Psicologia e Psiquiatria Positiva na Prática Clínica
Revisão sobre Intervenções em Gratidão e Otimismo
Palavras-chave:
otimismo, psiquiatria positiva, psicologia positiva, psicoterapiaResumo
Introdução: na literatura atual, nota-se um destaque para abordagens que proporcionem bem-estar e emoções positivas em várias áreas da saúde. Na saúde mental, a Psicologia Positiva é o campo que, por meio do estudo das emoções e das características pessoais positivas, visa promover o potencial e os talentos humanos, objetivando o bem-estar. A Psiquiatria Positiva faz uma maior vinculação com os aspectos médicos e sintomas psiquiátricos. No campo psicoterápico, há as Intervenções em Psicologia Positiva (IPP), em que atividades que aumentem emoções positivas são estimuladas. Este trabalho busca revisar intervenções relacionadas à gratidão e ao otimismo e seus desfechos em saúde e bem-estar. Método: revisão narrativa sobre intervenções de gratidão e otimismo, explorando seus benefícios e eficácia na promoção do bem-estar. A busca abrangeu MEDLINE e PsycInfo, incluindo termos amplos e específicos. Foram analisados 73 artigos de intervenções em gratidão, 209 em otimismo, selecionando 24 e 25 estudos, respectivamente, além de 5 estudos que aplicaram ambas as intervenções. Considerações finais: ambas as intervenções demonstraram ser efetivas no aumento do bem-estar e na redução de sintomas depressivos em indivíduos com e sem psicopatologias.
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Aghatabay, S., Sepahmansour, M., Hatami, M., Rafieipour, A., & Author, C. (2019). The Effect of Optimism Training on Emotional Problems and Life Satisfaction in Patients with Myocardial Infarction. International Journal of Applied Behavioral Sciences, 6(4), 51–59. https://doi.org/10.22037/IJABS.V6I6.28747
Altintas, E., Karaca, Y., Moustafa, A., & el Haj, M. (2020). Effect of Best Possible Self Intervention on Situational Motivation and Commitment in Academic Context. Learning and Motivation, 69, 101599. https://doi.org/10.1016/J.LMOT.2019.101599
Auyeung, L., & Mo, P. K. H. (2019). The Efficacy and Mechanism of Online Positive Psychological Intervention (PPI) on Improving Well-Being Among Chinese University Students: A Pilot Study of the Best Possible Self (BPS) Intervention. Journal of Happiness Studies, 20(8), 2525–2550. https://doi.org/10.1007/S10902-018-0054-4
Bastianello, M. R., & Hutz, C. S. (2015). Do Otimismo Explicativo ao Disposicional: a Perspectiva da Psicologia Positiva. Psico-USF, 20(2), 247. https://doi.org/10.1590/1413-82712015200205
Bastianello, M. R., Pacico, J. C., & Hutz, C. S. (2014). Optimism, self-esteem and personality: adaptation and validation of the Brazilian Version Of The Revised Life Orientation Test (LOT-R). Psico-USF, 19(3), 523–531. https://doi.org/10.1590/1413-827120140190030
Blackwell, S. E., Browning, M., Mathews, A., Pictet, A., Welch, J., Davies, J., Watson, P., Geddes, J. R., & Holmes, E. A. (2015). Positive Imagery-Based Cognitive Bias Modification as a Web-Based Treatment Tool for Depressed Adults: A Randomized Controlled Trial. Clinical Psychological Science : A Journal of the Association for Psychological Science, 3(1), 91–111. https://doi.org/10.1177/2167702614560746
Blackwell, S. E., Rius-Ottenheim, N., Schulte-van Maaren, Y. W. M., Carlier, I. V. E., Middelkoop, V. D., Zitman, F. G., Spinhoven, P., Holmes, E. A., & Giltay, E. J. (2013). Optimism and mental imagery: A possible cognitive marker to promote well-being? Psychiatry Research, 206(1), 56–61. https://doi.org/10.1016/J.PSYCHRES.2012.09.047
