Feasibility and utility of positive psychology exercises for suicidal inpatients

Huffman, Jeff C.; DuBois, Christina M.; Healy, Brian C.; Boehm, Julia K.; Kashdan, Todd B.; Celano, Christopher M.; Denninger, John W.; Lyubomirsky, Sonja

doi:10.1016/j.genhosppsych.2013.10.006

Cited by 155 publications

(123 citation statements)

References 54 publications

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“…A 10-session group PPI was found equally effective compared to a CBT-program on decreasing depressive symptoms in people with a diagnosed mood disorder (Chaves et al, 2016). In addition, positive psychology exercises have been found feasible and effective on hopelessness and optimism in suicidal inpatients of which the majority was diagnosed with a major depression (Huffman et al, 2014).…”

Section: Discussionmentioning

confidence: 95%

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Possible mechanisms in a multicomponent email guided positive psychology intervention to improve mental well-being, anxiety and depression: A multiple mediation model

Schotanus-Dijkstra

Pieterse

Drossaert

et al. 2017

The Journal of Positive Psychology

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The efficacy of several multicomponent positive psychology interventions (PPIs) have been demonstrated, but little is known about its possible mechanisms of change. We examined (1) the efficacy of an email guided self-help PPI on six core well-being processes (positive emotion, use of strengths, optimism, self-compassion, resilience and positive relations) and (2) the mediating role of these processes on mental well-being, anxiety and depressive symptoms. Adults ≥ 18 years were recruited in the general population and randomized into the intervention (n = 137) or wait-list control group (n = 138). Repeated measures analyses showed that the intervention group improved significantly more than the control group on all six processes. Improvement (t0-t1) on each process statistically mediated improvement (t0-t2) on mental well-being, anxiety and depressive symptoms. Simple-mediation analyses revealed small to moderate effect sizes. Multiple-mediation analyses revealed most pronounced results for positive relations and self-compassion, suggesting that these processes might be key mechanisms in promoting well-being.

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Section: Discussionmentioning

confidence: 95%

“…(Chaves, LopezGomez, Hervas, & Vazquez, 2016;Huffman et al, 2014). A 10-session group PPI was found equally effective compared to a CBT-program on decreasing depressive symptoms in people with a diagnosed mood disorder (Chaves et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Possible mechanisms in a multicomponent email guided positive psychology intervention to improve mental well-being, anxiety and depression: A multiple mediation model

Schotanus-Dijkstra

Pieterse

Drossaert

et al. 2017

The Journal of Positive Psychology

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“…Interventions that use and aim to strengthen the signature strengths of “hope” and “gratitude” every day have been effective in decreasing depression [35, 41, 42]. Positive psychology interventions related to “gratitude,” such as writing gratitude letters and actively counting blessings, and interventions using individuals’ character strengths have been shown to be feasible and effective for inpatients with suicidal ideation [43]. Still, few positive psychology-based interventions have been applied to the workplace.…”

Section: Discussionmentioning

confidence: 99%

Character strengths as protective factors against depression and suicidality among male and female employees

Kim

Hong

et al. 2018

BMC Public Health

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BackgroundSo far, studies on workplace mental health have only focused on work-related environmental risk factors, disregarding both protective and individual factors of employees. Therefore, we aimed to identify character strengths that act as protective factors against depressive moods and suicidality in Korean employees.MethodsIn total, 84 male and 151 female employees (aged 19–50 years) reported their sociodemographic characteristics; depressive symptoms, as measured by the Beck Depression Inventory-II; suicidality, as measured by the Korean version of the MINI International Neuropsychiatric Interview suicidality module; and character strengths, as measured by the 24 Character Strength Alphas on the Values in Action Survey-72. We conducted a hierarchical logistic regression, in which depressive mood and suicidality served as the categorical outcome variables.ResultsIn females, scores on the “curiosity” (B = 1.107, Wald = 10.207, odds ratio = 3.026, p = .001) and “love” (B = .862, Wald = 5.767, odds ratio = 2.367, p = .016) sub scales of the 24 Character Strength Alphas on the Values in Action Survey-72 were statistically significant predictors of having depressive mood. Additionally, females’ scores on “judgment” (B = − 1.405, Wald = 5.663, odds ratio = .245, p = .017) and “kindness” (B = − 1.456, Wald = 6.486, odds ratio = .233, p = .011) were protective factors against suicidality. In males, the “love” (B = 1.746, Wald = 4.279, odds ratio = 5.729, p = .039) score was a predictor of having depressive mood, while “teamwork” (B = − 2.204, Wald = 4.666, odds ratio = .110, p = .031) and “creativity” (B = − 1.384, Wald = 4.202, odds ratio = .251, p = .040) scores were protective factors against having depressive mood and suicidality, respectively.ConclusionsWe suggest that focusing on “judgement” and “kindness” in female employees, and “teamwork” and “creativity” in male employees, and engaging in activities that use these strengths at the workplace can be protective factors against depression and suicidality. Future research should focus on developing interventions to promote these character strengths among employees at the workplace.

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“…The implications for students who have a generally optimistic perception of the future suggest that suicide risk can be significantly mitigated by early, brief interventions to return these individuals to their normal state. In particular, the application of positive psychology to suicide treatment and prevention (Huffman et al, 2014) may be an appropriate avenue for this type of treatment. In contrast, students endorsing greater levels of negative future orientation will likely respond to cognitive therapy focused on reducing negative attributions.…”

Section: Discussionmentioning

confidence: 99%

Future disposition and suicidal ideation: Mediation by depressive symptom clusters

Ballard

Patel

Ward

et al. 2015

Journal of Affective Disorders

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Background In line with hopelessness theory, both increased negative expectancies and reduced positive expectancies for the future have been associated with suicidal ideation. This study evaluated two depression symptom clusters as mediators of the relationship between future disposition and suicide: subjective feelings of depression and self-blame. Methods Data from 140 undergraduate students with moderate to severe depression symptoms are presented who completed the Beck Scale for Suicidal Ideation, Beck Depression Inventory and the Future Disposition Inventory. Results On mediation analysis, subjective depression mediated the relationship between positive disposition and suicidal ideation. In contrast, the relationship between negative disposition and suicidal ideation was mediated by self-blame. The reverse of these relationships was not significant. Limitations This is a cross-sectional study of an undergraduate sample and results warrant replication in clinical samples with clinician-administered assessments. Conclusions Findings suggest two potential pathways to suicidal thoughts with implications for assessment and treatment. Depressed individuals with few positive expectations of the future may benefit from interventions focusing on subjective depression symptoms, such as sadness or anhedonia. For depressed individuals with negative expectations for the future, a clinical focus on negative attributions or self-blame may be warranted.

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Feasibility and utility of positive psychology exercises for suicidal inpatients

Cited by 155 publications

References 54 publications

Possible mechanisms in a multicomponent email guided positive psychology intervention to improve mental well-being, anxiety and depression: A multiple mediation model

Possible mechanisms in a multicomponent email guided positive psychology intervention to improve mental well-being, anxiety and depression: A multiple mediation model

Character strengths as protective factors against depression and suicidality among male and female employees

Future disposition and suicidal ideation: Mediation by depressive symptom clusters

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