Positive functioning as an outcome in its own right.
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3426 to 3450 of 6,178Mannion AF, Elfering A, Staerkle R, Junge A, Grob D, Semmer NK, Jacobshagen N, Dvorak J, Boos N (2005)MEDLINE-indexed journal, not yet read by usEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society188 citations Outcome assessment in low back pain: how low can you go?
The present study examined the psychometric characteristics of a "core-set" of six individual questions (on pain, function, symptom-specific well-being, work disability, social disability and satisfaction) for use in low back pain (LBP) outcome assessment. A questionnaire booklet was administered to 277 German-speaking LBP patients with a range of common diagnoses, before and 6 months after surgical (N=187) or conservative (N=90) treatment. The core-set items were embedded in the booklet alongside validated 'reference' questionnaires: Likert scales for back/leg pain; Roland and Morris disability scale; WHO Quality of Life scale; Psychological General Well-Being Index. A further 45 patients with chronic LBP completed the booklet twice in 1-2 weeks. The minimal reliability (similar to Cronbach's alpha) for each core item was 0.42-0.78, increasing to 0.84 for a composite index score compris…
matched on Quality of Life (mesh), quality of life (text), well-being (text)
Perceived quality of life in patients with bipolar disorder. Does group psychoeducation have an impact?
Objective: A large body of research has now accumulated concerning quality of life (QoL) for patients with major depressive disorder, both in terms of describing levels of well-being and in terms of assessing the impact of treatment interventions. However, there is little information concerning QoL for patients with bipolar disorder (BD), and there is relatively little published evidence concerning the effectiveness of psychological interventions for BD. We aimed to assess the impact of a time-limited psychoeducation (PE) group therapy upon perceived QoL among patients with BD.
Method: Participants were patients (n = 57) with BD type I or II who were clinically described as euthymic or mildly symptomatic. Treatment intervention was a standardized, 8-week group PE course delivered in a mood disorders program in British Columbia, Canada. Using retrospective chart review and the Quality of …
matched on Quality of Life (mesh), quality of life (text), well-being (text)
Feasibility Trial of an Online Expressive Writing Intervention for Young Adult Cancer Survivors.
Purpose: Many young adult (YA) breast cancer survivors (BCS) experience psychosocial distress during and after treatment, but do not utilize supportive care resources to maximize their health outcomes. The purpose of this pilot study was to test the feasibility and acceptability of a brief, internet-based expressive writing (EW) intervention intended to improve psychosocial health among YA BCS. Methods: Thirty YA BCS were remotely recruited via a hospital patient database and randomly assigned to the EW (n = 20) or neutral writing (n = 10) group. The EW intervention included delivery of positive messages and a weekly 30-minute EW activity for 3 weeks. Feasibility, acceptability, patient-reported satisfaction, and health outcomes were evaluated at baseline and 1-month follow-up. Results: The database-focused recruitment strategies (40% response) appeared to be feasible. Almost all (93%) p…
matched on Quality of Life (mesh), Quality of Life (keyword)
van Erp SJ, Brakenhoff LK, Vollmann M, van der Heijde D, Veenendaal RA, Fidder HH, Hommes DW, Kaptein AA, van der Meulen-de Jong AE, Scharloo M (2017)MEDLINE-indexed journal, not yet read by usInternational journal of behavioral medicine33 citations Illness Perceptions and Outcomes in Patients with Inflammatory Bowel Disease: Is Coping a Mediator?
Purpose: Patients with inflammatory bowel disease (IBD) often experience severe impairment in different life domains. Psychological factors, such as illness perceptions and coping, may play a role in the adjustment to IBD as indicated by mental and physical health, activity, and work impairment. The present study aimed at examining the assumption of the Common Sense Model (CSM) that coping mediates the relationship between illness perceptions and adjustment in patients with IBD.
Method: In a cross-sectional design, 211 IBD patients (73 % Crohn's disease, 40 % male, mean age 42.9 ± 12.9 years) attending an outpatient clinic completed questionnaires assessing illness perceptions (IPQ-R), coping (CORS), mental and physical health (SF-36), as well as activity and work impairment (WPAI). Multiple mediation analyses were applied that allow estimating the total and direct effects of all illness…
matched on Quality of Life (mesh), Quality of Life (keyword)
The Potential Utility of Acceptance and Commitment Therapy (ACT) for Reducing Stress and Improving Wellbeing in Cancer Patients in Kolkata.