Boehm, J. K., Chen, Y., Williams, D. R., Ryff, C., & Kubzansky, L. D. (2015). Unequally Distributed Psychological Assets: Are There Social Disparities in Optimism, Life Satisfaction, and Positive Affect? PLOS ONE. https://doi.org/10.1371/journal.pone.0118066
Boehm, J. K., Lyubomirsky, S., & Sheldon, K. M. (2011). A Longitudinal Experimental Study Comparing the Effectiveness of Happiness-Enhancing Strategies in Anglo Americans and Asian Americans. Cognition & Emotion, 25(7), 1263. https://doi.org/10.1080/02699931.2010.541227
Bolier, L., Haverman, M., Westerhof, G. J., Riper, H., Smit, F., & Bohlmeijer, E. (2013). Positive psychology interventions: A meta-analysis of randomized controlled studies. BMC Public Health, 13(1), 1–20. https://doi.org/10.1186/1471-2458-13-119/TABLES/4
Brault-Labbé, A., & Dubé, L. (2010). Engagement scolaire, bien-être personnel et autodétermination chez des étudiants à l’université. Canadian Journal of Behavioural Science, 42(2), 80–92. https://doi.org/10.1037/A0017385
Carrillo, A., Rubio-Aparicio, M., Molinari, G., Enrique, Á., Sánchez-Meca, J., & Baños, R. M. (2019). Effects of the Best Possible Self intervention: A systematic review and meta-analysis. PLOS ONE, 14(9), e0222386. https://doi.org/10.1371/JOURNAL.PONE.0222386
Carver, C. S., Scheier, M. F., & Segerstrom, S. C. (2010). Optimism. https://doi.org/10.1016/j.cpr.2010.01.006
Danner, D. D., Snowdon, D. A., & Friesen, W. v. (2001). Positive emotions in early life and longevity: Findings from the nun study. Journal of Personality and Social Psychology, 80(5), 804–813. https://doi.org/10.1037/0022-3514.80.5.804
Davis, D. E., Choe, E., Meyers, J., Wade, N., Varjas, K., Gifford, A., Quinn, A., Hook, J. N., van Tongeren, D. R., Griffin, B. J., & Worthington, E. L. (2016). Thankful for the little things: A meta-analysis of gratitude interventions. Journal of Counseling Psychology, 63(1), 20–31. https://doi.org/10.1037/COU0000107
Dickens, L. R. (2017). Using Gratitude to Promote Positive Change: A Series of Meta-Analyses Investigating the Effectiveness of Gratitude Interventions. Http://Dx.Doi.Org/10.1080/01973533.2017.1323638, 39(4), 193–208. https://doi.org/10.1080/01973533.2017.1323638
Emmons, R. A., & Mccullough, M. E. (2003). Counting Blessings Versus Burdens: An Experimental Investigation of Gratitude and Subjective Well-Being in Daily Life. Steindl-Rast, 84(2), 377–389. https://doi.org/10.1037/0022-3514.84.2.377
Emmons, R. A., & Stern, R. (2013). Gratitude as a Psychotherapeutic Intervention. Journal of Clinical Psychology, 69(8), 846–855. https://doi.org/10.1002/JCLP.22020
Enrique, Á., Bretón-López, J. M., Molinari, G., Quero, S., & Botella, C. (2017). Acceptability of positive technologies by patients with eating disorders: Results from a Randomized Control Trial. Annual Review of Cybertherapy and Telemedicine. https://www.researchgate.net/publication/322078215_Acceptability_of_positive_technologies_by_patients_with_eating_disorders_Results_from_a_Randomized_Control_Trial
Fredrickson, B. L., & Joiner, T. (2016). Positive Emotions Trigger Upward Spirals Toward Emotional Well-Being. Https://Doi.Org/10.1111/1467-9280.00431, 13(2), 172–175. https://doi.org/10.1111/1467-9280.00431
Guay, F., Vallerand, R. J., & Blanchard, C. (2000). On the assessment of situational intrinsic and extrinsic motivation: The Situational Motivation Scale (SIMS). Motivation and Emotion, 24(3), 175–213. https://doi.org/10.1023/A:1005614228250
