Jeff C Huffman1, Christina M DuBois2, Brian C Healy3, Julia K Boehm4, Todd B Kashdan5, Christopher M Celano6, John W Denninger7, Sonja Lyubomirsky8. 1. Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA. Electronic address: jhuffman@partners.org. 2. Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA. 3. Harvard Medical School, Boston, MA, USA; Biostatistics Center, Massachusetts General Hospital, Boston, MA, USA. 4. Department of Psychology, Chapman University, Orange, CA, USA. 5. Department of Psychology, George Mason University, Fairfax, VA, USA. 6. Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA. 7. Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA; Benson Henry Institute for Mind Body Medicine, BostonMA, USA. 8. Department of Psychology, University of California-Riverside, Riverside, CA, USA.
Abstract
OBJECTIVE: The objective was to assess the feasibility and acceptability of nine positive psychology exercises delivered to patients hospitalized for suicidal thoughts or behaviors, and to secondarily explore the relative impact of the exercises. METHOD:Participants admitted to a psychiatric unit for suicidal ideation or behavior completed daily positive psychology exercises while hospitalized. Likert-scale ratings of efficacy (optimism, hopelessness, perceived utility) and ease of completion were consolidated and compared across exercises using mixed models accounting for age, missing data and exercise order. Overall effects of exercise on efficacy and ease were also examined using mixed models. RESULTS:Fifty-two (85.3%) of 61 participants completed at least one exercise, and 189/213 (88.7%) assigned exercises were completed. There were overall effects of exercise on efficacy (χ(2)=19.39; P=.013) but not ease of completion (χ(2)=11.64; P=.17), accounting for age, order and skipped exercises. Effect (Cohen's d) of exercise on both optimism and hopelessness was moderate for the majority of exercises. Exercises related to gratitude and personal strengths ranked highest. Both gratitude exercises had efficacy scores that were significantly (P=.001) greater than the lowest-ranked exercise (forgiveness). CONCLUSION: In this exploratory project, positive psychology exercises delivered to suicidal inpatients were feasible and associated with short-term gains in clinically relevant outcomes.
RCT Entities:
OBJECTIVE: The objective was to assess the feasibility and acceptability of nine positive psychology exercises delivered to patients hospitalized for suicidal thoughts or behaviors, and to secondarily explore the relative impact of the exercises. METHOD:Participants admitted to a psychiatric unit for suicidal ideation or behavior completed daily positive psychology exercises while hospitalized. Likert-scale ratings of efficacy (optimism, hopelessness, perceived utility) and ease of completion were consolidated and compared across exercises using mixed models accounting for age, missing data and exercise order. Overall effects of exercise on efficacy and ease were also examined using mixed models. RESULTS: Fifty-two (85.3%) of 61 participants completed at least one exercise, and 189/213 (88.7%) assigned exercises were completed. There were overall effects of exercise on efficacy (χ(2)=19.39; P=.013) but not ease of completion (χ(2)=11.64; P=.17), accounting for age, order and skipped exercises. Effect (Cohen's d) of exercise on both optimism and hopelessness was moderate for the majority of exercises. Exercises related to gratitude and personal strengths ranked highest. Both gratitude exercises had efficacy scores that were significantly (P=.001) greater than the lowest-ranked exercise (forgiveness). CONCLUSION: In this exploratory project, positive psychology exercises delivered to suicidal inpatients were feasible and associated with short-term gains in clinically relevant outcomes.
Authors: Jeff C Huffman; Rachel A Millstein; Carol A Mastromauro; Shannon V Moore; Christopher M Celano; C Andres Bedoya; Laura Suarez; Julia K Boehm; James L Januzzi Journal: J Happiness Stud Date: 2015-10-19
Authors: Christopher M Celano; Ariana M Albanese; Rachel A Millstein; Carol A Mastromauro; Wei-Jean Chung; Kirsti A Campbell; Sean R Legler; Elyse R Park; Brian C Healy; Linda M Collins; James L Januzzi; Jeff C Huffman Journal: Psychosom Med Date: 2018 Jul/Aug Impact factor: 4.312
Authors: Christina M DuBois; Rachel A Millstein; Christopher M Celano; Deborah J Wexler; Jeff C Huffman Journal: Prim Care Companion CNS Disord Date: 2016-05-05
Authors: Jeffery C Huffman; Ariana M Albanese; Kirsti A Campbell; Christopher M Celano; Rachel A Millstein; Carol A Mastromauro; Brian C Healy; Wei-Jean Chung; James L Januzzi; Linda M Collins; Elyse R Park Journal: Clin Trials Date: 2017-01-12 Impact factor: 2.486
Authors: C M Celano; E E Beale; C A Mastromauro; J G Stewart; R A Millstein; R P Auerbach; C A Bedoya; J C Huffman Journal: Psychol Med Date: 2016-11-23 Impact factor: 7.723
Authors: Jeff C Huffman; Christina M DuBois; Carol A Mastromauro; Shannon V Moore; Laura Suarez; Elyse R Park Journal: J Health Psychol Date: 2014-08-11
Authors: Jeff C Huffman; Julia K Boehm; Scott R Beach; Eleanor E Beale; Christina M DuBois; Brian C Healy Journal: J Psychiatr Res Date: 2016-03-07 Impact factor: 4.791
Authors: Jeff C Huffman; Rachel A Millstein; Christopher M Celano; Brian C Healy; Elyse R Park; Linda M Collins Journal: Ann Behav Med Date: 2020-02-21