Eficacia de una intervención en psicología positiva combinada con terapia cognitivo conductual en estudiantes universitarios
Resumen
El objetivo de este estudio fue diseñar e implementar una intervención positiva combinada con técnicas de terapia cognitiva-conductual para mejorar el bienestar subjetivo y psicológico, así como otras variables de funcionamiento positivo en una muestra de conveniencia. Los participantes analizados fueron 48 estudiantes universitarios (media 22.25 años). Se llevó a cabo una asignación no aleatorizada de los participantes a la condición de intervención (n = 25) y a la condición de control en lista de espera sin tratamiento (n = 23). Todos los participantes fueron evaluados antes y después de la intervención para probar la efectividad del programa de tratamiento. Los ANCOVAs de medidas repetidas, controlando las diferencias de la línea base entre los dos grupos, indicaron que el grupo de intervención mostraba mayor apoyo social después del período de intervención que en el grupo control en lista de espera. Se encontraron diferencias intragrupo en felicidad, auto-aceptación, relaciones positivas con los otros, optimismo y autoestima para el grupo de intervención, mientras que estas diferencias no aparecían en el grupo de control en lista de espera. Estos hallazgos sugieren la capacidad limitada de este programa de intervención para mejorar el bienestar a través de actividades positivas combinado con terapia cognitivo-conductual. Las investigaciones futuras deberían analizar qué tipo de actividades podrían ser más eficaces en la promoción del bienestar en función de las características de los participantes.Descargas
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Beck, A. T. (1993). Cognitive therapy: past, present, and future. Journal of Consulting and Clinical Psychology, 61, 194-198. http://dx.doi.org/10.1037/0022-006X.61.2.194
Beck, J. G., & Coffey, S. F. (2005). Group cognitive behavioral treatment for PTSD: Treatment of motor vehicle accident survivors. Cognitive and Behavioral Practice, 12, 267-277. http://dx.doi.org/10.1016/S1077-7229(05)80049-5
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, 13-119. http://dx.doi.org/10.1186/1471-2458-13-119.
Burton, C. M., & King, L. A. (2004). The health benefits of writing about intensely positive experiences. Journal of Research in Personality, 38, 150-163. http://dx.doi.org/10.1016/S0092-6566(03)00058-8.
Butkovic, A., Brkovic, I., & Bratko, D. (2012).Predicting well-being from personality in adolescents and older adults. Journal of Happiness Studies, 13, 455-467. http://dx.doi.org/10.1007/s10902-011-9273-7
Catalino, L. I., Algoe, S. B., & Fredrickson, B. L. (2014). Prioritizing positivity: An effective approach to pursuing happiness? Emotion, 14, 1155-1161. http://dx.doi.org/10.1037/a0038029
Chaves, C., López-Gómez, I., Hervás, G., & Vázquez, C. (2016). A comparative study on the efficacy of a positive psychology intervention and a cognitive behavioral therapy for clinical depression. Cognitive Therapy and Research, 1-17. http://dx.doi.org/10.1007/s10608-016-9778-9
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, New Jersey: Lawrence Erlbaum Associates.
Cohn, M. A., & Fredrickson, B. L. (2010). In search of durable positive psychology interventions: Predictors and consequences of long-term positive behavior change. The Journal of Positive Psychology, 5, 355-366. http://dx.doi.org/10.1080/17439760.2010.508883
Deci, E. L., & Ryan, R. M. (2008). Facilitating optimal motivation and psychological well-being across life's domains. Canadian Psychology/PsychologieCanadienne, 49, 14-23. http:/dx.doi.org/10.1037/0708-5591.49.1.14
Deci, E. L., & Ryan, R. M. (2013). The importance of autonomy for development and well-being. In B. W. Sokol., F. M. E. Grouzet., & U. Müller (Eds.), Self- Regulationand Autonomy (pp. 19-46). Cambridge: Cambridge University Press.
DelleFave, A., & Fava, G. A. (2011).Positive psychotherapy and social change. In R-Biswas-Diener (Ed.), In Positive psychology as social change (pp. 267-291). Milan: Springer Netherlands.
