<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.0 20040830//EN" "journalpublishing.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="2.0" xml:lang="en" article-type="research-article"><front><journal-meta><journal-id journal-id-type="nlm-ta">JMIR Ment Health</journal-id><journal-id journal-id-type="publisher-id">mental</journal-id><journal-id journal-id-type="index">16</journal-id><journal-title>JMIR Mental Health</journal-title><abbrev-journal-title>JMIR Ment Health</abbrev-journal-title><issn pub-type="epub">2368-7959</issn><publisher><publisher-name>JMIR Publications</publisher-name><publisher-loc>Toronto, Canada</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">v13i1e91716</article-id><article-id pub-id-type="doi">10.2196/91716</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Paper</subject></subj-group></article-categories><title-group><article-title>Wisdom and Life Purpose as Predictors of Mental Well-Being Among Middle-Aged to Older Adults: Cross-Sectional Study</article-title></title-group><contrib-group><contrib contrib-type="author" equal-contrib="yes"><name name-style="western"><surname>Arpaci</surname><given-names>Ibrahim</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="fn" rid="equal-contrib1">*</xref></contrib><contrib contrib-type="author" equal-contrib="yes"><name name-style="western"><surname>Ku&#x015F;ci</surname><given-names>Ismail</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff3">3</xref><xref ref-type="fn" rid="equal-contrib1">*</xref></contrib><contrib contrib-type="author" equal-contrib="yes"><name name-style="western"><surname>Karata&#x015F;</surname><given-names>Kasim</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff4">4</xref><xref ref-type="fn" rid="equal-contrib1">*</xref></contrib><contrib contrib-type="author" corresp="yes" equal-contrib="yes"><name name-style="western"><surname>Baloglu</surname><given-names>Mustafa</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff5">5</xref><xref ref-type="fn" rid="equal-contrib1">*</xref></contrib></contrib-group><aff id="aff1"><institution>Department of Engineering, Faculty of Engineering, Bursa Uludag Uni&#x0307;versi&#x0307;ty</institution><addr-line>Bursa</addr-line><country>Turkey</country></aff><aff id="aff2"><institution>Department of Computer Science and Engineering, College of Informatics, Korea University</institution><addr-line>Seoul</addr-line><country>Republic of Korea</country></aff><aff id="aff3"><institution>Department of Counseling, Faculty of Education, Tokat Gaziosmanpasa University</institution><addr-line>Tokat</addr-line><country>Turkey</country></aff><aff id="aff4"><institution>Department of Educational Sciences, Faculty of Education, Karamano&#x011F;lu Mehmetbey University</institution><addr-line>Karaman</addr-line><country>Turkey</country></aff><aff id="aff5"><institution>Special and Gifted Education, Faculty of Education, United Arab Emirates University</institution><addr-line>Sheik Khalifa Bin Zayed Street, Asharej</addr-line><addr-line>Al Ain</addr-line><addr-line>Abu Dhabi</addr-line><country>United Arab Emirates</country></aff><contrib-group><contrib contrib-type="editor"><name name-style="western"><surname>Birk</surname><given-names>Max</given-names></name></contrib></contrib-group><contrib-group><contrib contrib-type="reviewer"><name name-style="western"><surname>Shams</surname><given-names>Amir</given-names></name></contrib><contrib contrib-type="reviewer"><name name-style="western"><surname>Wang</surname><given-names>Wen</given-names></name></contrib></contrib-group><author-notes><corresp>Correspondence to Mustafa Baloglu, PhD, Special and Gifted Education, Faculty of Education, United Arab Emirates University, Sheik Khalifa Bin Zayed Street, Asharej, Al Ain, Abu Dhabi, United Arab Emirates, 971 501259095; <email>baloglu@hotmail.com</email></corresp><fn fn-type="equal" id="equal-contrib1"><label>*</label><p>all authors contributed equally</p></fn></author-notes><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>19</day><month>5</month><year>2026</year></pub-date><volume>13</volume><elocation-id>e91716</elocation-id><history><date date-type="received"><day>19</day><month>01</month><year>2026</year></date><date date-type="rev-recd"><day>12</day><month>03</month><year>2026</year></date><date date-type="accepted"><day>17</day><month>03</month><year>2026</year></date></history><copyright-statement>&#x00A9; Ibrahim Arpaci, Ismail Ku&#x015F;ci, Kasim Karata&#x015F;, Mustafa Baloglu. Originally published in JMIR Mental Health (<ext-link ext-link-type="uri" xlink:href="https://mental.jmir.org">https://mental.jmir.org</ext-link>), 19.5.2026. </copyright-statement><copyright-year>2026</copyright-year><license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">https://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Mental Health, is properly cited. The complete bibliographic information, a link to the original publication on <ext-link ext-link-type="uri" xlink:href="https://mental.jmir.org/">https://mental.jmir.org/</ext-link>, as well as this copyright and license information must be included.</p></license><self-uri xlink:type="simple" xlink:href="https://mental.jmir.org/2026/1/e91716"/><abstract><sec><title>Background</title><p>Positive aging, a concept found in positive psychology, serves as the theoretical foundation for this study. To age positively, one must manage hidden or unrecognized challenges, show flexibility in behavior and thought, adopt a positive outlook on problems involving regression, and make decisions that promote one&#x2019;s well-being.</p></sec><sec><title>Objective</title><p>This study examined the role of wisdom and life purpose in the mental well-being of middle-aged and older adults. More specifically, we tested 4 hypotheses: wisdom would exhibit a positive correlation with mental well-being, quality of life would exhibit a positive correlation with mental well-being, meaning and purpose would exhibit a positive correlation with mental well-being, and freedom would exhibit a positive correlation with mental well-being.</p></sec><sec sec-type="methods"><title>Methods</title><p>The research used a multianalytical methodology combining covariance-based structural equation modeling and artificial neural network techniques to analyze data from 377 individuals aged 50 to 102 years.</p></sec><sec sec-type="results"><title>Results</title><p>Results from the covariance-based structural equation modeling indicate that meaning and purpose, wisdom, and quality of life were significantly associated with the mental well-being, accounting for 71% of the explained variance. Additionally, the artificial network analysis yielded exact forecasts of mental well-being. The artificial network model achieved an accuracy of 82.1% and 73% on the training and test sets, respectively, for predicting mental well-being. Sensitivity analysis revealed that meaning and purpose were the most critical factors in explaining participants&#x2019; mental well-being.</p></sec><sec sec-type="conclusions"><title>Conclusions</title><p>These findings have prominent theoretical implications for social psychology researchers and practical consequences for authorities involved in the care of older adults, who can use the results to develop strategic plans and take necessary actions.</p></sec></abstract><kwd-group><kwd>positive psychology</kwd><kwd>purpose in life</kwd><kwd>mental well-being</kwd><kwd>wisdom</kwd><kwd>aging</kwd></kwd-group></article-meta></front><body><sec id="s1" sec-type="intro"><title>Introduction</title><sec id="s1-1"><title>Background</title><p>Worldwide aging is an inevitable demographic reality of the 21st century. The number of people aged 60 years and older was 962 million in 2017, and it is projected to double to 2.1 billion by 2050 [<xref ref-type="bibr" rid="ref1">1</xref>]. Approximately 16% of the population in the United States, 20% in the European Union, and 27% in Japan are currently classified as older adults. The population of older adults is also increasing rapidly in many transitional countries, where the younger population is in the majority [<xref ref-type="bibr" rid="ref2">2</xref>].</p><p>With advances in health care, life expectancy has increased significantly. Consequently, achieving a healthy and happy life in old age has become crucial. From a psychological perspective, aging involves knowledge gained through age, wisdom attained through experience, social relationships, future goals, coping with life events, life satisfaction, happiness, and the meaning of life [<xref ref-type="bibr" rid="ref3">3</xref>]. Whereas traditional psychology aims to improve mental health, it often overlooks individuals&#x2019; strengths and well-being [<xref ref-type="bibr" rid="ref4">4</xref>]. With the shift from modernism to postmodernism, significant changes have taken place, particularly in the humanities. Postmodernist approaches have explored the positive aspects of individuals and their well-being, leading to the emergence of positive psychology [<xref ref-type="bibr" rid="ref5">5</xref>].</p><p>Well-being is discussed from 2 perspectives: pleasure (hedonic) and psychological functionality (eudaimonic) [<xref ref-type="bibr" rid="ref6">6</xref>]. According to the hedonic point of view, the pursuit of pleasure, avoiding disturbances to one&#x2019;s comfort, and avoiding anything that may cause negative feelings form the basis of subjective well-being [<xref ref-type="bibr" rid="ref6">6</xref>]. Subjective well-being is also defined as experiencing more positive emotions and fewer negative emotions, thus having higher levels of life satisfaction [<xref ref-type="bibr" rid="ref7">7</xref>]. The eudaimonic perspective, which represents the individuals&#x2019; attempts to realize their potential by acting in accordance with the essence, engaging in activities that express virtue, and achieving a good life because of internally motivated actions, is another source of well-being [<xref ref-type="bibr" rid="ref8">8</xref>]. The eudaimonic approach is based on the principle that individuals accept themselves, communicate effectively with others, find meaning and purpose in life, and develop personally through environmental opportunities [<xref ref-type="bibr" rid="ref6">6</xref>]. Because eudaimonic well-being is based on self-actualization, it is also associated with the meaning of life [<xref ref-type="bibr" rid="ref6">6</xref>].</p><p>The World Health Organization defines mental well-being as &#x201C;a state in which each individual reveals his or her potential, copes with the daily stresses of life, works productively and efficiently, and contributes to the society in which he or she lives.&#x201D; Personality traits and environmental factors contribute to the development of subjective well-being, which underscores the importance of attending to developmental stages [<xref ref-type="bibr" rid="ref9">9</xref>]. The concept of mental well-being used in this study includes both subjective well-being (ie, hedonic) and psychological well-being (ie, eudaimonic) dimensions.</p><p>Traditional psychology has primarily concentrated on enhancing mental health and addressing psychological problems. However, a growing body of research indicates that fostering positive traits and well-being may play a critical role in preventing mental health issues and promoting overall health and happiness. The hedonic perspective emphasizes comfort and pleasure, and the eudaimonic perspective focuses on self-actualization and a meaningful life. They are the two contemporary perspectives on well-being. Using a combined approach, we examine how wisdom and purpose in life can help explain mental health among middle-aged and older adults.