{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T17:31:20Z","timestamp":1791912680129,"version":"4.3.4"},"reference-count":81,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2023,1,29]],"date-time":"2023-01-29T00:00:00Z","timestamp":1674950400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The dual-continua model of mental health distinguishes between mental illness (presence of mental disorders, such as depression) and mental well-being (presence of positive traits and abilities). This model also distinguishes between hedonic well-being (e.g., affect balance and life satisfaction) and eudaimonic well-being (i.e., optimal psychological and social functioning, as indicated for example by having a purpose in life). We examined the relationships between depressive symptoms (a common indicator of mental illness), life satisfaction, and eudaimonic well-being. The study used a sample of 17,056 participants from England whose data were collected at eight intervals of approximately two years over a 16-year period, from 2004 to 2019. The mean age of the sample in the first wave was 58.843 years, with a standard deviation of 12.617 years (women = 55.2%). We disentangled within- and between-person sources of variance to examine whether increases or decreases in one variable preceded changes in the other variables at the next time point. We found positive reciprocal relationships between life satisfaction and eudaimonic well-being and negative reciprocal relationships between the two well-being dimensions and depressive symptoms. These results suggest that within-person increases in well-being are followed by future decreases in depressive symptoms, and within-person increases in depressive symptoms are followed by future decreases in well-being. Therefore, low levels of mental well-being in older adults may be considered a risk factor for depression, and well-being interventions (such as those focused on meaning-making) may serve as a protective factor against depression in older adults.<\/jats:p>","DOI":"10.3390\/ijerph20032374","type":"journal-article","created":{"date-parts":[[2023,1,30]],"date-time":"2023-01-30T03:56:27Z","timestamp":1675050987000},"page":"2374","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Reciprocal Associations between Depressive Symptoms, Life Satisfaction, and Eudaimonic Well-Being in Older Adults over a 16-Year Period"],"prefix":"10.3390","volume":"20","author":[{"given":"Mohsen","family":"Joshanloo","sequence":"first","affiliation":[{"name":"Department of Psychology, Keimyung University, Daegu 42601, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0641-0169","authenticated-orcid":false,"given":"Ana","family":"Blasco-Belled","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Girona, Pla\u00e7a Sant Dom\u00e8nec, 9, 17004 Girona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,1,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1111\/ap.12440","article-title":"Advancing our understanding of mental wellbeing and mental health: The call to embrace complexity over simplification","volume":"55","author":"Iasiello","year":"2020","journal-title":"Aust. Psychol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"207","DOI":"10.2307\/3090197","article-title":"The Mental Health Continuum: From Languishing to Flourishing in Life","volume":"43","author":"Keyes","year":"2002","journal-title":"J. Health Soc. Behav."},{"key":"ref_3","unstructured":"World Health Organization (2005). Promoting Mental Health: Concepts, Emerging Evidence, Practice, WHO."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1007\/s10804-009-9082-y","article-title":"Mental Illness and Mental Health: The Two Continua Model Across the Lifespan","volume":"17","author":"Westerhof","year":"2010","journal-title":"J. Adult Dev."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/j.psychres.2017.11.085","article-title":"Dual factor model of mental health: Co-occurrence of positive mental health and suicide ideation in inpatients and outpatients","volume":"260","author":"Teismann","year":"2018","journal-title":"Psychiatry Res."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.brat.2017.01.008","article-title":"Both positive mental health and psychopathology should be monitored in psychotherapy: Confirmation for the dual-factor model in acceptance and commitment therapy","volume":"91","author":"Trompetter","year":"2017","journal-title":"Behav. Res. Ther."