Positive Psychological Well-being Research Articles

Positive Psychological Well-Being in Early Palliative Care: A Narrative Review of the Roles of Hope, Gratitude, and Death Acceptance.

In the advanced cancer setting, low psychological functioning is a common symptom and its deleterious impact on health outcomes is well established. Yet, the beneficial role of positive psychological well-being (PPWB) on several clinical conditions has been demonstrated. Early palliative care (EPC) is a recent value-based model consisting of the early integration of palliative care into standard care for solid tumors and hematologic malignancies. While the late palliative care primary offers short-term interventions, predominantly pharmacological in nature and limited to physical symptom reduction, EPC has the potential to act over a longer term, enabling specific interventions aimed at promoting PPWB. This narrative review examines nine English studies retrieved from MEDLINE/PubMed, published up to October 2023, focusing on EPC and three dimensions of PPWB: hope, gratitude, and death acceptance. These dimensions consistently emerge in our clinical experience within the EPC setting for advanced cancer patients and appear to contribute to its clinical efficacy. The choice of a narrative review reflects the novelty of the topic, the limited existing research, and the need to incorporate a variety of methodological approaches for a comprehensive exploration.

A Positive Psychology Intervention for Caregivers of Hematopoietic Stem Cell Transplantation Survivors (PATH-C): Initial Testing and Single-Arm Pilot Trial

Caregivers of patients with hematologic malignancies undergoing allogeneic hematopoietic stem cell transplantation (HSCT) play a crucial role in supporting their loved ones through physical, emotional, and practical challenges. This role has been associated with high levels of psychological distress and low levels of positive psychological well-being (PPWB). Positive psychology interventions for caregivers in other disease groups (eg, breast cancer) have been associated with improved outcomes. However, positive psychology interventions that specifically address HSCT caregivers' psychological needs are currently lacking. The goal of this single-arm open-pilot trial was to determine the feasibility and acceptability of the Positive Affect in the Transplantation of Hematopoietic Stem Cells (PATH) intervention for HSCT Caregivers to identify caregiver preferences to tailor PATH for HSCT caregivers. Adult caregivers of HSCT recipients were eligible for PATH during the HSCT recipient's first 100 d post-transplant. We defined, a priori, feasibility as >60% of participants who start the intervention completing ≥6/9 intervention sessions and acceptability as weekly ratings of ease and utility of the PP exercises ≥7/10 on a 10-point Likert Scale (0 = very difficult/not helpful; 10 = very easy/very helpful). We conducted semistructured qualitative exit interviews (n = 15) to explore HSCT caregivers' perception of PATH's content, benefits of PATH, as well as facilitators and barriers to engaging with the intervention. Transcribed interviews were analyzed using framework-guided rapid analysis by 2 coders. The intervention was feasible with 83% (15/18) of caregivers who started the intervention completing ≥6/9 intervention sessions. Among caregivers who completed ≥6/9 intervention sessions, ratings of ease (mean = 8.1; 95% CI: 7.4, 8.7) and utility (mean = 8.3; 95% CI: 7.8, 8.9) also exceeded our a priori threshold of ≥7/10. Caregivers identified benefits of PATH, including identifying and responding to emotions, dedicating time to self-care, and cultivating important relationships. Sociodemographic factors (eg, being retired) and the manualized structure of PATH were cited as facilitators to intervention engagement. Barriers to PATH engagement included lack of time and competing caregiving responsibilities. Caregivers preferred remote intervention delivery within the first 100 d post HSCT. This is the first study to show a 9-wk, phone-delivered positive psychology intervention is feasible in caregivers of allogeneic HSCT recipients. Our findings also underscore the specific preferences of this population for positive psychology interventions. Larger studies are warranted to establish the efficacy of these interventions in addressing persistent unmet psychological needs for HSCT caregivers.

Risk and protective processes in the link between racial discrimination and Chinese American mothers' psychologically controlling parenting.

