Therapeutic models in positive clinical interventions for reducing depressive symptoms in adults: a systematic review
Abstract
Background: Depression is currently one of the most common mental disorders worldwide. Although there are valuable and effective psychotherapeutic models for its treatment, most focus on reducing symptoms and illness. In contrast, the Positive Psychology approach promotes well-being by developing and implementing strategies, called Positive Clinical Interventions (PCIs) that aim to enhance the development and satisfaction of individuals to promote health, quality of life, and excellence. Methods: This review aimed to synthesize the available evidence on the effectiveness of PCIs according to the type and therapeutic model implemented to increase well-being and reduce depressive symptoms in adults, as well as to identify their value and balance between innovation and effectiveness. We searched PubMed, PsycINFO and SCOPUS, followed the PRISMA guidelines and assessed the methodological quality of the studies. Our review has been registered in PROSPERO (CRD42024551678). Results: The methodological quality of the studies was assessed using the Effective Public Health Practice Project (EPHPP), which allowed six studies out of 178 to be included in the systematic review. Second and third-generation treatment models were identified. All studies reported an improvement in depressive symptoms and an increase in well-being immediately after the intervention and up to six months later. Conclusions: According to the results, PCIs are effective, but studies with more rigorous protocols and methods are needed to avoid bias.
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References
Alden, L., & Trew, J. (2013). If it makes you happy: Engaging in kind acts increases positive affect in socially anxious individuals. Emotion, 13(1), 64-75. https://doi.org/10.1037/a0027761
Arias, W. (2013). Psicología clinica y psicoterapia: Rrevision epistemológica y aportes de la psicología positiva. Revista Peruana de Psicología y Trabajo Social, 2(1), 137-154.
Armijo‐Olivo, S., Stiles, C., Hagen, N., Biondo, P., & Cummings, G. (2012). Assessment of study quality for systematic reviews: a comparison of the Cochrane Collaboration Risk of Bias Tool and the Effective Public Health Practice Project Quality Assessment Tool: methodological research. Journal of evaluation in clinical practice, 18(1), 12-18. https://doi.org/10.1111/j.1365-2753.2010.01516.x
Asociación Americana de Psiquiatría. (2014). Guia de consulta de los criterios diagnósticos del los trastornos mentales (DSM-5), 5ª Ed. Arlington, VA: Asociación Americana de Psiquiatría.
Baños-Chaparro, J. (2023). Exploring Risk Factors for Depression: A Network Analysis. Revista Colombiana de Psiquiatría, 603, 1-8. https://doi.org/10.1016/j.rcp.2023.01.005
Berrocal, C., Ruini, C., & Fava, G. (2008). Aplicaciones clínicas de la terapia del bienestar. (C. Vázquez, & G. Hervas, Edits.) Bilbao: Editorial Desclée de Brouwer.
Bohlmeijer, E., Bolier, L., Lamers, S., & Westerhof, G. (2017). Intervenciones clínicas positivas: ¿Porque son tan importantes y cómo funcionan? Papeles del Psicólogo, 31(1), 34-36. http://dx.doi.org/10.23923/pap.psicol2017.2819
Braunstein, N. (2006). El goce: un concepto lacaniano (2nd ed.). Buenos Aires: Siglo xxi editores.
Carr, A., Cullen, K., Keeney, C., Canning, C., Mooney, O., Chinseallaigh, E., & O’Dowd, A. (2020). Effectiveness of positive psychology interventions: a systematic review and meta-analysis. The Journal of Positive Psychology, 16(6), 749-769. https://doi.org/10.1080/17439760.2020.1818807
Carver, C., Scheier, M., & Segerstrom, S. (2010). Optimism. Clinical Psychology Review, 30(7), 879-889. https://doi.org/10.1016/j.cpr.2010.01.006
Chaves, C., Lopez-Gómez, I., Hervás, G., & Vázquez, C. (2019). The Integrative Positive Psychological Intervention for Depression (IPPI-D). Journal of Contemporary Psychoterapy, 49, 177-185. https://doi.org/10.1007/s10879-018-9412-0
Ciarrochi, J. & Kashdan, T. (2013). Mindfulness, acceptance and positive psychology: The seven foundations of well-being. (J. Ciarrochi, & T. Kashdan, Edits.) Okland: New Harbinger Publications inc. https://psycnet.apa.org/record/2013-10674-000
Cid, M. (2021). La depresión y su impacto en la salud pública. Revista Médica de Honduras, 89(1), 46-52. https://doi.org/10.5377/rmh.v89iSupl.1.12047
Contreras, F., & Esguerra, G. (2006). Psicología Positiva: una perspectiva en psicología. Revista diversitas, 2(2), 311-319.
