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Positive Psychology for Overcoming Symptoms of Depression: A Pilot Study Exploring the Efficacy of a Positive Psychology Self-Help Book versus a CBT Self-Help Book

Published online by Cambridge University Press:  25 April 2018

Katie Hanson*
Affiliation:
Faculty of Development and Society, Sheffield Hallam University
*
*Correspondence to Katie Hanson, Sheffield Hallam University, Faculty of Development and Society, Heart of the Campus Building, 40 Collegiate Campus, Sheffield S11 2BR. E-mail: k.hanson@shu.ac.uk

Abstract

Background: Depression is an extremely common mental health disorder, with prevalence rates rising. Low-intensity interventions are frequently used to help meet the demand for treatment. Bibliotherapy, for example, is often prescribed via books on prescription schemes (for example ‘Reading Well’ in England) to those with mild to moderate symptomology. Bibliotherapy can effectively reduce symptoms of depression (Naylor et al., 2010). However, the majority of self-help books are based on cognitive behavioural therapy (CBT), which may not be suitable for all patients. Research supports the use of positive psychology interventions for the reduction of depression symptoms (Bolier et al., 2013) and as such self-help books from this perspective should be empirically tested. Aims: This study aimed to test the efficacy of ‘Positive Psychology for Overcoming Depression’ (Akhtar, 2012), a self-help book for depression that is based on the principles of positive psychology, in comparison with a CBT self-help book that is currently prescribed in England as part of the Reading Well books on prescription scheme. Method: Participants (n = 115) who were not receiving treatment, but had symptoms of depression, read the positive psychology or the CBT self-help book for 8 weeks. Depression and well-being were measured at baseline, post-test and 1-month follow-up. Results: Results suggest that both groups experienced a reduction in depression and an increase in well-being, with no differences noted between the two books. Conclusions: Future directions are discussed in terms of dissemination, to those with mild to moderate symptoms of depression, via books on prescription schemes.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2018 

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References

Akhtar, M. (2012). Positive Psychology for Overcoming Depression: Self-Help Strategies for Happiness, Inner-Strength and Well-Being. London: Watkins Publishing.Google Scholar
Anderson, L., Lewis, G., Araya, R., Elgie, R., Harrison, G., Proudfoot, J. et al. (2005). Self-help books for depression: how can practitioners and patients make the right choice? British Journal of General Practice, 55, 387392.Google Scholar
Barth, J., Munder, T., Gerger, H., Nüesch, E., Trelle, S., Znoj, H. et al. (2013). Comparative efficacy of seven psychotherapeutic interventions for patients with depression: a network meta-analysis. PLoS Medicine, 10, e1001454. doi: 10.1371/journal.pmed.1001454Google Scholar
Beck, A. T., Steer, R. A., Ball, R. and Ranieri, W. (1996a). Comparison of Beck depression inventories -IA and -II in psychiatric outpatients. Journal of Personality Assessment, 67, 588597. doi: 10.1207/s15327752jpa6703_13.PMID8991972Google Scholar
Beck, A. T., Steer, R. A. and Brown, G. K. (1996b). Beck Depression Inventory-II. San Antonio.Google Scholar
Billington, J., Dowrick, C., Hamer, A., Robinson, J. and Williams, C. (2010). An investigation into the therapeutic benefits of reading in relation to depression and well-being. Retrieved from: http://www.thereader.org.uk/media/72227/Therapeutic_benefits_of_reading_final_report_March_2011.pdfGoogle Scholar