As soon as a patient comes to know that he/she has cancer, the stress starts and psychological intervention is required. The authors assessed how well a cancer patient can manage stress over the course of the psychological intervention. Data was collected among 107 patients during pre and post intervention and at 2 months follow-up. Intervention was required to measures include acceptance of the disease, managing stress, well -being, and meaning of life. Finally, effects of acceptance and commitment therapy (ACT) were defined in acceptance measured in terms of a significant difference between pre and post intervention scores in the meaning of life and the acceptance level. This acceptance and commitment therapy can be an effective intervention approach for cancer patients that increases acceptance regarding disease and simultaneously leads to improvement in the meaning of life.
matched on Quality of Life (mesh), Quality of Life (keyword)
Human flourishing in the context of farm characteristics and occupational hazards - Baseline findings from the FarmCoSwiss cohort.
Introduction and objectives: In Switzerland, little is known about farmers' wellbeing. Based on cross-sectional baseline data from the Swiss agricultural health cohort FarmCoSwiss, we carried out a study to investigate farmers' flourishing i.e. complete wellbeing and ability to thrive - to our knowledge, the first study worldwide to do so -, to descriptively compare it to the general population and to explore its association with farm characteristics and occupational hazards.
Methods: Of 1480 self-registered adult farmers recruited as a Swiss-wide convenience sample, 947 individuals (63.9%) signed the informed consent form, and 872 answered the online questionnaire in German, French or Italian at baseline between November 2022 and August 2023. The questionnaire obtained information on, among others, the primary outcome flourishing as assessed by the Secure Flourish Index (SFI) with its s…
matched on Personal Satisfaction (mesh), flourishing (text)
Ortega Bechara A, Chen ZJ, Cowden RG, Worthington EL, Toussaint L, Rodriguez N, Guzman Murillo H, Ho MY, Mathur MB, VanderWeele TJ (2024)MEDLINE-indexed journal, not yet read by usInternational journal of public health3 citations Do Forgiveness Campaign Activities Improve Forgiveness, Mental Health, and Flourishing?
Objectives: To evaluate the effectiveness of a forgiveness public health intervention at promoting forgiveness, mental health, and flourishing. Methods: Colombian students (N = 2,878) at a private, nonreligious university were exposed to a 4-week forgiveness community campaign and were assessed pre- and post-campaign. Results: Forgiveness, mental health, and flourishing outcomes showed improvements after the campaign. On average, participants reported engaging in 7.18 (SD = 3.99) of the 16 types of campaign activities. The number of types of campaign activities that participants engaged in evidenced a positive linear association with forgiveness, although some activities were more popular than others and some activities were more strongly associated with increased forgiveness. For depression, anxiety, and flourishing, engaging in more activities was generally associated with greater impr…
matched on Mental Health (mesh), flourishing (text), Mental Health (keyword)
Fink JE (2014)MEDLINE-indexed journal, not yet read by usJournal of American college health : J of ACH42 citations Flourishing: exploring predictors of mental health within the college environment.
Objective: To explore the predictive factors of student mental health within the college environment.
Participants: Students enrolled at 7 unique universities during years 2008 (n=1,161) and 2009 (n=1,459).
Methods: Participants completed survey measures of mental health, consequences of alcohol use, and engagement in the college environment.
Results: In addition to replicating previous findings related to Keyes' Mental Health Continuum, multiple regression analysis revealed several predictors of college student mental health, including supportive college environments, students' sense of belonging, professional confidence, and civic engagement. However, multiple measures of engaged learning were not found to predict mental health.
Conclusions: Results suggest that supportive college environments foster student flourishing. Implications for promoting mental health across campus are discus…
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Trajectories of child mental health, physical activity and screen-time during the COVID-19 pandemic considering different family situations: results from a longitudinal birth cohort.
Background: Many authors have described a significant mental health burden on children and adolescents during the COVID-19 pandemic, possibly moderated by social disparities. This analysis explores whether pre-pandemic family circumstances might be related to different aspects of child health during the pandemic.
Methods: We analyzed trajectories of health-related outcomes in children aged 5 to 9 years (T7 to T11) using the Ulm SPATZ Health study, a population based birth cohort study (baseline 04/2012-05/2013) conducted in the South of Germany. Outcomes were children's mental health, quality of life, and lifestyle, such as screen time and physical activity. We conducted descriptive statistics of maternal and child characteristics before and throughout the pandemic. We defined three different groups of pre-pandemic family situations and used adjusted mixed models to estimate differences …
matched on Quality of Life (keyword), Mental Health (keyword), quality of life (text), well-being (text)
Moral elevation, gratitude, and meaning in nurses' positive mental health.