Diener, E., & Diener, M. (2009).Cross-cultural correlates of life satisfaction and self-esteem. Culture and Well-Being, 38, 71-91. http://dx.doi.org/10.1007/978-90-481-2352-0_4
Diener, E., Emmons, R.A., Larsen, R.J., & Griffin, S. (1985). The Satisfaction with Life Scale.Journal of Personality Assessment, 49, 71-75. http://dx.doi.org/10.1207/s15327752jpa4901_13
Diener, E., Suh, E. M., Lucas, R. E., & Smith, H. L. (1999). Subjective well-being: Three decades of progress. Psychological Bulletin, 125, 276-302. http://dx.doi.org/10.1037/0033-2909.125.2.276
D'Zurilla, T. J., & Goldfried, M. R. (1971).Problem solving and behavior modification.Journal of Abnormal Psychology, 78, 107-126. http://dx.doi.org/10.1037/h0031360
D’Zurilla, T. J., & Nezu, A. M. (2010). Problem-solving therapy.In K. S. Dobson (Ed.), Handbook of Cognitive-Behavioral Therapies (pp. 197-225). New York: The Guilford Press.
Emmons, R. A., & McCullough, M. E. (2003).Counting blessings versus burdens: an experimental investigation of gratitude and subjective well-being in daily life.Journal of Personality and Social Psychology, 84, 377-389. http://dx.doi.org/10.1037/0022-3514.84.2.377
Fava, G. A., Ruini, C., Rafanelli, C., Finos, L., Conti, S., & Grandi, S. (2004). Six-year outcome of cognitive behavior therapy for prevention of recurrent depression. American Journal of Psychiatry, 161, 1872-1876. Retrieved from http://ajp.psychiatryonline.org/doi/full/10.1176/ajp.161.10.1872
Fordyce, M. W. (1983). A program to increase happiness: Further studies. Journal of Counseling Psychology, 30, 483-498.http://dx.doi.org/10.1037/0022-0167.30.4.483
Fordyce, M.W. (1977). Development of a program to increase happiness.Journal of Counseling Psychology, 24, 511-521. http://dx.doi.org/10.1037/0022-0167.24.6.511
Fredrickson, B. L., & Joiner, T. (2002). Positive emotions trigger upward spirals toward emotional well-being. Psychological Science, 13, 172-175. http://dx.doi.org/10.1111/1467-9280.00431
Fredrickson, B. L., Grewen, K. M., Coffey, K. A., Algoe, S. B., Firestine, A. M., Arevalo, J. M. & Cole, S. W. (2013). A functional genomic perspective on human well-being. Proceedings of the National Academy of Sciences, 110, 13684-13689.http://dx.doi.org/10.1073/pnas.1305419110
Fujita, F., &Diener, E. (2005). Life satisfaction set point: stability and change. Journal of Personality and Social Psychology, 88, 158-164. http://dx.doi.org/10.1037/0022-3514.88.1.158
Gable, S. L., Reis, H. T., Impett, E. A., & Asher, E. R. (2004). What do you do when things go right? The intrapersonal and interpersonal benefits of sharing positive events. Journal of Personality and Social Psychology, 87, 228-245.http://dx.doi.org/10.1037/0022-3514.87.2.228
Gander, F., Proyer, R. T., Ruch, W., & Wyss, T. (2013). Strength-based positive interventions: further evidence for their potential in enhancing well-being and alleviating depression. Journal of Happiness Studies, 14, 1241-1259. http://dx.doi.org/10.1007/s10902-012-9380-0
Gillet, N., Lafrenière, M. A. K., Vallerand, R. J., Huart, I., & Fouquereau, E. (2014). The effects of autonomous and controlled regulation of performance‐approach goals on well‐being: A process model. British Journal of Social Psychology, 53, 154-174. http://dx.doi.org/10.1111/bjso.12018
Hernández, J.A. &Betancort, M. (2016). ULLRToolbox.https://sites.google.com/site/ullrtoolbox/
Herzog, T. R., & Strevey, S. J. (2008). Contact with nature, sense of humor, and psychological well-being. Environment and Behavior, 40, 747-776. http://dx.doi.org/10.1177/0013916507308524
Hochberg, Y. (1988). A sharper Bonferroni procedure for multiple tests of significance. Biometrika, 75, 800-803.http://dx.doi.org/10.1093/biomet/75.4.800
Izard, C. E. (1992). Basic emotions, relations among emotions, and emotion-cognition relations.Psychological Review, 99, 561-565. http://dx.doi.org/10.1037/0033-295X.99.3.561
Keltner, D., & Gross, J. J. (1999). Functional accounts of emotions. Cognition & Emotion, 13, 467-480. http://dx.doi.org/10.1080/026999399379140