Craske, M., Meuret, A., Ritz, T., Treanor, M., Dour, H., & Rosenfield, D. (2019). Positive affect treatment for depression and anxiety: A randomized clinical trial for a core feature of anhedonia. Journal of Consulting and Clinical Psychology, 87(5), 457-471. https://doi.org/10.1037/ccp0000396.
Deeks, J., Dines, J., D´Amico, R., Sowden, A., Sakarovitch, C., Song, F., Petticrew, M., & Altman, D. (2003). Evaluación de estudios de intervención no aleatorizados. Health Technology Assesment, 7(27), 1-173. https://doi.org/10.3310/hta7270
Furchtlehner, L., Schuster, R., & Laireiter, A. (2019). A comparative study of the efficacy of group positive psychotherapy and group cognitive behavioral therapy in the treatment of depressive disorders: A randomized controlled trial. The Journal of Positive Psychology, 15(6), 832-845. https://doi.org/10.1080/17439760.2019.1663250
García-Garcá, J., Reding-Bernal, A., & López-Alvarenga, J. (2013). Cálculo del tamaño de la muestra en investigación en educación médica. Investigación en Educación Médica, 2(8), 217-224. https://doi.org/10.1016/S2007-5057(13)72715-7
Geschwind, N., Arntz, A., Bannink, F., & Peeters, F. (2019). Positive cognitive behavior therapy in the treatment of depression: A randomized order within-subject comparison with traditional cognitive behavior therapy. Behaviour Research and Therapy, 116, 119-130. https://doi.org/10.1016/j.brat.2019.03.005
González-Robles, A., García-Palacios, A., Baños, R., Quero, S., & Botella, C. (2019). Upregulating Positive Affectivity in the Transdiagnostic Treatment of Emotional Disorders: A Randomized Pilot Study. Behavior Modification, 43(1), 26-55. https://doi.org/10.1177/0145445517735631
Hershenberg, R. & Goldfried, M. (2017). Activing Happiness: A Jump-Start guide to overcomig low motivation, depression, or just feeling stuck. New Harbinger Publications.
Instituto Nacional de Salud Mental. (2021). Depresión. Recuperado el 8 de Enero de 2024, de National Institute of Mental Health: https://www.nimh.nih.gov/health/publications/espanol/depresion-sp
König, H., & Konnopka, A. (2019). The excess costs of depression: a systematic review and meta-analysis. Epidemiology and Psychiatric Sciences, 29(30), 1-16. https://doi.org/10.1017/S2045796019000180
Jackson, N., & Waters, E. (2005). Criteria for the systematic review of health promotion and public health interventions. Health Promotion International, 20(4), 367-374. https://doi.org/10.1093/heapro/dai022
Lopez-Linares, S., García-Leon, A., & Sánchez-álvarez, N. (2023). Intervenciones en Psicología Positiva para la disminucion de la depresión y el fenómeno del bienestar en personas mayores de 60 años: Una revisión sistemática de la última decada (2012-2022). Terapia Psicológica, 41(1), 111-136. https://doi.org/10.4067/S0718-48082023000100111
Nock, M., Belle, I. & Wedig, M. (2008). Evidence-based outcome research apractical guide to conducting randomized controlled trials forpsychosocial interventions. Cambridge: Oxford UniversityPress.
Organización Mundial de la Salud. (2023). Recuperado el 24 de 01 de 2024, de OMS: https://www.who.int/es/news-room/fact-sheets/detail/depression
Organización Panamericana de la Salud. (2018). La carga de los trastornos mentales en la Región de las Américas, 2018. OMS, Oficina Regional para las Américas, Washington, DC.
