改善心理健康的干预措施:进展、承诺和未来研究议程。

IF 2.1 Q2 PSYCHOLOGY Affective science Pub Date : 2023-03-03 DOI:10.1007/s42761-022-00167-w
Laura D. Kubzansky, Eric S. Kim, Julia K. Boehm, Richard J. Davidson, Jeffrey C. Huffman, Eric B. Loucks, Sonja Lyubomirsky, Rosalind W. Picard, Stephen M. Schueller, Claudia Trudel-Fitzgerald, Tyler J. VanderWeele, Katey Warran, David S. Yeager, Charlotte S. Yeh, Judith T. Moskowitz
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引用次数: 3

摘要

心理健康的特点是与积极功能(包括享乐和幸福感)相关的感觉、认知和策略,它与更好的身体健康和更长寿有关。重要的是,可以通过干预措施加强心理健康,为改善人口健康提供战略。但是,福祉干预措施的效果是否足够有意义、持久和可扩展,足以在人口层面改善健康?为了评估这种可能性,一个跨学科的学者小组召开会议,审查当前的知识并制定研究议程。在这里,我们总结并建立在这次会议的关键见解的基础上,这些见解是:(1)现有的干预措施应该继续进行调整,以达到足够大的效果,从而导致心理功能和健康的下游改善;(2)研究应该确定推动人口水平和持久变化所需干预措施的持久性,(3)需要从个人层面的护理和治疗转向人口层面的公共卫生预防模式,这将需要能够大规模提供干预措施的新基础设施;(4)干预措施应在种族、族裔和地理多样的样本中可获得且有效。以下是对未来关键研究问题的讨论。
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Interventions to Modify Psychological Well-Being: Progress, Promises, and an Agenda for Future Research

Abstract 

Psychological well-being, characterized by feelings, cognitions, and strategies that are associated with positive functioning (including hedonic and eudaimonic well-being), has been linked with better physical health and greater longevity. Importantly, psychological well-being can be strengthened with interventions, providing a strategy for improving population health. But are the effects of well-being interventions meaningful, durable, and scalable enough to improve health at a population-level? To assess this possibility, a cross-disciplinary group of scholars convened to review current knowledge and develop a research agenda. Here we summarize and build on the key insights from this convening, which were: (1) existing interventions should continue to be adapted to achieve a large-enough effect to result in downstream improvements in psychological functioning and health, (2) research should determine the durability of interventions needed to drive population-level and lasting changes, (3) a shift from individual-level care and treatment to a public-health model of population-level prevention is needed and will require new infrastructure that can deliver interventions at scale, (4) interventions should be accessible and effective in racially, ethnically, and geographically diverse samples. A discussion examining the key future research questions follows.

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