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      Meaning in life in the Federal Republic of Germany: results of a representative survey with the Schedule for Meaning in Life Evaluation (SMiLE)

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          Abstract

          Background

          The construct "meaning-in-life" (MiL) has recently raised the interest of clinicians working in psycho-oncology and end-of-life care and has become a topic of scientific investigation. Difficulties regarding the measurement of MiL are related to the various theoretical and conceptual approaches and its inter-individual variability. Therefore the "Schedule for Meaning in Life Evaluation" (SMiLE), an individualized instrument for the assessment of MiL, was developed. The aim of this study was to evaluate MiL in a representative sample of the German population.

          Methods

          In the SMiLE, the respondents first indicate a minimum of three and maximum of seven areas which provide meaning to their life before rating their current level of importance and satisfaction of each area. Indices of total weighting (IoW, range 20–100), total satisfaction (IoS, range 0–100), and total weighted satisfaction (IoWS, range 0–100) are calculated.

          Results

          In July 2005, 1,004 Germans were randomly selected and interviewed (inclusion rate, 85.3%). 3,521 areas of MiL were listed and assigned to 13 a-posteriori categories. The mean IoS was 81.9 ± 15.1, the mean IoW was 84.6 ± 11.9, and the mean IoWS was 82.9 ± 14.8. In youth (16–19 y/o), "friends" were most important for MiL, in young adulthood (20–29 y/o) "partnership", in middle adulthood (30–39 y/o) "work", during retirement (60–69 y/o) "health" and "altruism", and in advanced age (70 y/o and more) "spirituality/religion" and "nature experience/animals".

          Conclusion

          This study is a first nationwide survey on individual MiL in a randomly selected, representative sample. The MiL areas of the age stages seem to correspond with Erikson's stages of psychosocial development.

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          Most cited references39

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          Childhood and Society

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            The development of meaning in life.

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              A national survey of physician-assisted suicide and euthanasia in the United States.

              Although there have been many studies of physician-assisted suicide and euthanasia in the United States, national data are lacking. In 1996, we mailed questionnaires to a stratified probability sample of 3102 physicians in the 10 specialties in which doctors are most likely to receive requests from patients for assistance with suicide or euthanasia. We weighted the results to obtain nationally representative data. We received 1902 completed questionnaires (response rate, 61 percent). Eleven percent of the physicians said that under current legal constraints, there were circumstances in which they would be willing to hasten a patient's death by prescribing medication, and 7 percent said that they would provide a lethal injection; 36 percent and 24 percent, respectively, said that they would do so if it were legal. Since entering practice, 18.3 percent of the physicians (unweighted number, 320) reported having received a request from a patient for assistance with suicide and 11.1 percent (unweighted number, 196) had received a request for a lethal injection. Sixteen percent of the physicians receiving such requests (unweighted number, 42), or 3.3 percent of the entire sample, reported that they had written at least one prescription to be used to hasten death, and 4.7 percent (unweighted number, 59), said that they had administered at least one lethal injection. A substantial proportion of physicians in the United States report that they receive requests for physician-assisted suicide and euthanasia, and about 7 percent of those who responded to our survey have complied with such requests at least once.
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                Author and article information

                Journal
                Health Qual Life Outcomes
                Health and Quality of Life Outcomes
                BioMed Central
                1477-7525
                2007
                22 November 2007
                : 5
                : 59
                Affiliations
                [1 ]Interdisciplinary Center for Palliative Medicine, Ludwig-Maximilians-University, Marchioninistrasse 15, 81371 Munich, Germany
                Article
                1477-7525-5-59
                10.1186/1477-7525-5-59
                2206010
                18034898
                78998c55-2388-4f4d-9cf8-290f82c03c04
                Copyright © 2007 Fegg et al; licensee BioMed Central Ltd.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 28 August 2007
                : 22 November 2007
                Categories
                Research

                Health & Social care
                Health & Social care

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