Positive functioning as an outcome in its own right.
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1726 to 1750 of 6,178On carrots and curiosity: eating fruit and vegetables is associated with greater flourishing in daily life.
Objectives: Our aim was to determine whether eating fruit and vegetables (FV) is associated with other markers of well-being beyond happiness and life satisfaction. Towards this aim, we tested whether FV consumption is associated with greater eudaemonic well-being - a state of flourishing characterized by feelings of engagement, meaning, and purpose in life. We also tested associations with two eudaemonic behaviours - curiosity and creativity.
Design: Daily diary study across 13 days (micro-longitudinal, correlational design).
Methods: A sample of 405 young adults (67% women; mean age 19.9 [SD 1.6] years) completed an Internet daily diary for 13 consecutive days. Each day, participants reported on their consumption of fruit, vegetables, sweets, and chips, as well as their eudaemonic well-being, curiosity, creativity, positive affect (PA), and negative affect. Between-person associations …
matched on Happiness (mesh), Personal Satisfaction (mesh), Mental Health (mesh), flourishing (text), well-being (text)
Investigating the efficacy of a Dialectical behaviour therapy-based universal intervention on adolescent social and emotional well-being outcomes.
There is increasing research interest as to whether Dialectical Behaviour Therapy (DBT), specifically the group skills training component, is an effective early intervention approach when delivered universally in schools. The current study aimed to provide the first large-scale examination of a universal DBT-based intervention and to also determine the extent to which home practice of DBT skills predicted changes in social and emotional outcomes over time. A non-randomised controlled trial design was employed whereby 1071 participants (51.30% Male; M age = 13.48 years) completed either an adapted eight-session DBT skills-training intervention ('WISE Teens) (n = 563) or class-as-per-usual (n = 508). On average, the 'WISE Teens' intervention did not improve outcomes with significant deteriorations or null effects observed across outcomes relative to class-as-per-usual immediately post-inte…
matched on Mental Health (keyword), well-being (text)
Health Care Workers' Need for Headspace: Findings From a Multisite Definitive Randomized Controlled Trial of an Unguided Digital Mindfulness-Based Self-help App to Reduce Healthcare Worker Stress.
Background: Health care workers experience high stress. Accessible, affordable, and effective approaches to reducing stress are lacking. In-person mindfulness-based interventions can reduce health care worker stress but are not widely available or accessible to busy health care workers. Unguided, digital, mindfulness-based self-help (MBSH) interventions show promise and can be flexibly engaged with. However, their effectiveness in reducing health care worker stress has not yet been explored in a definitive trial.
Objective: This study aimed to investigate the effectiveness of an unguided digital MBSH app (Headspace) in reducing health care worker stress.
Methods: This was a definitive superiority randomized controlled trial with 2182 National Health Service staff in England recruited on the web and allocated in a 1:1 ratio to fully automated Headspace (n=1095, 50.18%) or active control (…
matched on Mental Health (keyword), well-being (text)
Well-being app to support young people during the COVID-19 pandemic: randomised controlled trial.
Objectives: To evaluate the efficacy and acceptability of 'Whitu: seven ways in seven days', a well-being application (app) for young people.
Design: Prospective randomised controlled trial of Whitu against waitlist control, with 45 participants in each arm.
Participants: 90 New Zealand young people aged 16-30 recruited via a social media advertising campaign.
Setting: Participants' homes.
Interventions: Developed during the COVID-19 pandemic, and refined from a prototype version that was evaluated during a smaller qualitative study, 'Whitu: seven ways in seven days' is a well-being app that, as its name suggests, contains seven modules to help young people (1) recognise and rate emotions, (2) learn relaxation and mindfulness, (3) practice self-compassion and (4) gratitude, (5) connect with others, (6) care for their physical health and (7) engage in goal-setting. It can be completed wit…
matched on Mental Health (keyword), well-being (text)
Building long-term family resilience through universal prevention: 10-year parent and child outcomes during the COVID-19 pandemic.