</p></sec><sec id="s1-2"><title>Hypotheses and Theoretical Model</title><p>Positive aging is a concept of positive psychology and serves as the theoretical foundation for this study. To age positively, one must manage hidden or unrecognized challenges, show flexibility in behavior and thought, adopt a positive outlook on problems involving regression, and make decisions that promote one&#x2019;s well-being [<xref ref-type="bibr" rid="ref10">10</xref>]. Successful aging and positive aging are frequently used synonymously in the literature. Successful aging comprises several elements such as higher levels of mental and physical functioning, the avoidance of disease, active participation in life, financial security, life satisfaction, psychological well-being, and a positive outlook on life [<xref ref-type="bibr" rid="ref10">10</xref>]. Chronological, social, biological, and psychological factors all contribute to successful aging. Similarly, positive aging refers to a wide range of factors that contribute to a happy and healthy life, including psychologically healthy behaviors, healthy lifestyle choices, interpersonal relationships, and the pursuit of meaning in one&#x2019;s life [<xref ref-type="bibr" rid="ref11">11</xref>].</p><p>The increasing older adult population and the resulting social change have brought about a new social structure. As a result, research is needed to support this restructuring in ways that promote positive aging and help older adults live better, healthier lives. The development of interventions and programs for positive aging can be guided by considering the elements associated with positive aging. In the context of positive aging, we examined the connections among mental well-being, wisdom, and purpose in life (<xref ref-type="fig" rid="figure1">Figure 1</xref>).</p><fig position="float" id="figure1"><label>Figure 1.</label><caption><p>Theoretical model.</p></caption><graphic alt-version="no" mimetype="image" position="float" xlink:type="simple" xlink:href="mental_v13i1e91716_fig01.png"/></fig></sec><sec id="s1-3"><title>Wisdom and Well-Being</title><p>Wisdom is defined as the ability to make good decisions by using experience and knowledge and described as &#x201C;the quality of having experience, knowledge, and sound judgment&#x201D; or &#x201C;the fact of relying on logical or intelligent reasoning&#x201D; [<xref ref-type="bibr" rid="ref3">3</xref>]. From a psychological perspective, wisdom is understanding and insight into the world and self, as well as the ability to make the right decisions when confronted with complex life problems [<xref ref-type="bibr" rid="ref12">12</xref>]. Wisdom involves the application of skills and dispositions to promote the common well-being. Many cultures extol wisdom as an admirable resource that embodies the ideal harmony of action, knowledge, reason, and virtue [<xref ref-type="bibr" rid="ref5">5</xref>]. It is perceived as the ultimate understanding of the human condition, along with a means of leading a good life and ending it well [<xref ref-type="bibr" rid="ref13">13</xref>].</p><p>Due to its uniqueness, the wise can make better decisions by quickly analyzing situations and adapting to living conditions. Because wise individuals have a profound understanding of life, they can embrace its unpredictability and act calmly in the face of uncertainty, thereby reducing stress and contributing to well-being [<xref ref-type="bibr" rid="ref14">14</xref>]. Wisdom has an impact on well-being as a psychosocial developmental resource [<xref ref-type="bibr" rid="ref15">15</xref>]. Particularly in old age, wise individuals experience greater well-being because they know how to deal with loss [<xref ref-type="bibr" rid="ref13">13</xref>]. Studies have shown a significant connection between wisdom and well-being. Wisdom increases well-being in older adults and enables them to actively take control of and learn from life rather than passively react to events. Moreover, wisdom is also positively associated with physical health [<xref ref-type="bibr" rid="ref3">3</xref>]. Therefore, we proposed that wisdom would exhibit a positive correlation with mental well-being (hypothesis 1).</p></sec><sec id="s1-4"><title>The Quality of Life and Well-Being</title><p>The quality of life is defined in different ways, such as a response of the social environment; the intersection of individuals&#x2019; satisfaction with their social relations; or happiness, satisfaction, and harmony [<xref ref-type="bibr" rid="ref16">16</xref>]. In the most general sense, the quality of life is the way individuals perceive life within the framework of their culture and values [<xref ref-type="bibr" rid="ref17">17</xref>]. It is described according to 3 basic approaches. The first approach explains the quality of life in terms of normative considerations rather than idiosyncratic, the second links satisfaction with choices, and the third takes individual experiences into account [<xref ref-type="bibr" rid="ref9">9</xref>].</p><p>The quality of life is influenced by psychological, physical, belief, socioeconomic, social, and environmental factors [<xref ref-type="bibr" rid="ref17">17</xref>]. Well-being is one of those factors as well and is associated with a positive self, awareness of potentials and abilities, and acceptance of the self [<xref ref-type="bibr" rid="ref8">8</xref>]. People with higher levels of well-being have better physical and mental health and have a higher standard of living. Well-being directly affects physical, mental, and emotional health, also affecting the quality of life [<xref ref-type="bibr" rid="ref18">18</xref>]. Positive aging corresponds to cognitive, social, and emotional perspectives [<xref ref-type="bibr" rid="ref19">19</xref>]. These are regarded as quality of life, functional care, and being healthy [<xref ref-type="bibr" rid="ref19">19</xref>]. Well-being enhances quality of life, which is considered critical for the sustainability of positive aging [<xref ref-type="bibr" rid="ref20">20</xref>]. Thus, we hypothesized that quality of life would exhibit a positive correlation with mental well-being (hypothesis 2).</p></sec><sec id="s1-5"><title>Meaning, Purpose, and Well-Being</title><p>Meaning is the feeling of belonging to something bigger than oneself [<xref ref-type="bibr" rid="ref21">21</xref>]. People find meaning by having a sense of purpose and awareness [<xref ref-type="bibr" rid="ref21">21</xref>,<xref ref-type="bibr" rid="ref22">22</xref>]. When people find their own goals, they experience happiness and self-actualization. Well-being is associated with the meaning of life [<xref ref-type="bibr" rid="ref6">6</xref>]. Meaning also increases positive emotions and provides a more satisfying life [<xref ref-type="bibr" rid="ref23">23</xref>]. Personal sources of meaning in older adults are associated with well-being and a greater sense of meaning [<xref ref-type="bibr" rid="ref22">22</xref>]. Similarly, older adults who successfully achieve their goals, realize their values, and satisfy their needs at the highest level are happier and experience an increased sense of well-being [<xref ref-type="bibr" rid="ref7">7</xref>]. Studies show that meaning is a valuable source of support for health and well-being. Individuals who shape their lives within the framework of meaning, integrity, and purpose they find in life have higher levels of well-being and positive emotions. Studies show that a meaningful life is associated with well-being [<xref ref-type="bibr" rid="ref24">24</xref>]. Accordingly, our third hypothesis is that meaning and purpose would have a positive correlation with mental well-being (hypothesis 3).</p></sec><sec id="s1-6"><title>Freedom and Well-Being</title><p>According to Choice Theory, human beings are born with basic needs for freedom, entertainment, survival, power, love, and belonging [<xref ref-type="bibr" rid="ref25">25</xref>]. According to this theory, the need for psychological freedom is for independence and autonomy [<xref ref-type="bibr" rid="ref25">25</xref>]. This need is the ability to make choices, be creative, explore, and express themselves comfortably, as well as to have enough space to move freely and feel unrestricted while making choices and using free will. In this sense, freedom makes human life meaningful and purposeful. Individuals must feel a sense of freedom to achieve well-being [<xref ref-type="bibr" rid="ref9">9</xref>]. Those who feel free report higher levels of well-being [<xref ref-type="bibr" rid="ref26">26</xref>]. Similarly, the level of autonomy significantly contributes to well-being [<xref ref-type="bibr" rid="ref27">27</xref>]. Values that promote well-being are called healthy values. Self-direction, which is used in a similar sense to freedom, is also positively related to well-being [<xref ref-type="bibr" rid="ref28">28</xref>]. Therefore, we hypothesized that freedom would exhibit a positive correlation with mental well-being (hypothesis 4).</p><p>In summary, we aimed to investigate the predictive role of wisdom and life purpose in mental well-being among middle-aged to older adults using a multianalytical approach. More specifically, we tested 4 hypotheses: wisdom would exhibit a positive correlation with mental well-being (hypothesis 1), quality of life would exhibit a positive correlation with mental well-being (hypothesis 2), meaning and purpose would exhibit a positive correlation with mental well-being (hypothesis 3), and freedom would exhibit a positive correlation with mental well-being (hypothesis 4).</p></sec></sec><sec id="s2" sec-type="methods"><title>Methods</title><sec id="s2-1"><title>Participants and Procedure</title><p>To gather information from middle-aged to older adults living in T&#x00FC;rkiye for the validation of the theoretical model and assessment of the proposed relationships, this cross-sectional study was conducted using an online survey package. Because of current happenings (ie, the COVID-19 pandemic) many adults consider face-to-face interactions risky; therefore, an online survey via Google Forms was the best method for collecting data. All participants were informed that taking part in the study was voluntary and that all information they provided would be kept private and anonymous and would only be used for research purposes. To prevent missing data, all questions and items were created in a required answer format.</p><p>The sample profile (n=377) shown in <xref ref-type="table" rid="table1">Table 1</xref> indicates that 178 (52.3%) participants were women. Most respondents (n=244; 64.7%) were between 50 and 59 years old. The mean age was 59.09 (SD 9.08; range 50&#x2010;102) years. Of the participants, 146 (38.7%) had completed elementary school, 55 (14.6%) had completed middle school, 69 (18.3%) had completed high school, 23 (6.1%) had completed an associate degree, 77 (20.4%) had completed a bachelor&#x2019;s degree, and 7 (1.9%) had a postgraduate degree. Most of the participants (n=293, 77.7%) had a lower to lower-middle income.</p><table-wrap id="t1" position="float"><label>Table 1.</label><caption><p>Profile of the respondents (N=377).