Bolier, L., Haverman, M., Westerhof, G. J., Riper, H., Smit, F. and Bohleijer, E. (2013). Positive psychology interventions: a meta-analysis of randomized controlled studies. BioMed Central Public Health, 13, 119. doi: 10.1186/1471-2458-13-119Google Scholar
Bolier, L., Majo, C., Smit, F., Westerhof, G. J., Haverman, M., Walburg, J. A. et al. (2014). Cost-effectiveness of online positive psychology: randomized controlled trial. Journal of Positive Psychology, 9, 460471. doi: 10.1080/17439760.2014.910829Google Scholar
Centre for Economic Performance (2012). How mental illness loses out in the NHS: A report by the Centre for Economic Performance's mental health policy group. Retrieved from: http://cep.lse.ac.uk/pubs/download/special/cepsp26.pdfGoogle Scholar
Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences. Hillsdale, NJ: Lawrence Erlbaum Associates, Publishers.Google Scholar
Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155159. doi: 10.1037/0033-2909.112.1.155Google Scholar
Cuijpers, P., Berking, M., Andersson, G., Quigley, L., Kleiboer, A. and Dobson, K. S. (2013). A meta-analysis of cognitive-behavioural therapy for adult depression, alone and in comparison with other treatments. Canadian Journal of Psychiatry, 58, 376385. doi: 10.1177/070674371305800702Google Scholar
Den Boer, P. C. A. M., Wiersma, D. and Van Den Bosch, R. J. (2004). Why is self- help neglected in the treatment of emotional disorders? A meta-analysis. Psychological Medicine, 34, 959971. doi: 10.1017/S003329170300179XGoogle Scholar
Department of Health (2011). Impact assessment of the expansion of talking therapies services as set out in the mental health strategy. IA no. 7026. London: Department of Health. Retrieved from: www.gov.uk/government/uploads/system/uploads/attachment_data/file/215787/dh_123997.pdfGoogle Scholar
Diener, E. D., Emmons, R. A., Larsen, R. J. and Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 7175. doi: 10.1207/s15327752jpa4901_13Google Scholar
Erdfelder, E., Felder, F. and Buchner, A. (1996). GPOWER: a general power analysis program. Behavior Research Methods, Instruments, and Computers, 28, 111. doi: 10.3758/BF03203630Google Scholar
Floyd, M., Scogin, F., McKendree-Smith, N. L., Floyd, D. L. and Rokke, P. D. (2004). Cognitive therapy for depression: a comparison of individual psychotherapy and bibliotherapy for depressed older adults. Behavior Modification, 28, 297318. doi: 10.1177/0145445503259284Google Scholar
Gander, F., Proyer, R. T., Ruch, W. and Wyss, T. (2013). Strength-based positive interventions: further evidence for their potential in enhancing well-being and alleviating depression. Journal of Happiness Studies, 14, 12411259. doi: 10.1007/s10902-012-9380-0Google Scholar
Gartlehner, G., Hansen, R. A., Morgan, L. C., Thaler, K., Lux, L., Van Noord, M. et al. (2011). Comparative benefits and harms of second-generation antidepressants for treating major depressive disorder: an updated meta-analysis. Annals of Internal Medicine, 1, 772785. doi: 10.7326/0003-4819-155-11-201112060-00009Google Scholar
Geers, A. L., Rose, J. P., Fowler, S. L., Rasinski, H. M., Brown, J. A. and Helfer, S. G. (2013). Why does choice enhance treatment effectiveness? Using placebo treatments to demonstrate the role of personal control. Journal of Personality and Social Psychology, 105, 549. doi: 10.1037/a0034005.Google Scholar
Gelhorn, H. L., Sexton, C. C. and Classi, P. M. (2011). Patient preferences for treatment of major depressive disorder and the impact on health outcomes: a systematic review. Primary Care Companion, 13, PCC-11r01161. doi: 10.4088/PCC.11r01161Google Scholar
