Positive Psychology Interventions for Chronic Physical Illnesses: A Systematic Review
Abstract
Positive health focuses on enhancing health along with curing illness to bring about well-being. Treatment for physical illness generally involves drug therapy, while the psycho-social aspects, specifically the positive psychology perspectives, are largely ignored; nevertheless, a growing number of investigations are now studying the effects of positive psychology interventions on health outcomes. The objective of this paper is to systematically review positive psychology interventions in chronic physical illness. A literature search through the databases of EBSCO, PubMed and PsycINFO, reference lists of significant papers and grey literature was conducted following four criteria set for this review. The number of studies selected finally that acceded to the criteria was 14. These studies were analysed by focusing on the study characteristics, kinds of intervention and outcomes of positive psychology interventions. Overall findings reveal that different intervention programmes have been devised by combining various exercises, writing is the most commonly used method for administration and positive psychology interventions are considered feasible and acceptable by patients, but findings about their usefulness are inconclusive. Suggestions for future research, clinical practice and application in communities have been provided which may be useful for clinicians, practitioners and caregivers.
Keywords
Positive psychology Positive psychology intervention(s) Chronic physical illness Positive health Physical healthNotes
Acknowledgements
The authors would like to thank researchers for sharing their publications via e-mail communication. The current work has been undertaken by the funding provided by Indian Council of Medical Research for Senior Research Fellowship.
References
- Algoe, S. B. & Haidt, J. (2009). Witnessing excellence in action: the ‘other-praising’ emotions of elevation, gratitude, and admiration. The Journal of Positive Psychology, 4(2), 105–127. doi: 10.1080/17439760802650519.
- Andrewes, H. E., Walker, V., & O’Neill, B. (2014). Exploring the use of positive psychology interventions in brain injury survivors with challenging behavior. Brain Injury, 28(7), 965–971. doi: 10.3109/02699052.2014.888764.CrossRefPubMedGoogle Scholar
- Boehm, J. K., Peterson, C., Kivimaki, M., & Kubzansky, L. (2011). A prospective study of positive psychological well-being and coronary heart disease. Health Psychology, 30(3), 259–267. doi: 10.1037/a0023124.
- Bolier, L., Haverman, M., Westerhof, G. J., Riper, H., Smit, F., & Bohlmeijer, E. (2013). Positive psychology interventions: A meta-analysis of randomized controlled studies. BMC Public Health, 13(119), 1–20. doi: 10.1186/1471-2458-13-119.Google Scholar
- Brydon, L., Walker, C., Wawrzyniak, A. J., Chart, H., & Steptoe, A. (2009). Dispositional optimism and stress-induced changes in immunity and negative mood. Brain, Behavior, and Immunity, 23, 810–816. doi: 10.1155/2015/428349.CrossRefPubMedPubMedCentralGoogle Scholar
- Cal, S. F., de Sa, L. R., Glustak, M. E., & Santiago, B. M. (2015). Resilience in chronic diseases: A systematic review. Cogent Psychology, 2(1), 1024928. doi: 10.1080/23311908.2015.1024928.CrossRefGoogle Scholar
- Casellas-Grau, A., Font, A., & Vives, J. (2014). Positive psychology interventions in breast cancer: A systematic review. Psycho-Oncology, 23(1), 9–19. doi: 10.1002/pon.3353.CrossRefPubMedGoogle Scholar
- Chaves, C., Vázquez, C., & Hervás, G. (2015). Positive interventions in seriously-ill children: Effects on well-being after granting a wish. Journal of Health Psychology, 21, 1870–1883. doi: 10.1177/1359105314567768.CrossRefPubMedGoogle Scholar
- Cohn, M. A., Pietrucha, M. E., Saslow, L. R., Hult, J. R., & Moskowitz, J. T. (2014). An online positive affect skills intervention reduces depression in adults with type 2 diabetes. The Journal of Positive Psychology, 9(6), 523–534. doi: 10.1080/17439760.2014.920410.
