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Mental Health Promotion as a New Goal in Public Mental Health Care: A Randomized Controlled Trial of an Intervention Enhancing Psychological Flexibility

Martine Fledderus · Ernst Thomas Bohlmeijer · Filip Smit · Gerben J. Westerhof

196 citations0/0 files storedAmerican Journal of Public Health

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Mindfulness and Compassion Interventions Psychological Well-being and Life Satisfaction Digital Mental Health Interventions

Abstract

OBJECTIVES: We assessed whether an intervention based on acceptance and commitment therapy (ACT) and mindfulness was successful in promoting positive mental health by enhancing psychological flexibility. METHODS: Participants were 93 adults with mild to moderate psychological distress. They were randomly assigned to the group intervention (n = 49) or to a waiting-list control group (n = 44). Participants completed measures before and after the intervention as well as 3 months later at follow-up to assess mental health in terms of emotional, psychological, and social well-being (Mental Health Continuum-Short Form) as well as psychological flexibility (i.e., acceptance of present experiences and value-based behavior, Acceptance and Action Questionnaire-II). RESULTS: Regression analyses showed that compared with the participants on the waiting list, participants in the ACT and mindfulness intervention had greater emotional and psychological well-being after the intervention and also greater psychological flexibility at follow-up. Mediational analyses showed that the enhancement of psychological flexibility during the intervention mediated the effects of the intervention on positive mental health. CONCLUSIONS: The intervention is effective in improving positive mental health by stimulating skills of acceptance and value-based action.

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References

1992A power primer.2008Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness 2005Acceptance and Commitment Therapy: Model, processes and outcomes 1999Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change 2002The Mental Health Continuum: From Languishing to Flourishing in Life 2003Mindfulness Training as a Clinical Intervention: A Conceptual and Empirical Review 2011Preliminary Psychometric Properties of the Acceptance and Action Questionnaire–II: A Revised Measure of Psychological Inflexibility and Experiential Avoidance 2010The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review.

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