Do Positive Psychology Interventions Impact on the Subjective Wellbeing and Depression of Clients? A Systematic Methodological Review

Mental health services are placing a greater emphasis on wellbeing and recovery. The current research investigated if positive psychology interventions (PPIs) increase peoples’ subjective wellbeing and reduce clinical depression. A systematic methodological review was conducted on randomized-control-trials with people attending clinical services. Five databases were searched. A hand search was then completed on the reference lists of the identified articles and the associated journals. Eleven research interventions were reviewed. PPIs were found to significantly increase wellbeing, relative to controls and there were fewer studies indicating a difference in decreasing depression. However, subsequent analysis revealed that the interventions were heterogeneous which limits the drawing of definitive systematic conclusions. A methodological evaluation also found that there were recurring issues: in delivering the interventions, measuring subjective wellbeing, and applying the design. Thus, the methodological quality of the research interventions, as measured by the current review was low. There is emerging evidence that PPIs improve peoples’ mental health. However, there is scope to standardize and to improve the quality of the research interventions.

     

Self-esteem Interventions in Adults – A Systematic Review and Meta-analysis

Many types of intervention are used to boost adults’ self-esteem but their relative efficacy and the characteristics that moderate this efficacy remain unclear. We addressed these questions via a meta-analysis of 119 studies. Results obtained using a random-effects model showed a significant effect of interventions on adults’ global self-esteem, d = 0.38, 95% CI [0.33, 0.43]. This efficacy is moderated by some types of intervention, session format, experimenter contact, population type, and type of control group. We discuss these findings by addressing the limitations of our analyses and some issues related to this field of research (e.g., lack of power, heterogeneity of the studies included, publication bias, confounding effects) and by providing recommendations for future research and clinical practice.     

Parents’ Verbal Communication and Childhood Anxiety: A Systematic Review

Parents’ verbal communication to their child, particularly the expression of fear-relevant information (e.g., attributions of threat to the environment), is considered to play a key role in children’s fears and anxiety. This review considers the extent to which parental verbal communication is associated with child anxiety by examining research that has employed objective observational methods. Using a systematic search strategy, we identified 15 studies that addressed this question. These studies provided some evidence that particular fear-relevant features of parental verbal communication are associated with child anxiety under certain conditions. However, the scope for drawing reliable, general conclusions was limited by extensive methodological variation between studies, particularly in terms of the features of parental verbal communication examined and the context in which communication took place, how child anxiety was measured, and inconsistent consideration of factors that may moderate the verbal communication–child anxiety relationship. We discuss ways in which future research can contribute to this developing evidence base and reduce further methodological inconsistency so as to inform interventions for children with anxiety problems.     

Women’s Decision Making about Risk-Reducing Strategies in the Context of Hereditary Breast and Ovarian Cancer: A Systematic Review

Women who have a mutation in the BRCA1 or BRCA2 genes have up to an 87% lifetime risk of breast cancer and up to a 40% lifetime risk of ovarian cancer. Cancer prevention and early detection strategies are often considered by these women to address this heightened risk. Risk-reducing strategies include risk-reducing mastectomy and oophorectomy, breast and ovarian cancer screening, and chemoprevention. This systematic literature review summarizes the factors and contexts that influence decision making related to cancer risk-reducing strategies among women at high-risk for hereditary breast and ovarian cancer. In the 43 published research articles reviewed, three main types of factors are identified that influence high-risk women’s decisions about risk-reducing strategies: a) medical and physical factors, b) psychological factors and c) social context factors. How these factors operate in women’s lives over time remains unknown, and would best be elucidated through prospective, longitudinal research, as well as qualitative research.     

A Qualitative Study on Children’s Digital Media Use and Parents’ Self-interest

Journal of Child and Family Studies - This qualitative study provides insight into the role of parents’ self-interest in digital media use of children in different age groups. We conducted 31...     