As the COVID-19 pandemic has been highly stressful for parents and children, it is clear that strategies that promote long-term family resilience are needed to protect families in future crises. One such strategy, the Family Foundations program, is focused on promoting supportive coparenting at the transition to parenthood. In a randomized trial, we tested the long-term intervention effects of Family Foundations on parent, child, and family well-being one to two months after the imposition of a national shelter-in-place public health intervention in 2020. We used regression models to test intervention impact on outcomes reported on by parents in a standard questionnaire format and a series of 8 days of daily reports. We also tested moderation of intervention impact by parent depression and coparenting relationship quality. Relative to control families, intervention families demonstrated …
matched on Mental Health (keyword), well-being (text)
Lobban F, Akers N, Appelbe D, Iraci Capuccinello R, Chapman L, Collinge L, Dodd S, Flowers S, Hollingsworth B, Honary M, Johnson S, Jones SH, Mateus C, Mezes B, Murray E, Panagaki K, Rainford N, Robinson H, Rosala-Hallas A, Sellwood W, Walker A, Williamson PR (2020)randomised controlled trialMEDLINE-indexed journal, not yet read by usHealth technology assessment (Winchester, England)17 citations A web-based, peer-supported self-management intervention to reduce distress in relatives of people with psychosis or bipolar disorder: the REACT RCT.
Background: Relatives caring for people with severe mental health problems find information and emotional support hard to access. Online support for self-management offers a potential solution.
Objective: The objective was to determine the clinical effectiveness and cost-effectiveness of an online supported self-management tool for relatives: the Relatives' Education And Coping Toolkit (REACT).
Design and setting: This was a primarily online (UK), single-blind, randomised controlled trial, comparing REACT plus a resource directory and treatment as usual with the resource directory and treatment as usual only, by measuring user distress and other well-being measures at baseline and at 12 and 24 weeks.
Participants: A total of 800 relatives of people with severe mental health problems across the UK took part; relatives who were aged ≥ 16 years, were experiencing high levels of distress, ha…
matched on Mental Health (keyword), well-being (text)
Gratitude at Work: Prospective Cohort Study of a Web-Based, Single-Exposure Well-Being Intervention for Health Care Workers.
Background: Emotional exhaustion (EE) in health care workers is common and consequentially linked to lower quality of care. Effective interventions to address EE are urgently needed.
Objective: This randomized single-exposure trial examined the efficacy of a gratitude letter-writing intervention for improving health care workers' well-being.
Methods: A total of 1575 health care workers were randomly assigned to one of two gratitude letter-writing prompts (self- vs other focused) to assess differential efficacy. Assessments of EE, subjective happiness, work-life balance, and tool engagement were collected at baseline and 1-week post intervention. Participants received their EE score at baseline and quartile benchmarking scores. Paired-samples t tests, independent t tests, and correlations explored the efficacy of the intervention. Linguistic Inquiry and Word Count software assessed the li…
matched on Mental Health (keyword), well-being (text)
Effects of supervised exercise training during pregnancy on psychological well-being among overweight and obese women: secondary analyses of the ETIP-trial, a randomised controlled trial.
Objectives: Women with high body mass index (BMI) have increased risk for symptoms of anxiety and depression during pregnancy and postpartum. In this prespecified secondary analysis from the exercise training in pregnancy trial, our aim was to examine effects of supervised exercise during pregnancy on psychological well-being in late pregnancy and postpartum among women with a prepregnancy BMI ≥28 kg/m2.
Design: Single-centre, parallel group, randomised controlled trial.
Setting: University Hospital, Norway.
Participants: Ninety-one women (age 31.2±4.1 years, BMI 34.5±4.2 kg/m2), 46 in the exercise group, 45 in the control group, were included in the trial.
Intervention: The exercise group was offered 3 weekly supervised exercise sessions (35 min of moderate intensity walking/running and 25 min of resistance training), until delivery.
Primary and secondary outcomes measures: Primary anal…
matched on Mental Health (keyword), well-being (text)
Can a documentary increase help-seeking intentions in men? A randomised controlled trial.
Background: We investigated whether a public health intervention-a three-part documentary called Man Up which explored the relationship between masculinity and mental health, well-being and suicidality-could increase men's intentions to seek help for personal and emotional problems.