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1080\/17439760.2018.1528379","article-title":"Psychopathology and languishing are distinct","volume":"14","author":"Jayawickreme","year":"2018","journal-title":"J. Posit. Psychol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1146\/annurev.psych.52.1.141","article-title":"On Happiness and Human Potentials: A Review of Research on Hedonic and Eudaimonic Well-Being","volume":"52","author":"Ryan","year":"2001","journal-title":"Annu. Rev. Psychol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1037\/0033-2909.95.3.542","article-title":"Subjective well-being","volume":"95","author":"Diener","year":"1984","journal-title":"Psychol. Bull."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1069","DOI":"10.1037\/0022-3514.57.6.1069","article-title":"Happiness is everything, or is it? Explorations on the meaning of psychological well-being","volume":"57","author":"Ryff","year":"1989","journal-title":"J. Personal. Soc. Psychol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1037\/0022-3514.64.4.678","article-title":"Two conceptions of happiness: Contrasts of personal expressiveness (eudaimonia) and hedonic enjoyment","volume":"64","author":"Waterman","year":"1993","journal-title":"J. Pers. Soc. Psychol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10902-006-9018-1","article-title":"Hedonia, eudaimonia, and well-being: An introduction","volume":"9","author":"Deci","year":"2008","journal-title":"J. Happiness Stud."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1037\/pas0000209","article-title":"Different types of well-being? A cross-cultural examination of hedonic and eudaimonic well-being","volume":"28","author":"Disabato","year":"2016","journal-title":"Psychol. Assess."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Vitters\u00f8, J. (2016). Handbook of Eudaimonic Well-Being, Springer.","DOI":"10.1007\/978-3-319-42445-3"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1207\/s15327965pli0901_1","article-title":"The Contours of Positive Human Health","volume":"9","author":"Ryff","year":"1998","journal-title":"Psychol. Inq."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Vitters\u00f8, J. (2016). Handbook of Eudaimonic Well-Being, Springer.","DOI":"10.1007\/978-3-319-42445-3"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1159\/000353263","article-title":"Psychological Well-Being Revisited: Advances in the Science and Practice of Eudaimonia","volume":"83","author":"Ryff","year":"2014","journal-title":"Psychother. Psychosom."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Ryan, R.M., and Deci, E.L. (2017). Self-Determination Theory: Basic Psychological Needs in Motivation, Development, and Wellness, The Guilford Press.","DOI":"10.1521\/978.14625\/28806"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, American Psychiatric Association.","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Mathers, C.D., and Loncar, D. (2006). Projections of Global Mortality and Burden of Disease from 2002 to 2030. PLoS Med., 3.","DOI":"10.1371\/journal.pmed.0030442"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1033","DOI":"10.1001\/jama.2012.271","article-title":"Preventing Depression: A Global Priority","volume":"307","author":"Cuijpers","year":"2012","journal-title":"JAMA"},{"key":"ref_22","unstructured":"World Health Organization (2017). Depression and Other Common Mental Disorders Global Health Estimates, WHO."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1146\/annurev-clinpsy-050817-084833","article-title":"Realizing the Mass Public Benefit of Evidence-Based Psychological Therapies: The IAPT Program","volume":"14","author":"Clark","year":"2018","journal-title":"Annu. Rev. Clin. Psychol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"102111","DOI":"10.1016\/j.cpr.2021.102111","article-title":"More treatment but no less depression: The treatment-prevalence paradox","volume":"91","author":"Ormel","year":"2022","journal-title":"Clin. Psychol. Rev."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1038\/s44159-022-00050-2","article-title":"Revisiting the theoretical and methodological foundations of depression measurement","volume":"1","author":"Fried","year":"2022","journal-title":"Nat. Rev. Psychol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/j.jad.2009.06.032","article-title":"The absence of positive psychological (eudemonic) well-being as a risk factor for depression: A ten year cohort study","volume":"122","author":"Wood","year":"2010","journal-title":"J. Affect. Disord."