Modifying CBT for Perinatal Depression: What Do Women Want?: A Qualitative Study

The evidence for the efficacy of CBT for depression during the perinatal period is mixed. This was a qualitative study that aimed to understand the perinatal-specific needs of depressed women in an effort to inform treatment modifications that may increase the relevance and acceptability of CBT during this period. Stratified purposeful sampling resulted in 23 participants selected by pregnancy, socioeconomic, and depression status. Participants completed semistructured interviews exploring their experiences of pregnancy and the postpartum period and its relationship to mood, and perspectives on ideal treatment content. Thematic analysis revealed a number of perinatal-specific themes that were relevant to CBT in three key domains: self, motherhood, and interpersonal. Mothers particularly struggled with: internalization of “motherhood myths,” self-sacrifice, and managing social support during this period. Shifts in women's themes across the perinatal period, and between racial and socioeconomic groups are discussed as are implications for modification of CBT to improve relevance for perinatal depression.     

Psychosocial Stimulation: A Qualitative Study on Kenyan Mother’s Motives and Challenges to Promote Children’s Development

Interventions designed to enhance the mental and socio-emotional development of children in low and middle income countries through improving psychosocial stimulation are the subject of national and international organizations research and programs. Before new interventions can be designed and tested in low income countries, it is important to understand what psychosocial stimulation mothers are already providing, how beliefs influence the stimulation used, and what challenges are faced by mothers when trying to do this. We aimed to find out what types of stimulation are being commonly used by mothers in Kenya, alongside exploring the beliefs and associated challenges in providing psychosocial stimulation. This is a qualitative study using focus group discussions held in Kisumu, a regional urban centre in Western Kenya, with 35 mothers caring for at least one child under the age of 5 years. Mothers in this study identified four key themes of commonly employed stimulation: singing, play, dancing and story-telling. A range of challenges were raised such as ensuring their child’s basic physiological needs were met, managing marital conflict, and trusting non-familial caregivers, with mothers concerned that their child may be mistreated through accidental or purposeful harm. Findings indicate that mothers in a low income country are faced with multiple challenges when trying to provide psychosocial stimulation for their child’s development. It is important to consider these results when designing an intervention for this setting.     

Images of Women’s Sexuality in Advertisements: A Content Analysis of Black- and White-Oriented Women’s and Men’s Magazines

This article represents an analysis of the sexual images of women in magazine advertisements. I examined advertisements in Black- and White-oriented, mens and womens magazines to compare the images of womens sexuality that are constructed for each specific audience. Over 600 images of women were analyzed based on seven dimensions, including function/role, relative function/authority, physical/body position, relative size/height, character traits, body view, and physical characteristics. The images of womens sexuality vary depending on the race of the intended audience and the race of the women in the advertisements. Advertisements for White audiences portray women in roles and with characteristics that suggest dependency and submissiveness, whereas advertisements for Black audiences portray women as independent and dominant. I also found that White women are objectified much more than Black women are.     

Women’s Attitudes Toward Testing for Fragile X Carrier Status: A Qualitative Analysis

Fragile X syndrome (FXS) is primarily due to a repeat expansion mutation found in the FMR1 X-linked gene. We have conducted a qualitative analysis of responses from women concerning their attitudes toward testing for carrier status of the fragile X mutation among reproductive-age women. We obtained responses from focus groups including women with and without FXS in their families. We found the following themes: (1) mothers of children with FXS have difficulty formulating their opinions on population screening because of their unique experiences surrounding their own carrier diagnosis and their relationship with their children with FXS, (2) the motivation for carrier testing and need for information differ by family history of FXS and parental status, and (3) the timing of carrier testing with respect to a woman’s life stage dictates whether carrier information will be viewed as beneficial or detrimental. There was evidence that non-carrier women from the general population would be wholly unprepared for positive carrier results. These findings have significant implications for genetic counseling as well as for population screening.     

The Power of Women’s Faith in Coping with Intimate Partner Violence: Systematic Literature Review

Journal of Religion and Health - Violence in an intimate partnership is a form of domestic violence where physical or psychological acts of violence are committed by a partner or spouse against...     