Heekerens, J. B., & Eid, M. (2020). Inducing positive affect and positive future expectations using the best-possible-self intervention: A systematic review and meta-analysis. Https://Doi.Org/10.1080/17439760.2020.1716052, 16(3), 322–347. https://doi.org/10.1080/17439760.2020.1716052
Heekerens, J. B., & Heinitz, K. (2019). Looking Forward: The Effect of the Best-Possible-Self Intervention on Thriving Through Relative Intrinsic Goal Pursuits. Journal of Happiness Studies, 20(5), 1379–1395. https://doi.org/10.1007/S10902-018-9999-6
Heinonen, E., Heiskanen, T., Lindfors, O., Härkäpää, K., & Knekt, P. (2017). Dispositional optimism as predictor of outcome in short- and long-term psychotherapy. Psychology and Psychotherapy: Theory, Research and Practice, 90(3), 279–298. https://doi.org/10.1111/PAPT.12109
Holmes, E. A., Lang, T. J., & Shah, D. M. (2009). Developing Interpretation Bias Modification as a “Cognitive Vaccine” for Depressed Mood: Imagining Positive Events Makes You Feel Better Than Thinking About Them Verbally. Journal of Abnormal Psychology, 118(1), 76–88. https://doi.org/10.1037/A0012590
Jackowska, M., Brown, J., Ronaldson, A., & Steptoe, A. (2016). The impact of a brief gratitude intervention on subjective well-being, biology and sleep. Journal of Health Psychology, 21(10), 2207–2217. https://doi.org/10.1177/1359105315572455/FORMAT/EPUB
Jeste, D. v., Palmer, B. W. (Barton W., & American Psychiatric Publishing. (n.d.). Positive psychiatry : a clinical handbook (D. Jeste V & B. Palmet W, Eds.).
Jeste, D. v., Palmer, B. W., Rettew, D. C., & Boardman, S. (2015). Positive Psychiatry: Its Time Has Come. The Journal of Clinical Psychiatry, 76(6), 675. https://doi.org/10.4088/JCP.14NR09599
Ji, J. L., Holmes, E. A., & Blackwell, S. E. (2017). Seeing light at the end of the tunnel: Positive prospective mental imagery and optimism in depression. Psychiatry Research, 247, 155–162. https://doi.org/10.1016/J.PSYCHRES.2016.11.025
Kendler, K. S., Liu, X. Q., Gardner, C. O., McCullough, M. E., Larson, D., & Prescott, C. A. (2003). Dimensions of religiosity and their relationship to lifetime psychiatric and substance use disorders. American Journal of Psychiatry, 160(3), 496–503. https://doi.org/10.1176/APPI.AJP.160.3.496/ASSET/IMAGES/LARGE/L412A1.JPEG
Kerr, S. L., O’Donovan, A., & Pepping, C. A. (2015). Can Gratitude and Kindness Interventions Enhance Well-Being in a Clinical Sample? Journal of Happiness Studies, 16(1), 17–36. https://doi.org/10.1007/S10902-013-9492-1
Kim, E. S., Hagan, K. A., Grodstein, F., Demeo, D. L., de Vivo, I., & Kubzansky, L. D. (2016). Optimism and Cause-Specific Mortality: A Prospective Cohort Study. 185(1). https://doi.org/10.1093/aje/kww182
King, L. A. (2016). The Health Benefits of Writing about Life Goals. Http://Dx.Doi.Org/10.1177/0146167201277003, 27(7), 798–807. https://doi.org/10.1177/0146167201277003
Layous, K., Chancellor, J., Lyubomirsky, S., Wang, L., & Doraiswamy, P. M. (2011). Delivering happiness: Translating positive psychology intervention research for treating major and minor depressive disorders. Journal of Alternative and Complementary Medicine (New York, N.Y.), 17(8), 675–683. https://doi.org/10.1089/ACM.2011.0139
Layous, K., Katherine Nelson, S., & Lyubomirsky, S. (2012). What Is the Optimal Way to Deliver a Positive Activity Intervention? The Case of Writing About One’s Best Possible Selves. Journal of Happiness Studies, 14(2), 635–654. https://doi.org/10.1007/S10902-012-9346-2
