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In patients with dementia and ongoing worsening cognitive function, four factors were found to improve happiness and decrease sadness: a) relationships (together vs alone); b) purpose in life (purposeful vs aimless), wellness perspective (well vs ill), and sense of place (located vs unsettled). Comment: Hypothetically, these four factors (connection with others, a purpose in life, subjective well-being, and a feeling of being settled) may improve quality of life and happiness prior to the onset of dementia, or at least in people with very early, very mild dementia. J Am Geriatr Soc. 2015 Jan;63(1):24-38.    (retrieved Jan, 2015). There are currently 1090 pearls in the database. While every attempt has been made to ensure accuracy, mistakes can and do occur. Use databank at your own risk. All pearls © 2024 by the Internet Medical Association. Click Here to view more medical pearls.