Meaning in Life and Mental Health Issues in Older Adults:A Meta-Analysis

This study aims to be the first to use meta-analysis to explore the relationship between meaning in life(MIL)and mental health issues among older adults.A meta-analysis was conducted using six databases,resulting in 16 studies with 5,074 participants in total.The“metacor”and“forestplot”packages in R-Studio were used for data analysis.The total effect was calculated using a random-effects model,with I2=86%in the heterogeneity test.The results showed a moderate negative correlation between MIL and mental health issues among older adults,with an average effect of−0.37.Five potential moderating variables were examined:the conceptualization of MIL(value vs.purpose),region(Asian vs.Western countries),residence status(community vs.nursing home vs.hospital),types of mental health issues,and evaluation methods(clinical vs.non-clinical).The first four had no significant moderating effect.The mean correlation coefficients between mental health issues and value/purpose were−0.49/−0.33;the mean correlation coefficients in Asian countries and Western countries were−0.48 and−0.34;the mean correlation coefficients among participants living in community/nursing home/mixed status were−0.33/−0.40/−0.40;the mean correlation coefficients between MIL and depression/others were−0.37/−0.35;however,the negative relationship between MIL and mental health issues was stronger when non-clinical evaluations(self-report only)were used.Specifically,the mean correlation coefficient for non-clinical evaluations was−0.42 and for clinical evaluations was−0.29.This study is the first meta-analysis to identify the negative correlation between older adults’MIL and mental health issues.Significant moderating effects of evaluation methods were found.

B/S Brace as an Alternative Treatment for Ingrown Toenails

To the Editor：Ingrown toenail,also known as onychocryptosis or unguis incarnates,occurs when the periungual skin is punctured by its corresponding nail plate,resulting in a cascade of foreign body,inflammatory,infectious,and reparative processes.Most commonly,big toe is involved.Without proper treatment,it would be very painful and negatively affects the patient＇s walking and greatly hampers the quality of the individual＇s life.Till now,many different treatments have been proposed.In general,the treatment for ingrown toenails can be divided into conservative approaches （including medical and podiatric methods） and surgical approaches.The choice of treatment is usually based on the Heifetz classification stage of the ingrown toenails.Mostly ingrown toenails with Heifetz Stage Ⅱ and Ⅲ need surgical approaches or podiatric methods.