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医学人群中的积极心理学干预:干预发展、测试与实施中的关键问题

Positive Psychology Interventions in Medical Populations: Critical Issues in Intervention Development, Testing, and Implementation.

作者信息

Huffman Jeff C, Feig Emily H, Zambrano Juliana, Celano Christopher M

机构信息

Department of Psychiatry, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 USA.

Department of Psychiatry, Harvard Medical School, MB Boston, USA.

出版信息

Affect Sci. 2022 Oct 5;4(1):59-71. doi: 10.1007/s42761-022-00137-2. eCollection 2023 Mar.

Abstract

Positive psychological well-being is prospectively associated with superior health outcomes. Positive psychology interventions have promise as a potentially feasible and effective means of increasing well-being and health in those with medical illness, and several initial studies have shown the potential of such programs in medical populations. At the same time, numerous key issues in the existing positive psychology literature must be addressed to ensure that these interventions are optimally effective. These include (1) assessing the nature and scope of PPWB as part of intervention development and application; (2) identifying and utilizing theoretical models that can clearly outline potential mechanisms by which positive psychology interventions may affect health outcomes; (3) determining consistent, realistic targets for positive psychology interventions; (4) developing consistent approaches to the promotion of positive psychological well-being; (5) emphasizing the inclusion of diverse samples in treatment development and testing; and (6) considering implementation and scalability from the start of intervention development to ensure effective real-world application. Attention to these six domains could greatly facilitate the generation of effective, replicable, and easily adopted positive psychology programs for medical populations with the potential to have an important impact on public health.

摘要

积极的心理健康状况与更优的健康结果呈前瞻性关联。积极心理学干预有望成为一种潜在可行且有效的手段,用以提升患有疾病者的幸福感和健康水平,并且一些初步研究已显示出此类项目在医疗人群中的潜力。与此同时,现有积极心理学文献中的诸多关键问题必须加以解决,以确保这些干预措施能达到最佳效果。这些问题包括:(1)在干预措施的开发与应用过程中评估积极心理幸福感的本质和范围;(2)识别并运用能够清晰勾勒出积极心理学干预可能影响健康结果的潜在机制的理论模型;(3)确定积极心理学干预一致且现实的目标;(4)制定促进积极心理幸福感的一致方法;(5)在治疗开发和测试中强调纳入多样化样本;以及(6)从干预措施开发伊始就考虑实施和可扩展性,以确保在现实世界中有效应用。关注这六个领域能够极大地促进为医疗人群生成有效、可复制且易于采用的积极心理学项目,从而有可能对公众健康产生重要影响。

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