec id="S6" sec-type="data-availability">
<title>Data Availability Statement</title>
<p>The datasets presented in this article are not readily available because the Witten/Herdecke University&#x2019;s Ethics Committee did not allow the data to be made publicly available. In the event that data is needed for review, please contact the corresponding author. Requests to access the datasets should be directed to TE, <email>tobias.esch@uni-wh.de</email>.</p>
</sec>
<sec id="S7">
<title>Ethics Statement</title>
<p>The studies involving human participants were reviewed and approved by the Ethik-Kommission der Universit&#x00E4;t Witten-Herdecke e.V. Written informed consent to participate in this study was provided by the participants&#x2019; legal guardian/next of kin.</p>
</sec>
<sec id="S8">
<title>Author Contributions</title>
<p>CK: conceptualization, investigation, formal analysis, and writing. LW: conceptualization, methodology, review, and editing. TE: conceptualization, project administration, supervision, review, and editing. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="conf1" sec-type="COI-statement">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="pudiscl1" sec-type="disclaimer">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<ack>
<p>We would like to thank the Witten/Herdecke University for making this study possible. Our special thanks to the more than 1,600 people who gave their valuable time to complete our questionnaire and promote the study. Furthermore, we would like to thank Stefan R&#x00E4;diker for his helpful advice regarding the use of the Maxqda software.</p>
</ack>
<sec id="S10" sec-type="supplementary-material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fpsyg.2021.777751/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fpsyg.2021.777751/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Data_Sheet_1.docx" id="DS1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" xmlns:xlink="http://www.w3.org/1999/xlink"/></sec>
<ref-list>
<title>References</title>
<ref id="B1"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Aftab</surname> <given-names>A.</given-names></name> <name><surname>Lee</surname> <given-names>E. E.</given-names></name> <name><surname>Klaus</surname> <given-names>F.</given-names></name> <name><surname>Daly</surname> <given-names>R.</given-names></name> <name><surname>Wu</surname> <given-names>T.-C.</given-names></name> <name><surname>Tu</surname> <given-names>X.</given-names></name><etal/></person-group> (<year>2019</year>). <article-title>Meaning in life and its relationship with physical, mental, and cognitive functioning: a study of 1,042 community-dwelling adults across the lifespan.</article-title> <source><italic>J. Clin. Psychiatry</italic></source> <volume>81</volume>:<issue>19m13064</issue>. <pub-id pub-id-type="doi">10.4088/JCP.19m13064</pub-id> <pub-id pub-id-type="pmid">31846240</pub-id></citation></ref>
<ref id="B2"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Alter</surname> <given-names>A. L.</given-names></name> <name><surname>Hershfield</surname> <given-names>H. E.</given-names></name></person-group> (<year>2014</year>). <article-title>People search for meaning when they approach a new decade in chronological age.</article-title> <source><italic>Proc. Natl. Acad. Sci. U.S.A.</italic></source> <volume>111</volume> <fpage>17066</fpage>&#x2013;<lpage>17070</lpage>. <pub-id pub-id-type="doi">10.1073/pnas.1415086111</pub-id> <pub-id pub-id-type="pmid">25404347</pub-id></citation></ref>
<ref id="B3"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Argyle</surname> <given-names>M.</given-names></name></person-group> (<year>1999</year>). &#x201C;<article-title>Causes and correlates of happiness</article-title>,&#x201D; in <source><italic>Well-Being: the Foundations of Hedonic Psychology</italic></source>, <role>eds</role> <person-group person-group-type="editor"><name><surname>Kahneman</surname> <given-names>D.</given-names></name> <name><surname>Diener</surname> <given-names>E.</given-names></name> <name><surname>Schwarz</surname> <given-names>N.</given-names></name></person-group> (<publisher-loc>New York, NY</publisher-loc>: <publisher-name>Russell Sage Foundation</publisher-name>), <fpage>353</fpage>&#x2013;<lpage>373</lpage>.</citation></ref>
