Fledderus, M., Bohlmeijer, E. T., Smit, F., & Westerhof, G. B. (2010). Mental Health Promotion as a New Goal in Public Mental Health Care: A Randomized Controlled Trial of an Intervention Enhancing Psychological Flexibility. American Journal of Public Health,100 (12), 2372-2378. https://doi.org/10.2105/AJPH.2010.196196
Objectives. We assessed whether an intervention based on acceptance and commitment therapy (ACT) and mindfulness was successful in promoting positive mental health by enhancing psychological flexibility.
Methods. Participants were 93 adults with mild to moderate psychological distress. They were randomly assigned to the group intervention (n=49) or to a waiting-list control group (n=44). Participants completed measures before and after the intervention as well as 3 months later at follow-up to assess mental health in terms of emotional, psychological, and social well-being (Mental Health Continuum - Short Form) as well as psychological flexibility (i.e., acceptance of present experiences and value-based behavior, Acceptance and Action Questionnaire-II).
Results. Regression analyses showed that compared with the participants on the waiting list, participants in the ACT and mindfulness intervention had greater emotional and psychological well-being after the intervention and also greater psychological flexibility at follow-up. Mediational analyses showed that the enhancement of psychological flexibility during the intervention mediated the effects of the intervention on positive mental health.
Conclusions. The intervention is effective in improving positive mental health, stimulating skills of acceptance and value-based action.