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"2366","DOI":"10.2105\/AJPH.2010.192245","article-title":"Change in Level of Positive Mental Health as a Predictor of Future Risk of Mental Illness","volume":"100","author":"Keyes","year":"2010","journal-title":"Am. J. Public Health"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"3115","DOI":"10.1007\/s11482-022-10055-x","article-title":"Longitudinal Relations Between Depressive Symptoms and Life Satisfaction Over 15 Years","volume":"17","author":"Joshanloo","year":"2022","journal-title":"Appl. Res. Qual. Life"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1080\/17439760.2015.1015156","article-title":"The bidirectional relation between positive mental health and psychopathology in a longitudinal representative panel study","volume":"10","author":"Lamers","year":"2015","journal-title":"J. Posit. Psychol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"200233","DOI":"10.1016\/j.mhp.2022.200233","article-title":"Higher levels of mental wellbeing predict lower risk of common mental disorders in the Danish general population","volume":"26","author":"Santini","year":"2022","journal-title":"Ment. Health Prev."},{"key":"ref_31","first-page":"563","article-title":"The longitudinal relationship between flourishing mental health and incident mood, anxiety and substance use disorders","volume":"27","author":"Have","year":"2017","journal-title":"Eur. J. Public Health"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1037\/cou0000031","article-title":"Authenticity, life satisfaction, and distress: A longitudinal analysis","volume":"61","author":"Boyraz","year":"2014","journal-title":"J. Couns. Psychol."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Grant, F., Guille, C., and Sen, S. (2013). Well-being and the risk of depression under stress. PLoS ONE, 8.","DOI":"10.1371\/journal.pone.0067395"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1080\/02796015.2008.12087908","article-title":"Looking Beyond Psychopathology: The Dual-Factor Model of Mental Health in Youth","volume":"37","author":"Suldo","year":"2008","journal-title":"Sch. Psychol. Rev."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1177\/0143034317689970","article-title":"Longitudinal study of a dual-factor model of mental health in Chinese youth","volume":"38","author":"Xiong","year":"2017","journal-title":"Sch. Psychol. Int."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1034\/j.1600-0447.2002.10078.x","article-title":"The impact of depression on the well-being, disability and use of services in older adults: A longitudinal perspective","volume":"105","author":"Beekman","year":"2002","journal-title":"Acta Psychiatr. Scand."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"994","DOI":"10.1007\/s00127-004-0833-6","article-title":"Life satisfaction and depression in a 15-year follow-up of healthy adults","volume":"39","author":"Kaprio","year":"2004","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Kraiss, J.T., Kohlhoff, M., and Klooster, P.M.T. (2022). Disentangling between- and within-person associations of psychological distress and mental well-being: An experience sampling study examining the dual continua model of mental health among university students. Curr. Psychol.","DOI":"10.1007\/s12144-022-02942-1"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1016\/j.ssresearch.2010.05.008","article-title":"Does psychological well-being change with age? Longitudinal tests of age variations and further exploration of the multidimensionality of Ryff\u2019s model of psychological well-being","volume":"40","author":"Springer","year":"2011","journal-title":"Soc. Sci. Res."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1007\/s12126-002-1004-2","article-title":"Creating and maintaining purpose in life in old age: A meta-analysis","volume":"27","author":"Pinquart","year":"2002","journal-title":"Ageing Int."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1080\/13607863.2015.1093605","article-title":"Lighten UP! A community-based group intervention to promote psychological well-being in older adults","volume":"21","author":"Friedman","year":"2017","journal-title":"Aging Ment. Health"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1037\/0882-7974.19.2.272","article-title":"Life Review Therapy Using Autobiographical Retrieval Practice for Older Adults with Depressive Symptomatology","volume":"19","author":"Serrano","year":"2004","journal-title":"Psychol. Aging"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1007\/s11245-013-9220-9","article-title":"Mechanisms and the Evidence Hierarchy","volume":"33","author":"Clarke","year":"2013","journal-title":"Topoi"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.1177\/17456916211037670","article-title":"Beyond Experiments","volume":"17","author":"Diener","year":"2022","journal-title":"Perspect. Psychol. Sci."