<ref id="B4"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Baum</surname> <given-names>S. K.</given-names></name> <name><surname>Stewart</surname> <given-names>R. B.</given-names></name></person-group> (<year>1990</year>). <article-title>Sources of meaning through the lifespan.</article-title> <source><italic>Psychol. Rep.</italic></source> <volume>67</volume> <fpage>3</fpage>&#x2013;<lpage>14</lpage>. <pub-id pub-id-type="doi">10.2466/pr0.1990.67.1.3</pub-id> <pub-id pub-id-type="pmid">2236410</pub-id></citation></ref>
<ref id="B5"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Berg</surname> <given-names>A. I.</given-names></name> <name><surname>Hassing</surname> <given-names>L. B.</given-names></name> <name><surname>McClearn</surname> <given-names>G. E.</given-names></name> <name><surname>Johansson</surname> <given-names>B.</given-names></name></person-group> (<year>2006</year>). <article-title>What matters for life satisfaction in the oldest-old?</article-title> <source><italic>Aging Ment. Health</italic></source> <volume>10</volume> <fpage>257</fpage>&#x2013;<lpage>264</lpage>. <pub-id pub-id-type="doi">10.1080/13607860500409435</pub-id> <pub-id pub-id-type="pmid">16777653</pub-id></citation></ref>
<ref id="B6"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Berg</surname> <given-names>A. I.</given-names></name> <name><surname>Hassing</surname> <given-names>L. B.</given-names></name> <name><surname>Nilsson</surname> <given-names>S. E.</given-names></name> <name><surname>Johansson</surname> <given-names>B.</given-names></name></person-group> (<year>2009</year>). <article-title>&#x201C;As long as I&#x2019;m in good health&#x201D;. The relationship between medical diagnoses and life satisfaction in the oldest-old.</article-title> <source><italic>Aging Clin. Exper. Res.</italic></source> <volume>21</volume> <fpage>307</fpage>&#x2013;<lpage>313</lpage>. <pub-id pub-id-type="doi">10.1007/BF03324920</pub-id> <pub-id pub-id-type="pmid">19959919</pub-id></citation></ref>
<ref id="B7"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Berg</surname> <given-names>A. I.</given-names></name> <name><surname>Hassing</surname> <given-names>L. B.</given-names></name> <name><surname>Thorvaldsson</surname> <given-names>V.</given-names></name> <name><surname>Johansson</surname> <given-names>B.</given-names></name></person-group> (<year>2011</year>). <article-title>Personality and personal control make a difference for life satisfaction in the oldest-old: findings in a longitudinal population-based study of individuals 80 and older.</article-title> <source><italic>Eur. J. Age.</italic></source> <volume>8</volume> <fpage>13</fpage>&#x2013;<lpage>20</lpage>. <pub-id pub-id-type="doi">10.1007/s10433-011-0181-9</pub-id> <pub-id pub-id-type="pmid">28798639</pub-id></citation></ref>
<ref id="B8"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Brandtst&#x00E4;dter</surname> <given-names>J.</given-names></name></person-group> (<year>2015</year>). <source><italic>Positive Entwicklung.</italic></source> <publisher-loc>Berlin</publisher-loc>: <publisher-name>Springer</publisher-name>.</citation></ref>
<ref id="B9"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Carstensen</surname> <given-names>L. L.</given-names></name> <name><surname>Isaacowitz</surname> <given-names>D. M.</given-names></name> <name><surname>Charles</surname> <given-names>S. T.</given-names></name></person-group> (<year>1999</year>). <article-title>Taking time seriously: a theory of socioemotional selectivity.</article-title> <source><italic>Am. Psychol.</italic></source> <volume>54</volume> <fpage>165</fpage>&#x2013;<lpage>181</lpage>. <pub-id pub-id-type="doi">10.1037/0003-066X.54.3.165</pub-id> <pub-id pub-id-type="pmid">10199217</pub-id></citation></ref>
<ref id="B10"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cohen</surname> <given-names>J.</given-names></name></person-group> (<year>1960</year>). <article-title>A coefficient of agreement for nominal scales.</article-title> <source><italic>Educ. Psychol. Measur.</italic></source> <volume>20</volume> <fpage>37</fpage>&#x2013;<lpage>46</lpage>. <pub-id pub-id-type="doi">10.1177/001316446002000104</pub-id></citation></ref>
