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生活方式医学中的积极心理学与健康行为改变:一项叙述性综述

Positive Psychology and Health Behavior Change in Lifestyle Medicine: A Narrative Review.

作者信息

Matthews Simon Metchette

机构信息

Lifestyle Medicine and Health Research Centre, Cooranbong, Avondale University, Australia(SMM).

Wellcoaches School of Coaching, Wellesley, MA(SMM).

出版信息

Am J Lifestyle Med. 2025 Aug 25:15598276251367691. doi: 10.1177/15598276251367691.

Abstract

The fields of positive psychology, health behavior change, and lifestyle medicine have evolved significantly over the past two decades, fostering a growing synergy within health care. Positive psychology, rooted in the philosophy of ancient Greeks, emphasizes flourishing, resilience, and well-being, while lifestyle medicine, involving the pillars of health-diet, exercise, sleep, social support, mind-body connection and substance avoidance-focuses on patient-prioritized action for better health. This paper reviews and explores the intersections of these fields, highlighting positive psychological interventions (PPIs) such as gratitude, savoring, and meaning-making as pathways to enhance health outcomes. Empirical evidence underscores the potential of PPIs, mediated through lifestyle medicine approaches, to influence physical and mental health. Yet challenges in research methodology, systemic barriers, and individual reluctance remain. By integrating robust psychological constructs with positive psychology and lifestyle medicine strategies, this review advocates for a unified approach that urges a system transition from sickness to flourishing, emphasizing both personal and systemic pathways to well-being.

摘要

在过去二十年中,积极心理学、健康行为改变和生活方式医学领域取得了显著发展,在医疗保健领域形成了日益增强的协同效应。积极心理学植根于古希腊哲学,强调蓬勃发展、恢复力和幸福感,而生活方式医学涉及健康饮食、运动、睡眠、社会支持、身心联系和避免使用药物等健康支柱,专注于以患者为优先的行动以实现更好的健康。本文回顾并探讨了这些领域的交叉点,强调感恩、品味和意义构建等积极心理干预措施是改善健康结果的途径。实证证据强调了通过生活方式医学方法介导的积极心理干预措施对身心健康的影响潜力。然而,研究方法、系统障碍和个人抵触方面的挑战依然存在。通过将强大的心理结构与积极心理学和生活方式医学策略相结合,本综述倡导一种统一的方法,敦促从疾病状态向蓬勃发展的系统转变,强调个人和系统层面通往幸福的途径。

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