Racial-ethnic minority parents' experiences with racial discrimination may function as a contextual stressor that negatively impacts psychological functioning to shape less effective parenting practices, including the use of more psychological control. Moreover, various factors can enhance or diminish psychological functioning in the face of racial discrimination. Accordingly, we examined the associations between Chinese American mothers' experiences of racial discrimination and three subdimensions of psychologically controlling parenting by considering the mediating roles of negative (depressive symptoms) and positive (psychological well-being) psychological functioning and the moderating role of maternal acculturation toward the mainstream culture (AMC) as a protective factor. Participants comprised 226 Chinese American mothers of preschoolers (Mage = 37.65; SDage = 4.39). Two separate moderated-mediation models with depressive symptoms or psychological well-being as mediators were tested using maximum-likelihood estimation. Findings revealed significant direct positive associations between racial discrimination and all three subdimensions of psychological control (love withdrawal, guilt induction, and shaming practices), as well as indirect associations through depressive symptoms but not psychological well-being. Importantly, the indirect associations were further moderated by maternal AMC. Results illustrate the importance of incorporating the contextual stressor of perceived racial discrimination in parenting determinant models and examining specific and nuanced processes in understanding the role of psychological adjustment. Support for Chinese American mothers' engagement in and access to various resources in the mainstream cultural context may help alleviate the adverse impact of racial discrimination on mothers' psychological health and ultimately on their negative parenting behaviors. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

A bibliometric review of positive psychology and well-being research in Africa.

Positive Psychology rapidly developed into an influential field of study and intervention, initially situated in Psychology, and later becoming multidisciplinary. Research interest in the study of (psychological) well-being has gained global popularity, with increasing salience in Africa. Although the global trends of these developments are relatively well-known, a bibliometric analysis of positive psychology research in Africa was necessary to shed light on the present hotspots and trends and future trajectories in this region of the world. The data source of the present bibliometric analysis study was Scopus, from which Positive Psychology and well-being research literature from Africa between 1983 and 2023 were searched. Using biblioshiny and VOSviewer, the 622 extracted articles were analysed, from which findings about the current condition, research hotspots, and thematic developmental patterns could be made. Africa experienced an initial slow growth period from 1983 until 2005, after which a rapid growth in research productivity, relevance and impact was experienced. In this regard, the results show that the focal point of scientific productivity is South Africa, with the dominance of South African institutions, particularly the North-West University, from where most positive psychology research is produced and cited. Even with potential access to international journal, African researchers seem to prefer to place their publications in the regional journals such as Journal of Psychology in Africa and South African Journal of Psychology. The research reviewed tends to be characterised by more dominant thematic clusters of positive psychology, psychological well-being, and subjective well-being, with a focus on human individuals. An increasing concern for contextual factors and potential antecedents and dynamics of well-being is also observed. The findings provide a good map from which identification of future research priorities can be deduced. As such, we speculate that future positive psychology research in Africa ought to be concerned with the following: greater distribution and intercountry collaborations across the continent, questions of conceptual clarity of terms, better understanding of contextual factors which influence well-being, and well-being research embracing the complexity of bio-psycho-social-ecological well-being, and science concerned with health-promotion interventions.

The Effectiveness of Positive Psychological Training with an Islamic Approach on the Psychological Capital of Managers