Gilbert, P. (2009). Overcoming Depression: A Self- Help Guide using Cognitive Behavioural Techniques (3rd edn). London, Robinson.Google Scholar
Greenberger, D. and Padesky, C. A. (1995). Mind over Mood. New York: Guilford.Google Scholar
Hanson, K., Webb, T. L., Sheeran, P. and Turpin, G. (2016). Attitudes and preferences towards self-help treatments for depression in comparison to psychotherapy and antidepressant medication. Behavioural and Cognitive Psychotherapy, 44, 129139. doi: 10.1017/S1352465815000041Google Scholar
Hone, L. C., Jarden, A. and Schofield, G. M. (2015). An evaluation of positive psychology intervention effectiveness trials using the re-aim framework: a practice-friendly review. Journal of Positive Psychology, 10, 303322. doi: 10.1080/17439760.2014.965267Google Scholar
Jama, D. and Dugdale, G. (2012). Literacy: State of the nation. A picture of literacy in the UK today. National Literacy Trust. Retrieved from: http://www.literacytrust.org.uk/assets/0001/0178/Literacy_State_of_the_Nation_-_2_Aug_2011.pdfGoogle Scholar
Layard, R., Clark, D., Bell, S., Knapp, M., Meacher, B., Priebe, S. et al. (2006). The depression report: A new deal for depression and anxiety disorders. The Centre for Economic Performance's Mental Health Policy Group, LSE.Google Scholar
Lyubomirsky, S. and Lepper, H. S. (1999). A measure of subjective happiness: preliminary reliability and construct validation. Social Indicators Research, 46, 137155. doi: 10.1023/A:1006824100041Google Scholar
Martinez, R., Whitfield, G., Dafters, R. and Williams, C. (2008). Can people read self-help manuals for depression? A challenge for the stepped care model and book prescription schemes. Behavioural and Cognitive Psychotherapy, 36, 8997. doi: 10.1017/S1352465807004067Google Scholar
Meltzer, H. B., Petticrew, M. and Hinds, K. (1995). OPCS Surveys of Psychiatric Morbidity in Great Britain, Report 1: The prevalence of psychiatric morbidity among adults living in private households. HMSO: London.Google Scholar
McKenna, G., Hevey, D. and Martin, E. (2010). Patients’ and providers’ perspectives on bibliotherapy in primary care. Clinical Psychology and Psychotherapy, 17, 497509. doi: 10.1002/cpp.679Google Scholar
McManus, S., Bebbington, P., Jenkins, R. and Brugha, T. (eds) (2016). Mental Health and Wellbeing in England: Adult Psychiatric Morbidity Survey 2014. Leeds: NHS Digital.Google Scholar
McManus, S., Meltzer, H., Brugha, T., Bebbington, P. and Jenkins, R. (eds) (2009). Adult Psychiatric Morbidity in England 2007: Results of a household survey. The NHS Information Centre: Leeds. Retrieved from: http://digital.nhs.uk/catalogue/PUB02931/adul-psyc-morb-res-hou-sur-eng-2007-rep.pdfGoogle Scholar
Mental Health Foundation (2017). Black, Asian and Minority Ethnic (BAME) Communities. Retrieved from: https://www.mentalhealth.org.uk/a-to-z/b/black-asian-and-minority-ethnic-bame-communitiesGoogle Scholar
Mongrain, M., Komeylian, Z. and Barnhart, R. (2016). Happiness vs mindfulness exercises for individuals vulnerable to depression. Journal of Positive Psychology, 11, 112. doi: 10.1080/17439760. 2015.1092569Google Scholar
Naylor, E. V., Antonuccio, D. O., Litt, M., Johnson, G. E., Spogen, D. R., Williams, R. et al. (2010). Bibliotherapy as a treatment for depression in primary care. Journal of Clinical Psychology in a Medical Setting, 17, 258271. doi: 10.1007/s10880-010-9207-2Google Scholar
Nelson, H. E. and Wilson, J. (1991). National Adult Reading Test (NART), NFER- Nelson. Windsor, UK.Google Scholar
NHS Direct Wales (2017). Book Prescription Wales. Retrieved from: http://www.nhsdirect.wales.nhs.uk/lifestylewellbeing/bookprescriptionwalesGoogle Scholar