Keyes, C. L., Shmotkin, D., & Ryff, C. D. (2002). Optimizing well-being: the empirical encounter of two traditions. Journal of Personality and Social Psychology, 82, 1007-1022. http://dx.doi.org/10.1037/0022-3514.82.6.1007
Layous, K., Nelson, S. K., & Lyubomirsky, S. (2013). 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, 635-654. http://dx.doi.org/10.1007/s10902-012-9346-2
Lykken, D., &T ellegen, A. (1996). Happiness is a stochastic phenomenon. Psychological Science, 7, 186-189. http://dx.doi.org/10.1111/j.1467-9280.1996.tb00355
Lyubomirsky, S., &Layous, K. (2013). How do simple positive activities increase well-being? Current Directions in Psychological Science, 22, 57-62. http://dx.doi.org/10.1177/0963721412469809
Lyubomirsky, S., & Lepper, H.S. (1999). A measure of subjective happiness: Preliminary reliability and construct validation. Social Indicators Research, 46, 137-155. http://dx.doi.org/10.1023/A:1006824100041
Lyubomirsky, S., Sheldon, K. M., &Schkade, D. (2005).Pursuing happiness: the architecture of sustainable change.Review of General Psychology, 9, 111-131. http://dx.doi.org/10.1037/1089-2680.9.2.111
MacLeod, A. K., Coates, E., & Hetherton, J. (2008).Increasing well-being through teaching goal-setting and planning skills: results of a brief intervention.Journal of Happiness Studies, 9, 185-196. http://dx.doi.org/10.1007/s10902-007-9057-2
Maltby, J., Day, L., & Barber, L. (2005).Forgiveness and happiness.The differing contexts of forgiveness using the distinction between hedonic and eudaimonic happiness.Journal of Happiness Studies, 6, 1-13. http://dx.doi.org/10.1007/s10902-004-0924-9
Manassis, K., Mendlowitz, S. L., Scapillato, D., Avery, D., Fiksenbaum, L., Freire, M., Monga, S., & Owens, M. (2002). Group and individual cognitive-behavioral therapy for childhood anxiety disorders: a randomized trial. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1423-1430. http://dx.doi.org/10.1097/00004583-200212000-00013
Marrero, R.J., & Carballeira, M. (2010). El papel del optimismo y del apoyo social en el bienestar subjetivo. Salud Mental, 33, 39-46. Retrieved from http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0185-33252010000100005
Marrero, R. J., & Carballeira, M. (2011). Well-being and personality: Facet-level analyses. Personality and Individual Differences, 50, 206-211. http://dx.doi.org/10.1016/j.paid.2010.09.030
Marrero, R. J., & Carballeira, M. (2012). The contribution of Personality to PWB: an exploratory study. In B.S. Nguyem (Ed.), Psychology of Satisfaction (pp. 41-65). New York: NOVA.
Marrero, R. J., Carballeira, M., & Rodríguez, J. P. (2007). El papel del optimismo en la salud. Memoria de investigación no publicada. Universidad de La Laguna: La Laguna.
Martínez-Martí, M. L., Avia, M. D., & Hernández-Lloreda, M. J. (2010). The effects of counting blessings on subjective well-being: A gratitude intervention in a Spanish sample. The Spanish Journal of Psychology, 13, 886-896. http://dx.doi.org/10.1017/S1138741600002535
Mazzucchelli, T. G., Kane, R. T., & Rees, C. S. (2010). Behavioral activation interventions for well-being: A meta-analysis. The Journal of Positive Psychology, 5, 105-121. http://dx.doi.org/10.1080/17439760903569154
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, 112-127. http://dx.doi.org/10.1037/0022-3514.82.1.112
Neff, K. D. (2011). Self‐compassion, self‐esteem, and well‐being. Social and Personality Psychology Compass, 5, 1-12. http://dx.doi.org/10.1111/j.1751-9004.2010.00330.x
Orth, U., Robins, R. W., & Widaman, K. F. (2012). Life-span development of self-esteem and its effects on important life outcomes. Journal of Personality and Social Psychology, 102, 1271-1288. http://dx.doi.org/10.1037/a0025558
Park, N., Peterson, C., & Seligman, M. E. (2004).Strengths of character and well-being. Journal of Social and Clinical Psychology, 23, 603-619. http://dx.doi.org/10.1521/jscp.23.5.603.50748
Parks, A. C., College, H., & Biswas-Diener, R. (2013). Positive interventions: Past, present and future. In T. Kashdam& J. Ciarrochi (Eds.), Bridging acceptance and commitment therapy and positive psychology: A practitioner’s guide to a unifying framework (pp. 140-165).Oakland, CA: New Harbinger.
