Walsh Sophie, Cassidy Megan, Priebe Stefan
Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Services Development, Queen Mary University of London.
J Clin Psychol. 2017 Jun;73(6):638-651. doi: 10.1002/jclp.22368. Epub 2016 Aug 2.
Positive psychotherapy (PPT) stems from the positive psychology movement and is a multicomponent model promoting therapeutic change by developing engagement, pleasure, and meaning. There is some evidence it is effective for depression. PPT is recommended as a flexible model that can be applied to other patient groups alongside other treatments approaches. However, it remains unclear which of the many components are applied. The study aimed to identify how PPT is applied in mental health care.
We systematically searched online databases, including Medline, Embase, PsycINFO, British Nursing Index, Cumulative Index of Nursing and Applied Health, and Cochrane registers (CENTRAL), and completed complementary hand and citation searches. Narrative synthesis was used for analysis.
A total of 12 papers (from 9 studies) widely applied some PPT components (e.g., blessings journal, character strengths) and scarcely applied others (e.g., satisficing plan or family strengths tree). However, papers poorly described the intervention and rationale for applying components.
Given the lack of rationale for applying PPT, further research is needed to establish which components are acceptable and feasible for use in different patient groups and settings.
积极心理治疗（PPT）源于积极心理学运动，是一种通过培养参与感、愉悦感和意义来促进治疗改变的多成分模型。有证据表明它对抑郁症有效。PPT被推荐为一种灵活的模型，可与其他治疗方法一起应用于其他患者群体。然而，尚不清楚众多成分中哪些被应用了。该研究旨在确定PPT在精神卫生保健中的应用方式。
我们系统地检索了在线数据库，包括医学索引数据库（Medline）、荷兰医学文摘数据库（Embase）、心理学文摘数据库（PsycINFO）、英国护理索引、护理及应用健康累积索引以及考克兰注册库（CENTRAL），并完成了补充的手工检索和引文检索。采用叙述性综合分析。
总共12篇论文（来自9项研究）广泛应用了一些PPT成分（如感恩日记、性格优势），而很少应用其他成分（如知足计划或家庭优势树）。然而，论文对干预措施及应用成分的基本原理描述欠佳。
鉴于应用PPT缺乏基本原理，需要进一步研究以确定哪些成分在不同患者群体和环境中使用是可接受且可行的。