Lyubomirsky, S., Dickerhoof, R., Boehm, J. K., & Sheldon, K. M. (2011). Becoming Happier Takes Both a Will and a Proper Way: An Experimental Longitudinal Intervention to Boost Well-Being HHS Public Access. Emotion, 11(2), 391–402. https://doi.org/10.1037/a0022575
Malouff, J. M., & Schutte, N. S. (2016). Can psychological interventions increase optimism? A meta-analysis. Https://Doi.Org/10.1080/17439760.2016.1221122, 12(6), 594–604. https://doi.org/10.1080/17439760.2016.1221122
McCullough, M. E., Emmons, R. A., & Tsang, J.-A. (2002). The grateful disposition: a conceptual and empirical topography. Journal of Personality and Social Psychology, 82(1), 112–127. https://doi.org/10.1037//0022-3514.82.1.112
Meevissen, Y. M. C., Peters, M. L., & Alberts, H. J. E. M. (2011). Become more optimistic by imagining a best possible self: Effects of a two week intervention. Journal of Behavior Therapy and Experimental Psychiatry, 42(3), 371–378. https://doi.org/10.1016/J.JBTEP.2011.02.012
Mitchell, J., Vella-Brodrick, D., & Klein, B. (2010). Positive Psychology and the Internet: A Mental Health Opportunity. E-Journal of Applied Psychology, 6(2). https://doi.org/10.7790/EJAP.V6I2.230
Murn, L. T. (2013). Increasing self-compassion and positive body esteem: An expressive writing intervention. Oklahoma: Oklahoma State University.
O’Leary, K., & Dockray, S. (2015). The Effects of Two Novel Gratitude and Mindfulness Interventions on Well-Being. Https://Home.Liebertpub.Com/Acm, 21(4), 243–245. https://doi.org/10.1089/ACM.2014.0119
Peters, M. L., Flink, I. K., Boersma, K., & Linton, S. J. (2010). Manipulating optimism: Can imagining a best possible self be used to increase positive future expectancies? Http://Dx.Doi.Org/10.1080/17439761003790963, 5(3), 204–211. https://doi.org/10.1080/17439761003790963
Peters, M. L., Meevissen, Y. M. C., & Hanssen, M. M. (2013). Specificity of the Best Possible Self intervention for increasing optimism: Comparison with a gratitude intervention. Terapia Psicológica, 31(1), 93–100. https://doi.org/10.4067/S0718-48082013000100009
Peterson, C. (2006). A Primer in Positive Psychology . https://books.google.com.cu/books?id=2yeZoe_t8p4C&printsec=frontcover#v=onepage&q&f=false
Peterson, C., & Seligman, M. E. P. (2004). Character strengths and virtues: a handbook and classification. American Psychological Association. https://www.apa.org/pubs/books/4317046
Peterson, C., Semmel, A., von Baeyer, C., Abramson, L. Y., Metalsky, G. I., & Seligman, M. E. P. (1982). The attributional Style Questionnaire. Cognitive Therapy and Research, 6(3), 287–299. https://doi.org/10.1007/BF01173577
Pietrowsky, R., Mikutta, J., Pietrowsky, R., & Mikutta, J. (2012). Effects of Positive Psychology Interventions in Depressive Patients—A Randomized Control Study. Psychology, 3(12), 1067–1073. https://doi.org/10.4236/PSYCH.2012.312158
Plomin, R., Scheier, M. F., Bergeman, C. S., Pedersen, N. L., Nesselroade, J. R., & McClearn, G. E. (1992). Optimism, pessimism and mental health: A twin/adoption analysis. Personality and Individual Differences, 13(8), 921–930. https://doi.org/10.1016/0191-8869(92)90009-E
Rashid, T. (2015). Positive psychotherapy: A strength-based approach. The Journal of Positive Psychology, 10(1), 25–40. https://doi.org/10.1080/17439760.2014.920411
Rozanski, A. (2014). Optimism and other sources of psychological well-being: A new target for cardiac disease prevention. Circulation: Heart Failure, 7(3), 385–387. https://doi.org/10.1161/CIRCHEARTFAILURE.114.001303
