Identification with arts‐based groups improves mental wellbeing in adults with chronic mental health conditions

People experiencing chronic mental health conditions (CMHC) often report feeling socially marginalised. There is emerging evidence that social and mental wellbeing can be enhanced through participation in arts‐based programmes. In this paper, a social identity theoretical approach was applied to explore how participation in the arts may improve mental health in a longitudinal study. A one‐year prospective study of 34 choir members and 25 creative writing group members (M_age = 46, 51% female) with CMHC, involved three assessments of participants’ group identification and mental wellbeing, measured by the Warwick Edinburgh Mental Wellbeing Scale. The programmes were community‐based and facilitated by arts professionals. Multilevel modelling analyses demonstrated that participants’ mental wellbeing significantly improved over time. Greater identification with their arts‐based group (ABG) was significantly related to an increased rate of improvement in mental wellbeing. The trajectory of improvement in mental wellbeing did not differ between participants partaking in the choir or creative writing group. This study demonstrates that participation in ABGs can be effective in improving mental wellbeing in adults with chronic mental health problems, particularly for those who strongly identify with the group. This study supports ABG participation as an accessible component of mental health services.     

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.

     

Domain Compensation in Quality of Life of Individuals with Vasovagal Syncope: a Test of Homeostasis Theory

Although health-related quality of life is often diminished in populations characterised by physical illness, this does not necessarily imply lower overall assessments of general life satisfaction (GLS) and greater incidence of mental illness. According to Homeostasis Theory, this limited impact of health on these more global wellbeing indices may be due to internal and external buffers that serve to maintain one’s overall sense of wellbeing and GLS in the face of adversity. Thus, the present study tested in a sample of 212 individuals (48 with vasovagal syncope, 62 cardiac patients, and 102 healthy control participants) the possibility that poor health-related quality of life (as expected for the cardiac and vasovagal syncope groups) may be offset by relatively higher satisfaction with other aspects of one’s life (the domain compensation hypothesis). Consistent with this view, present findings showed that although individuals in the two health-risk groups reported lower health satisfaction (HSat) than the control group, they had comparable levels of mental health, GLS satisfaction, and subjective wellbeing (minus health; PWI-H). Moreover, moderation analyses confirmed that the relationship between HSat and GLS reduced to non-significance for individuals with PWI-H higher than nationally representative, normative levels. Collectively, these findings suggest that a broader context is necessary to understand the impact that illness may have on one’s sense of GLS and mental health. In particular, the provision of support and satisfaction with other life domains may serve to buffer concerns about one’s health.     

Set-Point Theory and Societal Collapse: The Case of Russia

Can a society’s overall level of happiness change? Until recently, it was widely held that happiness fluctuates around set-points, so that neither individuals nor societies can lastingly increase their happiness. However, data from surveys carried out in Russia from 1982 to 2011 show that happiness fell substantially following the collapse of the Soviet Union, and has begun to rise again only recently. Additional data sources, including suicide rates and indices of negative affect expression, confirm these shifts. Contrary to set-point theory, we find that the recent increase has been driven as much by generational replacement as by mean reversion among individuals. The collapse of communism led to a permanent drop in subjective wellbeing among mid-life cohorts that was subsequently never fully recovered. Happiness can be substantially and permanently impacted by life-events, including those affecting society as a whole, and societal-level happiness can rise or fall over time as a result.     

Applying Attention Restoration Theory to Understand and Address Clergy’s Need to Restore Cognitive Capacity

Attention Restoration Theory is applied to explore the causes and consequences of mental fatigue in clergy and suggest practical interventions to restore cognitive wellbeing. Previous research has investigated the physical and emotional health and wellbeing of clergy, but has largely neglected clergy cognitive wellbeing. Due to the demanding nature of their work, clergy are particularly susceptible to mental fatigue and depletion of their capacity to maintain attention. Symptoms include inability to focus attention, inhibit distractions, make decisions or solve problems. Mental fatigue can be overcome, and cognitive capacity restored, by spending time in restorative environments that allow directed attention to rest.     

Rising to the Occasion of This COVID-19-Impacted Nation: Development,Implementation, and Feasibility of the Brief Assessment-Informed Skills Intervention for COVID-19 (BASIC)

The COVID-19 pandemic has had a profound impact on the global economy, physical health, and mental health. This pandemic, like previous viral outbreaks, has resulted in spikes in anxiety, depression, and stress. Even though millions of individuals face the physical health consequences of infection by COVID-19, even more individuals are confronted with the mental health consequences of this pandemic. This significantly increased demand for mental health services cannot be easily met by existing mental health systems, which often rely on courses of therapy to be delivered over months. Single session interventions (SSIs) may be one important approach to meeting this increased demand, as they are treatments designed to be delivered over the course of a single meeting. SSIs have been found to be effective for a range of mental health challenges, with durable effects lasting months to years later. Here, we describe an SSI designed for the COVID-19 pandemic. This Brief Assessment-informed Skills Intervention for COVID-19 (BASIC) program draws upon therapeutic skills from existing empirically supported treatments to target common presenting complaints due to this pandemic. We discuss the process of developing and implementing this intervention, as well as explore feasibility and initial clinical insights. In short, BASIC is an easy-to-adopt intervention that is designed to be effective in a single session, making it well-suited for handling the increased demand for mental health services due to COVID-19.     

