Well-being as an important focus for and outcome of psychotherapy

 

Submission type

Symposium

Scheduled

Parallel Session VI: Verwey kamer, 09-06-2018, 13:00 - 14:30

Kernwoorden

Well-being, recovery, positive psychotherapy & psychology

Onderzoeksgebied

Adults

Beknopte samenvatting van de totale bijdrage

There is growing recognition that well-being is an important indicator of mental health and focus for psychotherapy. Full recovery is not only the absence of mental illness but the presence of well-being as well. This theme is covered in four clinical studies highlighting various underpinnings and perspectives on well-being.

Auteurs

Validation of the Mental Health Continuum-Short Form and the dual continua model of well-being and psychopathology in an adult mental health setting

Franken, K (Katinka), Lamers, S.M.A. (Lamers), ten Klooster, P.M. (Peter), Bohlmeijer, E.T. (Ernst), Westerhof, G.J. (Gerben)

 

Abstract ID

1153

Submission type

Oral only

Introductie

There is growing evidence that psychopathology and well-being are two related but distinct dimensions of mental health. This so-called dual continua model has important implications for measuring outcomes in mental health care.

Materiaal en methodes

This article draws on Routine Outcome Monitoring (ROM) data of 472 adult patients with mental health problems (57% female; average age 40 years) registered for outpatient treatment in a Dutch mental health care institute. Well-being (MHC-SF) and psychopathology (Outcome Questionnaire-45) were measured before start of treatment in a cross-sectional design.

Resultaten

Confirmatory factor analyses demonstrated that a model with two related factors (psychopathology and well-being) fit the data better than a single-factor model of mental health. The relation between both continua was somewhat higher for people with mood disorders than for those with developmental or personality disorders.

Conclusie

The results imply that it is important to measure well-being in addition to psychopathology in mental health care and that the MHC-SF is a reliable and valid instrument to measure well-being in the clinical population.

Auteurs

Well-being therapy as rehabilitation treatment for patients with PTSD-symptoms: A: randomized controlled trial

Radstaak, M (Mirjam), Bohlmeijer, E.T. (Bohlmeijer), Huning, M (Mirjam)

 

Abstract ID

1155

Submission type

Oral only

Introductie

Many patients with PTSD continue to have substantial residual symptoms after psychological treatment which may enhance the risk of relapse. Well-being therapy (WBT) has been developed to treat the residual phase of mental disorders to prevent relapse and to promote full recovery. The aim is to compare the long-term effects of WBT with treatment-as-usual (TAU) as rehabilitation therapy in adults who successfully completed psychological treatment for PTSD.

Materiaal en methodes

Recovered PTSD-patients were randomized to WBT (n =29) or TAU (n = 35). The main outcome, increase in well-being, was measured at baseline (T0), after three months (T1), six months (T2) and a year (T3).

Resultaten

Increases in well-being did not differ between WBT and TAU (b = 0.09, SE b = 0.23). However, WBT was more effective than TAU when levels of well-being at baseline were low (b = -0.45, SE b = 0.18). This effect was strong at T3 (Cohen’s d = 0.95).

Conclusie

WBT can be effective in the rehabilitation of patients with PTSD when levels of well-being are low.

Auteurs

The Effect of Positive Psychology Interventions on Well-Being and Distress in Clinical samples with Psychiatric or Somatic Disorders: A Systematic Review and Meta-Analysis

Chakhssi, F (Farid), Kraiss, J.T. (Jannis), Spijkerman-Sommers, M (Marion), Bohlmeijer, E.T. (Bohlmeijer)

 

Abstract ID

1156

Submission type

Oral only

Introductie

Although positive psychology interventions (PPIs) show beneficial effects on mental health in non-clinical populations, the current literature is inconclusive regarding its effectiveness in clinical settings. We aimed to examine the effects of PPIs on wellbeing (primary outcome), depression, anxiety, and stress (secondary outcomes) in clinical samples with psychiatric or somatic disorders.

Materiaal en methodes

A systematic review and meta-analysis was conducted following PRISMA guidelines. PsychINFO, PubMed, and Scopus were searched for controlled studies of PPIs. Study quality for each study was rated.

Resultaten

Thirty studies were included, representing 1864 patients with clinical disorders. At post-treatment, PPIs showed significant, small effect sizes for well-being (g = 0.24) and depression (g = 0.23) compared to control conditions. Significant moderate improvements were observed for anxiety (g = 0.36). Effect sizes for stress were not significant. Follow-up effects (8-12 weeks), when available, yielded similar effect sizes. Quality of the studies was low to moderate.

Conclusie

These findings indicate that PPIs not only have the potential to improve well-being, but can also reduce distress in populations with clinical disorders. Given the growing interest for PPIs in clinical settings, more high quality research is warranted as to determine the effectiveness of PPIs in clinical sample

Auteurs

Identifying fundamental criteria for eating disorder recovery: A systematic review and qualitative meta-analysis

de Vos, J.A. (Sander), LaMare, A (Andrea), Radstaak, M (Mirjam), Bijkerk, C.A. (Charlotte), Bohlmeijer, E.T. (Ernst), Westerhof, G.J. (Gerben)

 

Abstract ID

1154

Submission type

Oral only

Introductie

Outcome studies for eating disorders regularly measure symptom remission as the only outcome. Researchers, patients and recovered individuals highlight the importance of using additional criteria for measuring eating disorder recovery. The aim of this study was to identify fundamental criteria for eating disorder recovery according to recovered individuals.

Materiaal en methodes

A systematic review and a qualitative meta-analytic approach were used. Eighteen studies with recovered individuals and meeting various quality criteria were included. The result sections of the included papers were searched for themes that were stated as criteria for recovery or ‘being recovered’. Themes were labeled into criteria for recovery and the frequency of the found criteria was examined.

Resultaten

In addition to the remission of eating disorder pathology, dimensions of psychological well-being and resilience were found to be fundamental criteria for eating disorder recovery. The most frequently mentioned criteria were: self-acceptance, positive relationships, personal growth, decrease in eating disorder behavior/cognitions, self-adaptability/resilience and autonomy.

Conclusie

People who have recovered rate psychological well-being as a central criterion for ED recovery in addition to the remission of eating disorder symptoms. Supplementary criteria, besides symptom remission, are needed to measure recovery.

Auteurs