Barbara Cherry CSUF, Department of Psychology Gerontology Academic Program
2016 OLLI Retirement Boot Camp Positive Psychology: What is it?
• Seligman & Csikszentmihalyi, 2000
• The Science of Happiness
• The study of – Positive emotions – Positive character traits – Enabling institutions
In other words….
• Create a practice of making people lastingly happier Background Carstensen’s The Nun Study Socio-Emotional Selectivity Theory Six Virtues
• Wisdom • Courage • Humanity • Justice • Temperance • Transcendence Six Virtues: 24 Character Strengths (Peterson & Seligman, 2004) • Wisdom/Knowledge • Courage – Creativity – Authenticity – Curiosity – Bravery – Open-mindedness – Persistence – Love of learning – Zest – Perspective
Character Strengths
• Humanity • Justice – Kindness – Fairness – Love – Leadership – Social Intelligence – Teamwork Character Strengths (con’t.)
• Temperance • Transcendence – Forgiveness – Appreciation of beauty – Modesty and excellence – Prudence – Gratitude – Self-regulation – Hope – Humor – Religiousness
The Research
• Happiness defined (Seligman, 2002; Peterson et al., 2005) – Positive emotion and pleasure (the pleasant life)
– Engagement (the engaged life)
– Meaning (the meaningful life)
• “Happy people are healthier, more successful, and more socially engaged.” (Seligman et al., 2005, p.414)
Initial Study
• Randomized controlled trial – 577 adult participants (42% male) – 64% between 35 and 54 years of age
• Internet study – 5 happiness exercises – 1 placebo exercise
• Measured happiness at pre-test, post-test, 1 week and 1, 3 and 6 months
Measuring Happiness
• Steen Happiness Index
• Adapted from Beck Depression Inventory – 20 questions – Three kinds of happy life: pleasant, engaged, meaningful – Range of scores for each statement: 1 5 Bored Fascinated STEEN HAPPINESS INDEX INSTRUCTIONS: Please read each group of statements carefully. Then pick the one statement in each group that best describes the way you have been feeling for the past week, including today. Be sure to read all of the statements in each group before making your choice.
• Question 1 • A. I dislike my daily routine. (1) • B. I neither enjoy nor dislike my daily routine. (2) • C. I enjoy my daily routine, but I do like to get away from it. (3) • D. I enjoy my daily routine so much that I rarely take breaks from it. (4) • E. I enjoy my daily routine so much that I almost never take breaks from it. (5)
Happiness Exercises
• Gratitude visit – Write and deliver a letter of gratitude
• Three good things in life – Write down 3 things each day that went well and why
• You at your best – Write about when you were at your best and reflect on personal strengths in the story. Review story each day. Happiness Exercises (con’t.)
• Identifying signature strengths (top five) – www.authentichappiness.org – www.viacharacter.org – Use one of these each day in a new and different way.
• Using signature strengths – Use five highest strengths more often during the next week. Placebo Exercise
• Early memories – Write about your early memories every night for one week. Results Gratitude 66
64
62
60 Gratitude Placebo 58
56
54 Pre-test Post-test One week One month Results Three good things
62
61
60
59 Three things Placebo 58
57
56 One week One month 3 months 6 months Results Using signature strengths 60.5
60
59.5
59
58.5 Strengths Placebo 58
57.5
57
56.5 One week One month 3 months 6 months Conclusions
• Gratitude -- highest increase in happiness
• “Lasting” happiness – Three good things – Using signature strengths
• Those who persisted with exercises showed highest gain
Considerations
• Benefits without on-the-ground treatment
• Cost-effective
• Health benefits in an easy-to-deliver way CSUF Positive Psychology Research Fibromyalgia & Chronic Pain Center Study
• Jessie Jones, Health Science • Dana Rutledge, School of Nursing • Laura Zettel-Watson, Psychology; Gerontology • Debbie Rose, Kinesiology • Jordan Aquino, Health Science • Jennifer Piazza, Health Science • Phyllis Talarico, FM support group leader
• http://fmcp.fullerton.edu/
Longitudinal Study Overview • Participants – 2008 70 FM 76 non-FM – 2010 64 FM 51 non-FM – 2012 46 FM 57 non-FM – 2014 49 FM 45 non-FM – 2016 … …
• Measures – Medical history, medications, BMI, physical activity level (RAPA), MOS social support survey – 19 symptoms (NFMAQ), Composite Physical Function, Beck Depression Inventory – Cognitive, physical performance
Cognitive Assessments CERAD 10-item word list
• Immediate recall – Trials 1, 2, 3
• Delayed recall
• Recognition Physical Performance Physical Performance--Balance Cognitive and Physical Questions
• Describe your experience with concentration problems over the past week.
• Describe your experience with forgetfulness over the past week.
• Functional limitations: – How well can you perform tasks such as dressing, bathing, going up and down stairs, light housekeeping, walking two blocks…. Current Research Q • 2014 • Positive Affect Negative Affect Scale (PANAS) – 10 statements ask about positive mood – 10 statements ask about positive mood – Rate statements from 1 (not at all) to 5 (extremely) • Does higher positive affect predict better cognitive and physical health? Table 1.Participant characteristics by group
. Healthy Controls FMa Group
(n = 44 ) (n = 50) Variable/Group M/% (SD) M/% (SD) Age (years) 72.4 (9.0) c 63.6 (7.4) Gender (% female) 66.0b - 88.0 - Education (years) 16.2 (1.9) 15.4 (2.1) Positive Affect (PANAS) a 35.1 (7.5) 32.2 (7.7)
Negative Affect (PANAS) a 12.4 (3.0) c 16.0 (6.0)
aFM: Fibromyalgia; PANAS: Positive and Negative Affect Scale; CERAD: Consortium to Establish a Registry for Alzheimer’s Disease. bp < .01; cp < .001.