Happiness in Behaviour Genetics: An Update on Heritability and Changeability

In this paper we summarize recent behaviour genetic findings on happiness measured as life satisfaction (LS) and subjective wellbeing (SWB) and discuss important implications pertaining to stability and change, including the potential of individual and societal interventions. Broadly speaking, two main research strategies explore genetic and environmental influences on happiness, including quantitative and molecular genetics. Whereas molecular genetics seeks to trace the causal pathways from specific DNA variants, quantitative genetics estimates the magnitude of overall genetic and environmental influences without specifying actual DNA sequences and usually without specifying specific environmental circumstances. Molecular genetic studies have entered the happiness arena, but have shown mixed results. Most replicated findings are therefore based on quantitative genetics and derived from twin and family studies decomposing variation and co-variation into genetic, shared, and non-shared environmental sources. Recent meta-analyses of such studies report genetic influences (i.e., heritability) to account for 32–40 % of the variation in overall happiness (i.e., SWB, LS), and indicate that heritability varies across populations, subgroups, contexts and/or constructs. When exploring stable SWB levels, heritability is reported in the 70–80 % range, whereas momentary positive affect is often entirely situational. Happiness is thus heritable, stable, variable and changeable. What do these findings imply? Can happiness be raised as a platform in individuals and societies? We suggest that individual and societal interventions that target causal pathways and address both amplifying and compensatory processes (i.e., focus on developing strengths and mitigating risks)—thus providing for positive gene-environment matchmaking, are likely to be effective and longer lasting.     

Vulnerability to economic stress

A stress vulnerability model was applied to the relationship between economic stress and mental health. Longitudinal data were obtained by reinterviewing 291 respondents from a prior community survey of economic change and health (Catalano & Dooley, 1983). The follow-up survey was conducted at the height of the last recession, approximately 1 year after the first. As predicted, increases in self-reported economic stress adversely affected psychological health, controlling for prior mental health status. However, individuals with poor prior mental health status were more vulnerable to economic stress: They were more likely to experience it during this economic contraction and were somewhat less likely to recover from it. Economic stress and mental health appear to have reciprocal effects, suggesting a spiral model of adaptation. Implications for interventions concerning economic change and mental health are discussed.     

Measuring Mental Wellbeing Among Adolescents: A Systematic Review of Instruments

Globally, promoting mental wellbeing among adolescents is of great public health and social significance. However, less is known about advances in measures of mental wellbeing, relevant for use in mental health interventions, which are age-appropriate and acceptable for use among adolescents. Comprehensive assessment includes multiple aspects of mental wellbeing, as well as positive indicators of feeling and functioning. This review used systematic review methods, guided by PRISMA, to identify and assess comprehensive instruments in terms of their content, conceptual relevance for youth, and responsiveness to change. Ryan and Deci’s framework for mental wellbeing, grounded in hedonic and eudaimonic perspectives, was applied to assess the preponderance of feeling and functioning items for each instrument. The review identified 11 instruments that fit specified inclusion criteria. Only four of the scales were developed for adolescents. Though the scales varied in their preponderance of items, all scales encompassed at least one indicator of both feeling and functioning. Findings emphasize the importance of validating adult-developed instruments for youth and ensuring the instrument’s cultural and conceptual relevance within groups of adolescents. As promoting mental wellbeing becomes critical to the field of practice, practitioners need access to relevant and acceptable measures.     

Burden,Interdependence, Ethnicity,and Mental Health in Caregivers of Patients with Schizophrenia

Caring for a patient with schizophrenia often results in high levels of perceived burden and poorer overall mental health. Using a sample of 176 caregivers of patients with schizophrenia, the present study examined how two components of burden (objective and subjective) interacted with interdependence and ethnicity to influence relatives' overall mental health. In line with study hypotheses, and with the stress‐appraisal‐coping model developed by Lazurus and Folkman (1984), we found that subjective burden mediated the relationship between objective burden and mental health. In other words, subjective appraisals of caregiving appeared to partially underlie the association between the concrete costs of caregiving and psychological outcomes in schizophrenia caregivers. Also as hypothesized, we found that interdependence, or the perceived interconnectedness of individuals within a group, moderated the relationship between objective burden and subjective burden. In other words, when levels of interdependence were high, the objective components of burden appeared to have a weaker relationship with subjective burden. When interdependence was low, on the other hand, objective burden was more likely to be associated with subjective burden. This finding suggests that helping caregivers to value harmony and connection with others over individual self‐interests may reduce the likelihood that objective stressors (which are often inevitable in schizophrenia) will result in subjective distress. On the basis of prior research, we also tested several hypotheses regarding the role of ethnicity and its association with burden, interdependence, and mental health. However, contrary to expectations, no ethnic patterns were observed.     