</p></caption><table id="table1" frame="hsides" rules="groups"><thead><tr><td align="left" valign="bottom">Variables</td><td align="left" valign="bottom">Respondents, n (%)</td></tr></thead><tbody><tr><td align="left" valign="top" colspan="2">Gender</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Woman</td><td align="left" valign="top">197 (52.3)</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Man</td><td align="left" valign="top">180 (47.7)</td></tr><tr><td align="left" valign="top" colspan="2">Age group (y)</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>50&#x2010;59</td><td align="left" valign="top">244 (64.7)</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>60&#x2010;69</td><td align="left" valign="top">80 (21.2)</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>70&#x2010;79</td><td align="left" valign="top">36 (9.5)</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x2003;&#x003E;</named-content>80</td><td align="left" valign="top">17 (4.5)</td></tr><tr><td align="left" valign="top" colspan="2">Marital status</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Single</td><td align="left" valign="top">39 (10.3)</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Married or living as a couple</td><td align="left" valign="top">335 (88.9)</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Widowed, divorced, or separated</td><td align="left" valign="top">3 (0.8)</td></tr><tr><td align="left" valign="top" colspan="2">Spouse status</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Alive</td><td align="left" valign="top">317 (84.1)</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Deceased</td><td align="left" valign="top">60 (15.9)</td></tr><tr><td align="left" valign="top" colspan="2">Number of children</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>No child</td><td align="left" valign="top">35 (9.3)</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>1</td><td align="left" valign="top">27 (7.2)</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>2</td><td align="left" valign="top">96 (25.5)</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>3</td><td align="left" valign="top">89 (23.6)</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>4</td><td align="left" valign="top">63 (16.7)</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>5</td><td align="left" valign="top">29 (7.7)</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x2003;&#x003E;</named-content>5</td><td align="left" valign="top">38 (10.1)</td></tr><tr><td align="left" valign="top" colspan="2">Income level</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Low income</td><td align="left" valign="top">150 (39.8)</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Lower-middle Income</td><td align="left" valign="top">143 (37.9)</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Upper-middle Income</td><td align="left" valign="top">62 (16.4)</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>High Income</td><td align="left" valign="top">22 (5.8)</td></tr><tr><td align="left" valign="top" colspan="2">Education level</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Primary education</td><td align="left" valign="top">146 (38.7)</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Middle school</td><td align="left" valign="top">55 (14.6)</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>High school</td><td align="left" valign="top">69 (18.3)</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>College</td><td align="left" valign="top">23 (6.1)</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Bachelor&#x2019;s</td><td align="left" valign="top">77 (20.4)</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Master&#x2019;s</td><td align="left" valign="top">3 (0.8)</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Doctorate</td><td align="left" valign="top">4 (1.1)</td></tr></tbody></table></table-wrap></sec><sec id="s2-2"><title>Instruments</title><sec id="s2-2-1"><title>The Brief Self-Assessed Wisdom Scale</title><p>The scale was initially proposed by Fung et al [<xref ref-type="bibr" rid="ref29">29</xref>] and adapted into Turkish for this study. The scale items were first translated into Turkish by 3 experts, who then reviewed and finalized the translated items by consensus. The adapted scale was then back-translated into English and compared with the original scale items. Reliability and validity assessments showed that the adapted scale displayed adequate psychometric properties. The scale consists of a single factor with 8 items, rated on a 6-point Likert-type scale (1 item was deleted after reliability analysis). An example scale item is &#x201C;I have made important decisions throughout my life.&#x201D; The Cronbach alpha value was 0.73 for the adapted scale and 0.81 for the original scale.</p></sec><sec id="s2-2-2"><title>The Purpose in Life Scale</title><p>The scale was proposed by Crumbaugh and Maholick [<xref ref-type="bibr" rid="ref30">30</xref>] to assess individuals&#x2019; sense of purpose and meaning in life and was adapted into Turkish by K&#x0131;ra&#x00E7; [<xref ref-type="bibr" rid="ref31">31</xref>]. The scale comprises 16 items distributed across 3 factors: quality of life, meaning and purpose, and freedom. Items in the scale were rated on a 7-point Likert-type scale. For instance, item 1, &#x201C;I am usually,&#x201D; was scored from 1 (&#x201C;completely bored&#x201D;) to 7 (&#x201C;exuberant, enthusiastic&#x201D;). Cronbach alpha value for the total scale was 0.91.</p></sec><sec id="s2-2-3"><title>The Warwick-Edinburgh Mental Well-Being Scale</title><p>The scale was initially proposed by Tennant et al [<xref ref-type="bibr" rid="ref32">32</xref>] and adapted into Turkish by Keldal [<xref ref-type="bibr" rid="ref33">33</xref>]. It consists of a single factor with 14 items, scored on a 5-point Likert-type scale. For instance, item 1, &#x201C;I have been feeling optimistic about the future,&#x201D; was scored from 1 (&#x201C;never&#x201D;) to 5 (&#x201C;always&#x201D;). Cronbach alpha value for the scale was 0.89.</p></sec></sec><sec id="s2-3"><title>Data Analysis</title><p>We used a confirmatory rather than an exploratory approach to validate and test the theoretical model. Thus, we decided that covariance-based structural equation modeling was preferable to partial least square structural equation modeling. However, the former cannot test nonlinear relationships between variables [<xref ref-type="bibr" rid="ref34">34</xref>]. To address this limitation, we used a combined artificial neural network (ANN) and covariance-based structural equation modeling approach, enabling the identification of both linear and nonlinear relationships among the study variables [<xref ref-type="bibr" rid="ref35">35</xref>]. This approach was used to test hypothesized linear relationships among latent variables and assess overall model fit. In addition, ANN analysis was conducted to capture potential nonlinear and complex relationships among the variables. This complementary approach allows covariance-based structural equation modeling to provide confirmatory evidence while ANN enhances predictive accuracy and explores relationships that may not be fully captured by linear modeling alone.</p></sec><sec id="s2-4"><title>Ethical Considerations</title><p>This study was approved by the institutional review board of Bandirma Onyedi Eylul University (IRB-01-2021/04). The study was conducted in accordance with the Declaration of Helsinki, and informed consent was obtained from all participants involved in the study.</p></sec></sec><sec id="s3" sec-type="results"><title>Results</title><sec id="s3-1"><title>Reliability and Validity</title><p>We calculated composite reliability and Cronbach alpha to evaluate the internal consistency of the study constructs. The fourth item of the Brief Self-Assessed Wisdom Scale showed a Cronbach alpha of 0.669 if deleted, and its exclusion improved the reliability to 0.73. The alpha values ranged from 0.707 to 0.902, whereas composite reliability coefficients ranged from 0.711 to 0.906 (<xref ref-type="table" rid="table2">Table 2</xref>). Both coefficients exceeded the threshold value of 0.70 [<xref ref-type="bibr" rid="ref36">36</xref>], indicating acceptable internal consistency. Moreover, factor analysis results showed factor loadings higher than 0.487 and communality values higher than 0.302. Some indicators exhibited factor loadings close to 0.50, indicating moderate reliability; these items were retained to preserve the constructs&#x2019; conceptual coverage.</p><table-wrap id="t2" position="float"><label>Table 2.</label><caption><p>Reliability and validity results.</p></caption><table id="table2" frame="hsides" rules="groups"><thead><tr><td align="left" valign="bottom">Constructs and indicators</td><td align="left" valign="bottom">Loading</td><td align="left" valign="bottom">Commonality</td><td align="left" valign="bottom">Cronbach &#x03B1;</td><td align="left" valign="bottom">Composite reliability</td></tr></thead><tbody><tr><td align="left" valign="top" colspan="3">Mental well-being</td><td align="char" char="." valign="top">0.902</td><td align="char" char="." valign="top">0.906</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 1</td><td align="left" valign="top">0.739</td><td align="left" valign="top">0.585</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 2</td><td align="left" valign="top">0.591</td><td align="left" valign="top">0.551</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 3</td><td align="left" valign="top">0.681</td><td align="left" valign="top">0.593</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 4</td><td align="left" valign="top">0.624</td><td align="left" valign="top">0.467</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 5</td><td align="left" valign="top">0.821</td><td align="left" valign="top">0.752</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 6</td><td align="left" valign="top">0.636</td><td align="left" valign="top">0.627</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 7</td><td align="left" valign="top">0.669</td><td align="left" valign="top">0.649</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 8</td><td align="left" valign="top">0.661</td><td align="left" valign="top">0.653</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 9</td><td align="left" valign="top">0.659</td><td align="left" valign="top">0.507</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 10</td><td align="left" valign="top">0.755</td><td align="left" valign="top">0.675</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 11</td><td align="left" valign="top">0.772</td><td align="left" valign="top">0.657</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 12</td><td align="left" valign="top">0.652</td><td align="left" valign="top">0.565</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 13</td><td align="left" valign="top">0.733</td><td align="left" valign="top">0.666</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 14</td><td align="left" valign="top">0.564</td><td align="left" valign="top">0.564</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top" colspan="3">Wisdom</td><td align="char" char="." valign="top">0.730</td><td align="char" char="." valign="top">0.730</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 1</td><td align="left" valign="top">0.514</td><td align="left" valign="top">0.393</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 2</td><td align="left" valign="top">0.726</td><td align="left" valign="top">0.548</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 3</td><td align="left" valign="top">0.705</td><td align="left" valign="top">0.550</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 5</td><td align="left" valign="top">0.638</td><td align="left" valign="top">0.455</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 6</td><td align="left" valign="top">0.786</td><td align="left" valign="top">0.622</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 7</td><td align="left" valign="top">0.711</td><td align="left" valign="top">0.537</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 8</td><td align="left" valign="top">0.512</td><td align="left" valign="top">0.333</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 9</td><td align="left" valign="top">0.630</td><td align="left" valign="top">0.397</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top" colspan="3">Quality of life</td><td align="char" char="." valign="top">0.834</td><td align="char" char="." valign="top">0.836</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 1</td><td align="left" valign="top">0.681</td><td align="left" valign="top">0.532</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 2</td><td align="left" valign="top">0.797</td><td align="left" valign="top">0.640</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 3</td><td align="left" valign="top">0.660</td><td align="left" valign="top">0.508</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 4</td><td align="left" valign="top">0.656</td><td align="left" valign="top">0.483</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 5</td><td align="left" valign="top">0.802</td><td align="left" valign="top">0.643</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 6</td><td align="left" valign="top">0.487</td><td align="left" valign="top">0.373</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 7</td><td align="left" valign="top">0.537</td><td align="left" valign="top">0.302</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top" colspan="3">Meaning and purpose</td><td align="char" char="." valign="top">0.788</td><td align="char" char="." valign="top">0.796</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 8</td><td align="left" valign="top">0.680</td><td align="left" valign="top">0.581</td><td align="left" valign="top">.