Table 1. Participant characteristics by group Healthy Controls FMa Group
(n = 44 ) (n = 50) Variable M/% (SD) M/% (SD) CERADa Immediate Recall 19.6 (3.7) 21.2 (4.8) CERADa Delayed Recall 5.9 (2.4) 6.5 (2.5) CERADa Delayed 19.2 (1.4) 19.3 (1.3) Recognition Concentration Problems 1.6 (2.5) c 5.2 (3.0) 30s Chair Stand (# stands) 13.3 (4.9) 12.0 (4.8)
aFM: Fibromyalgia; PANAS: Positive and Negative Affect Scale; CERAD: Consortium to Establish a Registry for Alzheimer’s Disease. bp < .01; cp < .001.
Results
• Regression Analyses • Enter – Age – FM or not – Positive Affect • Do these influence – objective cognitive and physical performance – Self-report cognitive and physical function
Immediate Recall
Age
FM or not
Positive affect Delayed Recognition
Age FM or not Positive Affect Concentration Problems
Age
FM or not
Positive affect 30s Chair Stand Lower Body Strength
Age
FM or not
Positive Affect Trends for Positive Affect and….
• Delayed Recall • Balance
• Problems Forgetting • 30 ft walk
• Composite Physical Function Conclusions
• Positive affect makes a difference in both cognitive and physical health
• Both performance and self-report
• Provides an easy and cost-effective means for staying healthy
Cognitive Aging How to Build a Better Brain
Road Map
• Cognition • Cognitive Reserve • Telomeres • Epigenetics • Building a better brain – Engage in meaningful activities – Get moving – Learn something new – Be happy
Cognition Cognitive and Neural Reserve Cognitive Reserve
Activity Levels SES Employment Neurobiology Culture Health Behaviors Genetics Diet Telomeres Social Race Gender Lifestyle Support Patterns Education Telomeres Epigenetics Building Cognitive Reserve
Engage in meaningful activities
Get moving
Learn something new
Be happy
Robot & Frank
http://www.youtube.com/watch?v=9jZlSfsE730
The USC Well Elderly Study Research Program • Randomized clinical trials of an activity-based intervention • Well Elderly 1—1994 to 1997 – 9 month intervention – Delivered in English/Mandarin • Well Elderly 2—2004 to 2008 – 6 month intervention – Delivered in English/Spanish
Well Elderly Studies I and II Lifestyle Redesign® Intervention
• Lifestyle focused (activity based) – group and individual sessions
• Lifestyle Redesign® is the process of infusing healthy and meaningful activities into day- to-day routines Well Elderly 1 Design
Month 1 15
Occupational Therapy Intervention 9 Follow
Social Group Control Follow No Treatment Control
Health Care Utilization Data Collection Well Elderly Study II Pre-Post Intervention All Participants Receiving Intervention
Month 1 6 12 18 24
Group A Intervention
Group B Group B Control Intervention Well Elderly Study II: Pre-Post Intervention All Participants Receiving Intervention (n = 326)
Health-Related Quality of Life Life Satisfaction - LSI-Z ** - SF36V2 Mental Health *** Depression - CES-D ** Social Function * Vitality ** Cognition Bodily Pain *** Memory - CERAD Composite: Mental ** Immediate Recall ** Composite: Physical ** Delayed Recall ** General Health * Recognition ns Physical Function ** Visual Search *** Role Emotional * Psychomotor Speed * Role Physical ns Well Elderly Study II Conclusions • No significant direct effects of the intervention • Effects on physical and cognitive health were indirect—due to increases in activity – Activity-related measures • Activity frequency • Activity purpose Path Analysis Activity Frequency LSI-Z Activity Purpose CES-D
Program SF-36v2 Physical
Active Coping SF-36v2 Mental
Social Support
Covariates Age Education Perceived Non-significant Relationships Gender Ethnicity Control Significant Relationships Meaningful Activities
• Activities that can be done in one hour or less
• Activities that can be done in one day or less
• Activities that require more than one day
Building Cognitive Reserve
Engage in meaningful activities
Get moving
Learn new things
Be happy
“Sitting is the new smoking”
Keep moving! • Take the stairs
• Park farther from the door
• Walk a dog – borrow a dog – walk a cat
Building Cognitive Reserve Engage in meaningful activities
Get moving
Learn new things!
Be happy Brain Games • Nifty after Fifty
• Posit Brain Fitness Program
• Wii
• Or.…… visit your computer – Google: “free brain exercises”
Brain Exercises
• https://stayingsharp.aar p.org/games?campaign URL=KNC&cmp=KNC- ADOBE-Bing-DSO-BRN- LAUNCH- GAMES&s_kwcid=AL!45 20!10!12472421352!11 8504068674&ef_id=Utbl ZAAAAHGuqES6:201609 14212815:s
Building Cognitive Reserve Engage in meaningful activities
Get moving
Learn something new
Be happy Be Happy
• https://www.youtube.com/watch?v=y6Sxv- sUYtM