Gratitude and Subjective Wellbeing: A Proposal of Two Causal Frameworks

Gratitude, the experience of appreciating the positive aspects in life, has been associated with increased subjective wellbeing (SWB). This paper proposes two causal frameworks (i.e., a cognitive and a psycho-social framework) that highlight the possible mechanisms by which gratitude influences SWB. This paper provides support for these two frameworks by reviewing research conducted to date on the relationship between the experience of gratitude and SWB, in terms of reduced symptoms of psychopathology, better interpersonal relationships, and improved physical health. In addition, the promising potential of gratitude interventions to improve SWB in healthy individuals and those with symptoms of psychopathology are reviewed. While gratitude interventions represent a relatively new approach, the limited evidence suggests that they may eventually provide an effective form of intervention that can be used to complement current therapy aprroaches for improving SWB. Therefore its potential application in clinical populations and the underlying mechanisms that might be driving the positive effects of gratitude interventions in improving SWB deserve further research attention.     

Towards an evidence‐base for student wellbeing and mental health: Definitions,developmental transitions and data sets

Against a background of huge changes in the world of university and college students since the turn of the millennium, together with a multitude of reports on student mental health/wellbeing, this article argues that the field of student mental health is hampered by the imprecise use of terms, a rush to action by universities in the absence of a robust evidence‐base, and a lack of overall coordination and collaboration in the collection and use of data. In response, we argue for clearer and more consistent use of definitions of, as well as differentiations between, student wellbeing and mental health, for a longitudinal approach to the student body that captures their developmental transitions to and through university, and a strategic and systematic approach to the use of bona fide measures in the collection of data on wellbeing and on the process of outcomes in embedded university counselling services. Such a coordinated approach will provide the necessary evidence‐base upon which to develop and deliver appropriate support and interventions to underpin and enhance the quality of students’ lives and learning while at university or college.     

混合情绪能促进心理健康吗？

摘 要 积极和消极情绪的同时体验,即混合情绪,是生活中常见的情绪状态。健康应对的共激活模型、情绪动态模型和积极比模型一致认为混合情绪与心理健康之间呈现非线性的关系,适当的混合情绪有利于个体在困境中全面加工和整合信息,寻求意义,获得控制感,进而实现健康应对和心理症状改善,获得幸福感。未来研究应关注对非线性关系的精确描述;低压力或非压力情境下混合情绪的意义;进一步研究混合情绪促进心理健康的内部机制和影响因素。     

Psychosocial wellbeing in the Central and Eastern European transition: An overview and systematic bibliographic review

This paper presents the results of a systematic review of literature on the psychosocial wellbeing of populations in Central and Eastern Europe during the transition period subsequent to the fall of the Soviet Bloc. A revision of research addressing emotional wellbeing trends in this period and theoretical models was carried in order to verify their validity in the analysis of empirical studies. Hence, a systematic bibliographic review was conducted, aiming to find possible subjective mediators between social variables derived from changes and emotional wellbeing. The results of the review show that subjective mediators such as locus of control, perceived control, self‐efficacy beliefs, perceived familial support, and the subjective evaluation of social change explain part of the relationship between macrosocial changes and emotional wellbeing. Results appear coherent with proposed multidimensional models of social change and mental health, although further research should be conducted to determine the specific weight of these phenomena in individual emotional wellbeing.     

Minority stress and mental health among Dutch LGBs: examination of differences between sex and sexual orientation

Minority stress is often cited as an explanation for greater mental health problems among lesbian, gay, and bisexual (LGB) individuals than heterosexual individuals. However, studies focusing on sex or sexual orientation differences in level of minority stress and its impact on mental health are scarce, even more so outside the United States. Performing secondary analyses on the data of a Dutch population study on sexual health, the present study examines the robustness of the minority stress model by explaining mental health problems among men and women with mostly or only same-sex sexual attraction, and men and women who are equally attracted to same-sex and opposite-sex partners in the "gay-friendly" Netherlands (N = 389; 118 gay men, 40 bisexual men, 184 lesbian women, and 54 bisexual women). Results showed that minority stress is also related to mental health of Dutch LGBs. Participants with a higher level of internalized homonegativity and those who more often encountered negative reactions from other people on their same-sex sexual attraction reported more mental health problems. Such negative reactions from others, however, had a stronger link with mental health among lesbian/gay than among bisexual participants. Openness about one's sexual orientation was related to better mental health among sexual minority women, but not among their male counterparts. Suggestions for future research, implications for counseling, and other societal interventions are discussed.     