Objective: The aim of this study was to determine the effectiveness of positive psychological training with an Islamic approach on the psychological capital of school managers. Methods and Materials: This quasi-experimental study employed a pre-test and post-test design with a control group. The research population included all school principals in Kerman city during the 2023-2024 academic year. Thirty participants were selected using convenience sampling and randomly assigned to experimental and control groups (15 participants each). The experimental group underwent eight 90-minute weekly sessions of positive psychological training with an Islamic approach. Data were collected using the Psychological Capital Questionnaire and analyzed using SPSS 26, with multivariate analysis of covariance (MANCOVA) to assess the impact of the intervention. Findings: The results showed significant improvements in the psychological capital components of the experimental group compared to the control group. Post-test mean scores for the experimental group were higher in self-efficacy (M = 11.93, SD = 0.70), hope (M = 13.73, SD = 0.57), resilience (M = 18.13, SD = 0.92), and optimism (M = 14.33, SD = 0.76) compared to the control group's scores. The MANCOVA results indicated significant differences between the experimental and control groups in all psychological capital components, with F ratios of 31.47 for self-efficacy, 56.22 for hope, 61.23 for resilience, and 17.20 for optimism (p < .001 for all). Conclusion: Positive psychological training with an Islamic approach significantly enhances the psychological capital of school managers. This method proved effective in improving self-efficacy, hope, resilience, and optimism, aligning with previous research on the benefits of positive thinking and psychological well-being.

Positive cardiovascular health: longitudinal investigation of sustained health behavior in a cross-lagged model.

Our study focuses on the role of psychological states in the development of cardiovascular disease (CVD) and explores the potential of positive psychological factors in reducing CVD risk. While existing research has predominantly examined negative mental states and risk behavior, this longitudinal study takes a novel approach by investigating positive psychological wellbeing and its impact on sustained health behavior. The research involved participants (n = 502) with medium to high cardiovascular risk who underwent a comprehensive risk assessment in 2012, followed by written risk communication. Health behavior and psychological variables were measured in 2012 and 2019. A cross-lagged panel was employed to repeat measures of a cardiovascular health index with latent factors. Results indicated an excellent fit for the model (RMSEA = 0.0644, CFI = 0.936, TLI = 0.921, SRMR = 0.050), with significant associations between the observed variables (p < 0.05) and created latent factors. Furthermore, the model implied significant bivariate correlations (p < 0.05) between latent constructs of sustained health behavior and positive psychological states in 2012 and 2019. A significant regression relationship between Health Awareness Index 2012 and 2019, between Psychological wellbeing in 2012 and 2019 (B = 1.103 p = 0.038), latent factors could be identified (B = 1.103 p = 0.038) using cross-lagged panel model. Results highlighted the importance of cardiovascular health awareness, subjective risk perception, and self-directed efforts in facilitating health behavior change. Relationships between psychological wellbeing and health awareness emphasize that positive experiences and reinforcement are crucial in sustaining optimal health behavior. Our findings offer a new perspective on cardiovascular risk screening and preventive interventions. Extending cardiovascular risk screening with psychological measures may broaden prevention opportunities by including psychological elements reinforcing positive psychological states. The findings suggest that an effective prevention program must consider stabilizing and maintaining positive psychological states to achieve lasting improvements in cardiovascular health.

Unveiling the Link between Perceived Social Support and Psychological Well-being: A Study on Satisfaction with Life among Cardiovascular Patients

Cardiovascular diseases affecting the heart and blood vessels are the primary global cause of mortality (McNamara et al., 2019). The current investigation explored the relationships between perceived social support, psychological well-being, and life satisfaction in individuals diagnosed with cardiovascular disease. In a recent study conducted in Sialkot, Pakistan, 100 individuals diagnosed with cardiovascular disease (CVD) were purposively sampled. The evaluation utilized custom demographic questionnaires and standardized tools, including the Multidimensional Scale of Perceived Social Support, Ryff 42-item Psychological Well-being Scale, and Satisfaction with Life Scale. Data analysis employed descriptive and inferential statistics, encompassing normality tests, correlation coefficients, T-tests, and regression analysis to examine the relationships among variables. The study uncovered a compelling association, indicating a notably strong positive correlation (r = .51, p &lt; 0.01) between perceived social support and psychological well-being, suggesting that increased social support may contribute to improved mental wellness. Additionally, the investigation revealed another significant finding, highlighting a robust positive correlation (r = .60, p &lt; 0.01) between perceived social support and life satisfaction, emphasizing the positive impact of social support on overall life contentment. Individuals diagnosed with cardiovascular disease (CVD) and strong perceived social support generally exhibit positive psychological well-being and increased life satisfaction.

