Gratitude diary improves the mood in the case of in -lawed inpatient patients

Gratitude diary improves the mood in the case of in -lawed inpatient patients
reference
Ducasse d thata d, Court p, et al. Gratitude diary for the management of inpatient suicide patients: a randomized controlled study. (Link away). 2019; 36 (5): 400-411.
draft
randomized, controlled study
objective
to assess whether a daily gratitude diary has an influence on mood parameters or suicidal thoughts in stationary patients with a tendency to suicide.
participant
The study included 201 French -speaking adults between the ages of 18 and 65, which had been brought to a inpatient psychiatric department after a suicide attempt or the expression of active suicidal thoughts. Exclusion criteria were schizophrenia, eating disorders and current bipolar symptoms.
Intervention
The study participants were accidentally allocated to a 7-day program in which they were asked to fill a daily gratitude diary (intervention; n = 101) or a nutritional diary (control condition; n = 100).
The diary instructions were as follows:
Diary of gratitude
"Write every evening in your diary, for which you may be grateful in your life, and focus on the advantages or" gifts "that you have received in your day, your week or in your life. It is about simple everyday joys, people, moments of the beauty of nature or friendly actions by others. We don't usually consider them as a gift, but today we look at them from this perspective. Take a moment to really enjoy you, think about your value and then write it in your diary. ”
food diary
"Write every evening in your diary what you eaten that day."
target parameter
The primary result that was evaluated for the effectiveness of the intervention was differences between the groups for the average change in current psychological pain from the beginning to the end of the 7-day intervention. Differences between the groups for the average change in suicidal thoughts, hopelessness and optimism as well as depression and fear from the recording to the end of the 7-day intervention were assessed. In addition, the average change in the current psychological pain, the thoughts of suicide as well as hopelessness and optimism from immediately before the daily filling out of the diary was evaluated.
important knowledge
The average duration of the inpatient stay of the study participants was 6 days, and the participants completed average a few more than 5.5 days of diary entries.
During their hospital stay, both groups showed an improvement in all psychological parameters ( p <0.001), including current psychological pain, current suicidal thoughts, depression, fear of condition, current hopelessness and current optimism. However, there were no statistical differences between the groups in terms of suicidal thoughts and current hopelessness. Measured values for current psychological pain were trendy ( p = 0.05) in the direction of a greater improvement in the gratitude group. The average change in depression, fear and optimism was significantly higher in the gratitude group than in the control group (diet) ( p = 0.008, p = 0.003 and p = 0.01). The participants found grateful intervention more useful than the nutritional diary.From this Ducasse study it shows that the simple leading of a daily diary, as these study participants did, can make a difference even in very disturbed people within a short time.
People in the gratitude group experienced statistically significant ( p <0.001) improvements in psychological pain, hopelessness and optimism. Those in the nutritional diary group had significant improvements in psychological pain evaluation ( p = 0.02). Differences between the groups favored the gratitude diary (compared to the nutritional diary) for all results ( p <0.001).
practice implications
that a safe and almost free (notebook and writing device required) Intervention could bring about a statistically significant improvement in the psychological state of suicide patients, deserves our attention. We could assume that this would work just as well or better for people in less extreme conditions. Admittedly, filling out a gratitude diary once a day for 5.5 days did not significantly reduce suicidal thoughts in these patients. However, it has significantly reduced their depression and anxiety, and although the reduction in psychological pain did not achieve significance, only advocates will not read p value of 0.05 as close enough to be useful.
Maybe a long attempt would have achieved an additional measurable effect. These results are impressive when you consider how bad these people must have felt when they were hospitalized.
gratitude to cause a worthy therapeutic intervention has become a widespread faith and a focus of research in recent years. In 2008 Lambert et al. A study (n = 171) to test the relationship between gratitude, life satisfaction and materialism. After they had experimentally induced either gratitude or envy, they found that a state of high gratitude compared to a state of low gratitude (envy) led to increased satisfaction with life and less materialism. 1 in 2003 Emmons et al. about 3 studies that examined the connection between gratitude and well -being. They found that the participants of their "gratitude" group showed an increased well-being in many results in comparison to comparison groups in all 3 studies. 2 in a study from 2008 with 221 young people (a challenging cohort in which positive results are expected) reported on a connection between the "counting of their own blessings" and self-made improvements in affect, Gratitude, optimism and life satisfaction.
Something as simple as sending a thank you message is obviously helpful if you want to build a relationship with peers or colleagues. Expressing thanks in addition to a simple message promotes the establishment of a permanent relationship. 4 In fact, expressing gratitude towards a person changes your own view of a relationship and makes it stronger.
In 2015, David Brooks wrote in the New York Times noticed the following: gratitude arises when friendliness exceeds expectations when it is undeserved. Gratitude is a kind of laugh of the heart that arises after a surprising friendliness. Most people are sometimes grateful - after someone has kept them from a mistake or brought them to eat during an illness. But some people seem to be grateful. They seem to be grateful all the time ... This type of dispositional gratitude is worth analyzed because it causes a mentality that represents a counterweight to the mainstream fibers of our culture. 6
If we could, we would change the attitude of all our patients (and ourselves) in the direction of greater gratitude, as we easily guess that they (and we) could be happier and healthier. This Ducasse study shows that the simple leadership of a daily diary, as these study participants did, can make a difference even in very disturbed people within a short time. This Ducasse study is interesting for several reasons. The first is the decision of the authors for "control intervention" - by leading the patients to nutritional diaries. We asked our new patients to lead nutritional diaries for almost 30 years. This study suggests that if we asked our patients, listing good things in their lives instead of what they eaten, they might have already come to your visit. The patients participating in this study were in extreme emergency, and the fact that such a simple intervention had an impact on their mood is quite extraordinary. I think of only a few other interventions that could have done so quickly and safely.
- Lambert NM, Fincham FD, Stillman TF, Dean Lr. More gratitude, less materialism: the mediating role of life satisfaction. j posit psychol . 2009; 4 (1): 32-42.
- emmons ra, mccullough me. Blessing versus Last count: an experimental examination of gratitude and subjective well -being in everyday life. j. Pers. Soc. Psychol . 2003; 84 (2): 377-389.
- happy JJ, Sefick WJ, Emmons ra. Counts of blessings in early young people: an experimental study on gratitude and subjective well -being. j. Sch. Psychol . 2008; 46 (2): 213-233.
- Williams la, Bartlett My. Thank you very much: The gratitude expression facilitates social affiliation in new relationships through perceived warmth. emotion . 2015; 15 (1): 1-5.
- Lambert NM, Clark MS, Durtschi J, et al. Advantages of expressing gratitude: gratitude towards a partner changes the view of the relationship. psy sci . 2010; 21: 4: 574-580.
- Brooks D. The structure of gratitude. New York Times . July 28, 2015. Accessed on May 15, 2019.