</td><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 9</td><td align="left" valign="top">0.571</td><td align="left" valign="top">0.534</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 10</td><td align="left" valign="top">0.702</td><td align="left" valign="top">0.582</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 11</td><td align="left" valign="top">0.554</td><td align="left" valign="top">0.408</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 12</td><td align="left" valign="top">0.726</td><td align="left" valign="top">0.561</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 13</td><td align="left" valign="top">0.573</td><td align="left" valign="top">0.632</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 14</td><td align="left" valign="top">0.604</td><td align="left" valign="top">0.504</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top" colspan="3">Freedom</td><td align="char" char="." valign="top">0.707</td><td align="char" char="." valign="top">0.711</td></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 15</td><td align="left" valign="top">0.542</td><td align="left" valign="top">0.407</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top"><named-content content-type="indent">&#x00A0;&#x00A0;&#x00A0;&#x00A0;</named-content>Item 16</td><td align="left" valign="top">0.740</td><td align="left" valign="top">0.606</td><td align="left" valign="top"/><td align="left" valign="top"/></tr></tbody></table></table-wrap></sec><sec id="s3-2"><title>Measurement Model</title><p>To test the construct validity of the structural model, we performed confirmatory factor analysis, and the proposed relationships between the study variables were tested using covariance-based structural equation modeling. The measurement model demonstrated an acceptable fit to the data. The chi-square/degrees of freedom ratio was 2.23, and the root mean square error of approximation was 0.057 (90% CI 0.053&#x2010;0.061), both indicating reasonable model fit. Although goodness-of-fit index (0.823), adjusted goodness-of-fit index (0.790), comparative fit index (0.869), and Tucker-Lewis index (0.853) were slightly below conventional thresholds for excellent fit, parsimony-adjusted indices (parsimony normed fit index=0.700, parsimony comparative fit index=0.772) and information criteria (Akaike information criterion and Bayesian information criterion) support the adequacy of the model. Overall, results suggest that the measurement and structural models provide a satisfactory representation of the data (<xref ref-type="table" rid="table3">Table 3</xref>).</p><table-wrap id="t3" position="float"><label>Table 3.</label><caption><p>Model fit statistics and indices.</p></caption><table id="table3" frame="hsides" rules="groups"><thead><tr><td align="left" valign="bottom">Fit indices</td><td align="left" valign="bottom">Wisdom</td><td align="left" valign="bottom">Purpose in life</td><td align="left" valign="bottom">Mental well-being</td><td align="left" valign="bottom">Measurement model</td><td align="left" valign="bottom">Structural model</td><td align="left" valign="bottom">Threshold values</td></tr></thead><tbody><tr><td align="left" valign="top">Chi-square (<italic>df</italic>)</td><td align="left" valign="top">41.2 (18)</td><td align="left" valign="top">237.7 (88)</td><td align="left" valign="top">159.4 (64)</td><td align="left" valign="top">1468.0 (658)</td><td align="left" valign="top">1621.0 (661)</td><td align="left" valign="top">&#x2014;<sup><xref ref-type="table-fn" rid="table3fn1">a</xref></sup></td></tr><tr><td align="left" valign="top"><italic>P</italic> value</td><td align="left" valign="top">.001</td><td align="left" valign="top">&#x003C;.001</td><td align="left" valign="top">&#x003C;.001</td><td align="left" valign="top">&#x003C;.001</td><td align="left" valign="top">&#x003C;.001</td><td align="left" valign="top">&#x2014;</td></tr><tr><td align="left" valign="top">Chi-square/<italic>df</italic></td><td align="left" valign="top">2.290</td><td align="left" valign="top">2.701</td><td align="left" valign="top">2.491</td><td align="left" valign="top">2.231</td><td align="left" valign="top">2.452</td><td align="left" valign="top">&#x003C;3</td></tr><tr><td align="left" valign="top">Goodness-of-fit index</td><td align="left" valign="top">0.973</td><td align="left" valign="top">0.927</td><td align="left" valign="top">0.942</td><td align="left" valign="top">0.823</td><td align="left" valign="top">0.813</td><td align="left" valign="top">&#x2265;0.90</td></tr><tr><td align="left" valign="top">Adjusted goodness-of-fit index</td><td align="left" valign="top">0.946</td><td align="left" valign="top">0.887</td><td align="left" valign="top">0.905</td><td align="left" valign="top">0.790</td><td align="left" valign="top">0.780</td><td align="left" valign="top">&#x2265;0.80</td></tr><tr><td align="left" valign="top">Normed fit index</td><td align="left" valign="top">0.913</td><td align="left" valign="top">0.907</td><td align="left" valign="top">0.931</td><td align="left" valign="top">0.789</td><td align="left" valign="top">0.767</td><td align="left" valign="top">&#x2265;0.90</td></tr><tr><td align="left" valign="top">Tucker-Lewis index</td><td align="left" valign="top">0.919</td><td align="left" valign="top">0.916</td><td align="left" valign="top">0.939</td><td align="left" valign="top">0.853</td><td align="left" valign="top">0.827</td><td align="left" valign="top">&#x2265;0.90</td></tr><tr><td align="left" valign="top">Comparative fit index</td><td align="left" valign="top">0.948</td><td align="left" valign="top">0.938</td><td align="left" valign="top">0.957</td><td align="left" valign="top">0.869</td><td align="left" valign="top">0.845</td><td align="left" valign="top">&#x2265;0.90</td></tr><tr><td align="left" valign="top">Incremental fit index</td><td align="left" valign="top">0.949</td><td align="left" valign="top">0.939</td><td align="left" valign="top">0.957</td><td align="left" valign="top">0.871</td><td align="left" valign="top">0.847</td><td align="left" valign="top">&#x2265;0.90</td></tr><tr><td align="left" valign="top">RMSEA<sup><xref ref-type="table-fn" rid="table3fn2">b</xref></sup> (LO90-HI90)<sup><xref ref-type="table-fn" rid="table3fn3">c</xref></sup></td><td align="left" valign="top">0.059 (0.035-0.082)</td><td align="left" valign="top">0.067 (0.057-0.078)</td><td align="left" valign="top">0.063 (0.051-0.075)</td><td align="left" valign="top">0.057 (0.053-0.061)</td><td align="left" valign="top">0.062 (0.058-0.066)</td><td align="left" valign="top">&#x2264;0.08</td></tr><tr><td align="left" valign="top">Standardized root mean square residual</td><td align="left" valign="top">0.042</td><td align="left" valign="top">0.0540</td><td align="left" valign="top">0.0422</td><td align="left" valign="top">0.0628</td><td align="left" valign="top">0.1223</td><td align="left" valign="top">&#x2264;0.08</td></tr></tbody></table><table-wrap-foot><fn id="table3fn1"><p><sup>a</sup>Not applicable.</p></fn><fn id="table3fn2"><p><sup>b</sup>RMSEA: root mean square error of approximation.</p></fn><fn id="table3fn3"><p><sup>c</sup>LO90-HI90: 90% lower and upper intervals.</p></fn></table-wrap-foot></table-wrap></sec><sec id="s3-3"><title>Discriminant and Convergent Validity</title><p>As shown in <xref ref-type="table" rid="table4">Table 4</xref>, average variance extracted values ranged between 0.479 and 0.608. Although the average variance extracted for wisdom and quality of life was slightly below the recommended threshold of 0.50, their composite reliability values exceeded 0.70, indicating acceptable convergent validity [<xref ref-type="bibr" rid="ref36">36</xref>]. Discriminant validity was assessed using the &#x201C;heterotrait-monotrait ratio.&#x201D;. As shown in <xref ref-type="table" rid="table4">Table 4</xref>, all heterotrait-monotrait ratio values were below the recommended threshold of 0.85, indicating satisfactory discriminant validity among the constructs [<xref ref-type="bibr" rid="ref37">37</xref>].</p><table-wrap id="t4" position="float"><label>Table 4.</label><caption><p>Discriminant validity (heterotrait-monotrait ratio) and average variance extracted (AVE).</p></caption><table id="table4" frame="hsides" rules="groups"><thead><tr><td align="left" valign="bottom">Construct</td><td align="left" valign="bottom">AVE</td><td align="left" valign="bottom">Meaning and purpose</td><td align="left" valign="bottom">Mental well-being</td><td align="left" valign="bottom">Wisdom</td><td align="left" valign="bottom">Quality of life</td><td align="left" valign="bottom">Freedom</td></tr></thead><tbody><tr><td align="left" valign="top">Meaning and purpose</td><td align="left" valign="top">0.543</td><td align="left" valign="top"/><td align="left" valign="top"/><td align="left" valign="top"/><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top">Mental well-being</td><td align="left" valign="top">0.608</td><td align="left" valign="top">0.47</td><td align="left" valign="top"/><td align="left" valign="top"/><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top">Wisdom</td><td align="left" valign="top">0.479</td><td align="left" valign="top">0.52</td><td align="left" valign="top">0.74</td><td align="left" valign="top"/><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top">Quality of life</td><td align="left" valign="top">0.497</td><td align="left" valign="top">0.39</td><td align="left" valign="top">0.68</td><td align="left" valign="top">0.71</td><td align="left" valign="top"/><td align="left" valign="top"/></tr><tr><td align="left" valign="top">Freedom</td><td align="left" valign="top">0.507</td><td align="left" valign="top">0.44</td><td align="left" valign="top">0.62</td><td align="left" valign="top">0.66</td><td align="left" valign="top">0.63</td><td align="left" valign="top"/></tr></tbody></table></table-wrap></sec><sec id="s3-4"><title>Hypothesis Testing</title><p>Lateral collinearity and common method variance had been assessed before the hypotheses were tested. Harman single-factor test indicated that the first factor accounted for 32.36% of the total variance, suggesting that common method variance is unlikely to affect the results substantially. Furthermore, variance inflation factor values ranged from 1.347 to 2.616, indicating that multicollinearity among the predictors was low and did not pose a concern for the structural model estimate.