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. 2017 Apr 28:9:15-24.
doi: 10.1016/j.invent.2017.04.002. eCollection 2017 Sep.

An early intervention to promote well-being and flourishing and reduce anxiety and depression: A randomized controlled trial

Marijke Schotanus-Dijkstra  1   2 , Constance H C Drossaert  2 , Marcel E Pieterse  2 , Brigitte Boon  1 , Jan A Walburg  2 , Ernst T Bohlmeijer  2   3
Affiliations

An early intervention to promote well-being and flourishing and reduce anxiety and depression: A randomized controlled trial

Marijke Schotanus-Dijkstra et al. Internet Interv. .

Abstract

Background: There is growing evidence that fostering mental well-being and flourishing might effectively prevent mental disorders. In this study, we examined whether a 9-week comprehensive positive self-help intervention with email support (TL-E) was effective in enhancing well-being and flourishing and decreasing anxiety and depressive symptoms in a non-clinical sample.

Methods: A total of 275 participants with low or moderate well-being (mean age = 48 years, 86% female) were randomly assigned to a TL-E (n = 137) or wait-list control group (WL; n = 138). Participants completed online self-reporting questionnaires at baseline and at 3, 6 and 12 months.

Results: Repeated measure analyses revealed significant more improvement on mental well-being (F = 42.00, p ≤ 0.001, d = 0.66, 95% CI = 0.42-0.90), anxiety (F = 21.65, p ≤ 0.001, d = 0.63, 95% CI = 0.39-0.87) and depression (F = 13.62, p ≤ 0.001, d = 0.43, 95% CI = 0.19-0.67) in the TL-E group versus the WL group. The proportion of flourishing in the TL-E group increased from 7 to 30% after 3 months (NNT = 5.46) and to 34% after 6 months (NNT = 5.25). All within group effects were maintained up to 12 months. We found no meaningful dose-response relationship for adherence, nor a clear moderator pattern.

Limitations: It is unknown whether results were influenced by the email support that accompanied the self-help intervention since TL-E was only compared to a wait-list condition. The generalizability of the findings is limited by the self-selected sample of mainly higher-educated women.

Conclusion: A guided positive self-help intervention might be considered as a new mental health promotion strategy because it has the potential to improve well-being up to the status of flourishing mental health, and to decrease anxiety and depressive symptomatology.

Keywords: Anxiety; Depression; Flourishing; Mental health promotion; Mental well-being; Self-help with Email support.

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Figures

Fig. 1.
Fig. 1
Flow-chart of participants in the This is Your Life study.
See this image and copyright information in PMC

References

    1. Andersson G., Cuijpers P. Internet-based and other computerized psychological treatments for adult depression: a meta-analysis. Cogn. Behav. Ther. 2009;38:196–205. - PubMed
    1. Attkisson C.C., Zwick R. The client satisfaction questionnaire. Psychometric properties and correlations with service utilization and psychotherapy outcome. Eval. Program Plann. 1982;5:233–237. - PubMed
    1. Bjelland I., Dahl A.A., Haug T.T., Neckelmann D. The validity of the Hospital Anxiety and Depression Scale: an updated literature review. J. Psychosom. Res. 2002;52:69–77. - PubMed
    1. Blankers M., Koeter M.W., Schippers G.M. Missing data approaches in eHealth research: simulation study and a tutorial for nonmathematically inclined researchers. J. Med. Internet Res. 2010;12 - PMC - PubMed
    1. Bohlmeijer E., Hulsbergen M. Uitgeverij Boom; Amsterdam: 2009. Voluit leven (Living to the Full)

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