- Coping with Chronic Illness and Depression. (2017). Retrieved from http://www.webmd.com/depression/guide/chronic-illnesses-depression#1. Accessed 15 May 2015.
- Coyne, J. C., Tennen, H., & Ranchor, A. V. (2010). Positive psychology in cancer care: A story line resistant to evidence. Annals of Behavioral Medicine, 39, 35–42. doi: 10.1007/s12160-010-9157-9.CrossRefPubMedPubMedCentralGoogle Scholar
- Diabetes and Depression. (n.d.). Retrieved from http://www.diabetes.co.uk/diabetes-and-depression.html.
- Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71–75.CrossRefPubMedGoogle Scholar
- Donaldson, S. I., Dollwet, M., & Rao, M. A. (2014). Happiness, excellence, and optimal human functioning revisited: Examining the peer-reviewed literature linked to positive psychology. The Journal of Positive Psychology: Dedicated to Furthering Research and Promoting Good Practice, 10(3), 185–195. doi: 10.1080/17439760.2014.943801.CrossRefGoogle Scholar
- Dubey, A. (2010). Psychosocial aspect of health and illness. In S. Ojha & S. Upadhyay (Eds.), Coping with chronic illness. (pp. 169–177). New Delhi: Global Vision Publishing House. Retrieved from http://globalvisionpub.com/globaljournalmanager/pdf/1390383289.pdf. Accessed 15 May 2015.
- Dubey, A., & Agarwal, A. (2004). Feeling well inspite of chronic illness. Psychological Studies, 49(1), 63–68.Google Scholar
- DuBois, C. M., Beach, S. R., Kashdan, T. B., Nyer, M. B., Park, E. R., Celano, C. M., et al. (2012). Positive psychological attributes and cardiac outcomes: Associations, mechanisms, and interventions. Psychosomatics, 53, 303–318. doi: 10.1016/j.socscimed.2005.11.041.CrossRefPubMedGoogle Scholar
- Eaton, R. J. (2012). The impact of positivity of affective state, coping and quality of life among Australians living with chronic physical illness (Unpublished doctoral thesis). Griffith University, Australia.Google Scholar
- Fallah, R., Golzari, M., Dastani, M., & Akbari, E. (2011). Integrating spirituality into a group psychotherapy program for women surviving from breast cancer. Iran Journal of Cancer Prevention, 4(3), 141–147.Google Scholar
- Frisch, M. B. (2013). Evidence-based well-being/positive psychology assessment and intervention with quality of life therapy and coaching and the quality of life inventory (QOLI). Social Indicators Research, 114(2), 193–227. doi: 10.1007/s11205-012-0140-7.CrossRefGoogle Scholar
- Giltay, E. J., Geleijnse, J., Zitman, M., Hoekstra, F. G., & Schouten, E. G. (2004). Dispositional optimism and all-cause and cardiovascular mortality in a prospective cohort of elderly Dutch men and women. Archives of General Psychiatry, 61(11), 1126–1135.CrossRefPubMedGoogle Scholar
- Hamilton, N. A., Kitzman, H., & Guyotte, S. (2006). Enhancing health and emotion: Mindfulness as a missing link between cognitive therapy and positive psychology. Journal of Cognitive Psychotherapy: An International Quarterly, 20(2), 123–134.CrossRefGoogle Scholar
- Härter, M., Baumeister, H., Reuter, K., Jacobi, F., Höfler, M., Bengel, J., et al. (2007). Increased 12-month prevalence rates of mental disorders in patients with chronic somatic diseases. Psychotherapy and Psychosomatics, 76, 354–360. doi: 10.1159/000107563.CrossRefPubMedGoogle Scholar
- Huffman, J. C., DuBois, C. M., Millstein, R. A., Celano, C. M., & Wexler, D. (2015). Positive psychological interventions for patients with Type 2 diabetes: Rationale, theoretical model, and intervention development. Journal of Diabetes Research. doi: 10.1155/2015/428349.Google Scholar
- Huffman, J. C., Mastromauro, C. A., Boehm, J. K., Seabrook, R., Fricchione, G. L., Denninger, J. W., et al. (2011). Development of a positive psychology intervention for patients with acute cardiovascular disease. Heart International, 6(14), 47–54. doi: 10.4081/hi.2011.e13.Google Scholar
- Jaser, S. S., Patel, N., Linsky, R., & Whittemore, R. (2014). Development of a positive psychology intervention to improve adherence in adolescents with Type 1 diabetes. Journal of Pediatric Health Care, 28(6), 478–485. Retrieved from http://dx.doi.org/10.1016/j.pedhc.2014.02.008. Accessed 27 February 2015.