<ref id="B11"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Costabile</surname> <given-names>A.</given-names></name> <name><surname>Musso</surname> <given-names>P.</given-names></name> <name><surname>Iannello</surname> <given-names>N. M.</given-names></name> <name><surname>Servidio</surname> <given-names>R.</given-names></name> <name><surname>Bartolo</surname> <given-names>M. G.</given-names></name> <name><surname>Palermiti</surname> <given-names>A. L.</given-names></name><etal/></person-group> (<year>2021</year>). <article-title>Adolescent psychological well-being, radicalism, and activism: the mediating role of social disconnectedness and the illegitimacy of the authorities.</article-title> <source><italic>J. Res. Adolesc.</italic></source> <volume>31</volume> <fpage>25</fpage>&#x2013;<lpage>33</lpage>. <pub-id pub-id-type="doi">10.1111/jora.12590</pub-id> <pub-id pub-id-type="pmid">33091236</pub-id></citation></ref>
<ref id="B12"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dam&#x00E1;sio</surname> <given-names>B. F.</given-names></name> <name><surname>Helena Koller</surname> <given-names>S.</given-names></name> <name><surname>Schnell</surname> <given-names>T.</given-names></name></person-group> (<year>2013</year>). <article-title>Sources of meaning and meaning in life questionnaire (SoMe): psychometric properties and sociodemographic findings in a large Brazilian sample.</article-title> <source><italic>Acta Invest. Psicol.</italic></source> <volume>3</volume> <fpage>1205</fpage>&#x2013;<lpage>1227</lpage>. <pub-id pub-id-type="doi">10.1016/S2007-4719(13)70961-X</pub-id></citation></ref>
<ref id="B13"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>De Vogler</surname> <given-names>K. L.</given-names></name> <name><surname>Ebersole</surname> <given-names>P.</given-names></name></person-group> (<year>1981</year>). <article-title>Adults&#x2019; meaning in life.</article-title> <source><italic>Psychol. Rep.</italic></source> <volume>49</volume> <fpage>87</fpage>&#x2013;<lpage>90</lpage>. <pub-id pub-id-type="doi">10.2466/pr0.1981.49.1.87</pub-id></citation></ref>
<ref id="B14"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Debats</surname> <given-names>D. L.</given-names></name></person-group> (<year>1999</year>). <article-title>Sources of meaning: an investigation of significant commitments in life.</article-title> <source><italic>J. Human. Psychol.</italic></source> <volume>39</volume> <fpage>30</fpage>&#x2013;<lpage>57</lpage>. <pub-id pub-id-type="doi">10.1177/0022167899394003</pub-id></citation></ref>
<ref id="B15"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Delle Fave</surname> <given-names>A.</given-names></name> <name><surname>Brdar</surname> <given-names>I.</given-names></name> <name><surname>Wissing</surname> <given-names>M. P.</given-names></name> <name><surname>Vella-Brodrick</surname> <given-names>D. A.</given-names></name></person-group> (<year>2013</year>). <article-title>Sources and motives for personal meaning in adulthood.</article-title> <source><italic>J. Posit. Psychol.</italic></source> <volume>8</volume> <fpage>517</fpage>&#x2013;<lpage>529</lpage>. <pub-id pub-id-type="doi">10.1080/17439760.2013.830761</pub-id></citation></ref>
<ref id="B16"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Esch</surname> <given-names>T.</given-names></name></person-group> (<year>2017</year>). <source><italic>Die Neurobiologie des Gl&#x00FC;cks: Wie Die Positive Psychologie Die Medizin Ver&#x00E4;ndert</italic></source>, <edition>3rd Edn</edition>, <publisher-loc>Stuttgart</publisher-loc>: <publisher-name>Georg Thieme Verlag</publisher-name>.</citation></ref>
<ref id="B17"><citation citation-type="journal"><collab>Federal Statistical Office</collab> (<year>2021</year>). <source><italic>Official Population Figures in Germany.</italic></source> Available online at: <ext-link ext-link-type="uri" xlink:href="https://www.destatis.de/DE/Themen/Gesellschaft-Umwelt/Bevoelkerung/Bevoelkerungsstand/_inhalt.html">https://www.destatis.de/DE/Themen/Gesellschaft-Umwelt/Bevoelkerung/Bevoelkerungsstand/_inhalt.html</ext-link> <comment>(accessed March 26, 2021)</comment>.</citation></ref>
<ref id="B18"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fleiss</surname> <given-names>J. L.</given-names></name></person-group> (<year>1981</year>). <source><italic>Statistical Methods for Rates and Proportions.</italic></source> <publisher-loc>New York, NY</publisher-loc>: <publisher-name>John Wiley</publisher-name>.</citation></ref>