Muscularity Beliefs of Female College Student-Athletes

Female athletes in the United States face the paradoxical challenge of acquiring a degree of muscularity to be successful in their sport, yet they also endure pressure from societal expectations of femininity that often don??t conform with the notion of muscularity. To address research questions about how female student-athletes balance muscularity and femininity, we conducted a mixed-methods study to examine muscularity beliefs among female student-athletes, female college students, and male college student-athletes. We quantitatively examined Drive for Muscularity Scale (DMS) scores from 221 participants attending college in the Midwestern US. Results indicated that female student-athletes reported significantly higher DMS scores than female students, but male student-athletes reported the highest DMS scores in the sample. Qualitative results indicated that female student-athletes wanted to be muscular for these reasons: functionality (45%), health (42%), external gratification (21%), and internal gratification (18%). Only 16% of female student-athletes did not want to be muscular, whereas every male student-athlete reported a desire to be muscular. The results of this study can be used to better understand the unique drive for muscularity among athletes, particularly female college student-athletes who live the paradox of negotiating societal standards of femininity with this desire to be muscular. This enhanced understanding can help create more nuanced interventions for coaches, administrators, and mental health professionals to use to help female student-athletes create space to resist constraining societal gender ideologies. Doing so can help these student-athletes actualize their athletic potential on the field as well as their interpersonal and intrapersonal potential off the field.     

Attitudes and Social Support: Determinants of Job-Seeking Behavior and Well-Being among the Unemployed1

What determines job-seeking behavior following a job loss? What are the mental health consequences of an unsuccessful job search? These questions were addressed in a longitudinal panel survey of 297 recently unemployed people, over a four-month period of their lives. In support of the Fishbein and Ajzen (1975) attitude-behavior model, intention to try hard to seek reemployment was the main significant predictor of job-seeking behavior during the subsequent four months. Intention, along with affirmation support from a significant other regarding the value of job search, accounted for 24% of the variance in job-seeking behavior. The attitude toward job seeking and the subjective norms (perceived social pressure to seek reemployment) were the main determinants of the intention, accounting for 69% of its variance. The unemployed person's attitude toward job seeking and subjective norms were, in turn, determined by (a) perceived instrumentality (expectations that job-seeking will lead to reemployment), (b) perceived economic hardship, (c) social support from the significant other (usually the spouse) in the form of affirmation of the value of job-seeking activities, and (d) the significant other's perception of the instrumentality of various job-seeking behaviors and of subjective norms regarding job-seeking. Other analyses showed that social support can counteract the negative effects of unsuccessful job search on mental health and that such effects are particularly pronounced among the more highly motivated job seekers. The implications of these findings for intervention programs are discussed.     

Internet-based intervention for mental health and substance use problems in disaster-affected populations: a pilot feasibility study

Early interventions that reduce the societal burden of mental health problems in the aftermath of disasters and mass violence have the potential to be enormously valuable. Internet-based interventions can be delivered widely, efficiently, and at low cost and as such are of particular interest. We describe the development and feasibility analysis of an Internet-delivered intervention designed to address mental health and substance-related reactions in disaster-affected populations. Participants (n = 285) were recruited from a cohort of New York City-area residents that had been followed longitudinally in epidemiological research initiated 6 months after the terrorist attacks of September 11, 2001. The intervention consisted of 7 modules: posttraumatic stress/panic, depression, generalized anxiety, alcohol use, marijuana use, drug use, and cigarette use. Feasibility data were promising and suggest the need for further evaluation.     

Managing stress or enhancing wellbeing? Positive psychology's contributions to clinical supervision

One of the key functions of clinical supervision as practised by health professionals such as psychologists includes the restoration of wellbeing, but there are few guidelines in the supervision literature on how to go about this. Research into concepts from the field of positive psychology such as work engagement, sense of coherence, self‐efficacy, flow and resilience has begun to provide detailed understanding of workers' happiness, health and betterment. These findings provide possible directions for supervision interventions that go beyond traditional review of self‐care and stress‐management strategies and seek to extend the wellbeing of the supervisee. This article explores the application of positive psychology to enhance the wellbeing of practitioners such as psychologists, who often work in inherently difficult work environments such as the mental health field. Specifically, a narrative approach is proposed as one possible method and practical examples are offered to demonstrate how positive psychology may be applied in the practice of clinical supervision.