Methods: We recruited men aged 18 years or over who were not at risk of suicide to participate in a double-blind randomised controlled trial. Participants were randomly assigned (1:1) via computer randomisation to view Man Up (the intervention) or a control documentary. We hypothesised that 4 weeks after viewing Man Up participants would report higher levels of intention to seek help than those who viewed the control documentary. Our primary outcome was assessed using the General Help Seeking Questionnaire, and was analysed for all participants. The trial was registered with the Australian New Zealand Clinica…
matched on Mental Health (keyword), well-being (text)
Feasibility and preliminary efficacy of the 'HEYMAN' healthy lifestyle program for young men: a pilot randomised controlled trial.
Background: In young men, unhealthy lifestyle behaviours can be detrimental to their physical and/or mental health and set them on a negative health trajectory into adulthood. Despite this, there is a lack of evidence to guide development of effective health behaviour change interventions for young men. This study assessed the feasibility and preliminary efficacy of the 'HEYMAN' (Harnessing Ehealth to enhance Young men's Mental health, Activity and Nutrition) healthy lifestyle program for young men.
Methods: A pilot RCT with 50 young men aged 18-25 years randomised to the HEYMAN intervention (n = 26) or waitlist control (n = 24). HEYMAN was a 3-month intervention, targeted for young men to improve eating habits, activity levels and well-being. Intervention development was informed by a participatory research model (PRECEDE-PROCEED). Intervention components included eHealth support (websi…
matched on Mental Health (keyword), well-being (text)
Lai L, Sanatkar S, Mackinnon A, Deady M, Petrie K, Lipscomb R, Counson I, Francis-Taylor R, Dean K, Harvey S (2024)clinical trialMEDLINE-indexed journal, not yet read by usJMIR research protocols2 citations Testing the Effectiveness of a Mobile Smartphone App Designed to Improve the Mental Health of Junior Physicians: Protocol for a Randomized Controlled Trial.
Background: Shift (Black Dog Institute) is the first mobile health smartphone app created to support the mental health of junior physicians. Junior physicians experience demanding work conditions, leading to high levels of psychological distress and burnout. However, they are often concerned about the potential career impacts of seeking mental health support. The confidentiality and ease of access of digital interventions may be particularly suited to address these concerns. The Shift app provides therapeutic and psychoeducational content and strategies contextualized for the specific needs of physicians in training. App content includes information on mental health, help seeking, mindfulness, and common workplace-related concerns of junior physicians.
Objective: This study aims to test, at scale, the effectiveness of Shift among junior physicians working in Australia using a randomized …
matched on Mental Health (mesh), quality of life (text)
Internet-based self-help intervention for procrastination: randomized control group trial protocol.
Background: Procrastination or "postponing until later" is a common phenomenon defined as the intentional delay in partaking in and finishing important activities despite negative outcomes potentially outweighing the positive. Procrastination adversely affects mental health, academic performance, and career achievement. Although studies on procrastination intervention methods and effectiveness exist, utility and cost-effectiveness are limited by various factors, including practitioner availability and skills, barriers to participant participation, and the time investment required by participants. Thus, internet-based interventions could increase the availability of evidence-based treatments for adult procrastination.
Methods: This study explored the efficacy of an online-based self-help intervention in the context of voluntary procrastination among undergraduate psychology students. The …
matched on Mental Health (mesh), well-being (text)
Müller M, Matthies LM, Goetz M, Abele H, Brucker SY, Bauer A, Graf J, Zipfel S, Hasemann L, Wallwiener M, Wallwiener S (2020)clinical trialMEDLINE-indexed journal, not yet read by usTrials22 citations Effectiveness and cost-effectiveness of an electronic mindfulness-based intervention (eMBI) on maternal mental health during pregnancy: the mindmom study protocol for a randomized controlled clinical trial.