},{"key":"ref_45","unstructured":"Lucas, R.E. (2022). It\u2019s time to abandon the cross-lagged panel model. PsyArXiv."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Heck, R.H., and Thomas, S.L. (2020). An Introduction to Multilevel Modeling Techniques: MLM and SEM Approaches, Routledge.","DOI":"10.4324\/9780429060274"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1037\/a0038889","article-title":"A critique of the cross-lagged panel model","volume":"20","author":"Hamaker","year":"2015","journal-title":"Psychol. Methods"},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Wood, A.M., and Johnson, J. (2016). The Wiley Handbook of Positive Clinical Psychology, Wiley.","DOI":"10.1002\/9781118468197"},{"key":"ref_49","first-page":"1640","article-title":"Cohort Profile: The English Longitudinal Study of Ageing","volume":"42","author":"Steptoe","year":"2012","journal-title":"Leuk. Res."},{"key":"ref_50","unstructured":"Banks, J., Phelps, A., Oskala, A., Steptoe, A., Blake, M., Oldfield, Z., Marmot, M., Clemens, S., Rogers, N., and Nazroo, J. (2021). English Longitudinal Study of Ageing: Waves 0\u20139, 1998\u20132019, UK Data Service. [36th ed.]. SN: 5050."},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Gu, D., and Dupre, M.E. (2021). Encyclopedia of Gerontology and Population Aging, Springer International Publishing.","DOI":"10.1007\/978-3-030-22009-9"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1207\/s15327752jpa4901_13","article-title":"The Satisfaction with Life Scale","volume":"49","author":"Diener","year":"1985","journal-title":"J. Pers. Assess."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1080\/1360786031000101157","article-title":"A measure of quality of life in early old age: The theory, development and properties of a needs satisfaction model (CASP-19)","volume":"7","author":"Hyde","year":"2003","journal-title":"Aging Ment. Health"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1007\/s11205-011-9966-7","article-title":"Flourishing Across Europe: Application of a New Conceptual Framework for Defining Well-Being","volume":"110","author":"Huppert","year":"2013","journal-title":"Soc. Indic. Res."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1177\/014662167700100306","article-title":"The CES-D Scale: A Self-Report Depression Scale for Research in the General Population","volume":"1","author":"Radloff","year":"1977","journal-title":"Appl. Psychol. Meas."},{"key":"ref_56","unstructured":"Kline, R.B. (2015). Principles and Practice of Structural Equation Modeling, Guilford."},{"key":"ref_57","unstructured":"Hamaker, E.L. (2022, October 01). How to Run the RI-CLPM with Mplus. Available online: https:\/\/www.statmodel.com\/download\/RI-CLPM%20Hamaker%20input.pdf."},{"key":"ref_58","unstructured":"Asparouhov, T., and Muth\u00e9n, B. (2022, October 01). Auxiliary Variables Predicting Missing Data. Available online: https:\/\/www.statmodel.com\/download\/AuxM2.pdf."},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Orth, U., Meier, L.L., B\u00fchler, J.L., Dapp, L.C., Krauss, S., Messerli, D., and Robins, R.W. (2022). Effect size guidelines for cross-lagged effects. Psychol. Methods.","DOI":"10.1037\/met0000499"},{"key":"ref_60","unstructured":"Raudenbush, S.W., and Bryk, A.S. (2002). Hierarchical Linear Models, Sage."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1007\/s40501-020-00228-6","article-title":"Positive Psychiatry Interventions in Geriatric Mental Health","volume":"7","author":"Lam","year":"2020","journal-title":"Curr. Treat. Options Psychiatry"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1007\/s10902-015-9711-z","article-title":"The impact of positive psychological interventions on well-being in healthy elderly people","volume":"18","author":"Sutipan","year":"2017","journal-title":"J. Happiness Stud."},{"key":"ref_63","doi-asserted-by":"crossref","unstructured":"Weiss, L.A., Westerhof, G.J., and Bohlmeijer, E.T. (2016). Can We Increase Psychological Well-Being? The Effects of Interventions on Psychological Well-Being: A Meta-Analysis of Randomized Controlled Trials. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0158092"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1080\/17439760.2014.888577","article-title":"Development and evaluation of the positive psychology intervention for older adults","volume":"9","author":"Ho","year":"2014","journal-title":"J. Posit. Psychol."