Bohlmeijer keynote 3 juli
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Ernst Bohlmeijer
Department of Psychology, Health & Technology
Flourishing: So What?
Positive psychology and mental health
(care)
ECPP 2014
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Questions
1. How many people are able to beflourishing during 9 months?
2. What is the impact of well-beingon psychopathology over time?
3. How should our knowledge aboutwell-being inform mental health care?
4. Can we improve well-being andflourishing in a substantialway, yet?
5. Can we enhance flourishing witha comprehensive positivepsychological intervention?
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University of Twente
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Personal background
• Mental health care
• Public mental health
• Depression, well-being
• Life-story, reminiscence, acceptance-and commitment
therapy, mindfulness,
positive psychology.
• (E-health)Interventiondevelopment and
evaluation.
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Collaboration
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Mission statement
FLOURISH
51
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Huppert & So (2013)
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Huppert & So (2013)
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A different well-being
approach based on work by
Ed Diener, Carof Ryff and
Corey Keyes.
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Emotional well-being
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Psychological well-being
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Social well-being
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Flourishing
At least 1 item emotional
well-being and at least 6
items psychological well-
being and/or social well-
being often or very often
in the past month.
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Longitudinal population study
• MHC-SF & BSI (Brief SymptomInventory)
• LISS panel (CentERdata; Tilburg)
Longitudinal Internet Studies in the Socialsciences
• Representative sample of Dutch adult population
• N = 1,662 (18 to 87 years)
• Four measurements in 9 months
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Longitudinal population study
Further evidence for the
two-continua model.
The proposition that well-
being and psychopathology
are two distinct but
related continua
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Evidence from research
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Flourishing
At any moment about 33% of
the adults were
flourishing.
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At any moment about 33% of
the adults were
flourishing.
Flourishing
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Does it matter to improve
from moderate mental health
to flourishing three and
six months later?
Mental health promotion
hypothesis (Keyes, 2012)
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Impact of mental health on psychopathology (Lamers e.a., in review)
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Overall model
• Initial levels of well-beingand psychopathology andchanges of well-beingaccounted for 66% of the variance in psychopathology
• Change in well-beingaccounted for 18% of the variance in psychopathology.
• Change in psychopathologyaccounted for 27% of the variance in well-being.
• Reciprocal impact of well-being and psychopathology.
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Interim - conclusions
• About one third of the Dutch population is flourishing at anyone moment.
• About one eigthth of the population is able to stayflourishing during 9 months.
• Well-being and psychopathologyhave a reciprocal impact; changes in well-being explain 18% of variance of psychopathology.
• Promotion from moderate mentalhealth to flourishing appears tohave an impact on the levels of psychopathology 3 and 6 monthslater.
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Balanced mental healthcare
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Work in progress
Can we improve psychological
well-being?
The effects of interventions on
psychological well-being: a
meta-analysis of randomized
controlled trials.
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Outcome measures
Psychological well-being scale
MHC-SF (subscale psychological
well-being)
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Preliminary Result
N = 1850
Cohen’s d = 0.40
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Results on flourishing
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Inclusion criteria
A psychological intervention
(Sin & Lyobomirsky, 2009,
primarily aimed at raising
positive feelings, cognitions
and behavior and should have
been explicitly developed in
line with the theoretical
tradition of positive
psychology.
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Conclusions
• Small but significant
effects
• Quality of studies as a
major challenge
• Lack of comprehensive
interventions (exception
of well-being therapy)
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This is your life
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Design
• Randomized controlled trial
• This is your life (book) as
guided self-help versus
waiting-list.
• Intervention: 12 weeks to
complete the 8 lessons.
• Weekly e-mail
• Feedback to supervised
students master positive
psychology
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Design
Inclusion
• Adults with moderate mental
health.
Exclusion
• Flourishing
• Other treatment
• Moderate to high levels of
distress (HADS)
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Design
Open recruitment: national
newspapers.
Measurements: Pre (T0), Post
(T1), 3 months FU (T2), 9
months FU (T3; intervention
group only).
Outcome measures: MHC-SF, HADS,
process measures.
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Preliminary Results
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Preliminary Results on flourishing
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Conclusions & implications
• Further strong evidence that well-being and psychopathology are distinct(though related) components of mentalhealth.
• Underscores a reformulation of mentalhealth care (positive psychiatry) in which well-being promotion is a necessary complementary approach toillness treatments.
• Systematic attention to well-being(e.g. values, stengths, positiveexperiences) in all phases of mentalhealth care.
• There are now a few comprehensivepositive psychology interventionsavailable with promising effects but a large research agenda awaits us.
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