Background: Mental disorders are common during the peripartum period and may have far-reaching consequences for both mother and child. Unfortunately, most antenatal care systems do not provide any structured screening for maternal mental health. As a consequence, mental illnesses are often overlooked and not treated adequately. If correctly diagnosed, cognitive behavioral therapy is currently the treatment of choice for mental illnesses. In addition, mindfulness-based interventions (MBIs) seem to represent a promising treatment option for anxiety and depression during the peripartum period. Considering the internet's increasing omnipresence, MBIs can also be offered electronically via a (tablet) computer or smartphone (electronically based MBI = eMBI).
Objective: The current study aims to examine the clinical effectiveness and cost-effectiveness of an eMBI (the mindmom application) devel…
matched on Mental Health (mesh), quality of life (text)
The mental health and wellbeing of Unaccompanied Refugee Minors (URMs).
Background: Today, almost half of all refugees worldwide are children and adolescents, nearly a quarter of whom arrive in Europe as Unaccompanied Refugee Minors (URM). Many URMs have experienced the cumulative stress of being exposed both to the adverse environmental conditions which drive forced migration, and to the traumatic experience of displacement and resettlement. These experiences, coupled with other developmental stressors, may impede their overall development and increase their likelihood of mental health problems. Despite the evident vulnerability of URMs, much controversy currently surrounds the legitimacy of their arrival in host countries and their mental health is given little consideration.
Objective: This review synthesises and examines the limited published literature on the impact of traumatic refugee experiences on the mental health and development of URMs.
Methods: …
matched on Personal Satisfaction (mesh), Mental Health (mesh), Mental Health (keyword)
Workplace-Based Organizational Interventions Promoting Mental Health and Happiness among Healthcare Workers: A Realist Review.
Mental illness, deemed globally to account for 32% of years lived with a disability, generates significant impacts on workplaces. In particular, healthcare workers experience high rates of mental ill health such as burnout, stress, and depression due to workplace conditions including excessive workloads, workplace violence and bullying, which also produces negative effects on patients as well as on the happiness and wellbeing of those who remain at work. This review was undertaken to synthesize the evidence on workplace-based interventions at the organizational level promoting mental health and wellbeing among healthcare workers, to identify what has been receiving attention in this area and why, especially considering how such positive effects are produced. A search of three premier health-related databases identified 1290 articles that discussed healthcare workers, workplace interventi…
matched on Happiness (mesh), Mental Health (mesh), Mental Health (keyword)
Subjective wellbeing, health, and ageing.
Subjective wellbeing and health are closely linked to age. Three aspects of subjective wellbeing can be distinguished-evaluative wellbeing (or life satisfaction), hedonic wellbeing (feelings of happiness, sadness, anger, stress, and pain), and eudemonic wellbeing (sense of purpose and meaning in life). We review recent advances in the specialty of psychological wellbeing, and present new analyses about the pattern of wellbeing across ages and the association between wellbeing and survival at older ages. The Gallup World Poll, a continuing survey in more than 160 countries, shows a U-shaped relation between evaluative wellbeing and age in high-income, English speaking countries, with the lowest levels of wellbeing in ages 45-54 years. But this pattern is not universal. For example, respondents from the former Soviet Union and eastern Europe show a large progressive reduction in wellbeing …
matched on Personal Satisfaction (mesh), Quality of Life (mesh)
[Applying positive psychology to medical education].
Today we are witnessing an exponential growth in positive psychology (PP), a scientific approach to the most significant purpose of human existence: happiness and meaning of life. As a consequence of PP studies, happiness and wellbeing are now accepted as valid topics of research, despite their subjective and supposedly unscientific essence. Experimental evident indicates that happiness and wellbeing have biological bases and, thus, can be scientifically approached and eventually changed. We believe that we need to learn from this new discipline and apply its discoveries in our profession as medical educators to foster the full development of our students. In this review, we will summarize the major developments and discoveries of PP, and open the debate on the implications of PP offer to medical education.
matched on Happiness (mesh), Personal Satisfaction (mesh)
Positive affect and psychobiological processes relevant to health.