THE ROLE OF SOCIAL SUPPORT AND SELF-EFFICACY ON HOPEFULNESS IN LOW-INCOME OLDER ADULTS AGED 50 AND OVER

Abstract Background Social support and self-efficacy play a significant role in improving positive psychological well-being in marginalized older adults. However, to date, there are few studies on identifying the relationships during the COVID-19 pandemic. We examined the effect of social support and self-efficacy on hopefulness in marginalized low-income older adults during the COVID-19 pandemic. Methods This study used baseline data from a clinical trial designed to increase COVID-19 testing in Essex County, NJ. The dataset involved participants aged 50 and over. We conducted: 1) cross-sectional descriptive/frequency statistics to understand the sociodemographic characteristics, 2) multivariate linear regression to investigate the direct relationships between social support subscales or self-efficacy and hopefulness, and 3) mediation analyses to examine the mediating role of self-efficacy in the relationship between social support and hopefulness. Results After adjusting for covariate variables, social support subscales (emotional/informational social support: b = 0.20, p &amp;lt; 0.05; tangible social support: b = 0.13, p &amp;lt; 0.05; affectionate social support: b = 0.17, p &amp;lt; 0.05; positive social interaction social support: b = 0.15, p &amp;lt; 0.05) and self-efficacy (b = 0.55, p &amp;lt; 0.001) were significantly associated with hopefulness. The indirect effect of social support via self-efficacy was positive and statistically significant (Effect = 0.14, Bootse = 0.04, BootLLCI - BootULCI = 0.06 - 0.23) Conclusion Self-efficacy mediated the relationship between social support and hopefulness in marginalized older adults aged 50 and over. Further research needs to identify the various facets of positive psychological well-being using longitudinal data and larger sample size.

In the Words of Early Adolescents: A Novel Assessment of Positive Psychological Well-Being Predicts Young Adult Depressive Symptoms

PurposeGiven the burden of depression in young adulthood, identifying protective early life factors is important. Protective factors like positive psychological well-being may be challenging to assess via conventional methods if early adolescents lack personal insight or informants disagree. We investigated whether essays written by 11-year-olds could indicate the presence of positive psychological well-being and predict depressive symptom levels in young adulthood, beyond informant reports of problematic behaviors. MethodsData were from 4,599 individuals in the 1958 National Child Development Study who wrote an essay at age 11 about how they imagined their life at age 25. Coders rated essays for seven facets of positive psychological well-being, which were averaged together (α = 0.92). Participants self-reported depressive symptoms (yes/no) at age 23 on the 24-item Malaise Inventory. Depressive symptoms were modeled as a sum, both continuously (range = 0–24) and dichotomously (depressed: total scores ≥8). Linear and logistic regressions adjusted for relevant age 11 covariates including teacher-reported internalizing and externalizing behaviors. ResultsUnadjusted logistic regression showed a 1-SD higher positive psychological well-being score in early adolescence was associated with reduced odds of being depressed 12 years later (odds ratio = 0.83, 95% confidence interval [0.75, 0.93], p = .001). Associations remained when adjusting for all covariates (odds ratio = 0.87, 95% confidence interval [0.78, 0.98], p = .02); patterns were similar with continuous depressive symptoms. DiscussionA well-being measure derived from the words of 11-year-olds was associated with young adult depressive symptoms independent of teacher-reported internalizing and externalizing behaviors. Incorporating early adolescents' perspectives on positive functioning provides valuable information about current and future health beyond problem behaviors.