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"1493","DOI":"10.2147\/CIA.S376894","article-title":"Effects of a Multi-Component Psychological Intervention to Cultivate Mental Health in Older Adults","volume":"17","author":"Sarrionandia","year":"2022","journal-title":"Clin. Interv. Aging"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1080\/13607863.2013.856858","article-title":"A program of positive intervention in the elderly: Memories, gratitude and forgiveness","volume":"18","author":"Ortega","year":"2014","journal-title":"Aging Ment. Health"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1002\/jclp.21923","article-title":"A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program","volume":"69","author":"Neff","year":"2013","journal-title":"J. Clin. Psychol."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1080\/13607863.2012.702726","article-title":"Life-review therapy with computer supplements for depression in the elderly: A randomized controlled trial","volume":"16","author":"Preschl","year":"2012","journal-title":"Aging Ment. Health"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1016\/j.archger.2012.04.002","article-title":"Effects of a program to prevent social isolation on loneliness, depression, and subjective well-being of older adults: A randomized trial among older migrants in Japan","volume":"55","author":"Saito","year":"2012","journal-title":"Arch. Gerontol. Geriatr."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1017\/S0144686X09990328","article-title":"Reminiscence and mental health: A review of recent progress in theory, research and interventions","volume":"30","author":"Westerhof","year":"2010","journal-title":"Ageing Soc."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"e317","DOI":"10.1093\/geront\/gnab017","article-title":"Enhancing Older Adults\u2019 Well-Being and Quality of Life Through Purposeful Activity: A Systematic Review of Intervention Studies","volume":"62","author":"Owen","year":"2021","journal-title":"Gerontol."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1007\/s40473-016-0096-z","article-title":"Purposeful Engagement, Healthy Aging, and the Brain","volume":"3","author":"Ryff","year":"2016","journal-title":"Curr. Behav. Neurosci. Rep."},{"key":"ref_73","doi-asserted-by":"crossref","unstructured":"AshaRani, P., Lai, D., Koh, J., and Subramaniam, M. (2022). Purpose in Life in Older Adults: A Systematic Review on Conceptualization, Measures, and Determinants. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19105860"},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1146\/annurev.clinpsy.032408.153621","article-title":"Depression in Older Adults","volume":"5","author":"Fiske","year":"2009","journal-title":"Annu. Rev. Clin. Psychol."},{"key":"ref_75","unstructured":"Snyder, C.R., and Lopez, S.J. (2002). Handbook of Positive Psychology, Oxford University Press."},{"key":"ref_76","unstructured":"Biggs, S., Lowenstein, A., and Hendricks, J. (2003). The Need for Theory: Social Gerontology for the 21st Century, Baywood."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1177\/08901171211038545","article-title":"Sense of purpose in life and subsequent physical, behavioral, and psychosocial health: An outcome-wide approach","volume":"36","author":"Kim","year":"2022","journal-title":"Am. J. Health Promot."},{"key":"ref_78","doi-asserted-by":"crossref","unstructured":"Kern, M.L., and Wehmeyer, M.L. (2021). The Palgrave Handbook of Positive Education, Palgrave Macmillan.","DOI":"10.1007\/978-3-030-64537-3"},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1097\/YIC.0000000000000019","article-title":"Differences in depressive symptoms between Korean and American outpatients with major depressive disorder","volume":"29","author":"Jeon","year":"2014","journal-title":"Int. Clin. Psychopharmacol."},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1177\/1088868317736222","article-title":"Exploring the East-West Divide in Prevalence of Affective Disorder: A Case for Cultural Differences in Coping with Negative Emotion","volume":"22","author":"Hornsey","year":"2018","journal-title":"Pers. Soc. Psychol. Rev."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"1857","DOI":"10.1007\/s10902-012-9406-7","article-title":"A Comparison of Western and Islamic Conceptions of Happiness","volume":"14","author":"Joshanloo","year":"2012","journal-title":"J. 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