</p><p>A 5000-sample bootstrapping technique (with a 95% CI) was used through SPSS AMOS (version 25; IBM Corp) to evaluate the structural model by calculating the standardized estimates (&#x03B2;), critical ratios or <italic>t</italic> values, and the coefficient of determination (<italic>R</italic><sup>2</sup>). The results of hypothesis testing revealed a significant association between wisdom and mental well-being (&#x03B2;=0.248<italic>; t</italic>=4.732<italic>; P</italic>&#x003C;.001). Further, mental well-being was significantly associated with quality of life (&#x03B2;=0.429; <italic>t</italic>=2.059; <italic>P</italic>=.04) and meaning and purpose (&#x03B2;=0.557; <italic>t</italic>=3.674; <italic>P</italic>&#x003C;.001). These results supported first, second, and third hypotheses. However, no significant association was observed between mental well-being and freedom (&#x03B2;=&#x2212;191, <italic>t</italic>=&#x2013;1.383; <italic>P</italic>=.17). Thus, the fourth hypothesis was not supported. The results shown in <xref ref-type="table" rid="table5">Table 5</xref> revealed that the theoretical model was meaningful, as the coefficient of determination (<italic>R</italic><sup>2</sup>) for the 4 exogenous variables explained a total of 71% of the variance in the endogenous variable (<italic>e</italic>=0.12).</p><table-wrap id="t5" position="float"><label>Table 5.</label><caption><p>Hypothesis testing results.</p></caption><table id="table5" frame="hsides" rules="groups"><thead><tr><td align="left" valign="top">Hypothesis</td><td align="left" valign="top">Structural path</td><td align="left" valign="top">Standardized &#x03B2;</td><td align="left" valign="top" colspan="2">&#x03B2; (SE)</td><td align="left" valign="top"><italic>t</italic> value</td><td align="left" valign="top"><italic>P</italic> value</td><td align="left" valign="top">VIF<sup><xref ref-type="table-fn" rid="table5fn1">a</xref></sup></td></tr></thead><tbody><tr><td align="left" valign="top">1</td><td align="left" valign="top">Wisdom &#x2192; mental well-being</td><td align="left" valign="top">0.248</td><td align="left" valign="top" colspan="2">0.225 (0.048)</td><td align="left" valign="top">4.732</td><td align="left" valign="top">.001</td><td align="left" valign="top">1.347</td></tr><tr><td align="left" valign="top">2</td><td align="left" valign="top">Quality of life &#x2192; mental well-being</td><td align="left" valign="top">0.429</td><td align="left" valign="top" colspan="2">0.348 (0.169)</td><td align="left" valign="top">2.059</td><td align="left" valign="top">.04</td><td align="left" valign="top">2.616</td></tr><tr><td align="left" valign="top">3</td><td align="left" valign="top">Meaning and purpose &#x2192; mental well-being</td><td align="left" valign="top">0.557</td><td align="left" valign="top" colspan="2">0.463 (0.126)</td><td align="left" valign="top">3.674</td><td align="left" valign="top">.001</td><td align="left" valign="top">2.101</td></tr><tr><td align="left" valign="top">4</td><td align="left" valign="top">Freedom &#x2192; mental well-being</td><td align="left" valign="top">&#x2212;0.191</td><td align="left" valign="top" colspan="2">&#x2212;0.142 (0.103)</td><td align="left" valign="top">&#x2212;1.383</td><td align="left" valign="top">.17</td><td align="left" valign="top">1.827</td></tr></tbody></table><table-wrap-foot><fn id="table5fn1"><p><sup>a</sup>VIF: variance inflation factor.</p></fn></table-wrap-foot></table-wrap></sec><sec id="s3-5"><title>The ANN Model</title><p>We further tested the proposed model using an ANN model to capture potential nonlinear relationships [<xref ref-type="bibr" rid="ref38">38</xref>]. A multilayer perceptron model with one hidden layer and a single continuous output layer was used. The hidden layer used a hyperbolic tangent activation function, and the output layer applied an identity function to predict continuous mental well-being scores. All input covariates were standardized, and the dataset was divided into training (70%) and testing (30%) sets.</p><p>As illustrated in <xref ref-type="fig" rid="figure2">Figure 2</xref>, the ANN model included an input layer representing the exogenous constructs, including wisdom, quality of life, meaning and purpose, and freedom, along with a bias term, followed by a hidden layer with 3 units and a continuous output layer for mental well-being. The predictive performance was evaluated using the sum of squared error and relative errors on the training and testing sets, which are appropriate metrics for continuous dependent variables. The model demonstrated good predictive performance, with sum of squares error and relative error values of 42.831 (training, relative error=0.335) and 20.191 (testing, relative error=0.499), indicating reasonable accuracy across the training and test sets.</p><fig position="float" id="figure2"><label>Figure 2.</label><caption><p>The artificial neural network (ANN) model. Hidden layer activation function: hyperbolic tangent. Output layer activation function: identity. H(1:1), H(1:2), and H(1:3) denote the first, second, and third neurons in the hidden layer, respectively.</p></caption><graphic alt-version="no" mimetype="image" position="float" xlink:type="simple" xlink:href="mental_v13i1e91716_fig02.png"/></fig><p>Sensitivity analysis showed that quality of life was the most influential predictor (normalized importance=100%), followed by meaning and purpose (67.8%), wisdom (36.0%), and freedom (13.9%). These results highlight the relative contribution of each construct in predicting mental well-being. They are consistent with the covariance-based structural equation modeling results, in which wisdom, quality of life, meaning, and purpose showed significant positive effects. In contrast, freedom did not have a significant effect on mental well-being.</p></sec></sec><sec id="s4" sec-type="discussion"><title>Discussion</title><sec id="s4-1"><title>Principal Findings</title><p>We aimed to investigate the predictive role of wisdom and life purpose in mental well-being among middle-aged to older adults using a multianalytical approach. More specifically, we tested 4 hypotheses: wisdom would exhibit a positive correlation with mental well-being (hypothesis 1), quality of life would exhibit a positive correlation with mental well-being (hypothesis 2), meaning and purpose would exhibit a positive correlation with mental well-being (hypothesis 3), and freedom would exhibit a positive correlation with mental well-being (hypothesis 4).</p><p>We found a significant association between wisdom and mental well-being (<italic>P</italic>&#x003C;.05). Mental well-being was also significantly associated with quality of life, meaning, and purpose (<italic>P</italic>&#x003C;.05). However, we did not find any significant association between mental well-being and freedom (<italic>P</italic>&#x003E;.05). The results show that the theoretical model was meaningful. To detect nonlinear relationships among study variables, we used an ANN analysis. Sensitivity analysis indicated that the ranking of predictor importance is consistent with structural equation modeling results, confirming that quality of life, meaning and purpose, and wisdom are the main contributors to mental well-being, while freedom has minimal impact.</p><p>It is not possible to explain older adults&#x2019; well-being solely by living conditions such as the physical environment, socioeconomic status, physical health, and financial situation. Personality characteristics should also be considered to make a more realistic evaluation about their well-being [<xref ref-type="bibr" rid="ref3">3</xref>]. For this purpose, we examined the relationships among mental well-being, perceptions of wisdom, quality of life, meaning and purpose in life, and freedom in individuals aged 50 years and older. Findings show a positive, significant relationship between mental well-being and wisdom, with wisdom being strongly associated with it. These findings were consistent with prior studies (eg, [<xref ref-type="bibr" rid="ref15">15</xref>]).</p><p>Wisdom impacts well-being as a psychosocial developmental resource. Wisdom is the quality that an individual acquires from their communications, judgments, decision-making, and learning throughout their lives [<xref ref-type="bibr" rid="ref19">19</xref>]. The level of wisdom increases depending on an individual&#x2019;s life experiences. Given that older adults have more life experiences, their level of wisdom is expected to be deeper. According to the positive model&#x2019;s assumption, there is a positive correlation between age and wisdom [<xref ref-type="bibr" rid="ref13">13</xref>]. Although our findings confirm this assumption, old age may not always lead to wisdom. Whereas older age may be an advantage for wisdom, it is not the only sufficient condition, as the development of wisdom depends on various cognitive, emotional, cultural, and contextual factors [<xref ref-type="bibr" rid="ref39">39</xref>]. Through a combination of these factors, wisdom among older adults can lead to mental well-being [<xref ref-type="bibr" rid="ref14">14</xref>].</p><p>The emotion regulation and psychological balance that wisdom provides in older adults may not be satisfactory to sustain mental well-being. In addition, a high quality of life is necessary for mental well-being [<xref ref-type="bibr" rid="ref40">40</xref>][46]. Physical functions, psychological states, social interactions, and occupational and economic situations affect individuals&#x2019; quality of life [<xref ref-type="bibr" rid="ref41">41</xref>]. With age, older adults&#x2019; activities in society may be restricted by various psychosocial and economic factors, especially by chronic diseases [<xref ref-type="bibr" rid="ref42">42</xref>][47]. In these circumstances, older adults&#x2019; quality of life declines.</p><p>Our results revealed a positive relationship between mental well-being and quality of life and that quality of life is significantly associated with mental well-being. A study conducted with older adults [<xref ref-type="bibr" rid="ref43">43</xref>] yielded similar findings. In this context, mental well-being and quality of life are essential for individuals to establish more productive, stronger social relationships and make healthier decisions [<xref ref-type="bibr" rid="ref33">33</xref>]. A decrease in the quality of life among older adults generates psychological problems, such as depression, anxiety, fear, and anger, as well as decreased well-being, life satisfaction, health status, and happiness [<xref ref-type="bibr" rid="ref44">44</xref>]. Thus, it is important to provide quality-of-life standards with psychosocial and economic dimensions to maintain the mental well-being and positive aging of older adults.</p><p>One of the important psychological factors associated with mental well-being is meaning and purpose in life because it is related to a reduction in psychological burden, psychological distress, and mental illness (eg, anxiety, eating disorders, substance use, and depression) [<xref ref-type="bibr" rid="ref22">22</xref>]. Psychological well-being and the meaning of life are considered the most important determinants of mental health and happiness [<xref ref-type="bibr" rid="ref45">45</xref>]. Our results revealed a positive correlation between mental well-being and life purpose, with life purpose significantly associated with mental well-being. Studies of older adults have reported similar findings [<xref ref-type="bibr" rid="ref46">46</xref>]. People who believe their lives are more meaningful experience better mental well-being and greater life satisfaction [<xref ref-type="bibr" rid="ref22">22</xref>]. People aim to live their lives in a meaningful and purposeful way at every stage. While the purpose of life serves as a psychological buffer, particularly for people at the beginning of older ages, it is also an essential factor in sustaining their mental well-being.</p><p>Another factor that can make life meaningful and purposeful is freedom. Although the relationship between freedom and well-being is underexplored in the literature, an indirect study found a positive correlation [<xref ref-type="bibr" rid="ref26">26</xref>]. However, our findings indicate no significant correlation between mental well-being and freedom. The nonsignificant impact of freedom may be explained by cultural and religious factors [<xref ref-type="bibr" rid="ref47">47</xref>]. T&#x00FC;rkiye is a society characterized by collectivist values and relatively high religiosity, where personal freedom is often understood in relation to family, social expectations, and religious norms. As a result, perceptions of freedom may differ from the individualistic conceptualization typically captured by the Purpose in Life Scale. This cultural context may have contributed to the lack of a significant association between the freedom dimension and mental well-being in this study.