Living with Gratitude: Spouse’s Gratitude on One’s Depression

Research has shown that gratitude makes people happier (McCullough and Tsang in Psychol Gratitude, Oxford University Press, pp 123–141, 2004; Wood et al. in Clin Psychol Rev 30(7):890–905, 2010), healthier (McCullough et al. in J Pers Soc Psychol, 86(2):295–309, 2004), more considerate (Bartlett and DeSteno in Psychol Sci 17(4):319–325, 2006), and better evaluated (Gordon et al. in Pers Individ Differ 50(3):339–343, 2011), enabling more stable relationships (Algoe et al. in Pers Relationsh 17(2):217–233, 2010; Algoe et al. in Emotion 8(3):425–429, 2008; Lambert et al. in Psychol Sci 21(4):574–580, 2010). However, no study has extended research beyond individual persons to investigate the impact of one’s gratitude on the mental well-being of those who surround her or him. Thus, we tested this possibility and found in Study 1 that within marriage, husbands’ depositional gratitude negatively correlated with their wives’ depressive emotion. The results of Study 2 validated Study 1 by showing that a wife’s depression would be relatively palliated if her husband was assigned to express appreciation to her and not share daily hassles. While a causal relationship was demonstrated as hypothesized, a difference between genders also emerged. We discuss in particular the latter in terms of its mechanism, limitations, and practical implications for marriage.     

Systematic Review and Meta-analysis of Adolescent Cognitive–Behavioral Sleep Interventions

This systematic review and meta-analysis examined the efficacy of adolescent cognitive–behavioral sleep interventions. Searches of PubMed, PsycINFO, CENTRAL, EMBASE, and MEDLINE were performed from inception to May 1, 2016, supplemented with manual screening. Nine trials were selected (n = 357, mean age = 14.97 years; female = 61.74%). Main outcomes were subjective (sleep diary/questionnaire) and objective (actigraphy) total sleep time (TST), sleep onset latency (SOL), sleep efficiency (SE), and wake after sleep onset (WASO). There were a small number of randomized controlled trials (RCTs; n = 4) and a high risk of bias across the RCTs; therefore, within sleep condition meta-analyses were examined (n = 221). At post-intervention, subjective TST improved by 29.47 min (95% CI 17.18, 41.75), SOL by 21.44 min (95% CI ?30.78, ?12.11), SE by 5.34% (95% CI 2.64, 8.04), and WASO by a medium effect size [d = 0.59 (95% CI 0.36, 0.82)]. Objective SOL improved by 16.15 min (95% CI ?26.13, ?6.17) and SE by 2.82% (95% CI 0.58, 5.07). Global sleep quality, daytime sleepiness, depression, and anxiety also improved. Gains were generally maintained over time. Preliminary evidence suggests that adolescent cognitive–behavioral sleep interventions are effective, but further high-quality RCTs are needed. Suggestions for further research are provided.     

The Impact of Film Manipulation on Men’s and Women’s Attitudes Toward Women and Film Editing

The purpose of this study was to examine the effect of film manipulation on men’s and women’s attitudes toward women and film editing. One hundred and seventy-four participants were randomly assigned to one of four groups. Three groups viewed a particular manipulation of the treatment film (i.e., uncut, mosaic-ed, or edited) The Accused, a movie about gang rape that was based on a true story. The fourth group served as a control. As predicted, men reported significantly higher levels of traditionalism and rape myth acceptance-related attitudes at the onset of the study, whereas women reported higher levels of empathic attitudes. Following the study, and as expected, women experienced significantly more attitude change as a result of viewing the treatment film; men’s rape myth-related attitudes nonetheless continued to exceed those of women. Finally, men’s positive attitudes toward favoring editing decreased as sexual violence increased, whereas women’s pro-editing attitudes increased as sexual violence increased. The theoretical implications of the study, as well as the impact of viewing sexual violence in a more reality-based, versus a more entertaining, forum are discussed.     

Women’s Close Friendships across Sexual Orientation: A Comparative Analysis of Lesbian-Heterosexual and Bisexual-Heterosexual Women’s Friendships

Interviews were conducted in close friendship pairs with women who ranged in age from 18 to 52 years at the time of interview. Results suggest that women of different sexual orientation identities had different friendship profiles. Comparisons across friendship type suggest that bisexual-heterosexual friends consistently experienced a shift in friendship dynamic based on the sex of partner for the bisexual friend and were more likely than lesbian-heterosexual friends to integrate their friendship into their social lives. Lesbian-heterosexual friendships were significantly more likely to include an explicit acknowledgment of non-heterosexual identity. Although cross-orientation friendships did not consistently include a feminist/political dimension, when friends also differed in racial identity a feminist/political dimension in the friendship became apparent. In cross-race friendships racial minority identities were explicitly acknowledged even when non-heterosexual identities were not.