Organizacion Panamericana de la Salud. (2023). Una nueva agenda para la salud mental en las Américas. Informe de la Comision de Alto Nivel sobre Salud Mental y COVID-19 de la Organización Panamericana de la Salud. Organización Mundial de la Salud, Organización Regional para las Américas, Whashington, DC
Page, M., McKenzie, J., Bossuyt, P., Boutron, I., Hoffmann, T., Mulrow, C., et al., (2021). Declaración PRISMA 2020: una guía actualizada para la publicación de revisiones sistemáticas. Revista Española de Cardiología, 74(9), 790-799. https://doi.org/10.1016/j.recesp.2021.06.016
Páez, D., Campos, M., & Bilbao, M.. (2008). Del trauma a la felicidad: Pautas para la intervención. (C. Vázquez, & G. Hervás, Edits.) Bilbao: Editorial Desclée de Brouwer.
Raque-Bogdan, T., Ash-Lee, S., Mitchell, J., Joseph, E., Ross, K., Solberg, M., & Owen, J. (2020). A group positive psychology intervention for cancer survivors and caregivers: A pilot study of Activating Happiness©. Journal of Psychosocial Oncology, 38(6), 649-669. https://doi.org/10.1080/07347332.2020.1801943
Schueller, S., & Parks, A. (2014). The science of self-help: Translating positive psychology research into increased individual happiness. European Psychologist, 19(2), 145-155. https://doi.org/10.1027/1016-9040/a000181
Seligman, M. (2003). La auténtica felicidad. Barcelona: Vergara.
Seligman, M. (2011). La vida que florece. Ediciones B.
Seligman, M. (2019). Positive Psychology: A Personal. Annual Review of Clinical Psychology, 15, 1-23. https://doi.org/10.1146/annurev-clinpsy-050718-095653
Seligman, M., Rashid, T., & Parks, A. (2014). Positive psychotherapy. American Psychologist, 61(8), 774-788. https://doi.org/10.1037/0003-066X.61.8.774
Silton, R., Skymba, H., Bryant, F., Kahrilas, I., Smith, J., & Heller, W. (2020). Regulating Positive Emotions: Implications for Promoting Well-Being in. Emotion, 20(1), 93-97. https://doi.org/10.1037/emo0000675
Snyder, C. (2000). Handbook of hope: Theory, measures, and applications. Academic Press. https://psycnet.apa.org/record/2000-00296-000
Stemmler, A., Staehle, R., Heinemann, T. Bender, M., & Hennig, J. (2021). Positive psychology interventions in in-patients with depression: influences of comorbidity and subjective evaluation of the training programme. BJPsych Open, 7(109), 1-9. https://doi.org/10.1192/bjo.2021.65
Thomas, B., Ciliska, D., Dobbins, R., & Micucci, B. (2004). Un proceso de Revisión sistemática de la literatura: Aportación de pruebas de investigación para las intervenciones de enfermería de salud pública. Visiones del mundo sobre la enfermería basada en evidencia, 1(3), 176-184. https://doi.org/10.1111/j.1524-475x.2004.04006.x
Urrego, C., Cardona, M., & Díaz, P. (2022). Psicología positiva y su relación con la promoción de la salud mental. Perspectivas, 13(1), 82-94. https://doi.org/10.57173/rp.v13n1a7
Vázquez, C., Hervas, G., & Ho, S. (2006). Intervenciones clínicas basadas en la psicología positiva: fundamentos y aplicaciones. Psicología Conductual, 14(3), 401-432.
Westerhof, G., & Keyes, C. (2010). Mental Illness and Mental Health: The Two Continua Model Across the Lifespan. Journal of Adult Development, 17(2), 110-119. https://doi.org/10.1007/s10804-009-9082-
Whiting, D., Deane, F., McLeod, H., Ciarrochi, J., & Simpson, G. (2019). Can acceptance and commitment therapy facilitate psychological adjustment after a severe traumatic brain injury? A pilot randomized controlled trial. Neuropsychological Rehabilitation, 30(7), 1348-1371. https://doi.org/10.1080/09602011.2019.1583582
Wood, A., Froh, J. & Geraghty, A. (2010). Gratitude and well-being: A review and theoretical integration. Clinical Psychology Review, 30(7), 890-905. https://doi.org/10.1016/j.cpr.2010.03.005
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