BackgroundNurses often face moral distress and emotional strain, which can undermine psychological well-being and ethical engagement. From a positive ethics perspective, moral emotions may serve as resources for moral flourishing. Moral elevation - the emotion evoked by witnessing moral excellence - may be associated with nurses' mental health through grateful appraisals and work meaning. Research aimTo examine whether moral elevation promotes nurses' positive mental health through the mediating effects of grateful appraisals and work meaning. Research designA cross-sectional survey was conducted, with mediation analyses using PROCESS Model 6 to test independent and sequential pathways. Participants and research contextData were collected from 359 registered nurses working in Chinese public hospitals. Participants completed validated measures of moral elevation, grateful appraisals, work…
matched on Mental Health (mesh), flourishing (text), well-being (text)
Medical students describe their wellness and how to preserve it.
Background: Despite widespread efforts to create wellness programming in medical schools, there is a paucity of literature examining students' perception of wellness and perceptions of these programs. With the inaugural class at the Arizona campus of Mayo Clinic Alix School of Medicine (MCASOM-AZ), an opportunity arose to establish an empirically evaluated wellness curriculum that most inclusively and effectively enables medical students to flourish for years to come. The initial wellness offerings included mental health, academic success, and disability services, curriculum-embedded seminars, wellness committee driven programming, and student-proposed wellness activities. We aimed to improve the relevance and impact of medical school wellness curricula by soliciting in-depth and longitudinal perspectives of medical students themselves. As MCASOM-AZ opened in 2017, the student body at th…
matched on Mental Health (mesh), flourishing (text), well-being (text)
Steptoe A, Fancourt D (2019)MEDLINE-indexed journal, not yet read by usProceedings of the National Academy of Sciences of the United States of America127 citations Leading a meaningful life at older ages and its relationship with social engagement, prosperity, health, biology, and time use.
The sense that one is living a worthwhile and meaningful life is fundamental to human flourishing and subjective well-being. Here, we investigate the wider implications of feeling that the things one does in life are worthwhile with a sample of 7,304 men and women aged 50 and older (mean 67.2 y). We show that independently of age, sex, educational attainment, and socioeconomic status, higher worthwhile ratings are associated with stronger personal relationships (marriage/partnership, contact with friends), broader social engagement (involvement in civic society, cultural activity, volunteering), less loneliness, greater prosperity (wealth, income), better mental and physical health (self-rated health, depressive symptoms, chronic disease), less chronic pain, less disability, greater upper body strength, faster walking, less obesity and central adiposity, more favorable biomarker profiles…
matched on Mental Health (mesh), flourishing (text), well-being (text)
Predicting the mental health of college students with psychological capital.
Background: Behavioral health treatment is grounded in the medical model with language of deficits and problems, rather than resources and strengths. With developments in the field of positive psychology, re-focusing on well-being rather than illness is possible.
Aims: The primary purpose of this study was to examine relationships and predictions that exist between levels of mental health in college students, i.e., flourishing, moderate mental health, and languishing, and psychological capital (PsyCap).
Method: For this cross-sectional, exploratory study survey method was used for data collection and for analyses of results a series of descriptive, correlation, ANOVA, and multiple regression analyses were done.
Findings: Results indicated that developing positive psychological strengths such as hope, efficacy, resilience, and optimism (acronym HERO) within college students significantly …
matched on Mental Health (mesh), flourishing (text), well-being (text)
The content and meaning of war experiences: A qualitative study of trauma and resilience among Liberian young refugees in Ghana.
Abundant research has shown that traumatic war experiences can interfere with the mental health and wellbeing of children and adolescents, but less is known about the subjective experiences and views of war survivors. The present study identified and described the different types of war experiences of young refugees in an African context and analyzed how they perceived the meanings and impact of war on their lives. The participants were 13 Liberian 25-35-year-old male and female refugees living in Ghana who agreed to take part in semi-structured interviews based on the life history approach. The transcripts were analyzed using a phenomenological method to detect themes incorporating multiple subthemes. The results revealed five main themes about war experiences, all negative in nature: pain and humiliation, loss of close relationships, horrific scenes, threats to life, and fleeing for on…
matched on Mental Health (mesh)
Polonium-210 poisoning in London: hypochondriasis and public health.
Introduction: In November 2006, a Russian dissident died from radioactive Polonium-210 (210Po) poisoning in London. Providing reassuring messages during a public health incident may be ineffective for individuals with high health anxiety (hypochondriasis).
Methods: Members of the public who called a 24-hour telephone helpline were offered a follow-up call by a health protection specialist for reassurance. A psychiatrist attempted to contact those callers who were unable to be reassured by the health protection specialist.