- Lyubomirsky, S. (2008). The how of happiness: A scientific approach to getting the life you want. New York: Penguin Press.Google Scholar
- Majani, G. (2011). Positive psychology in psychological interventions in rehabilitation medicine. Giornale Italiano di Medicina del Lavoro ed Ergonomia, 33(1 Suppl A), A64–A68.PubMedGoogle Scholar
- Meyers, M. C., Woerkom, M., & Bakker, A. B. (2013). The added value of the positive: A literature review of positive psychology interventions in organizations. European Journal of Work and Organizational Psychology, 22(5), 618–632. doi: 10.1080/1359432X.2012.694689.CrossRefGoogle Scholar
- Moskowitz, J. T., Carrico, A. W., Cohn, M. A., Duncan, L. G., Bussolari, C., Layous, L. K., et al. (2014). Randomized controlled trial of a positive affect intervention to reduce stress in people newly diagnosed with HIV; protocol and design for the IRISS study. Open Access Journal of Clinical Trials, 6, 85–100. doi: 10.2147/OAJCT.S64645.CrossRefGoogle Scholar
- Moskowitz, J. T., Hult, J. R., Duncan, L. G., Cohn, M. A., Maurer, S., Bussolari, C., et al. (2012). A positive affect intervention for people experiencing health-related stress: Development and non-randomized pilot test. Journal of Health Psychology, 17(5), 676–692. doi: 10.1177/1359105311425275.CrossRefPubMedGoogle Scholar
- Müller, R., Gertz, K. J., Molton, I. R., Terrill, A. L., Bombardier, C. H., Ehde, D. M., et al. (2016). Effects of a tailored positive psychology intervention on well-being and pain in individuals with chronic pain and a physical disability: A feasibility trial. The Clinical Journal of Pain, 32(1), 32–44. doi: 10.1097/AJP.0000000000000225.CrossRefPubMedGoogle Scholar
- Nath, P., & Pradhan, R. K. (2011). Positive writing and positive wellbeing: Issues and implications. Indian Journal of Health and Well-Being, 2(1), 61–64.Google Scholar
- O’Donnel, P. J. (2013). Psychological effects of a strength-based intervention among inpatients in rehabilitation for pain and disability. Unpublished Doctoral Dissertation, Northcentral University, Arizona.Google Scholar
- Park, N., Peterson, C., & Seligman, M. E. P. (2004). Strengths of character and well–being. Journal of Social and Clinical Psychology, 23(5), 603–619. Retrieved from http://www.viacharacterblog.org/wp-content/uploads/2013/12/Character-strengths-well-being-Park-Peterson-Seligman-2004.pdf. Accessed 25 February 2015.
- Patel, V., Chatterji, S., Chisholm, D., Ebrahim, S., Gopalakrishna, G., Mathers, C., et al. (2011). Chronic diseases and injuries in India. The Lancet. doi: 10.1016/S0140-6736(10)61188-9.Google Scholar
- Peterson, C., & Seligman, M. E. P. (2004). Character strengths and virtues: A handbook and classification. Washington, DC: American Psychological Association.Google Scholar
- Peterson, C., Park, N., & Seligman, M. E. P. (2006). Greater strengths of character and recovery from illness. Journal of Positive Psychology, 1(1), 17–26. doi: 10.1080/17439760500372739.