Randomised controlled trial of automated VR therapy to improve positive self-beliefs and psychological well-being in young people diagnosed with psychosis: a study protocol for the Phoenix VR self-confidence therapy trial

IntroductionThe confidence of young people diagnosed with psychosis is often low. Positive self-beliefs may be few and negative self-beliefs many. A sense of defeat and failure is common. Young people...

A Positive Psychology Intervention in Allogeneic Hematopoietic Stem Cell Transplantation Survivors (PATH) to Promote Well-Being: Randomized Controlled Feasibility and Preliminary Efficacy Trial

Background: Patients with hematologic malignancies who are allogeneic hematopoietic stem cell transplantation (HSCT) survivors experience tremendous psychological symptoms (e.g., anxiety and depression symptoms) and low levels of positive psychological well-being (e.g., flourishing, gratitude), which further undermine multiple health-related outcomes such as quality of life (QOL). However, supportive oncology interventions which specifically target positive psychological well-being may buffer against psychological distress and promote QOL. Thus, we developed and piloted a novel phone-delivered positive psychology intervention (PATH) to improve QOL and symptoms of anxiety and depression in HSCT survivors transplanted for hematologic malignancies. Methods: We conducted a randomized controlled trial (NCT05147311) to assess feasibility, acceptability, and preliminary efficacy of the PATH intervention. From August 2021 to August 2022, 70 HSCT survivors who were 100-days post-HSCT were randomly assigned to either PATH or a usual care control group. The PATH group had 9 weekly 1:1 phone sessions of positive psychology exercises focused on gratitude, strengths, and meaning. The Usual care group had routine sessions with the transplant social worker. We defined feasibility as &amp;gt;60% of eligible participants enrolling in the study and &amp;gt;75% of intervention group participants completing at least 6 of the 9 positive psychology sessions. At baseline and 9 and 18 weeks after baseline, patients self-reported optimism (Life Orientation Test Revised), gratitude, (Gratitude Questionnaire-6), flourishing (Flourishing Scale), QOL (Functional Assessment of Cancer Therapy-Bone Marrow Transplant) and depression and anxiety (Hospital Anxiety and Depression Scale). We used mixed effects regression analyses to determine the potential impact of PATH on QOL and symptoms of anxiety and depression. Results: The average age (standard deviation) of participants was 56.8 (13.7) years; 50% (N=35) were female. The majority of the participants identified as White (91.4%; N=64), married or living with a partner (71.4%; N=50), had at least a college education (67.2%; N=47) and were on disability or retired (87.1%; N=67). The majority had a diagnosis of leukemia (68.6%; N=48), underwent reduced intensity conditioning (62.9%; N=44), and did not have acute graft-versus-host disease (68.6%; N=48). For our feasibility metrics, we enrolled 68.6% (72/105) of eligible patients, two of which were not randomized due to worsening physical symptoms. Additionally, 94% (95% CI: 79%-99%) of those who started the PATH intervention completed all nine intervention sessions. For acceptability, participants in the intervention group reported positive psychology exercises as easy to complete (mean [95% CI] = 7.40 [6.87, 7.92] on a scale of 0-10) and useful (mean [95% CI] = 8.23 [7.83, 8.63]). Compared with usual care, participants in the intervention group reported less symptoms of anxiety ( d=0.46, p=0.027), and demonstrated promising improvements in gratitude ( d=0.26) at 9 weeks. We did not observe significant differences in QOL and depression symptoms. Conclusions: A positive psychology intervention, PATH, is feasible, acceptable, and has potential to improve outcomes in patients with hematologic malignancies who are allogeneic HSCT survivors. Larger trials are needed to examine the impact of PATH on psychological well-being and QOL in this population.

Association between oral condition and subjective psychological well-being among older adults attending a university hospital dental clinic: A cross-sectional study.

