Camilla Casaletti Braghetta, Juliane Piasseschi de Bernardin Gonçalves, Willyane de Andrade Alvarenga, Richard G Cowden, Clarice Gorenstein, Giancarlo Lucchetti, Homero Vallada
{"title":"促进整个人的幸福：一项主题内混合方法研究，探索蓬勃发展干预对抑郁症状个体的影响。","authors":"Camilla Casaletti Braghetta, Juliane Piasseschi de Bernardin Gonçalves, Willyane de Andrade Alvarenga, Richard G Cowden, Clarice Gorenstein, Giancarlo Lucchetti, Homero Vallada","doi":"10.3389/fpsyt.2025.1532843","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study examines the effect of the Flourishing Intervention on depressive symptoms and wellbeing among individuals with moderate to moderately severe depressive symptoms. The study also seeks to understand participants' experiences, acceptability, and satisfaction with the intervention.</p><p><strong>Methods: </strong>A quasi-experimental pre-post mixed-methods design was used, incorporating an embedded approach in which descriptive qualitative data complemented quantitative data. The Flourishing Intervention consisted of a 12-week online group-based program, with each session lasting approximately 90 minutes. The study included 98 participants (18-59 years) with moderate to moderately severe depressive symptoms on the Patient Health Questionnaire-9 (PHQ-9), who had completed elementary school or better, resided in São Paulo, and had internet access. All participants were assessed immediately before and after the intervention using the PHQ-9, the Beck Depression Inventory-II (BDI-II), and a range of secondary outcome measures.</p><p><strong>Results: </strong>Evidence supported improvements in depressive symptoms postintervention (d=-1.14 for PHQ-9 and d=-1.24 for BDI-II). Positive postintervention changes were also observed for anxiety symptoms, personal flourishing, spirituality, quality of life, religious/spiritual coping, social support, happiness, gratitude, forgiveness, and life satisfaction.</p><p><strong>Conclusion: </strong>The Flourishing Intervention has the potential to be an effective approach for adults with depressive symptoms. It provides support for the idea that a multidimensional intervention focused on promoting whole-person functioning can alleviate these symptoms. Lessons learned from this study can be used to guide evaluation strategies for a controlled trial, which is an important next step in research on this intervention.</p><p><strong>Clinical trial registration: </strong>https://ensaiosclinicos.gov.br/rg/RBR-776skr9, identifier RBR-776skr9.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1532843"},"PeriodicalIF":3.2000,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12223424/pdf/","citationCount":"0","resultStr":"{\"title\":\"Promoting the wellbeing of the whole person: a within-subjects mixed-methods study exploring the effects of the flourishing intervention among individuals with depressive symptoms.\",\"authors\":\"Camilla Casaletti Braghetta, Juliane Piasseschi de Bernardin Gonçalves, Willyane de Andrade Alvarenga, Richard G Cowden, Clarice Gorenstein, Giancarlo Lucchetti, Homero Vallada\",\"doi\":\"10.3389/fpsyt.2025.1532843\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This study examines the effect of the Flourishing Intervention on depressive symptoms and wellbeing among individuals with moderate to moderately severe depressive symptoms. 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All participants were assessed immediately before and after the intervention using the PHQ-9, the Beck Depression Inventory-II (BDI-II), and a range of secondary outcome measures.</p><p><strong>Results: </strong>Evidence supported improvements in depressive symptoms postintervention (d=-1.14 for PHQ-9 and d=-1.24 for BDI-II). Positive postintervention changes were also observed for anxiety symptoms, personal flourishing, spirituality, quality of life, religious/spiritual coping, social support, happiness, gratitude, forgiveness, and life satisfaction.</p><p><strong>Conclusion: </strong>The Flourishing Intervention has the potential to be an effective approach for adults with depressive symptoms. It provides support for the idea that a multidimensional intervention focused on promoting whole-person functioning can alleviate these symptoms. 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Promoting the wellbeing of the whole person: a within-subjects mixed-methods study exploring the effects of the flourishing intervention among individuals with depressive symptoms.
Objective: This study examines the effect of the Flourishing Intervention on depressive symptoms and wellbeing among individuals with moderate to moderately severe depressive symptoms. The study also seeks to understand participants' experiences, acceptability, and satisfaction with the intervention.
Methods: A quasi-experimental pre-post mixed-methods design was used, incorporating an embedded approach in which descriptive qualitative data complemented quantitative data. The Flourishing Intervention consisted of a 12-week online group-based program, with each session lasting approximately 90 minutes. The study included 98 participants (18-59 years) with moderate to moderately severe depressive symptoms on the Patient Health Questionnaire-9 (PHQ-9), who had completed elementary school or better, resided in São Paulo, and had internet access. All participants were assessed immediately before and after the intervention using the PHQ-9, the Beck Depression Inventory-II (BDI-II), and a range of secondary outcome measures.
Results: Evidence supported improvements in depressive symptoms postintervention (d=-1.14 for PHQ-9 and d=-1.24 for BDI-II). Positive postintervention changes were also observed for anxiety symptoms, personal flourishing, spirituality, quality of life, religious/spiritual coping, social support, happiness, gratitude, forgiveness, and life satisfaction.
Conclusion: The Flourishing Intervention has the potential to be an effective approach for adults with depressive symptoms. It provides support for the idea that a multidimensional intervention focused on promoting whole-person functioning can alleviate these symptoms. Lessons learned from this study can be used to guide evaluation strategies for a controlled trial, which is an important next step in research on this intervention.
期刊介绍：
Frontiers in Psychiatry publishes rigorously peer-reviewed research across a wide spectrum of translational, basic and clinical research. Field Chief Editor Stefan Borgwardt at the University of Basel is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide.
The journal''s mission is to use translational approaches to improve therapeutic options for mental illness and consequently to improve patient treatment outcomes.
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