Pearson, D. G., Deeprose, C., Wallace-Hadrill, S. M., Heyes, S. B., & Holmes, E. A. (2013). Assessing mental imagery in clinical psychology: A review of imagery measures and a guiding framework. Clinical Psychology Review, 33, 1-23.http://dx.doi.org/10.1016/j.cpr.2012.09.001
Pennebaker, J. W. (1997). Writing about emotional experiences as a therapeutic process. Psychological Science, 8, 162-166. http://dx.doi.org/10.1111/j.1467-9280.1997.tb00403.x
Peterson, C., & Seligman, M. E. (2004). Character strengths and virtues: A handbook and classification. New York: Oxford University Press.
Proyer, R. T., Ruch, W., & Buschor, C. (2013). Testing strengths-based interventions: A preliminary study on the effectiveness of a program targeting curiosity, gratitude, hope, humor, and zest for enhancing life satisfaction. Journalof Happiness Studies, 14, 275-292. http://dx.doi.org/10.1007/s10902-012-9331-9
Rius-Ottenheim, N., van der Mast, R. C., Zitman, F. G., & Giltay, E. J. (2013).The role of dispositional optimism in physical and mental well-Being.In A. Efklides& D. Moraitou (Eds.), A Positive Psychology Perspective on Quality of Life, (pp.149-173).Netherlands: Springer.
Rosenberg, M. (1965).Society and the adolescent self-image. Princeton, NJ, USA: Princeton University Press.
Ruini, C., Masoni, L., Ottolini, F., & Ferrari, S. (2014). Positive Narrative Group Psychotherapy: the use of traditional fairy tales to enhance psychological well-being and growth. Psychology of Well-Being, 4, 1-9. http://dx.doi.org/10.1186/s13612-013-0013-0
Ryff, C. & Keyes, C. (1995). “The structure of psychological well-being revisited”. Journal of Personality and Social Psychology, 69, 719-727. http://dx.doi.org/10.1037/0022-3514.69.4.719
Ryff, C. D. (1995). Psychological well-being in adult life.Current directions in Psychological Science, 4, 99-104.
Ryff, C. D. (2014). Psychological well-being revisited: Advances in the science and practice of eudaimonia. Psychotherapy and Psychosomatics, 83, 10-28. http://dx.doi.org/10.1159/000353263)
Sandin, B., Chorot, P., Lostao, L., Joiner, T.E., Santed, M.A. & Valiente, R.M. (1999).Escalas panas de afecto positivo y negativo: validación factorial y convergencia transcultural. Psicothema, 11, 37-51.
Sarason, I. G., Sarason, B. R., Shearin, E. N. & Pierce, G. R. (1987). A brief measure of social support: Practical and theoretical implications. Journal of Social and Personal Relationships, 4, 497-510. http://dx.doi.org/10.1177/0265407587044007
Scheier, M.F., Carver, C.S., & Bridges, M.W. (1994).Distinguishing optimism from neuroticism (and trait anxiety, self-mastery and self-steem): a reevaluation of Life Orientation Test. Journal of Personality and Social Psychology, 67, 1063-1078. http://dx.doi.org/10.1037/0022-3514.67.6.1063
Schimmack, U., & Diener, E. (2003).Predictive validity of explicit and implicit self-esteem for subjective well-being.Journal of Research in Personality, 37, 100-106. http://dx.doi.org/10.1016/S0092-6566(02)00532-9
Seligman, M. E. (2011). Learned optimism: How to change your mind and your life. New York: Vintage Books.