<ref id="B19"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gana</surname> <given-names>K.</given-names></name> <name><surname>Bailly</surname> <given-names>N.</given-names></name> <name><surname>Saada</surname> <given-names>Y.</given-names></name> <name><surname>Joulain</surname> <given-names>M.</given-names></name> <name><surname>Trouillet</surname> <given-names>R.</given-names></name> <name><surname>Herv&#x00E9;</surname> <given-names>C.</given-names></name><etal/></person-group> (<year>2013</year>). <article-title>Relationship between life satisfaction and physical health in older adults: a longitudinal test of cross-lagged and simultaneous effects.</article-title> <source><italic>Health Psychol.</italic></source> <volume>32</volume> <fpage>896</fpage>&#x2013;<lpage>904</lpage>. <pub-id pub-id-type="doi">10.1037/a0031656</pub-id> <pub-id pub-id-type="pmid">23477581</pub-id></citation></ref>
<ref id="B20"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Groudan</surname> <given-names>M. E.</given-names></name> <name><surname>Jose</surname> <given-names>P.</given-names></name></person-group> (<year>2014</year>). <article-title>How do sources of meaning in life vary according to demographic factors?</article-title> <source><italic>N. Z. J. Psychol.</italic></source> <volume>43</volume> <fpage>29</fpage>&#x2013;<lpage>38</lpage>.</citation></ref>
<ref id="B21"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hanson</surname> <given-names>S.</given-names></name> <name><surname>Brabrand</surname> <given-names>M.</given-names></name> <name><surname>Lassen</surname> <given-names>A. T.</given-names></name> <name><surname>Ryg</surname> <given-names>J.</given-names></name> <name><surname>Nielsen</surname> <given-names>D. S.</given-names></name></person-group> (<year>2019</year>). <article-title>What matters at the end of life: a qualitative study of older peoples perspectives in Southern Denmark.</article-title> <source><italic>Gerontol. Geriatr. Med.</italic></source> <volume>5</volume> <fpage>1</fpage>&#x2013;<lpage>11</lpage>. <pub-id pub-id-type="doi">10.1177/2333721419830198</pub-id> <pub-id pub-id-type="pmid">30815513</pub-id></citation></ref>
<ref id="B22"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hupkens</surname> <given-names>S.</given-names></name> <name><surname>Machielse</surname> <given-names>A.</given-names></name> <name><surname>Goumans</surname> <given-names>M.</given-names></name> <name><surname>Derkx</surname> <given-names>P.</given-names></name></person-group> (<year>2018</year>). <article-title>Meaning in life of older persons: an integrative literature review.</article-title> <source><italic>Nurs. Ethics</italic></source> <volume>25</volume> <fpage>973</fpage>&#x2013;<lpage>991</lpage>. <pub-id pub-id-type="doi">10.1177/0969733016680122</pub-id> <pub-id pub-id-type="pmid">30871429</pub-id></citation></ref>
<ref id="B23"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kuckartz</surname> <given-names>U.</given-names></name> <name><surname>R&#x00E4;diker</surname> <given-names>S.</given-names></name></person-group> (<year>2019</year>). <source><italic>Analyzing Qualitative Data With MAXQDA.</italic></source> <publisher-loc>Cham</publisher-loc>: <publisher-name>Springer International Publishing</publisher-name>, <pub-id pub-id-type="doi">10.1007/978-3-030-15671-8</pub-id></citation></ref>
<ref id="B24"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Manuti</surname> <given-names>A.</given-names></name> <name><surname>Scardigno</surname> <given-names>R.</given-names></name> <name><surname>Mininni</surname> <given-names>G.</given-names></name></person-group> (<year>2016</year>). <article-title>Me, myself, and god: religion as a psychocultural resource of meaning in later life.</article-title> <source><italic>Cult. Psychol.</italic></source> <volume>22</volume> <fpage>3</fpage>&#x2013;<lpage>34</lpage>. <pub-id pub-id-type="doi">10.1177/1354067X14551294</pub-id></citation></ref>
<ref id="B25"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Martela</surname> <given-names>F.</given-names></name> <name><surname>Steger</surname> <given-names>M. F.</given-names></name></person-group> (<year>2016</year>). <article-title>The three meanings of meaning in life: distinguishing coherence, purpose, and significance.</article-title> <source><italic>J. Posit. Psychol.</italic></source> <volume>11</volume> <fpage>531</fpage>&#x2013;<lpage>545</lpage>. <pub-id pub-id-type="doi">10.1080/17439760.2015.1137623</pub-id></citation></ref>