Results: Of 872 individuals contacted for reassurance, seven (0.6%) could not be reassured. The psychiatrist contacted four of these individuals. Three had a history of health-related anxiety and two attributed somatic symptoms to 210Po exposure.
Conclusions: For individuals with hypochondriasis, reassurance during major public health incidents may be ineffective. Havin…
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Wertz J, Ronald A (2025)editorial or commentMEDLINE-indexed journal, not yet read by usJournal of child psychology and psychiatry, and allied disciplines1 citations Editorial: Beyond the usual suspects - broadening the scope of environmental influences in child and adolescent mental health research.
When we think about which environmental influences affect children and young people's mental health, answers that are 'close to home' tend to come to mind, such as relationships, screen time, bullying, stressful life events and poverty. These same factors are also often prioritised in child and adolescent mental health research. More distal factors receive less attention, such as the air we breathe, the materials in our built environment, and the cultural and social norms of the societies in which we live. These factors are embedded in the very structure of our built and social environments, but may be harder to 'imagine' as being important, perhaps because they feel less tangible. Findings in this issue of the journal highlight the relevance of these factors for child and adolescent mental health. This editorial will reflect on the importance of these findings and then turn to consider …
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A crisis within the crisis: The mental health situation of refugees in the world during the 2019 coronavirus (2019-nCoV) outbreak.
Background: 68.5 million people around the world have been forced to leave their houses. Refugees have mainly to face their adaption in a host country, which involves bureaucracy, different culture, poverty, and racism. The already fragile situation of refugees becomes worrying and challenged in the face of the new coronavirus (COVID-19) epidemic. Therefore, we aimed to describe the factors that can worsen the mental health of refugees.
Method: The studies were identified in well-known international journals found in three electronic databases: PubMed, Scopus, and Embase. The data were cross-checked with information from the main international newspapers.
Results: According to the literature, the difficulties faced by refugees with the COVID-19 pandemic are potentiated by the pandemic state. There are several risk factors common to coronavirus and psychiatric illnesses as overcrowding, d…
matched on Mental Health (mesh), Mental Health (keyword)
Oh, the Places We'll Go: Patient-Reported Outcomes and Electronic Health Records.
The growing measurement of patient-reported outcomes (PROs) and adoption of electronic health records (EHRs) presents an unprecedented opportunity to improve health care for patients and populations. The integration of PROs into EHRs can promote patient-centered care and advance quality improvement initiatives, research, and population health. Despite these potential benefits, there are few best practices to help organizations achieve integration. To integrate PROs into EHRs, organizations should evaluate the advantages and disadvantages of various approaches within three themes: Planning, Selection, and Engagement. Planning considerations for integration include what strategy will be used, how the integrated system will be governed, ethical and legal issues, and how data from multiple EHRs can be pooled across organizations. Selection considerations involve identifying which patient pop…
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Owen L, Corfe B (2017)editorial or commentMEDLINE-indexed journal, not yet read by usThe Proceedings of the Nutrition Society132 citations The role of diet and nutrition on mental health and wellbeing.
Mental, neurological and substance-use disorders presently represent the greatest global burden of disease. Likewise, depression and other psychopathologies are elevated risk comorbidities of other health hazards, such as obesity. Nutrition has been implicated in behaviour, mood and in the pathology and treatment of mental illness. In this brief editorial, we aim to set the scale of the problem in context and overview advances and recent evidence linking nutrition to psychological outcomes. The purpose of the 2016 Nutrition Society Winter Meeting, 'Diet, nutrition and mental health and wellbeing' was to review where the evidence is strong, where there are unmet needs for research and to draw together the communities working in this area to share their findings. The papers presented demonstrated clear advancements that are being made in this field. The meeting illustrated compelling suppo…
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Deans E (2016)editorial or commentMEDLINE-indexed journal, not yet read by usJournal of physiological anthropology20 citations Microbiome and mental health in the modern environment.
A revolution in the understanding of the pathophysiology of mental illness combined with new knowledge about host/microbiome interactions and psychoneuroimmunology has opened an entirely new field of study, the "psychobiotics". The modern microbiome is quite changed compared to our ancestral one due to diet, antibiotic exposure, and other environmental factors, and these differences may well impact our brain health. The sheer complexity and scope of how diet, probiotics, prebiotics, and intertwined environmental variables could influence mental health are profound obstacles to an organized and useful study of the microbiome and psychiatric disease. However, the potential for positive anti-inflammatory effects and symptom amelioration with perhaps few side effects makes the goal of clarifying the role of the microbiota in mental health a vital one.