- Purdy, J. (2013). Chronic physical illness: A psychophysiological approach for chronic physical illness. Yale Journal of Biology and Medicine, 86(1), 15–28.PubMedPubMedCentralGoogle Scholar
- Rasmussen, H. N., Scheier, M. F., & Greenhouse, J. B. (2009). Optimism and physical health: A meta-analytic review. Annals of Behavioral Medicine, 37(3), 239–256. doi: 10.1007/s12160-009-9111-x.CrossRefPubMedPubMedCentralGoogle Scholar
- Ridley, D. (2012). The literature review: A step-by-step guide for students (2nd ed.). New Delhi: Sage.Google Scholar
- Ryff, C. D., & Singer, B. (2000). Interpersonal flourishing: A positive health agenda for the new millennium. Personality and Social Psychology Review, 4(1), 30–44.Google Scholar
- Seligman, M. E. P. (2008). Positive health. Applied Psychology: An International Review, 57, 3–18. doi: 10.1111/j.1464-0597.2008.00351.x.CrossRefGoogle Scholar
- Seligman M. E. P. & Csikszentmihalyi, M. (2000). Positive psychology: An introduction. American Psychologist, 55(1), 5–14. doi: 10.1037/0003-066X.55.1.5.
- Seligman, M. E. P. (2011). Flourish: A new understanding of happiness and well-being – and how to achieve them. Boston: Nicholas Brealey Publishing.Google Scholar
- Seligman, M. E. P., Rashid, T., & Parks, A. C. (2006). Positive psychotherapy. American Psychologist, 61(8), 774–788.CrossRefPubMedGoogle Scholar
- Seligman, M. E. P., Steen, T. A., Park, N., & Peterson, C. (2005). Positive psychology progress: Empirical validation of interventions. American Psychologist, 60(5), 410–421.CrossRefPubMedGoogle Scholar
- Sin, N. L., & Lyubomirsky, S. (2009). Enhancing well-being and alleviating depressive symptoms with positive psychology interventions: A practice-friendly meta-analysis. Journal of Clinical Psychology. In Session, 65(5), 467–487.CrossRefPubMedGoogle Scholar
- Strauss, D. H., Spitzer, R. L., & Muskin, P. R. (1990). Maladaptive denial of physical illness: A proposal for DSM-IV [Abstract]. The American Journal of Psychiatry, 147(9), 1168–1172. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/2133370. Accessed 27 November 2015.
- Taylor, S. E., Kemeny, M. E., Reed, G. M., Bower, J. E., & Gruenewald, T. L. (2000). Psychological resources, positive illusions, and health. American Psychologist, 55(1), 90–109. doi: 10.1037//0003-066X.55.1.99.CrossRefGoogle Scholar
- Tindle, H. A., Chang, Y. F., Kuller, L. H., Manson, J. E., Robinson, J. G., Rosal, M. C., et al. (2009). Optimism, cynical hostility, and incident coronary heart disease and mortality in the women’s health initiative. Circulation, 120(8), 656–662. doi: 10.1161/CIRCULATIONAHA.108.827642.CrossRefPubMedPubMedCentralGoogle Scholar
- Travagin, G., Margola, D., & Revenson, T. A. (2015). How effective are expressive writing interventions for adolescents? A meta-analytic review. Clinical Psychology Review, 36, 42–55. doi: 10.1016/j.cpr.2015.01.003.CrossRefPubMedGoogle Scholar
- Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS Scale. Journal of Personality and Social Psychology, 54(6), 1063–1070. doi: 10.1037/0022-3514.54.6.1063.CrossRefPubMedGoogle Scholar
- World Health Organization. (2005). Preventing chronic diseases a vital investment. Retrieved from http://www.who.int/chp/chronic_disease_report/full_report.pdf. Accessed 12 July 2017.
- World Health Organization. (2006). Constitution of the World Health Organization. Retrieved from http://www.who.int/governance/eb/who_constitution_en.pdf. Accessed 12 July 2017.
- WHO (2014). Global status report on noncommunicable diseases 2014. Retrieved from http://apps.who.int/iris/bitstream/10665/148114/1/9789241564854_eng.pdf?ua=1. Accessed Sep 2017.