Zelda Di Blasi

A narrative systematic review evaluating the evidence base of savouring interventions was conducted. Savouring interventions were defined as interventions in which participants were instructed to engage in processes to regulate, intensify or strengthen positive emotions and experiences, whether they be past, present or future focused. Relevant studies were identified via PsycINFO, Pubmed, CINAHL, Scopus, Google Scholar and through a manual search of the literature. Only studies which adopted a randomised controlled design and evaluated the efficacy of savouring interventions in adult clinical populations were included in the review. Of the 1,054 articles identified through searches, nine studies were included in the final systematic review. Data were extracted from these nine studies involving over 900 participants from mental and physical health clinical populations from seven countries. Four different type of savouring interventions are described: life review, reminiscence, Three-Good-Things and one multicomponent savouring intervention. These specific interventions promoted some positive changes amongst participants, such as increasing levels of well-being and reducing levels of depression and anxiety. Both individuals with mental and physical health difficulties appeared to benefit. However, when comparing the results of these interventions against outcomes gained by participants in no intervention or active control groups, the efficacy of these interventions appears relatively weak. The low quality of included studies and the disparity of the format, delivery mode and methodological characteristics of studies may limit the generalisability of these findings. However, results from this systematic review do highlight the therapeutic potential of savouring interventions amongst clinical samples.

Purpose: Savouring interventions aim to amplify the intensity and duration of positive feelings and positive affect. Research has shown that the potential benefits of savouring include the promotion of psychological well-being and diminution of negative affective states. Savouring strategies may be particularly useful amongst clinical populations in changing biobehavioural processes which can strengthen an individual’s propensity to exert control over how to develop, intensify and promote psychological well-being, while simultaneously mitigating negative affective states. This paper outlines a protocol for a systematic review that will be used to identify, critically appraise and synthesise findings of studies examining the effectiveness of savouring interventions in adult clinical populations. Savouring interventions will be defined broadly, operationalised as any savouring strategy focusing on past, present or future events or experiences whereby participants are instructed to attend to and amplify positive affect relating to same. The goal of our review is to include the extent of the literature on this topic and contribute to the overall evidence to support savouring interventions. Methods: This protocol is carried out in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Protocols Guidelines. The protocol has been registered with PROSPERO (CRD42023404857). The databases PsycINFO, PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and Scopus will be searched alongside a search of grey literature. An examination of the first 200 papers on Google Scholar will also be done to identify relevant papers. Studies describing randomised controlled trials evaluating the effects of savouring interventions as described within this article on adult clinical populations will be included in the review. Outcomes will include well-being, quality of life, depression, anxiety or stress. Study selection and data extraction will be completed by three independent reviewers to reduce risk of bias. Interrater percentage agreement and interrater reliability will be reported on same. The quality of studies will be assessed using criteria based on the Cochrane Collaboration’s tool for assessing risk of bias and the Jadad scale. A narrative synthesis with tables of study characteristics will be provided. Separate considerations of the three time perspectives of savouring interventions (past-focused, present-focused, and future-focused) will also be described. Conclusions: This systematic review will provide important clinical insights into the potential efficacy of savouring interventions when working with adult clinical samples.

The COVID-19 pandemic has significantly disrupted the daily lives of college students, resulting in elevated levels of stress, anxiety, and isolation. Research suggests positive psychology interventions aimed at practicing gratitude, offer potential benefits in reducing these common mental health problems. However, there is a limited understanding of how or why these interventions work nor what function gratitude plays in the lives of young adults during the COVID-19 pandemic. As such, the purpose of the paper was to explore the sources and targets of gratitude of college students during the COVID-10 lockdown in Ireland. This study aimed analyse the content of the ‘Three Good Things’ intervention as reported by young adults during the COVID-19 lockdowns in Ireland. A total of 109 college students participated in a 7-day online ‘Three Good Things’ intervention, where they were prompted to reflect on and document three positive experiences each day. Participants were asked to elaborate on how these experiences made them feel and to highlight their role in facilitating these positive experiences. Thematic analysis was used to analyze the 2,200 submitted responses. The findings revealed three overarching themes relating to participants’ expressions of gratitude during the COVID-19 lockdown: (1) cultivating positive social interactions, (2) prioritizing meaningful self-care, and (3) fostering hope for a more normal life post-pandemic. By delving into the lived experiences of college students, this study sheds light on the elements central to their expressions of gratitude during the COVID-19 pandemic. The findings underscore the importance of social connections, self-care practices, and hopeful prospects as sources of gratitude among students.

Despite extensive evidence of the restorative effects of nature, the potential vitalizing effects of connecting with nature are yet understudied, particularly in higher education settings. University students face high levels of stress and anxiety, and may benefit from nature-based interventions that enhance positive states such as vitality. Using preliminary data from a pilot randomized controlled study with qualitative interviews, we explored the psychological experiences associated with a brief walk either in nature or an urban environment in a sample of 13 university students. The qualitative thematic analysis revealed that walking in nature was a more energizing and vitalizing experience than the urban walk. The nature walk was also found to have both affective and cognitive enhancing effects on participants. Our study highlights the usefulness of exploring subjective psychological experiences of interacting with nature, as well as supporting its restorative potential. Implications for further research and interventions are discussed.

Aims: This research synthesis protocol addresses the question: what is the evidence concerning measurement properties of dental patient reported outcome measures (dPROMs), and regarding the real-world value of dPROMs, and where are the gaps in this evidence? Evidence mapping will systematically examine reviews of quantitative dPROMs used to assess the impact of oral health on the quality of life of dental patients and research participants. Evidence gaps where future research or systematic reviews are required will be identified. Materials and methods: This protocol accords with the PRISMA-P guideline. Open Science Framework Registration https://doi.org/10.17605/OSF.IO/RZD3N. Biomedical and grey literature databases will be searched, adapting the same search strategy. Published or unpublished reviews evaluating any dPROM will be considered for inclusion. There will be no restriction by date, setting, or language. AMSTAR2 and ROBIS will evaluate risk of bias. Psychometric criteria will be adapted from COSMIN. Data will be summarised separately for specific populations and conditions. Discussion: The findings will enable clinicians and researchers to identify methodologically robust dPROMs, appropriate for use with relevant populations and conditions. Implications for real-world practice and research will be discussed.