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Gaudreau P, Benoît A (2025)MEDLINE-indexed journal, not yet read by usBritish journal of psychology (London, England : 1953)3 citations Distinguishing perfectionism and excellencism in graduate students: Contrasting links with performance satisfaction, research self-efficacy, burnout, and dropout intentions.
Research on perfectionism in graduate school found inconsistent associations between perfectionistic standards and psychological outcomes. Such unanticipated results led to the Model of Excellencism and Perfectionism (MEP), which differentiates between people pursuing excellence and those pursuing perfection. Recent studies with undergraduate students have shown that excellencism and perfectionism are distinct constructs, differentially associated with achievement and psychological outcomes. In this study, we aimed to offer the first empirical test of the MEP in graduate school with a sample of 376 graduate students (i.e. 81% masters, 19% doctoral). Results of confirmatory factor analyses on the Scale of Perfectionism and Excellencism provided evidence for the conceptual separation of excellencism and perfectionism. Results of multiple regression showed that perfection strivers (compared…
matched on Personal Satisfaction (mesh), Mental Health (keyword)
Priests aging well: The role of gerotranscendence and its relationships with perceived health status, and life satisfaction among Catholic priests.
Aging in the priesthood presents unique challenges in America. Due to the declining number of priests serving the growing U.S. Catholic population, many older priests delay retirement and continue to work while dealing with various physical, mental, and emotional challenges associated with aging. The present study examined predictors of life satisfaction in aging priests, using a combination of established predictors (age, spiritual transcendence, overall health) and three novel predictors corresponding to the three domains of gerotranscendence (cosmic, coherence, solitude) set out by Tornstam (1989, 2005). Survey data collected from 201 ordained Roman Catholic senior priests (between ages 50-93) revealed high levels of life satisfaction and satisfaction that was positively correlated with age, spiritual transcendence, and self-rated health. In addition, the combination of gerotranscende…
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Marital status, marital transition and health behaviour and mental health outcomes among middle-aged and older adults in Thailand: A national longitudinal study.
Objectives: The aim of this study was to assess the longitudinal association between marital status, marital transition, mental ill-health, and health risk behaviours among middle-aged and older adults in Thailand.
Methods: We analyzed prospective cohort data of participants 45 years and older from three consecutive waves in 2015, 2017, and in 2020 (analytic sample, n = 2863) of the Health, Aging and Retirement in Thailand (HART) study. Sociodemographic and health variables were assessed by self-report.
Results: Being single was positively associated with current smoking among men and transitioning to widowed or divorced was associated with incident current smoking among women. Divorced or separated was positively associated with current alcohol use among men and transitioning to marriage was associated with incident alcohol use among women. Being single or widowed was positively associa…
matched on Quality of Life (mesh), Mental Health (keyword)
Impact of the COVID-19 pandemic on depression, anxiety, loneliness, and satisfaction in the German general population: a longitudinal analysis.
Purpose: Cross-sectional studies found high levels of depression and anxiety symptoms, and loneliness during the first wave of the COVID-19 pandemic. Reported increases were lower in longitudinal population-based findings. Studies including positive outcomes are rare. This study analyzed changes in mental health symptoms, loneliness, and satisfaction.
Methods: Respondents of the German Socio-Economic Panel (N = 6038) were surveyed pre-pandemic (2017/2019) and during the first (June 2020) and second wave (January and February 2021) of the pandemic. Self-report screeners assessed depression and anxiety symptoms, loneliness, life and health satisfaction. Difference scores were analysed using ANCOVAs focusing on time, gender, age groups.
Results: Depression and anxiety symptoms and health satisfaction increased from pre-pandemic to the first wave, but declined in the second pandemic wave. Lo…
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Boivin J, Vassena R, Costa M, Vegni E, Dixon M, Collura B, Markert M, Samuelsen C, Guiglotto J, Roitmann E, Domar A (2022)MEDLINE-indexed journal, not yet read by usReproductive biomedicine online37 citations Tailored support may reduce mental and relational impact of infertility on infertile patients and partners.
Research question: What is the psychological impact of infertility on infertile patients and partners of infertile patients?
Design: This online, international, quantitative survey assessed the impact of infertility on mental health, relationships and daily activities for 1944 respondents. Respondents were male or female infertile patients (n = 1037) or partners to infertile patients (n = 907; not necessarily partners of the patient sample) and were recruited at different stages of the treatment journey.
Results: The most common emotions were 'sadness' at infertility diagnosis and 'anxiety' during treatment. Emotions differed in nature and intensity throughout the journey. Envy of others who achieved pregnancy was frequently reported by women. More than half of respondents (60.4%; n = 1174) perceived the infertility journey to have impacted their mental health, and 44.1% (n = 857) of res…
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