Scheier, M. F., & Carver, C. S. (1985). Optimism, coping, and health: assessment and implications of generalized outcome expectancies. Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association, 4(3), 219–247. https://doi.org/10.1037/0278-6133.4.3.219
Scheier, M. F., Carver, C. S., & Bridges, M. W. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a reevaluation of the Life Orientation Test. Journal of Personality and Social Psychology, 67(6), 1063–1078. https://doi.org/10.1037//0022-3514.67.6.1063
Scheier, M. F., Carver, C. S., & Bridges, M. W. (2001). Optimism, pessimism, and psychological well-being. Optimism & Pessimism: Implications for Theory, Research, and Practice., 189–216. https://doi.org/10.1037/10385-009
Seligman, M. E. P., Rashid, T., & Parks, A. C. (2006). Positive psychotherapy. American Psychologist, 61(8), 774–788. https://doi.org/10.1037/0003-066X.61.8.774
Shapira, L. B., & Mongrain, M. (2010). The benefits of self-compassion and optimism exercises for individuals vulnerable to depression. Journal of Positive Psychology, 5(5), 377–389. https://doi.org/10.1080/17439760.2010.516763
Sheldon, K. M., & Lyubomirsky, S. (2006). How to increase and sustain positive emotion: The effects of expressing gratitude and visualizing best possible selves. Journal of Positive Psychology, 1(2), 73–82. https://doi.org/10.1080/17439760500510676
Sin, N. L., & Lyubomirsky, S. (2009). Enhancing well-being and alleviating depressive symptoms with positive psychology interventions: a practice-friendly meta-analysis. Journal of Clinical Psychology, 65(5), 467–487. https://doi.org/10.1002/JCLP.20593
Snyder, C. R., & Lopez J, S. (2008). Psicologia Positiva: Uma Abordagem Científica e Prática das Qualidades Humanas | Amazon.com.br. https://www.amazon.com.br/Psicologia-Positiva-Abordagem-Cient%C3%ADfica-Qualidades/dp/853631656X
Titova, L., Wagstaff, A. E., & Parks, A. C. (2017). Disentangling the Effects of Gratitude and Optimism: A Cross-Cultural Investigation. Journal of Cross-Cultural Psychology, 48(5), 754–770. https://doi.org/10.1177/0022022117699278
Traxler, J., Hanssen, M. M., Lautenbacher, S., Ottawa, F., & Peters, M. L. (2019). General versus pain-specific cognitions: Pain catastrophizing but not optimism influences conditioned pain modulation. European Journal of Pain (London, England), 23(1), 150–159. https://doi.org/10.1002/EJP.1294
van Reekum, C. M., Korn, C. W., Harrison, N. R., Kress, L., & Aue, T. (2019). Learning to Look at the Bright Side of Life: Attention Bias Modification Training Enhances Optimism Bias. Frontiers in Human Neuroscience. https://doi.org/10.3389/fnhum.2019.00222
Watkins, P. C., Uhder, J., & Pichinevskiy, S. (2014). Grateful recounting enhances subjective well-being: The importance of grateful processing. Http://Dx.Doi.Org/10.1080/17439760.2014.927909, 10(2), 91–98. https://doi.org/10.1080/17439760.2014.927909
Wood, A. M., Froh, J. J., & Geraghty, A. W. A. (2010). Gratitude and well-being: A review and theoretical integration. https://doi.org/10.1016/j.cpr.2010.03.005
World Health Organization. (2022). Mental health.
Yang, Y., Zhao, H., Aidi, M., & Kou, Y. (2018). Three good deeds and three blessings: The kindness and gratitude interventions with Chinese prisoners. Criminal Behaviour and Mental Health, 28(5), 433–441. https://doi.org/10.1002/CBM.2085
Yoshimura, S., & Hashimoto, Y. (2020). The effect of induced optimism on the optimistic update bias. BMC Psychology. https://doi.org/10.1186/s40359-020-0389-6