Positive psychological well-being has a favorable impact on survival rates in both healthy and unhealthy populations. Oral health is also associated with psychological well-being, is multidimensional in nature, and includes physical, psychological, emotional, and social domains that are integral to overall health and well-being. This study aimed to identify the associations between individual and environmental characteristics, oral condition and nutritional status in relation to subjective well-being among older adults using the Wilson and Cleary conceptual model. The participants were older adults (age ≥ 60 years) attending a university hospital. Subjective well-being was assessed using the World Health Organization-5 Well-Being Index, oral condition was assessed based on the number of bacteria in the tongue coating, oral wettability, tongue pressure, occlusal force, oral diadochokinesis, and masticatory ability, and subjective swallowing function was assessed using the Eating Assessment Tool, number of remaining teeth, and number of functional teeth. In addition, factors related to well-being, including social networks, life-space mobility, nutritional status, smoking history, drinking history, and medical history were assessed. In the analysis, structural equation modeling was used to investigate the association between oral condition and subjective well-being. Confirmatory factor analysis revealed oral condition as a latent variable, including tongue pressure, oral diadochokinesis /pa/, /ta/, /ka/, occlusal force, masticatory ability, subjective swallowing function, and number of functional teeth. Structural Equation Modeling revealed that oral condition was positively correlated with nutritional status, and nutritional status was positively correlated with the World Health Organization-5 Well-Being Index. These findings suggest that oral condition may influence subjective well-being via nutritional status or social environmental factors.

Impact of Gratitude and Optimism on Psychological Well-Being

The paper was conducted with the aim to find correlation among Gratitude, Optimism and Psychological Well-being and to find what predicts the psychological well-being the most. Gratitude brings satisfaction and positivity by acknowledging the good in one's life. Optimism equips individuals with the resilience to face adversity and maintain a positive outlook on the future. Both gratitude and optimism play pivotal roles in nurturing and strengthening interpersonal relationships, a critical component of psychological well-being. Research into Optimism, Gratitude and Psychological wellbeing domains was performed. The sample size of 80 was taken (54 belonging to early adulthood and 26 belonging to middle adulthood). Tests like Psychological Well-Being Scale, Life Orientation Test-Revised (LOT-R) and Gratitude, Resentment and Appreciation Scale (GRAT) were used to collect sample data. The results pointed out that Optimism and Psychological Well-being correlation was higher for middle adulthood than early adulthood individuals. Moreover, it could also be derived that Positive Psychological wellbeing can be derived when the person is optimistic in nature

An exploratory study on emotional consequents of visceral food pleasure

Purpose This study aims to explore the phenomenon of visceral food pleasure, described as a unitary experience that, after an initial sense of pleasure and relief generated by the satisfaction of eating impulses, is followed by negative feelings – such as guilt and worry – linked to the consumption of hedonic or unhealthy foods. Design/methodology/approach An exploratory approach has been adopted. In particular, the critical incident technique among 87 individuals has been used to extract insights about visceral food pleasure. Findings Contrary to previous research results, this study shows that viscearl food pleasure is not a unitary phenomenon, identifying four types of different facets, two of which have a negative valence in terms of felt emotions post-consumption and psychological well-being (i.e. the “greedy” and the “maladaptive” experiences). More importantly, the other two facets are associated with positive consequences in terms of emotions felt post-consumption and perceived psychological well-being (i.e. the “social” and the “fair sin” experiences). Practical implications Companies that provide food experiences can prime meanings that influence consumers’ perceptions of the episode to elicit positive emotions post-consumption and psychological well-being. Social implications Promoting a more holistic view of food consumption and psychological well-being can free consumers from negative emotions during food consumption episodes. Priming a particular meaning can be a way to do that. However, as visceral experience can still lead to health issues, this must be combined with an education process that makes consumers aware of their food habits. Originality/value This research challenges the idea that visceral food experiences are always negative. Indeed, when associated with particular meanings (i.e. social and reward), they have a positive valence post-consumption.

