PMID- 36052986 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230831 IS - 1465-3966 (Electronic) IS - 1354-8506 (Linking) VI - 28 IP - 7 DP - 2023 Jul-Dec TI - Differences in life attitudes between general population and hospitalized psychosomatic patients: a comparative cross-sectional study. PG - 1729-1740 LID - 10.1080/13548506.2022.2120624 [doi] AB - To compare the extent to which value-based life attitudes measured by means of the Life Attitude Profile (LAP-R) could differ between the general population and people suffering from mental disorders hospitalized in a psychosomatic ward. Cross-sectional comparative study between a sample of general population (n = 409) and a sample of unselected patients (n = 147) at admission in a psychosomatic ward. Comparisons were carried out by means of Cronbach's alpha, correlation matrix, t-tests, robust multivariate linear regression models (MLRM), and using propensity scores. The internal consistency of LAP-R is good (alpha = 0.90). Divergent validity with BFI dimensions is widely given. In MLRM general population scored higher for the indexes 'personal meaning' and 'existential transcendence', whereas psychosomatic patients for the dimensions 'responsibleness', 'death acceptance', 'goal seeking' and especially 'existential vacuum'. Sex, partnership and schooling display few associations. Neuroticism is negatively and agreeableness positively associated with life attitudes considered as protective. Norm values and differences were stratified by age ranges. This study demonstrates that basic human attitudes like personal transcendence, personal meaning, having a biographically supported mission in life, and belief in a reason for existence are so fundamental for individuals that they are to some degree given independently of having a mental disorder or not. Neuroticism is a risk trait and agreeableness a protective trait facing life attitudes. The findings of this study indicate that people suffering from mental disorders treated in a specialized psychosomatic unit in a general hospital have important value-based resources and simultaneously higher levels of existential vacuum that have to be considered in treatment planning but should also be embedded in a therapeutic alliance. The existential vacuum deserves special consideration in the treatment of patients, especially facing risk of suicide. FAU - Valdes-Stauber, Juan AU - Valdes-Stauber J AUID- ORCID: 0000-0002-5655-4403 AD - Department of Psychiatry and Psychotherapy I, University of Ulm Germany, Zentrum Fur Psychiatrie Sudwurttemberg, Ravensburg, Germany. FAU - Bottinger, Jakob AU - Bottinger J AD - Doctoral candidate, University of Ulm, Germany. FAU - Kramer, Sarah AU - Kramer S AD - Doctoral candidate, University of Munich, Germany. FAU - Kammerle, Helen AU - Kammerle H AD - Psychologist, Vinzenz von Paul Hospital, Rottweil, Germany. LA - eng PT - Journal Article DEP - 20220902 PL - England TA - Psychol Health Med JT - Psychology, health & medicine JID - 9604099 SB - IM OTO - NOTNLM OT - LAP-R OT - Life attitudes OT - existential vacuum OT - personality OT - psychosomatics EDAT- 2022/09/03 06:00 MHDA- 2022/09/03 06:01 CRDT- 2022/09/02 07:42 PHST- 2022/09/03 06:01 [medline] PHST- 2022/09/03 06:00 [pubmed] PHST- 2022/09/02 07:42 [entrez] AID - 10.1080/13548506.2022.2120624 [doi] PST - ppublish SO - Psychol Health Med. 2023 Jul-Dec;28(7):1729-1740. doi: 10.1080/13548506.2022.2120624. Epub 2022 Sep 2.