</p><p>Our findings have important implications for researchers and practitioners. Successful aging involves many psychological factors. This research contributes to the literature on which psychological factors should be considered to support successful aging. Furthermore, our results provide insight into preventive and reinforcing psychological factors to protect individuals&#x2019; psychological well-being during the preparatory stage for old age and to encourage them toward active aging.</p></sec><sec id="s4-2"><title>Limitations</title><p>Several psychological factors are essential for successful aging, including mental well-being, wisdom, quality of life, and purpose in life. This research shows that perceptions of wisdom, quality of life, meaning, and purpose in life are significantly associated with mental well-being among older people. Although the findings and implications of this study offer specific insights into the psychological factors associated with successful aging in later life, several limitations may limit the generalizability of the results.</p><p>Although Harman single-factor test indicated no severe common method bias, all variables were measured via a single self-report survey at one point, which may inflate correlations and should be considered when interpreting the results. Longitudinal or experimental studies are needed to mitigate these biases and clarify potential causal mechanisms underlying the proposed relationships. Another limitation concerns sample diversity. Most participants were aged 50 to 59 years and had relatively lower levels of education and income. In contrast, older adults (particularly those aged 70 years and above) and individuals from higher socioeconomic backgrounds were underrepresented. Therefore, future studies should recruit more diverse samples to enhance the generalizability of findings and provide a more comprehensive understanding of the relationships between wisdom, life purpose, and mental well-being across different segments of the population. Another limitation concerns the measurement of quality of life. In this study, this variable was derived from a subdimension of the Purpose in Life Scale rather than from a dedicated quality-of-life instrument. Because this subscale captures aspects of positive functioning and satisfaction, there may be conceptual overlaps with mental well-being, which may partly explain the relatively stronger associations observed. Future research could benefit from using established quality-of-life instruments to further strengthen construct differentiation. Additionally, the ANN model relied on a single 70:30 train-test split without repeated cross-validation, which may make the predictive performance estimates sensitive to sampling variability and limit their stability.</p><p>It should also be noted that broader cultural contexts may influence the perceptions of freedom. In societies where cultural norms, collective values, and beliefs play a significant role in shaping the meaning of life and individual choices, the interpretation of freedom may differ from that in more individualistic contexts. Future research could further explore how cultural frameworks influence perceptions of freedom and their potential associations with psychological well-being. Furthermore, the freedom dimension assessed by the Purpose of Life Scale may not fully capture the broader conceptualization of psychological freedom proposed by Choice Theory. Therefore, the interpretation of this dimension should be considered within the operational boundaries of the scale used in this study. Finally, the structural model did not include demographic or health-related covariates such as age, gender, education, income, marital status, or physical health, which may influence mental well-being. Future studies could include these variables to strengthen the robustness of the findings.</p></sec></sec></body><back><ack><p>The authors used Grammarly Pro to improve readability and grammatical clarity with caution.</p></ack><notes><sec><title>Funding</title><p>The authors declared no financial support was received for this work.</p></sec><sec><title>Data Availability</title><p>The datasets generated or analyzed during this study are available from the corresponding author on reasonable request.</p></sec></notes><fn-group><fn fn-type="con"><p>IA, IK, KK, and MB wrote the original manuscript and revised it. IK and KK collected the data and prepared the data for analysis. IA and MB ran the analyses. All authors reviewed the final manuscript.</p></fn><fn fn-type="conflict"><p>None declared.</p></fn></fn-group><glossary><title>Abbreviations</title><def-list><def-item><term id="abb1">ANN</term><def><p>artificial neural network</p></def></def-item></def-list></glossary><ref-list><title>References</title><ref id="ref1"><label>1</label><nlm-citation citation-type="web"><article-title>World population prospects: the 2017 revision</article-title><source>Department of Economic and Social Affairs, United Nations</source><year>2017</year><access-date>2025-05-25</access-date><comment><ext-link ext-link-type="uri" xlink:href="https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/files/documents/2020/Jan/un_2017_world_population_prospects-2017_revision_databooklet.pdf">https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/files/documents/2020/Jan/un_2017_world_population_prospects-2017_revision_databooklet.pdf</ext-link></comment></nlm-citation></ref><ref id="ref2"><label>2</label><nlm-citation citation-type="web"><article-title>Ageing in the twenty-first century: a celebration and a challenge</article-title><source>The United Nations Population Fund</source><year>2012</year><access-date>2025-05-25</access-date><comment><ext-link ext-link-type="uri" xlink:href="https://www.unfpa.org/publications/ageing-twenty-first-century">https://www.unfpa.org/publications/ageing-twenty-first-century</ext-link></comment></nlm-citation></ref><ref id="ref3"><label>3</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Ardelt</surname><given-names>M</given-names> </name></person-group><article-title>Wisdom and life satisfaction in old age</article-title><source>J Gerontol B Psychol Sci Soc Sci</source><year>1997</year><month>01</month><volume>52B</volume><issue>1</issue><fpage>15</fpage><lpage>27</lpage><pub-id pub-id-type="doi">10.1093/geronb/52b.1.p15</pub-id><pub-id pub-id-type="medline">9008672</pub-id></nlm-citation></ref><ref id="ref4"><label>4</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Park</surname><given-names>N</given-names> </name><name name-style="western"><surname>Peterson</surname><given-names>C</given-names> </name></person-group><article-title>Positive psychology and character strengths: application to strengths-based school counseling</article-title><source>Prof Sch Couns</source><year>2008</year><month>12</month><volume>12</volume><issue>2</issue><fpage>85</fpage><lpage>92</lpage><pub-id pub-id-type="doi">10.5330/PSC.n.2010-12.85</pub-id></nlm-citation></ref><ref id="ref5"><label>5</label><nlm-citation citation-type="book"><person-group person-group-type="author"><name name-style="western"><surname>Baltes</surname><given-names>PB</given-names> </name><name name-style="western"><surname>Gl&#x00FC;ck</surname><given-names>J</given-names> </name><name name-style="western"><surname>Kunzmann</surname><given-names>U</given-names> </name></person-group><person-group person-group-type="editor"><name name-style="western"><surname>Snyder</surname><given-names>CR</given-names> </name><name name-style="western"><surname>Lopez</surname><given-names>SJ</given-names> </name></person-group><article-title>Wisdom: its structure and function in regulating successful life span development</article-title><source>Handbook of Positive Psychology</source><year>2002</year><publisher-name>Oxford University Press</publisher-name><fpage>327</fpage><lpage>347</lpage><pub-id pub-id-type="doi">10.1093/oso/9780195135336.003.0024</pub-id><pub-id pub-id-type="other">9780195135336</pub-id></nlm-citation></ref><ref id="ref6"><label>6</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Deci</surname><given-names>EL</given-names> </name><name name-style="western"><surname>Ryan</surname><given-names>RM</given-names> </name></person-group><article-title>Hedonia, eudaimonia, and well-being: an introduction</article-title><source>J Happiness Stud</source><year>2008</year><month>01</month><volume>9</volume><issue>1</issue><fpage>1</fpage><lpage>11</lpage><pub-id pub-id-type="doi">10.1007/s10902-006-9018-1</pub-id></nlm-citation></ref><ref id="ref7"><label>7</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Diener</surname><given-names>E</given-names> </name></person-group><article-title>Subjective well-being</article-title><source>Psychol Bull</source><year>1984</year><month>05</month><volume>95</volume><issue>3</issue><fpage>542</fpage><lpage>575</lpage><pub-id pub-id-type="doi">10.1037/0033-2909.95.3.542</pub-id><pub-id pub-id-type="medline">6399758</pub-id></nlm-citation></ref><ref id="ref8"><label>8</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Ryff</surname><given-names>CD</given-names> </name><name name-style="western"><surname>Singer</surname><given-names>BH</given-names> </name></person-group><article-title>Know thyself and become what you are: a eudaimonic approach to psychological well-being</article-title><source>J Happiness Stud</source><year>2008</year><month>01</month><volume>9</volume><issue>1</issue><fpage>13</fpage><lpage>39</lpage><pub-id pub-id-type="doi">10.1007/s10902-006-9019-0</pub-id></nlm-citation></ref><ref id="ref9"><label>9</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Diener</surname><given-names>E</given-names> </name><name name-style="western"><surname>Fujita</surname><given-names>F</given-names> </name></person-group><article-title>Resources, personal strivings, and subjective well-being: a nomothetic and idiographic approach</article-title><source>J Pers Soc Psychol</source><year>1995</year><month>05</month><volume>68</volume><issue>5</issue><fpage>926</fpage><lpage>935</lpage><pub-id pub-id-type="doi">10.1037//0022-3514.68.5.926</pub-id><pub-id pub-id-type="medline">7776188</pub-id></nlm-citation></ref><ref id="ref10"><label>10</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Hill</surname><given-names>RD</given-names> </name></person-group><article-title>A positive aging framework for guiding geropsychology interventions</article-title><source>Behav Ther</source><year>2011</year><month>03</month><volume>42</volume><issue>1</issue><fpage>66</fpage><lpage>77</lpage><pub-id pub-id-type="doi">10.1016/j.beth.2010.04.006</pub-id><pub-id pub-id-type="medline">21292053</pub-id></nlm-citation></ref><ref id="ref11"><label>11</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Lee</surname><given-names>EE</given-names> </name></person-group><article-title>Aging successfully and healthfully</article-title><source>Int Psychogeriatr</source><year>2019</year><month>04</month><volume>31</volume><issue>4</issue><fpage>439</fpage><lpage>441</lpage><pub-id pub-id-type="doi">10.1017/S1041610219000012</pub-id><pub-id pub-id-type="medline">31018886</pub-id></nlm-citation></ref><ref id="ref12"><label>12</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Morlett Paredes</surname><given-names>A</given-names> </name><name name-style="western"><surname>Lee</surname><given-names>EE</given-names> </name><name name-style="western"><surname>Chik</surname><given-names>L</given-names> </name><etal/></person-group><article-title>Qualitative