Empirical evidence suggests that there are marked associations between positive psychological states and health outcomes, including reduced cardiovascular disease risk and increased resistance to infection. These observations have stimulated the investigation of behavioral and biological processes that might mediate protective effects. Evidence linking positive affect with health behaviors has been mixed, though recent cross-cultural research has documented associations with exercising regularly, not smoking, and prudent diet. At the biological level, cortisol output has been consistently shown to be lower among individuals reporting positive affect, and favorable associations with heart rate, blood pressure, and inflammatory markers such as interleukin-6 have also been described. Importantly, these relationships are independent of negative affect and depressed mood, suggesting that posi…
matched on Happiness (mesh), Quality of Life (mesh)
Sleep disruption and decline in marital satisfaction across the transition to parenthood.
Despite the joy surrounding the birth of a child, numerous studies have documented a robust decline in marital satisfaction across the transition to parenthood. Various hypotheses, each supported by empirical evidence, have sought to explain this decline. This review considers the additional role of sleep loss in the postpartum decline in marital satisfaction. The authors begin by highlighting the problem of parental sleep disruption in a child's 1st year of life and then outline findings related to the affective and cognitive consequences of sleep deprivation and chronic sleep restriction. The demands brought on by the transition to parenthood are reviewed, and the ways in which the consequences of sleep disruption further exacerbate these stresses are considered. The authors suggest that clinicians working with couples who have recently had a child evaluate the extent of sleep disturba…
matched on Personal Satisfaction (mesh), Quality of Life (mesh)
Volunteerism, health, and civic engagement among older adults.
In North America, 40-50 per cent of older adults are actively involved as formal volunteers in providing diverse health and human services. We review empirical studies concerning older adults' motivations for volunteering, as well as the health and morale benefits they derive from this expression of altruism. Knowledge of the exact nature and amount of volunteer activity necessary to produce these effects is limited, and studies have yet to identify the behavioural and psychological mechanisms that are implicated. We propose that older adult volunteers may enjoy good health and longevity because being useful to others instills a sense of being needed and valued. We present several theoretical perspectives on the developmental significance of volunteering, discuss the challenges to volunteerism imposed by the baby boom cohort, and identify future research priorities.
matched on Personal Satisfaction (mesh), Quality of Life (mesh)
The translation and validation of the procrastination and precrastination traits scale in the modern Arabic Language.
Procrastination and precrastination are distinct self-regulatory behaviors that influence individual functioning and well-being. Despite growing interest in these constructs, culturally adapted and psychometrically validated tools in Arabic-speaking contexts remain limited. This study addresses this gap by translating, validating, and evaluating the psychometric properties of the Arabic version of the Procrastination and Precrastination Traits Scale (PPTS). The present study aimed to examine the factorial structure, reliability, and convergent and divergent validity of the Arabic PPTS among Arabic-speaking adults and explore its associations with life satisfaction and standardized measures of procrastination. A sample of 1,000 participants (mean age = 27.93 years, standard deviation (SD) = 5.73; age range = 18-38) completed an online survey comprising the 18-item PPTS, the 12-item Pure P…
matched on Personal Satisfaction (mesh), well-being (text)
Rotsiamis N, Rompoti N, Liakou A, Tsantes AG, Bonovas S, Samonis G, Ioannou P, Mpakosi A, Koumprentziotis IA, Tsamtsouri L, Chatzidimitriou E, Vladeni S, Gregoriou S, Nicolaidou E, Katoulis A, Papadavid E, Rigopoulos D (2025)cohort or longitudinalMEDLINE-indexed journal, not yet read by usArchives of dermatological research Systemic inflammation correlates with depression and lower quality of life in patients with hidradenitis suppurativa independent of disease severity.