Motivation, Self Disclosure dan Psychological Well Being pada Perempuan Dewasa Muda Ibu Kota Melalui Media Sosial Instagram

This research analyzes the influence of Motivation, Self disclosure, and Psychological Well- Being on young adult women in the capital city through the social media platform Instagram. The purpose of this research is to find out the motivation of Instagram users to do self disclosure. Furthermore, this research was also conducted to see the effect of self disclosure on psychological well-being. This study adopts a descriptive quantitative research design with an explanatory approach, utilizing a questionnaire administered to 200 young adult female respondents in the capital city. Using PLS SEM as a data processing tool. This research delves deeper into the topic of self disclosure specifically focusing on young adult women residing in the capital city. The study provides a more specific understanding of the relationship between motivation for self disclosure and its impact on psychological well-being. The findings of this research indicate that individuals with high levels of motivation for self disclosure and high levels of openness tend to have positive levels of psychological well-being. In other words, individuals who have a strong motivation to share about themselves and actively express themselves to a high degree tend to experience positive psychological well-being.

The Role of Positivity on Depressive Symptoms in Women Seeking Help for Intimate Partner Violence.

Intimate partner violence (IPV) is a complex and pervasive global phenomenon. Despite extensive research on physical and sexual violence, there has been a relative lack of investigation into the detrimental and distinctive consequences of psychological violence against women. This is surprising given the profound impact it has on the psychological well-being of victims, notably in the form of depression, which is commonly observed as an outcome in cases of psychological IPV victimization. The present study analyzes the impact of psychological IPV on depressive symptoms, considering the moderating influence of personal positivity, defined as positive self-perceptions, optimistic life perspectives, and a hopeful view of the future in a sample of 171 Italian women seeking assistance from anti-violence centers in different localities of Italy. The findings show that in line with the hypothesis, the association between psychological violence and depressive symptoms is moderated by the levels of perceived positivity, even when controlling for instances of physical violence. These results and implications for interventions are discussed within the framework of existing literature on positive psychology and psychological well-being in the context of IPV.

Effectiveness of Electronic Service-Learning (e-SL) in Primary School Children in China during the COVID-19 Pandemic

AbstractIn recent years, Service-Learning (SL) has become a popular pedagogy in higher education, especially in Asian societies such as Hong Kong. However, although prior studies have generally showed positive effects of SL for service providers (university students in particular), there is limited evidence of the benefits of SL for the service recipients. Additionally, due to the COVID-19 pandemic, some SL programs have shifted from a traditional in-person mode to an online mode, thereby creating the need to evaluate e-Service Learning (e-SL) projects. In this study, we evaluated changes among 422 primary school students as service recipients (50.6% male; 49.4% female; Mage = 11.53) joining an e-SL program conducted in mainland China by 85 undergraduate students from a public university in Hong Kong. Using a single-group pretest and posttest design with data collected before and after the e-SL program, which focused on leadership and personal development outcomes, we found that the service recipients showed significant improvements in positive youth development (PYD) attributes, leadership qualities, psychological well-being, and academic performance. We also found gender differences in most of the developmental outcomes, with male participants showing more positive improvements than female participants. These pioneering findings underscore the effectiveness of e-SL program in terms of promoting the holistic development of service recipients. This study also reveals gender differences in the benefits derived from e-SL programs.

Automated VR therapy for improving positive self-beliefs and psychological well-being in young patients with psychosis: a proof of concept evaluation of Phoenix VR self-confidence therapy.