study of loneliness in a senior housing community: the importance of wisdom and other coping strategies</article-title><source>Aging Ment Health</source><year>2021</year><month>03</month><volume>25</volume><issue>3</issue><fpage>559</fpage><lpage>566</lpage><pub-id pub-id-type="doi">10.1080/13607863.2019.1699022</pub-id><pub-id pub-id-type="medline">31918561</pub-id></nlm-citation></ref><ref id="ref13"><label>13</label><nlm-citation citation-type="book"><person-group person-group-type="editor"><name name-style="western"><surname>Sternberg</surname><given-names>RJ</given-names> </name><name name-style="western"><surname>Gl&#x00FC;ck</surname><given-names>J</given-names> </name></person-group><source>The Psychology of Wisdom: An Introduction</source><year>2022</year><publisher-name>Cambridge University Press</publisher-name><pub-id pub-id-type="doi">10.1017/9781009085724</pub-id></nlm-citation></ref><ref id="ref14"><label>14</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Ardelt</surname><given-names>M</given-names> </name><name name-style="western"><surname>Ferrari</surname><given-names>M</given-names> </name></person-group><article-title>Effects of wisdom and religiosity on subjective well-being in old age and young adulthood: exploring the pathways through mastery and purpose in life</article-title><source>Int Psychogeriatr</source><year>2019</year><month>04</month><volume>31</volume><issue>4</issue><fpage>477</fpage><lpage>489</lpage><pub-id pub-id-type="doi">10.1017/S1041610218001680</pub-id><pub-id pub-id-type="medline">30457081</pub-id></nlm-citation></ref><ref id="ref15"><label>15</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Kieny</surname><given-names>C</given-names> </name><name name-style="western"><surname>Flores</surname><given-names>G</given-names> </name><name name-style="western"><surname>Ingenhaag</surname><given-names>M</given-names> </name><name name-style="western"><surname>Maurer</surname><given-names>J</given-names> </name></person-group><article-title>Healthy, wealthy, wise, and happy? Assessing age differences in evaluative and emotional well-being among mature adults from five low- and middle-income countries</article-title><source>Soc Indic Res</source><year>2022</year><month>04</month><volume>160</volume><issue>2-3</issue><fpage>1019</fpage><lpage>1050</lpage><pub-id pub-id-type="doi">10.1007/s11205-020-02515-4</pub-id></nlm-citation></ref><ref id="ref16"><label>16</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Murrell</surname><given-names>SA</given-names> </name><name name-style="western"><surname>Norris</surname><given-names>FH</given-names> </name></person-group><article-title>Quality of life as the criterion for need assessment and community psychology</article-title><source>J Community Psychol</source><year>1983</year><month>04</month><volume>11</volume><issue>2</issue><fpage>88</fpage><lpage>97</lpage><pub-id pub-id-type="doi">10.1002/1520-6629(198304)11:2&#x003C;88::aid-jcop2290110203&#x003E;3.0.co;2-i</pub-id><pub-id pub-id-type="medline">10263343</pub-id></nlm-citation></ref><ref id="ref17"><label>17</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Barofsky</surname><given-names>I</given-names> </name></person-group><article-title>Can quality or quality-of-life be defined?</article-title><source>Qual Life Res</source><year>2012</year><month>05</month><volume>21</volume><issue>4</issue><fpage>625</fpage><lpage>631</lpage><pub-id pub-id-type="doi">10.1007/s11136-011-9961-0</pub-id><pub-id pub-id-type="medline">21725867</pub-id></nlm-citation></ref><ref id="ref18"><label>18</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Aldridge</surname><given-names>JM</given-names> </name><name name-style="western"><surname>McChesney</surname><given-names>K</given-names> </name></person-group><article-title>The relationships between school climate and adolescent mental health and wellbeing: a systematic literature review</article-title><source>Int J Educ Res</source><year>2018</year><month>03</month><volume>88</volume><fpage>121</fpage><lpage>145</lpage><pub-id pub-id-type="doi">10.1016/j.ijer.2018.01.012</pub-id></nlm-citation></ref><ref id="ref19"><label>19</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Simons</surname><given-names>M</given-names> </name><name name-style="western"><surname>Lataster</surname><given-names>J</given-names> </name><name name-style="western"><surname>Reijnders</surname><given-names>J</given-names> </name><name name-style="western"><surname>Peeters</surname><given-names>S</given-names> </name><name name-style="western"><surname>Janssens</surname><given-names>M</given-names> </name><name name-style="western"><surname>Jacobs</surname><given-names>N</given-names> </name></person-group><article-title>Bonding personal social capital as an ingredient for positive aging and mental well-being. A study among a sample of Dutch elderly</article-title><source>Aging Ment Health</source><year>2020</year><month>12</month><volume>24</volume><issue>12</issue><fpage>2034</fpage><lpage>2042</lpage><pub-id pub-id-type="doi">10.1080/13607863.2019.1650887</pub-id><pub-id pub-id-type="medline">31389250</pub-id></nlm-citation></ref><ref id="ref20"><label>20</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Nyqvist</surname><given-names>F</given-names> </name><name name-style="western"><surname>Forsman</surname><given-names>AK</given-names> </name><name name-style="western"><surname>Giuntoli</surname><given-names>G</given-names> </name><name name-style="western"><surname>Cattan</surname><given-names>M</given-names> </name></person-group><article-title>Social capital as a resource for mental well-being in older people: a systematic review</article-title><source>Aging Ment Health</source><year>2013</year><volume>17</volume><issue>4</issue><fpage>394</fpage><lpage>410</lpage><pub-id pub-id-type="doi">10.1080/13607863.2012.742490</pub-id><pub-id pub-id-type="medline">23186534</pub-id></nlm-citation></ref><ref id="ref21"><label>21</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Butler</surname><given-names>J</given-names> </name><name name-style="western"><surname>Kern</surname><given-names>ML</given-names> </name></person-group><article-title>The PERMA-Profiler: a brief multidimensional measure of flourishing</article-title><source>Intnl J Wellbeing</source><year>2016</year><volume>6</volume><issue>3</issue><fpage>1</fpage><lpage>48</lpage><pub-id pub-id-type="doi">10.5502/ijw.v6i3.526</pub-id></nlm-citation></ref><ref id="ref22"><label>22</label><nlm-citation citation-type="book"><person-group person-group-type="author"><name name-style="western"><surname>Steger</surname><given-names>MF</given-names> </name><name name-style="western"><surname>Slade</surname><given-names>M</given-names> </name><name name-style="western"><surname>Oades</surname><given-names>L</given-names> </name><name name-style="western"><surname>Jarden</surname><given-names>A</given-names> </name></person-group><article-title>Meaning in life and well-being</article-title><source>Wellbeing, Recovery and Mental Health</source><year>2017</year><publisher-name>Cambridge University Press</publisher-name><fpage>75</fpage><lpage>85</lpage><pub-id pub-id-type="doi">10.1017/9781316339275.008</pub-id><pub-id pub-id-type="other">9781316339275</pub-id></nlm-citation></ref><ref id="ref23"><label>23</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Ho</surname><given-names>MY</given-names> </name><name name-style="western"><surname>Cheung</surname><given-names>FM</given-names> </name><name name-style="western"><surname>Cheung</surname><given-names>SF</given-names> </name></person-group><article-title>The role of meaning in life and optimism in promoting well-being</article-title><source>Pers Individ Dif</source><year>2010</year><month>04</month><volume>48</volume><issue>5</issue><fpage>658</fpage><lpage>663</lpage><pub-id pub-id-type="doi">10.1016/j.paid.2010.01.008</pub-id></nlm-citation></ref><ref id="ref24"><label>24</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Garc&#x00ED;a-Alandete</surname><given-names>J</given-names> </name><name name-style="western"><surname>Rosa Mart&#x00ED;nez</surname><given-names>E</given-names> </name><name name-style="western"><surname>Sell&#x00E9;s Nohales</surname><given-names>P</given-names> </name></person-group><article-title>Estructura factorial y consistencia interna de una versi&#x00F3;n espa&#x00F1;ola del Purpose-In-Life test [Article in Spanish]</article-title><source>Univ Psychol</source><year>2012</year><month>10</month><day>22</day><volume>12</volume><issue>2</issue><pub-id pub-id-type="doi">10.11144/Javeriana.UPSY12-2.efci</pub-id></nlm-citation></ref><ref id="ref25"><label>25</label><nlm-citation citation-type="book"><person-group person-group-type="author"><name name-style="western"><surname>Glasser</surname><given-names>W</given-names> </name></person-group><source>Counseling With Choice Theory: The New Reality Therapy</source><year>2001</year><publisher-name>Harper Collins</publisher-name><pub-id pub-id-type="other">9780060953669</pub-id></nlm-citation></ref><ref id="ref26"><label>26</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Janke</surname><given-names>MC</given-names> </name><name name-style="western"><surname>Carpenter</surname><given-names>G</given-names> </name><name name-style="western"><surname>Payne</surname><given-names>LL</given-names> </name><name name-style="western"><surname>Stockard</surname><given-names>J</given-names> </name></person-group><article-title>The role of life experiences on perceptions of leisure during adulthood: a longitudinal analysis</article-title><source>Leis Sci</source><year>2010</year><month>12</month><day>30</day><volume>33</volume><issue>1</issue><fpage>52</fpage><lpage>69</lpage><pub-id pub-id-type="doi">10.1080/01490400.2011.533108</pub-id></nlm-citation></ref><ref id="ref27"><label>27</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Sheldon</surname><given-names>KM</given-names> </name><name name-style="western"><surname>Niemiec</surname><given-names>CP</given-names> </name></person-group><article-title>It&#x2019;s not just the amount that counts: balanced need satisfaction also affects well-being</article-title><source>J Pers Soc Psychol</source><year>2006</year><month>08</month><volume>91</volume><issue>2</issue><fpage>331</fpage><lpage>341</lpage><pub-id pub-id-type="doi">10.1037/0022-3514.91.2.331</pub-id><pub-id pub-id-type="medline">16881768</pub-id></nlm-citation></ref><ref id="ref28"><label>28</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Cohen</surname><given-names>A</given-names> </name><name name-style="western"><surname>Shamai</surname><given-names>O</given-names> </name></person-group><article-title>The relationship between individual values, psychological well&#x2010;being, and organizational commitment among Israeli police officers</article-title><source>Policing</source><year>2010</year><month>03</month><day>9</day><volume>33</volume><issue>1</issue><fpage>30</fpage><lpage>51</lpage><pub-id pub-id-type="doi">10.1108/13639511011020584</pub-id></nlm-citation></ref><ref id="ref29"><label>29</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Fung</surname><given-names>SF</given-names> </name><name name-style="western"><surname>Chow</surname><given-names>EO</given-names> </name><name name-style="western"><surname>Cheung</surname><given-names>CK</given-names> </name></person-group><article-title>Development and validation of a brief self-assessed wisdom scale</article-title><source>BMC Geriatr</source><year>2020</year><month>02</month><day>12</day><volume>20</volume><issue>1</issue><fpage>54</fpage><pub-id pub-id-type="doi">10.1186/s12877-020-1456-9</pub-id><pub-id pub-id-type="medline">32050901</pub-id></nlm-citation></ref><ref id="ref30"><label>30</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Crumbaugh</surname><given-names>JC</given-names> </name><name