Seligman, M. E., Rashid, T., & Parks, A. C. (2006).Positive psychotherapy.AmericanPsychologist, 61, 774-788. http://dx.doi.org/10.1037/0003-066X.61.8.774
Seligman, M. E., Steen, T. A., Park, N., & Peterson, C. (2005). Positive psychology progress: empirical validation of interventions. American Psychologist, 60, 410-421. http://dx.doi.org/10.1037/0003-066X.60.5.410
Shanafelt, T. D., West, C., Zhao, X., Novotny, P., Kolars, J., Habermann, T., & Sloan, J. (2005).Relationship between increased personal well‐being and enhanced empathy among internal medicine residents.Journal of General Internal Medicine, 20, 559-564. http://dx.doi.org/10.1111/j.1525-1497.2005.0108.x
Shapira, L. B., & Mongrain, M. (2010).The benefits of self-compassion and optimism exercises for individuals vulnerable to depression.The Journal of Positive Psychology, 5, 377-389. http://dx.doi.org/10.1080/17439760.2010.516763
Sheldon, K. M., & Kasser, T. (1995). Coherence and congruence: two aspects of personality integration. Journal of personality and social psychology, 68, 531-543.http://dx.doi.org/10.1037/0022-3514.68.3.531
Sheldon, K. M., & Krieger, L. S. (2014).Walking the talk: Value importance, value enactment, and well-being. Motivation and Emotion, 38, 609-619.http://dx.doi.org/10.1007/s11031-014-9424-3
Sheldon, K. M., Jose, P. E., Kashdan, T. B., & Jarden, A. (2015). Personality, effective goal-striving, and enhanced well-being: comparing 10 candidate personality strengths. Personality and Social Psychology Bulletin, 41, 575-585. http://dx.doi.org/10.1177/0146167215573211
Sheldon, K. M., Kasser, T., Smith, K., & Share, T. (2002). Personal goals and psychological growth: Testing an intervention to enhance goal attainment and personality integration. Journal of Personality, 70, 5-31. http://dx.doi.org/10.1111/1467-6494.00176
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, 467-487. http://dx.doi.org/10.1002/jclp.20593
Steel, P., Schmidt, J., & Shultz, J. (2008).Refining the relationship between personality and subjective well-being.Psychological Bulletin, 134, 138-161. http://dx.doi.org/10.1037/0033-2909.134.1.138
Storm, C., & Storm, T. (1987).A taxonomic study of the vocabulary of emotions. Journal of Personality and Social Psychology, 53, 805-816. http://dx.doi.org/10.1037/0022-3514.53.4.805
Tetley, A., Jinks, M., Huband, N., & Howells, K. (2011). A systematic review of measures of therapeutic engagement in psychosocial and psychological treatment. Journal of Clinical Psychology, 67, 927-941. http://dx.doi.org/10.1002/jclp.20811
Tkach, C., & Lyubomirsky, S. (2006). How do people pursue happiness?: Relating personality, happiness-increasing strategies, and well-being. Journal of Happiness Studies, 7, 183-225. http://dx.doi.org/10.1007/s109002-005-4754-1
Toepfer, S. M., Cichy, K., & Peters, P. (2012). Letters of gratitude: Further evidence for author benefits. Journal of Happiness Studies, 13, 187-201. http://dx.doi.org/10.1007/s10902-011-9257-7
Toussaint, L., & Friedman, P. (2009). Forgiveness, gratitude, and well-being: The mediating role of affect and beliefs. Journal of Happiness Studies, 10, 635-654. http://dx.doi.org/10.1007/s10902-008-9111-8
Vázquez, C., Duque, A., &Hervás, G. (2013).Satisfaction with Life Scale (SWLS) in a representative sample of Spanish adults: Validation and normative data. Spanish Journal of Psychology, 16, 82-97. http://dx.doi.org/10.1017/sjp.2013.82
Watson, D., Clark, L.A., & Tellegen, A. (1998). Development and validation of brief meauses of Positive and Negative Affect: The PANAS Scales. Journal of Personality and Social Psychology, 54, 1063-1070. http://dx.doi.org/10.1037/0022-3514.54.6.1063
Wergeland, G. J. H., Fjermestad, K. W., Marin, C. E., Haugland, B. S. M., Bjaastad, J. F., Oeding, K., Bjelland, I., Silverman, W. K., Öst, L. G., Havik, O. E., & Heiervang, E. R. (2014). An effectiveness study of individual vs. group cognitive behavioral therapy for anxiety disorders in youth. Behaviour Research and Therapy, 57, 1-12. http://dx.doi.org/10.1016/j.brat.2014.03.007
White, M. A., & Waters, L. E. (2015). A case study of ‘The Good School’: Examples of the use of Peterson’s strengths-based approach with students. The Journal of Positive Psychology 10, 69-76. http://dx.doi.org/10.1080/17439760.2014.920408
Woody, S. R., & Adessky, R. S. (2003).Therapeutic alliance, group cohesion, and homework compliance during cognitive-behavioral group treatment of social phobia. Behavior Therapy, 33, 5-27.http://dx.doi.org/10.1016/S0005-7894(02)80003-X
Worthington Jr, E. L., Witvliet, C. V. O., Pietrini, P., & Miller, A. J. (2007). Forgiveness, health, and well-being: A review of evidence for emotional versus decisional forgiveness, dispositional forgivingness, and reduced unforgiveness. Journal of Behavioral Medicine, 30, 291-302. http://dx.doi.org/10.1007/s10865-007-9105-8
Worthington, E. L. (1998). Dimensions of forgiveness: A research approach. Philadelphia & London: Templeton Foundation Press.
Worthington, E. L., & Scherer, M. (2004). Forgiveness is an emotion-focused coping strategy that can reduce health risks and promote health resilience: Theory, review, and hypotheses. Psychology & Health, 19, 385-405. http://dx.doi.org/10.1080/0887044042000196674
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