Development of a positive psychology intervention for patients with acute cardiovascular disease
Open accessAbstract
The management of depression and other negative psychological states in cardiac patients has been a focus of multiple treatment trials, though such trials have not led to substantial improvements in cardiac outcomes. In contrast, there has been minimal focus on interventions to increase positive psychological states in cardiac patients, despite the fact that optimism and other positive states have been associated with superior cardiovascular outcomes. Our objective was to develop an 8-week, phone-based positive psychology intervention for patients hospitalized with acute cardiac disease (acute coronary syndrome or decompensated heart failure). Such an intervention would consist of positive psychology exercises adapted for this specific population, and it would need to be feasible for practitioners and patients in real-world settings. By adapting exercises that were previously validated in healthy individuals, we were able to generate a positive psychology telemedicine intervention for cardiac patients that focused on optimism, kindness, and gratitude. In addition, we successfully created a companion treatment manual for subjects to enhance the educational aspects of the intervention and facilitate completion of exercises. Finally, we successfully performed a small pilot trial of this intervention, and found that the positive psychology intervention appeared to be feasible and well-accepted in a cohort of patients with acute cardiac illness. Future studies should further develop this promising intervention and examine its impact on psychological and medical outcomes in this vulnerable population of cardiac patients.
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Positive psychology interventions are well accepted by patients.
“These interventions are well accepted by patients, require little staff training, and can be delivered remotely. 13-15”
From Feasibility and acceptability of a positive psychological intervention for patients with type 2 diabetes (2016) · cites this paper as [14]
The Abstract reports that the intervention appeared well accepted in a cohort of patients with acute cardiac illness. The Results also report favorable ease-of-completion and helpfulness ratings. These findings come from a small pilot of one intervention, so they do not establish that positive psychology interventions are well accepted by patients generally. (LLM, conf=0.84)
Experimental — accuracy not yet measuredPrior studies of positive psychology interventions in other medical cohorts have found improvements in psychological and health behavior outcomes.
“These findings are also consistent with prior studies 14,16,17 of positive psychology interventions in other medical cohorts that have found improvements in psychological and health behavior outcomes.”
From Feasibility and acceptability of a positive psychological intervention for patients with type 2 diabetes (2016) · cites this paper as [14]
The Introduction reports that positive psychology interventions improved happiness, depression, and well-being, and that resilience programs in medical patients included components of these interventions with good effect. But it says dedicated trials in medically ill patients were exceedingly rare. The Discussion > Limitations reports improved health behaviors from a program combining psychological and medical factors, not from a positive psychology intervention specifically. Page numbers are unavailable in our copy. (LLM, conf=0.84)
Experimental — accuracy not yet measuredPositive psychology interventions require little staff training.
“These interventions are well accepted by patients, require little staff training, and can be delivered remotely. 13-15”
From Feasibility and acceptability of a positive psychological intervention for patients with type 2 diabetes (2016) · cites this paper as [14]
Positive psychology exercises can be delivered remotely and require minimal training of providers.
“In addition, they can be delivered remotely and require minimal training of providers. 12,14,41”
From Feasibility and acceptability of a positive psychological intervention for patients with type 2 diabetes (2016) · cites this paper as [14]
Positive psychology interventions can be delivered remotely.
“These interventions are well accepted by patients, require little staff training, and can be delivered remotely. 13-15”
From Feasibility and acceptability of a positive psychological intervention for patients with type 2 diabetes (2016) · cites this paper as [14]
Interventions that explicitly target positive emotion show promise for improving health outcomes in a number of chronic illnesses.
“Interventions that explicitly target positive emotion show promise for improving health outcomes in a number of chronic illnesses, including diabetes [16,17], heart disease [18,19], hypertension [20,21], depression [22,23], and HIV [24].”
Positive psychology exercises are simple, can be delivered remotely, and require minimal training of providers.
“In contrast to complex multicomponent health behavior or psychology interventions, PP exercises are simple, can be delivered remotely (e.g., by phone), and require minimal training of providers [34, 41, 42].”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [42]
Positive psychology-based exercises do not require high educational attainment or significant time commitment, and they have been enjoyable for patients and completed at high rates in diverse medical cohorts.
“PP-based exercises do not require high educational attainment or significant time commitment, and they have been enjoyable for patients (and completed at high rates) in diverse medical cohorts [42, 53].”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [42]
In a pair of PP intervention studies in patients with cardiovascular disease, substantial changes in positive affect were found over 8 weeks.
“we found substantial changes in positive affect over the course of 8 weeks in a pair of PP intervention studies completed in patients with cardiovascular disease [42, 101].”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [42]
Some evidence suggests that integrated, multi-session PAIs may be beneficial for individuals with mild-to-moderate depression or other health-related conditions.
“Although some evidence suggests that integrated, multi-session PAIs may be beneficial for individuals with mild-to-moderate depression68 or other health-related conditions (e.g., cardiovascular disease69, suicide70, and HIV71)”
From Upregulating the positive affect system in anxiety and depression: Outcomes of a positive activity intervention: <scp>Taylor et al.</scp> (2017) · cites this paper as [69]
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Self-citation
- Authors
- Huffman, J. C., Mastromauro, C. A., Boehm, J. K., Seabrook, R., Fricchione, G. L., Denninger, J. W., & Lyubomirsky, S.
- Affiliations
- Harvard University (US)
- Massachusetts General Hospital (US)
- University of California, Riverside (US)
- Corresponding author
- Huffman, Jeff C.
- ORCID
- Venue
- Heart International
- Publisher
- Touch Medical Media, Ltd.
- Published
- 2011-10-21
- Volume
- 6
- Issue
- 2
- Pages
- e14-e14
- ISSN
- 1826-1868 (ISSN-L)
- 2036-2579
- PMC
- PMC3699107
- OpenAlex
- W2163283444
- Cited by
- 148
- References
- 72
- Citations by year
- 2025: 3 · 2024: 3 · 2023: 6 · 2022: 6 · 2021: 8 · 2020: 10 · 2019: 11 · 2018: 44 · 2017: 18 · 2016: 16 · 2015: 9 · 2014: 5 · 2013: 6 · 2012: 2
- FWCI
- 3.08
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc
- Locations
- Heart International (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Chapman University Digital Commons (Chapman University) (submittedVersion, cc-by-nd)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Keywords
- positive psychology interventions, acute cardiovascular disease, acute coronary syndrome, acute decompensated heart failure, optimism, kindness, gratitude, telemedicine, telephone-delivered intervention, treatment manual, feasibility, cardiac patients
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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