<ref id="B26"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mayring</surname> <given-names>P.</given-names></name></person-group> (<year>2000</year>). <article-title>Qualitative content analysis.</article-title> <source><italic>Forum Qual. Soc. Res.</italic></source> <volume>1</volume>:<issue>20</issue>.</citation></ref>
<ref id="B27"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Michaelsen</surname> <given-names>M. M.</given-names></name> <name><surname>Esch</surname> <given-names>T.</given-names></name></person-group> (<year>2021</year>). <article-title>Motivation and reward mechanisms in health behavior change processes.</article-title> <source><italic>Brain Res.</italic></source> <volume>1757</volume>:<issue>147309</issue>. <pub-id pub-id-type="doi">10.1016/j.brainres.2021.147309</pub-id> <pub-id pub-id-type="pmid">33524377</pub-id></citation></ref>
<ref id="B28"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>N&#x00E4;sman</surname> <given-names>M.</given-names></name> <name><surname>Niklasson</surname> <given-names>J.</given-names></name> <name><surname>Saarela</surname> <given-names>J.</given-names></name> <name><surname>Nyg&#x00E5;rd</surname> <given-names>M.</given-names></name> <name><surname>Olofsson</surname> <given-names>B.</given-names></name> <name><surname>Gustafson</surname> <given-names>Y.</given-names></name><etal/></person-group> (<year>2020</year>). <article-title>Morale in old age and its association with sociodemographic, social, and health-related factors in different age groups.</article-title> <source><italic>J. Aging Res.</italic></source> <volume>2020</volume>:<issue>3939718</issue>. <pub-id pub-id-type="doi">10.1155/2020/3939718</pub-id> <pub-id pub-id-type="pmid">32802504</pub-id></citation></ref>
<ref id="B29"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Okun</surname> <given-names>M. A.</given-names></name> <name><surname>Stock</surname> <given-names>W. A.</given-names></name> <name><surname>Haring</surname> <given-names>M. J.</given-names></name> <name><surname>Witter</surname> <given-names>R. A.</given-names></name></person-group> (<year>1984</year>). <article-title>Health and subjective well-being: a meta-analysis.</article-title> <source><italic>Intern. J. Aging Hum. Dev.</italic></source> <volume>19</volume> <fpage>111</fpage>&#x2013;<lpage>132</lpage>. <pub-id pub-id-type="doi">10.2190/QGJN-0N81-5957-HAQD</pub-id> <pub-id pub-id-type="pmid">6519817</pub-id></citation></ref>
<ref id="B30"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Park</surname> <given-names>E.-H.</given-names></name></person-group> (<year>2018</year>). <article-title>For grandparents&#x2019; Sake: the relationship between grandparenting involvement and psychological well-being.</article-title> <source><italic>Age. Intern.</italic></source> <volume>43</volume> <fpage>297</fpage>&#x2013;<lpage>320</lpage>. <pub-id pub-id-type="doi">10.1007/s12126-017-9320-8</pub-id> <pub-id pub-id-type="pmid">30174357</pub-id></citation></ref>
<ref id="B31"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pedersen</surname> <given-names>H. F.</given-names></name> <name><surname>Birkeland</surname> <given-names>M. H.</given-names></name> <name><surname>Jensen</surname> <given-names>J. S.</given-names></name> <name><surname>Schnell</surname> <given-names>T.</given-names></name> <name><surname>Hvidt</surname> <given-names>N. C.</given-names></name> <name><surname>S&#x00F8;rensen</surname> <given-names>T.</given-names></name><etal/></person-group> (<year>2018</year>). <article-title>What brings meaning to life in a highly secular society? A study on sources of meaning among danes.</article-title> <source><italic>Scand. J. Psychol.</italic></source> <volume>59</volume> <fpage>678</fpage>&#x2013;<lpage>690</lpage>. <pub-id pub-id-type="doi">10.1111/sjop.12495</pub-id> <pub-id pub-id-type="pmid">30357868</pub-id></citation></ref>