Low self-confidence in patients with psychosis is common. This can lead to higher symptom severity, withdrawal from activities, and low psychological well-being. There are effective psychological techniques to improve positive self-beliefs but these are seldom provided in psychosis services. With young people with lived experience of psychosis we developed a scalable automated VR therapy to enhance positive-self beliefs. The aim was to conduct a proof of concept clinical test of whether the new VR self-confidence therapy (Phoenix) may increase positive self-beliefs and psychological well-being. Twelve young patients with non-affective psychosis and with low levels of positive self-beliefs participated. Over 6 weeks, patients were provided with a stand-alone VR headset so that they could use Phoenix at home and were offered weekly psychologist meetings. The outcome measures were the Oxford Positive Self Scale (OxPos), Brief Core Schema Scale, and Warwick-Edinburgh Well-being Scale (WEMWBS). Satisfaction, adverse events and side-effects were assessed. Eleven patients provided outcome data. There were very large end-of-treatment improvements in positive self-beliefs (OxPos mean difference = 32.3; 95% CI: 17.3, 47.3; Cohen's d=3.0) and psychological well-being (WEMWBS mean difference = 11.2; 95% CI: 8.0, 14.3; Cohen's d=1.5). Patients rated the quality of the VR therapy as: excellent (n=9), good (n=2), fair (n=0), poor (n=0). An average of 5.3 (SD=1.4) appointments were attended. Uptake of the VR intervention was high, satisfaction was high, and side-effects extremely few. There were promising indications of large improvements in positive self-beliefs and psychological well-being. A randomized controlled clinical evaluation is warranted.

Psychological well-being as a motive for and result of post-bariatric body contouring procedures.

This study investigates whether psychological well-being in post-bariatric patients seeking body contouring procedures differs from those who do not seek body contouring procedures, those who have already undergone body contouring procedures, and those who are unsure about body contouring procedures. An anonymous, nonrandomized, cross-sectional survey study was designed. Psychological well-being of four groups of post-bariatric-patients (undergone body contouring procedures, seeking body contouring procedures, not seeking body contouring procedures, unsure about body contouring procedures) were compared. A total of 345 patients were included in this study. No significant difference between patients seeking body contouring procedures and those not seeking body contouring procedures was found with regard to depressive symptoms, self-esteem, and body image. Patients who had already undergone body contouring procedures scored lower on depressive symptoms (p=0.035) and reported feeling more attractive (p<0.001) and less insecure (p=0.030) than patients who had not yet undergone body contouring procedures but sought it. Satisfaction with the result of the body contouring procedures was associated with lower depression levels (p<0.001), higher self-esteem (p<0.001) and a more positive body-image (p<0.001). Depressive symptoms or low self-esteem are not motivational factors for post-bariatric patients to seek body contouring procedures. Body contouring procedures are associated with improvement in psychological well-being in post-bariatric patients. Patients' satisfaction with the result of the body contouring procedures is significantly associated with positive psychological well-being.

Characteristics of business, pleasure, and VFR segments who travel during risky times

PurposeThis study aims to explore what may have contributed to risk-taking travel behavior during the COVID-19 pandemic and what may be the drivers of satisfaction and intention to travel again. The study compares travelers based on their travel purposes (business, pleasure and visiting friends and relatives [VFR]) and explore the influence of subjective well-being received from their travel activities.Design/methodology/approachData from a structured survey of 323 US residents who traveled during the COVID-19 pandemic were collected on MTurk. Respondents were asked travel behavior questions related to their favorite trips and to rate several multi-item scales measuring the benefits expected and received from their trip, the trip’s contribution to their positive mental and subjective psychological well-being, as well as their satisfaction with the trip and intention to travel in the future. In addition, personality measures focused on risk-taking, thrill-seeking and self-confidence, as well as additional risk-related concepts of optimism bias, probability neglect and proximity to self.FindingsData analysis revealed some differences among respondents who traveled for business, pleasure and VFR purposes. Business travelers were more risk takers and thrill seekers; pleasure travelers achieved more well-being benefits from their favorite trips during the pandemic; however, VFR travelers’ satisfaction and intention to go on similar trips were explained more by the benefits they received from their favorite trips.Originality/valueAlthough several studies addressed consumers’ travel motivation during the COVID-19 pandemic, there is a lack of empirical research comparing the characteristics of travelers based on their travel purposes, as well as their sociodemographics, personality traits and the expected and perceived well-being benefits from traveling.