Hidradenitis suppurativa (HS) is associated with a cumulative life course impairment and patients commonly present with signs of depression and anxiety. This study aimed to investigate the association between systemic inflammation, measured by laboratory markers, and psychological burden, evaluated using specific psychometric scores, in patients with HS. The study also evaluated the impact of treatment initiation on inflammatory biomarkers and psychometric scores. A prospective, observational, monocentric study was conducted on adult patients with HS of Hurley stage I, II and III, who were eligible for treatment initiation. Disease severity was assessed using the Hurley stage, and disease activity through the IHS4 scoring system. Laboratory evaluation of systemic inflammation included measurement of White Blood Cell count, Erythrocyte Sedimentation Rate (ESR) and C-reactive protein level…
matched on Quality of Life (mesh), quality of life (text)
Wang H, Xu J, Yu X, Hao S, Chen X, Peng B, Li X, Wang P, Miao C, Guo J, Hu Q, Su Z, Wang S, Yu C, Sun Q, Zhang M, Yang B, Li Y, Song Z, Geng S, Chen A, Xu Z, Zhang C, Lu Q, Lu Y, Jiang X, Wang G, Fang H, Sun Q, Liu J, Jin H (2025)cohort or longitudinalMEDLINE-indexed journal, not yet read by usChinese medical journal2 citations Current status of generalized pustular psoriasis: Findings from a multicenter hospital-based survey of 127 Chinese patients.
Background: Generalized pustular psoriasis (GPP), a rare and recurrent autoinflammatory disease, imposes a substantial burden on patients and society. Awareness of GPP in China remains limited.
Methods: This cross-sectional survey, conducted between September 2021 and May 2023 across 14 hospitals in China, included GPP patients of all ages and disease phases. Data collected encompassed demographics, clinical characteristics, economic impact, disease severity, quality of life, and treatment-related complications. Risk factors for GPP recurrence were analyzed.
Results: Among 127 patients (female/male ratio = 1.35:1), the mean age of disease onset was 25 years (1st quartile [Q1]-3rd quartile [Q3]: 11-44 years); 29.2% had experienced GPP for more than 10 years. Recurrence occurred in 75.6% of patients, and nearly half reported no identifiable triggers. Younger age at disease onset ( P = 0.0…
matched on Quality of Life (mesh), quality of life (text)
Tryfonos C, Pavlidou E, Vorvolakos T, Alexatou O, Vadikolias K, Mentzelou M, Tsourouflis G, Serdari A, Antasouras G, Papadopoulou SK, Aggelakou EP, Giaginis C (2024)cohort or longitudinalMEDLINE-indexed journal, not yet read by usJournal of geriatric psychiatry and neurology14 citations Association of Higher Mediterranean Diet Adherence With Lower Prevalence of Disability and Symptom Severity, Depression, Anxiety, Stress, Sleep Quality, Cognitive Impairment, and Physical Inactivity in Older Adults With Multiple Sclerosis.
A good nutritional status and healthy diets may decelerate disease disability and symptom severity and quality of life of peoples with multiple sclerosis (MS). Mediterranean diet (MD) can prevent several chronic diseases, including neurodegenerative disease. This is an observational, cross-sectional study on 279 older adults with MS, aiming to investigate the effects of MD against several aspects of mental health. Qualified questionnaires were used to assess disability and symptom severity, depression, anxiety, stress, sleep quality, cognitive status, physical activity, and MD adherence. Multivariate analysis showed that enhanced MD adherence was independently associated with lower prevalence of disability and symptom severity (P = .0019), depression (P = .0201), anxiety (P = .0287), perceived stress (P = .0021), inadequate sleep quality (P = .0033), cognitive impairment (P = .0018) and …
matched on Quality of Life (mesh), quality of life (text)
Exploring biopsychosocial correlates of pregnancy risk and pregnancy intention in women with chronic kidney disease.
Introduction: Women with Chronic Kidney Disease (CKD) are at increased risk of adverse pregnancy and renal outcomes. It is unknown how women with CKD understand their pregnancy risk. This nine-centre, cross-sectional study aimed to explore how women with CKD perceive their pregnancy risk and its impact on pregnancy intention, and identify associations between biopsychosocial factors and perception of pregnancy risk and intention.
Methods: Women with CKD in the UK completed an online survey measuring their pregnancy preferences; perceived CKD severity; perception of pregnancy risk; pregnancy intention; distress; social support; illness perceptions and quality of life. Clinical data were extracted from local databases. Multivariable regression analyses were performed. Trial registration: NCT04370769.
Results: Three hundred fifteen women participated, with a median estimated glomerular filt…
matched on Quality of Life (mesh), quality of life (text)