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.

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References

  1. 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.

  2. 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.

    Article  PubMed  Google Scholar 

  3. 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.

  4. 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 

  5. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  6. 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.

    Article  Google Scholar 

  7. 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.

    Article  PubMed  Google Scholar 

  8. 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.

    Article  PubMed  Google Scholar 

  9. 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.

  10. Coping with Chronic Illness and Depression. (2017). Retrieved from http://www.webmd.com/depression/guide/chronic-illnesses-depression#1. Accessed 15 May 2015.

  11. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Diabetes and Depression. (n.d.). Retrieved from http://www.diabetes.co.uk/diabetes-and-depression.html.

  13. Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71–75.

    Article  PubMed  Google Scholar 

  14. 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.

    Article  Google Scholar 

  15. 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.

  16. Dubey, A., & Agarwal, A. (2004). Feeling well inspite of chronic illness. Psychological Studies, 49(1), 63–68.

    Google Scholar 

  17. 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.

    Article  PubMed  Google Scholar 

  18. 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.

  19. 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 

  20. 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.

    Article  Google Scholar 

  21. 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.

    Article  PubMed  Google Scholar 

  22. 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.

    Article  Google Scholar 

  23. 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.

    Article  PubMed  Google Scholar 

  24. 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 

  25. 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 

  26. 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.

  27. Lyubomirsky, S. (2008). The how of happiness: A scientific approach to getting the life you want. New York: Penguin Press.

  28. 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.

    PubMed  Google Scholar 

  29. 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.

    Article  Google Scholar 

  30. 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.

    Article  Google Scholar 

  31. 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.

    Article  PubMed  Google Scholar 

  32. 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.

    Article  PubMed  Google Scholar 

  33. 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.

  34. 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.

  35. 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.

  36. 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 

  37. Peterson, C., & Seligman, M. E. P. (2004). Character strengths and virtues: A handbook and classification. Washington, DC: American Psychological Association.

  38. 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.

  39. Purdy, J. (2013). Chronic physical illness: A psychophysiological approach for chronic physical illness. Yale Journal of Biology and Medicine, 86(1), 15–28.

    PubMed  PubMed Central  Google Scholar 

  40. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Ridley, D. (2012). The literature review: A step-by-step guide for students (2nd ed.). New Delhi: Sage.

    Google Scholar 

  42. 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.

  43. Seligman, M. E. P. (2008). Positive health. Applied Psychology: An International Review, 57, 3–18. doi:10.1111/j.1464-0597.2008.00351.x.

    Article  Google Scholar 

  44. 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.

  45. Seligman, M. E. P. (2011). Flourish: A new understanding of happiness and well-being – and how to achieve them. Boston: Nicholas Brealey Publishing.

  46. Seligman, M. E. P., Rashid, T., & Parks, A. C. (2006). Positive psychotherapy. American Psychologist, 61(8), 774–788.

    Article  PubMed  Google Scholar 

  47. 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.

    Article  PubMed  Google Scholar 

  48. 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.

    Article  PubMed  Google Scholar 

  49. 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.

  50. 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.

    Article  Google Scholar 

  51. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  52. 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.

    Article  PubMed  Google Scholar 

  53. 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.

    Article  PubMed  Google Scholar 

  54. 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.

  55. 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.

  56. 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.

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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.

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Correspondence to Anindita Ghosh.

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Ghosh, A., Deb, A. Positive Psychology Interventions for Chronic Physical Illnesses: A Systematic Review. Psychol Stud 62, 213–232 (2017). https://doi.org/10.1007/s12646-017-0421-y

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Keywords

  • Positive psychology
  • Positive psychology intervention(s)
  • Chronic physical illness
  • Positive health
  • Physical health