NICE (2009). Depression in adults: the treatment and management of depression in adults. CG90. London: NICE. Retrieved from: https://www.nice.org.uk/guidance/cg90/resources/depression-in-adults-recognition-and-management-pdf-975742636741Google Scholar
Parks, A. C. and Szanto, R. K. (2013). Assessing the efficacy and effectiveness of a positive psychology-based self-help book. Terapia Psicológica, 31, 141148. doi: 10.4067/S0718-48082013000100013Google Scholar
Reiter, C. and Wilz, G. (2016). Resource diary: a positive writing intervention for promoting well-being and preventing depression in adolescence. Journal of Positive Psychology, 11, 99108. doi: 10.1080/17439760.2015.1025423Google Scholar
Ryff, C. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57, 10691081. doi:10.1037/0022-3514.57.6.1069Google Scholar
Ryff, C. and Keyes, C. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69, 719727. doi:10.1037/0022-3514.69.4.719Google Scholar
Seligman, M. E. (2002). Authentic Happiness: Using the New Positive Psychology to Realize your Potential for Lasting Fulfillment. New York: Simon and Schuster.Google Scholar
Seligman, M. E. P., Steen, T. A., Park, N. and Peterson, C. (2005). Positive psychology progress: empirical validation of interventions. American Psychologist, 60, 410421. doi: 10.1037/0003-066X.60.5.410Google Scholar
Sheldon, K. M. and 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, 7382.Google Scholar
Sin, N. L. and Lyubomirsky, S. (2009). Enhancing well-being and alleviating depressive symptoms with positive psychology interventions: a practice friendly meta-analysis. Journal of Clinical Psychology, 65, 467487. doi: 10.1002/jclp.20593Google Scholar
The National Prescribing Centre (2010). Depression – Data Focused Commentary. Retrieved from: http://www.npc.nhs.uk/therapeutics/cns/depression/resources/dfc_depression.pdfGoogle Scholar
The Reading Agency (2013). Reading Well Books on Prescription launches. Retrieved from: http://readingagency.org.uk/news/media/reading-well-books-on-prescription-launches.htmlGoogle Scholar
The Reading Agency (2015a). Reading Well Books on Prescription Evaluation 2014–15. Retrieved from: https://readingagency.org.uk/adults/tips/resources/reading-well-books-on-prescription-evaluation-2015.htmlGoogle Scholar
The Reading Agency (2015b). Reading Well Books on Prescription to help people with dementia. Retrieved from: https://readingagency.org.uk/news/media/reading-well-books-on-prescription-to-help-people-with-dementia.htmlGoogle Scholar
Watson, D., Clark, L. A. and Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of Personality and Social Psychology, 54, 10631070. doi: 10.1037/0022-3514.54.6.1063Google Scholar
WHO (2017). Gender Disparities and Mental Health: The Facts. Retrieved from: http://www.who.int/mental_health/prevention/genderwomen/en/Google Scholar
Williams, C. J. (2011). Overcoming Depression and Low Mood: A Five Areas Approach (3rd edn). Boca Raton, FL: CRC Press.Google Scholar
Williams, C. J. and Whitfield, G. (2001). Written and computer-based self-help treatments for depression. British Medical Bulletin, 57, 133144. doi: 10.1093/bmb/57.1.133Google Scholar
Wilson, D. M. and Cash, T. F. (2000). Who reads self-help books? Development and validation of the Self-Help Reading Attitudes Survey. Personality and Individual Differences, 29, 119129. doi: 10.1016/S0191-8869(99)00182-8Google Scholar
Winter, S. E. and Barber, J. P. (2013). Should treatment for depression be based more on patient preference? Patient Preference and Adherence, 7, 10471057. doi: 10.2147/PPA.S52746Google Scholar
Yu, R. and Chen, L. (2015). The need to control for regression to the mean in social psychology studies. Frontiers in Psychology, 5, 1574. doi: 10.3389/fpsyg.2014.01574Google Scholar
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