Strong Sense of Purpose in Life Promotes Cognitive Resilience Among Middle-Aged Adults

Has anyone here put any concerted effort into developing a stronger “sense of purpose in life”? I’m wondering how modifiable this is and effective strategies to do it.

Related reading:

and: How to Find a Sense of Purpose to Live a Full Life - LifeHack

Boston, MA - New research suggests that having a stronger purpose in life (PiL) may promote cognitive resilience among middle-aged adults. Cognitive resilience refers to the capacity of the brain to cope with stressors, injuries, and pathology, and resist the development of symptoms or disabilities. Furthermore, having a purposeful life implies changes in the organization of the brain with one specific brain network, the dorsal default mode network, showing greater functional connections within its components and with other brain areas. This may represent a neuroprotection mechanism that ultimately ensures better cognitive function into old age.

These are among the findings in the article, “Purpose in Life Promotes Resilience to Age-Related Brain Burden and Neuroprotection Through Functional Connectivity in Middle-Aged Adults,” published in the journal Alzheimer’s Research & Therapy.

“The present data extend previous findings found in advanced age and pathological aging, such as Alzheimer’s disease, revealing that having a strong sense of purpose might confer resilience already in middle age,” said author Dr. Kilian Abellaneda-Pérez, from the Departament de Medicina, Facultat de Medicina i Ciències de la Salut, Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain.

“The fact that individuals in the higher purpose in life group had greater connectivity between specific dorsal default- mode network nodes, which correlated with cognitive performance, suggest such changes in the functional organization of the brain may represent the mechanism by which a greater purpose in life promotes brain health and protects the brain from dysfunction even in the face of stress, adversity, and illness,” said Dr. Alvaro Pascual-Leone, medical director, The Deanna and Sidney Wolk Center for Memory Health at Hebrew SeniorLife; and Department of Neurology, Harvard Medical School. He concludes, “What is also exciting is that each of us, with appropriate guidance and support, can develop and sustain a robust sense of purpose and thus contribute to our brain health and wellbeing.”


Disease-modifying agents to counteract cognitive impairment in older age remain elusive. Hence, identifying modifiable factors promoting brain reserve and resilience is paramount. In Alzheimer’s disease, education and occupation are typical reserve proxies. However, the importance of psychological factors is being increasingly recognized, as their operating biological mechanisms are elucidated. Purpose in life, one of the pillars of psychological well-being, has previously been found to reduce the deleterious effects of Alzheimer’s Disease-related pathological changes on cognition. However, whether purpose in life operates as a cognitive resilience factor in middle-aged individuals, and what are the underlying neural mechanisms, remains unknown.


Data was obtained from 624 middle-aged adults (mean age 53.71±6.9; 303 women) from the Barcelona Brain Health Initiative cohort. Individuals with lower (N=146) and higher (N=100) purpose in life (PiL) rates, according to the division of this variable into quintiles, were compared in terms of cognitive status, a measure reflecting brain burden (white matter lesions; WMLs), and resting-state functional connectivity (rs-FC), examining system segregation (SyS) parameters using 14 common brain circuits.


Neuropsychological status and WMLs burden did not differ between PiL groups. However, in the lower PiL group greater WMLs entailed a negative impact on executive functions. Subjects in the higher PiL group showed lower SyS of the dorsal DMN (dDMN), indicating lesser segregation of this network from other brain circuits. Specifically, higher PiL individuals had greater inter-network connectivity between specific dDMN nodes, including the frontal cortex, the hippocampal formation, the midcingulate region, and the rest of the brain. Greater functional connectivity in some of these nodes positively correlated with cognitive performance.


Kilian Abellaneda-Pérez1,2,3, Gabriele Cattaneo3, María Cabello-Toscano1,2,3, Javier Solana3, Lídia Mulet-Pons1,2, Lídia Vaqué-Alcázar1,2, Cristina Solé-Padullés1,2, Núria Bargalló4,5, Josep M. Tormos3, Alvaro Pascual-Leone6,7, David Bartrés-Faz1,2,3


1Departament de Medicina, Facultat de Medicina i Ciències de la Salut, Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain.
2Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
3Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Badalona, Spain.
4Neuroradiology Section, Radiology Department, Diagnostic Image Center, Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain.
5Magnetic Resonance Image Core Facility (IDIBAPS), Barcelona, Spain.
6Hinda and Arthur Marcus Institute for Aging Research and Deanna and Sidney Wolk Center for Memory Health, Hebrew SeniorLife, Boston, MA, USA.
7Department of Neurology, Harvard Medical School, Boston, MA, USA.

Ethics Approval and Consent to Participate

This study was approved by the Comité d’Ètica i Investigació Clínica de la Unió Catalana d’Hospitals (ref. CEIC 17/06). All study participants provided signed informed consent.

Competing Interests

Alvaro Pascual-Leone is listed as an inventor on several issued and pending patents on the real-time integration of transcranial magnetic stimulation with electroencephalography and magnetic resonance imaging. He is co-founder of Linus Health and TI Solutions AG and serves on the scientific advisory boards for Starlab Neuroscience, Magstim Inc., Hearts Radiant, MedRhythms, TetraNeuron, and Skin2Neuron.


@RapAdmin, I think it’s very modifiable but not necessarily easy. Like everything important in life it takes effort and dedication. I started really honing in on what matters the most to me and how I could best contribute to others during covid in 2020. Before that I was like a different person. It’s ironic because I’m still in the same line of work right now but I find it a lot more fulfilling and can see value in it that I never did before. I also stepped away from it for awhile and that helped me appreciate aspects of the job that I previously couldn’t recognize. I’m about to start classes in late August to expand my skills so I can better serve others in a way that seems more meaningful. I’m a far cry from the disgruntled, slightly cynical and bored person I used to be prior to the pandemic. I also found the spiritual path that feels true to me and that’s been very beneficial.


Quantifying how Purpose in life affects your health.

Higher purpose in life was associated with lower neutrophil counts (β = −0.08, p < .001), lower ratio of neutrophils/lymphocytes (β = −0.05, p < .001), and lower systemic immune inflammation index (β = −0.04, p < .001); purpose was unrelated to monocyte, platelet, and lymphocyte counts or the ratio of platelets/lymphocytes (all ns ). Purpose was associated negatively with c-reactive protein (β = −0.07, p < .001), Interleukin-6 (β = −0.08, p < .001), Interleukin-10 (β = −0.07, p < .001), Interleukin-1ra (β = −0.08, p < .001), and soluble Tumor Necrosis Factor Receptor 1 (sTNFR1; β = −0.10, p < .001); purpose was unrelated to Transforming Growth Factor beta 1. These associations were largely not moderated by age, sex, race, ethnicity, and education. Lower neutrophils, Interleukin-6, and sTNFR1 were associated prospectively with better episodic memory and mediated the association between purpose and episodic memory.