<ref id="B32"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Reker</surname> <given-names>G. T.</given-names></name> <name><surname>Peacock</surname> <given-names>E. J.</given-names></name> <name><surname>Wong</surname> <given-names>P. T.</given-names></name></person-group> (<year>1987</year>). <article-title>Meaning and purpose in life and well-being: a life-span perspective.</article-title> <source><italic>J. Gerontol.</italic></source> <volume>42</volume> <fpage>44</fpage>&#x2013;<lpage>49</lpage>. <pub-id pub-id-type="doi">10.1093/geronj/42.1.44</pub-id> <pub-id pub-id-type="pmid">3794195</pub-id></citation></ref>
<ref id="B33"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Reker</surname> <given-names>G. T.</given-names></name> <name><surname>Wong</surname> <given-names>P.</given-names></name></person-group> (<year>1988</year>). &#x201C;<article-title>Aging as an individual process: toward a theory of personal meaning</article-title>,&#x201D; in <source><italic>Emergent Theories of Aging</italic></source>, <role>eds</role> <person-group person-group-type="editor"><name><surname>Birren</surname> <given-names>J. E.</given-names></name> <name><surname>Bengston</surname> <given-names>V. L.</given-names></name></person-group> (<publisher-loc>New York, NY</publisher-loc>: <publisher-name>Springer</publisher-name>), <fpage>214</fpage>&#x2013;<lpage>246</lpage>.</citation></ref>
<ref id="B34"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Reker</surname> <given-names>G. T.</given-names></name> <name><surname>Woo</surname> <given-names>L. C.</given-names></name></person-group> (<year>2011</year>). <article-title>Personal meaning orientations and psychosocial adaptation in older adults.</article-title> <source><italic>SAGE Open</italic></source> <volume>1</volume> <fpage>1</fpage>&#x2013;<lpage>10</lpage>. <pub-id pub-id-type="doi">10.1177/2158244011405217</pub-id></citation></ref>
<ref id="B35"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Schnell</surname> <given-names>T.</given-names></name></person-group> (<year>2020</year>). <source><italic>The Psychology of Meaning in Life</italic></source>, <edition>1st Edn</edition>, <publisher-loc>London</publisher-loc>: <publisher-name>Routledge</publisher-name>.</citation></ref>
<ref id="B36"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Schnell</surname> <given-names>T.</given-names></name> <name><surname>Becker</surname> <given-names>P.</given-names></name></person-group> (<year>2007</year>). <source><italic>Manual of the Sources of Meaning and Meaning in Life Questionnaire (SoMe) - German.</italic></source> <publisher-loc>Goettingen</publisher-loc>: <publisher-name>Hogrefe Science Publishers</publisher-name>.</citation></ref>
<ref id="B37"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Stefano</surname> <given-names>G. B.</given-names></name> <name><surname>Benson</surname> <given-names>H.</given-names></name> <name><surname>Fricchione</surname> <given-names>G. L.</given-names></name> <name><surname>Esch</surname> <given-names>T.</given-names></name></person-group> (<year>2005</year>). <source><italic>The Stress Response: Always Good and When It Is Bad.</italic></source> <publisher-loc>New York, NY</publisher-loc>: <publisher-name>Medical Science International</publisher-name>.</citation></ref>
<ref id="B38"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Steger</surname> <given-names>M. F.</given-names></name> <name><surname>Oishi</surname> <given-names>S.</given-names></name> <name><surname>Kashdan</surname> <given-names>T. B.</given-names></name></person-group> (<year>2009</year>). <article-title>Meaning in life across the life span: levels and correlates of meaning in life from emerging adulthood to older adulthood.</article-title> <source><italic>J. Posit. Psychol.</italic></source> <volume>4</volume> <fpage>43</fpage>&#x2013;<lpage>52</lpage>. <pub-id pub-id-type="doi">10.1080/17439760802303127</pub-id></citation></ref>
<ref id="B39"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Steptoe</surname> <given-names>A.</given-names></name> <name><surname>Deaton</surname> <given-names>A.</given-names></name> <name><surname>Stone</surname> <given-names>A. A.</given-names></name></person-group> (<year>2015</year>). <article-title>Subjective wellbeing, health, and ageing.</article-title> <source><italic>Lancet</italic></source> <volume>385</volume> <fpage>640</fpage>&#x2013;<lpage>648</lpage>. <pub-id pub-id-type="doi">10.1016/S0140-6736(13)61489-0</pub-id></citation></ref>