name-style="western"><surname>Maholick</surname><given-names>LT</given-names> </name></person-group><article-title>An experimental study in existentialism: the psychometric approach to Frankl&#x2019;s concept of noogenic neurosis</article-title><source>J Clin Psychol</source><year>1964</year><month>04</month><volume>20</volume><issue>2</issue><fpage>200</fpage><lpage>207</lpage><pub-id pub-id-type="doi">10.1002/1097-4679(196404)20:2&#x003C;200::aid-jclp2270200203&#x003E;3.0.co;2-u</pub-id><pub-id pub-id-type="medline">14138376</pub-id></nlm-citation></ref><ref id="ref31"><label>31</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>K&#x0131;ra&#x00E7;</surname><given-names>F</given-names> </name></person-group><article-title>Psychometric properties of the purpose in life scale: Factor structure and reliability</article-title><source>The Journal of International Social Research</source><year>2015</year><volume>8</volume><issue>39</issue><fpage>490</fpage><lpage>500</lpage></nlm-citation></ref><ref id="ref32"><label>32</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Tennant</surname><given-names>R</given-names> </name><name name-style="western"><surname>Hiller</surname><given-names>L</given-names> </name><name name-style="western"><surname>Fishwick</surname><given-names>R</given-names> </name><etal/></person-group><article-title>The Warwick-Edinburgh Mental Well-being Scale (WEMWBS): development and UK validation</article-title><source>Health Qual Life Outcomes</source><year>2007</year><month>11</month><day>27</day><volume>5</volume><issue>1</issue><fpage>63</fpage><pub-id pub-id-type="doi">10.1186/1477-7525-5-63</pub-id><pub-id pub-id-type="medline">18042300</pub-id></nlm-citation></ref><ref id="ref33"><label>33</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Keldal</surname><given-names>G</given-names> </name></person-group><article-title>Turkish version of the Warwick-Edinburgh Mental Well-Being scale: a validity and reliability study</article-title><source>J Happiness Well-Being</source><year>2015</year><volume>3</volume><issue>1</issue><fpage>103</fpage><lpage>115</lpage></nlm-citation></ref><ref id="ref34"><label>34</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Al-Sharafi</surname><given-names>MA</given-names> </name><name name-style="western"><surname>Al-Emran</surname><given-names>M</given-names> </name><name name-style="western"><surname>Iranmanesh</surname><given-names>M</given-names> </name><name name-style="western"><surname>Al-Qaysi</surname><given-names>N</given-names> </name><name name-style="western"><surname>Iahad</surname><given-names>NA</given-names> </name><name name-style="western"><surname>Arpaci</surname><given-names>I</given-names> </name></person-group><article-title>Understanding the impact of knowledge management factors on the sustainable use of AI-based chatbots for educational purposes using a hybrid SEM-ANN approach</article-title><source>Interact Learn Environ</source><year>2023</year><month>12</month><day>15</day><volume>31</volume><issue>10</issue><fpage>7491</fpage><lpage>7510</lpage><pub-id pub-id-type="doi">10.1080/10494820.2022.2075014</pub-id></nlm-citation></ref><ref id="ref35"><label>35</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Arpaci</surname><given-names>I</given-names> </name></person-group><article-title>Predictors of financial sustainability for cryptocurrencies: an empirical study using a hybrid SEM-ANN approach</article-title><source>Technol Forecast Soc Change</source><year>2023</year><month>11</month><volume>196</volume><fpage>122858</fpage><pub-id pub-id-type="doi">10.1016/j.techfore.2023.122858</pub-id></nlm-citation></ref><ref id="ref36"><label>36</label><nlm-citation citation-type="book"><person-group person-group-type="author"><name name-style="western"><surname>Hair</surname><given-names>JF</given-names> </name><name name-style="western"><surname>Black</surname><given-names>WC</given-names> </name><name name-style="western"><surname>Babin</surname><given-names>BJ</given-names> </name><name name-style="western"><surname>Anderson</surname><given-names>RE</given-names> </name><name name-style="western"><surname>Tatham</surname><given-names>RL</given-names> </name></person-group><source>Multivariate Data Analysis</source><year>2006</year><edition>6</edition><publisher-name>Pearson Prentice Hall</publisher-name></nlm-citation></ref><ref id="ref37"><label>37</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Henseler</surname><given-names>J</given-names> </name><name name-style="western"><surname>Ringle</surname><given-names>CM</given-names> </name><name name-style="western"><surname>Sarstedt</surname><given-names>M</given-names> </name></person-group><article-title>A new criterion for assessing discriminant validity in variance-based structural equation modeling</article-title><source>J Acad Mark Sci</source><year>2015</year><volume>43</volume><issue>1</issue><fpage>115</fpage><lpage>135</lpage><pub-id pub-id-type="doi">10.1007/s11747-014-0403-8</pub-id></nlm-citation></ref><ref id="ref38"><label>38</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Sharma</surname><given-names>A</given-names> </name><name name-style="western"><surname>Dwivedi</surname><given-names>YK</given-names> </name><name name-style="western"><surname>Arya</surname><given-names>V</given-names> </name><name name-style="western"><surname>Siddiqui</surname><given-names>MQ</given-names> </name></person-group><article-title>Does SMS advertising still have relevance to increase consumer purchase intention? A hybrid PLS-SEM-neural network modelling approach</article-title><source>Comput Human Behav</source><year>2021</year><month>11</month><volume>124</volume><fpage>106919</fpage><pub-id pub-id-type="doi">10.1016/j.chb.2021.106919</pub-id></nlm-citation></ref><ref id="ref39"><label>39</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Baltes</surname><given-names>PB</given-names> </name><name name-style="western"><surname>Staudinger</surname><given-names>UM</given-names> </name></person-group><article-title>Wisdom. A metaheuristic (pragmatic) to orchestrate mind and virtue toward excellence</article-title><source>Am Psychol</source><year>2000</year><month>01</month><volume>55</volume><issue>1</issue><fpage>122</fpage><lpage>136</lpage><pub-id pub-id-type="doi">10.1037//0003-066x.55.1.122</pub-id><pub-id pub-id-type="medline">11392856</pub-id></nlm-citation></ref><ref id="ref40"><label>40</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Li</surname><given-names>Z</given-names> </name><name name-style="western"><surname>Qin</surname><given-names>S</given-names> </name><name name-style="western"><surname>Zhu</surname><given-names>Y</given-names> </name><etal/></person-group><article-title>Social support mediates the relationship between depression and subjective well-being in elderly patients with chronic diseases: evidence from a survey in Rural Western China</article-title><source>PLoS One</source><year>2025</year><volume>20</volume><issue>6</issue><fpage>e0325029</fpage><pub-id pub-id-type="doi">10.1371/journal.pone.0325029</pub-id></nlm-citation></ref><ref id="ref41"><label>41</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Post</surname><given-names>MW</given-names> </name></person-group><article-title>Definitions of quality of life: what has happened and how to move on</article-title><source>Top Spinal Cord Inj Rehabil</source><year>2014</year><volume>20</volume><issue>3</issue><fpage>167</fpage><lpage>180</lpage><pub-id pub-id-type="doi">10.1310/sci2003-167</pub-id><pub-id pub-id-type="medline">25484563</pub-id></nlm-citation></ref><ref id="ref42"><label>42</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Amin</surname><given-names>SM</given-names> </name><name name-style="western"><surname>Khedr</surname><given-names>MA</given-names> </name><name name-style="western"><surname>Tawfik</surname><given-names>AF</given-names> </name><name name-style="western"><surname>Gamal Noaman Malek</surname><given-names>M</given-names> </name><name name-style="western"><surname>El-Ashry</surname><given-names>AM</given-names> </name></person-group><article-title>The mediating and moderating role of social support on the relationship between psychological well-being and burdensomeness among elderly with chronic illness: community nursing perspective</article-title><source>BMC Nurs</source><year>2025</year><month>02</month><day>10</day><volume>24</volume><issue>1</issue><fpage>156</fpage><pub-id pub-id-type="doi">10.1186/s12912-025-02743-4</pub-id><pub-id pub-id-type="medline">39930516</pub-id></nlm-citation></ref><ref id="ref43"><label>43</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Ingrand</surname><given-names>I</given-names> </name><name name-style="western"><surname>Paccalin</surname><given-names>M</given-names> </name><name name-style="western"><surname>Liuu</surname><given-names>E</given-names> </name><name name-style="western"><surname>Gil</surname><given-names>R</given-names> </name><name name-style="western"><surname>Ingrand</surname><given-names>P</given-names> </name></person-group><article-title>Positive perception of aging is a key predictor of quality-of-life in aging people</article-title><source>PLoS One</source><year>2018</year><volume>13</volume><issue>10</issue><fpage>e0204044</fpage><pub-id pub-id-type="doi">10.1371/journal.pone.0204044</pub-id><pub-id pub-id-type="medline">30281672</pub-id></nlm-citation></ref><ref id="ref44"><label>44</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Rong</surname><given-names>J</given-names> </name><name name-style="western"><surname>Chen</surname><given-names>G</given-names> </name><name name-style="western"><surname>Wang</surname><given-names>X</given-names> </name><etal/></person-group><article-title>Correlation between depressive symptoms and quality of life, and associated factors for depressive symptoms among rural elderly in Anhui, China</article-title><source>Clin Interv Aging</source><year>2019</year><volume>14</volume><fpage>1901</fpage><lpage>1910</lpage><pub-id pub-id-type="doi">10.2147/CIA.S225141</pub-id><pub-id pub-id-type="medline">31806946</pub-id></nlm-citation></ref><ref id="ref45"><label>45</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Pourebrahim</surname><given-names>T</given-names> </name><name name-style="western"><surname>Rasouli</surname><given-names>R</given-names> </name></person-group><article-title>Meaning of life and psychological well-being during adult, older adult and oldest old</article-title><source>Elder Health J</source><year>2019</year><volume>5</volume><issue>1</issue><fpage>12</fpage><lpage>18</lpage><pub-id pub-id-type="doi">10.18502/ehj.v5i1.1198</pub-id></nlm-citation></ref><ref id="ref46"><label>46</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Cho</surname><given-names>J</given-names> </name><name name-style="western"><surname>Martin</surname><given-names>P</given-names> </name><name name-style="western"><surname>Poon</surname><given-names>LW</given-names> </name><collab>Georgia Centenarian Study</collab></person-group><article-title>Successful aging and subjective well-being among oldest-old adults</article-title><source>Gerontologist</source><year>2015</year><month>02</month><volume>55</volume><issue>1</issue><fpage>132</fpage><lpage>143</lpage><pub-id pub-id-type="doi">10.1093/geront/gnu074</pub-id><pub-id pub-id-type="medline">25112594</pub-id></nlm-citation></ref><ref id="ref47"><label>47</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Abdulla</surname><given-names>MR</given-names> </name></person-group><article-title>Culture, religion, and freedom of religion or belief</article-title><source>Rev Faith Int Aff</source><year>2018</year><month>10</month><day>2</day><volume>16</volume><issue>4</issue><fpage>102</fpage><lpage>115</lpage><pub-id pub-id-type="doi">10.1080/15570274.2018.1535033</pub-id></nlm-citation></ref></ref-list></back></article>