<ref id="B40"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Triplett</surname> <given-names>K. N.</given-names></name> <name><surname>Tedeschi</surname> <given-names>R. G.</given-names></name> <name><surname>Cann</surname> <given-names>A.</given-names></name> <name><surname>Calhoun</surname> <given-names>L. G.</given-names></name> <name><surname>Reeve</surname> <given-names>C. L.</given-names></name></person-group> (<year>2012</year>). <article-title>Posttraumatic growth, meaning in life, and life satisfaction in response to trauma.</article-title> <source><italic>Psychol. Trauma Theory Res. Pract. Policy</italic></source> <volume>4</volume> <fpage>400</fpage>&#x2013;<lpage>410</lpage>. <pub-id pub-id-type="doi">10.1037/a0024204</pub-id></citation></ref>
<ref id="B41"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>van der Heyden</surname> <given-names>K.</given-names></name> <name><surname>Dezutter</surname> <given-names>J.</given-names></name> <name><surname>Beyers</surname> <given-names>W.</given-names></name></person-group> (<year>2015</year>). <article-title>Meaning in Life and depressive symptoms: a person-oriented approach in residential and community-dwelling older adults.</article-title> <source><italic>Aging Ment. Health</italic></source> <volume>19</volume> <fpage>1063</fpage>&#x2013;<lpage>1070</lpage>. <pub-id pub-id-type="doi">10.1080/13607863.2014.995589</pub-id> <pub-id pub-id-type="pmid">25555243</pub-id></citation></ref>
<ref id="B42"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>van Rast</surname> <given-names>N.</given-names></name> <name><surname>Marcoen</surname> <given-names>A.</given-names></name></person-group> (<year>2000</year>). &#x201C;<article-title>Structural components of personal meaning in life and their relationship with death attitudes and coping mechanisms in late adulthood</article-title>,&#x201D; in <source><italic>Exploring Existential Meaning: Optimizing Human Development Across the Life Span Exploring Existential Meaning: Optimizing Human Development Across the Life Span</italic></source>, <role>eds</role> <person-group person-group-type="editor"><name><surname>Reker</surname> <given-names>G. T.</given-names></name> <name><surname>Chamberlain</surname> <given-names>K.</given-names></name></person-group> (<publisher-loc>Thousand Oaks</publisher-loc>: <publisher-name>SAGE</publisher-name>), <fpage>59</fpage>&#x2013;<lpage>74</lpage>.</citation></ref>
<ref id="B43"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Volkert</surname> <given-names>J.</given-names></name> <name><surname>H&#x00E4;rter</surname> <given-names>M.</given-names></name> <name><surname>Dehoust</surname> <given-names>M. C.</given-names></name> <name><surname>Aus&#x00ED;n</surname> <given-names>B.</given-names></name> <name><surname>Canuto</surname> <given-names>A.</given-names></name> <name><surname>Da Ronch</surname> <given-names>C.</given-names></name><etal/></person-group> (<year>2019</year>). <article-title>The role of meaning in life in community-dwelling older adults with depression and relationship to other risk factors.</article-title> <source><italic>Aging Ment. Health</italic></source> <volume>23</volume> <fpage>100</fpage>&#x2013;<lpage>106</lpage>. <pub-id pub-id-type="doi">10.1080/13607863.2017.1396576</pub-id> <pub-id pub-id-type="pmid">29115865</pub-id></citation></ref>
<ref id="B44"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yek</surname> <given-names>M. H.</given-names></name> <name><surname>Olendzki</surname> <given-names>N.</given-names></name> <name><surname>Kekecs</surname> <given-names>Z.</given-names></name> <name><surname>Patterson</surname> <given-names>V.</given-names></name> <name><surname>Elkins</surname> <given-names>G.</given-names></name></person-group> (<year>2017</year>). <article-title>Presence of meaning in life and search for meaning in life and relationship to health anxiety.</article-title> <source><italic>Psychol. Rep.</italic></source> <volume>120</volume> <fpage>383</fpage>&#x2013;<lpage>390</lpage>. <pub-id pub-id-type="doi">10.1177/0033294117697084</pub-id> <pub-id pub-id-type="pmid">28558607</pub-id></citation></ref>
</ref-list>
<fn-group>
<fn id="footnote1">
<label>1</label>
<p>Karwetzky C., Werdecker, L., Michaelsen, M. M., and Esch, T. (in preparation). Happiness, satisfaction and the U-shape of life.</p></fn>
</fn-group>
</back>
</article>
