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Can the Academic and Experiential Study of Flourishing Improve Flourishing in College Students? A Multi-University Study.

Matthew J. Hirshberg, Blake A Colaianne, Mark Greenberg, Karen Kurotsuchi Inkelas, Richard J. Davidson, David Germano, John D. Dunne, Robert W Roeser

Mindfulness September 2022 DOI: 10.1007/s12671-022-01952-1 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Two-wave, multi-site, propensity-score matched controlled trial Peer reviewed
Sample size 651
Population Primarily first-year (89.1%) undergraduate college students
Topics Depression Meditation
Keywords Flourishing
Key findings Students who enrolled in the Art and Science of Human Flourishing course reported significantly reduced depression and improved flourishing, attention and social-emotional skills (e.g., attention function, self-compassion), and prosocial attitudes (empathic concern, shared humanity) compared with matched controls, with effect sizes of Cohen's d = 0.18-0.46. No evidence was found for impacts on health or risk behaviors, which the authors suggest may require more time to change.

Abstract

Significant concerns have been raised about the "mental health crisis" on college campuses, with attention turning to what colleges can do beyond counseling services to address students' mental health and well-being. We examined whether primarily first-year (89.1%) undergraduate students (n=651) who enrolled in the Art and Science of Human Flourishing (ASHF), a novel academic and experiential for-credit elective course on human flourishing, would demonstrate improved mental health and strengthen skills, perspectives, and behaviors associated with flourishing relative to students who did not enroll in this course. In a two-wave, multi-site, propensity-score matched controlled trial (ASHF n=217, Control n=434; N=651), we used hierarchal linear models and false discovery rate corrected doubly robust estimates to evaluate the impact of the ASHF on attention and social-emotional skill development, flourishing perspectives, mental health, health, and risk behavior outcomes. ASHF participants reported significantly improved mental health (i.e., reduced depression) and flourishing, improvements on multiple attention and social-emotional skills (e.g., attention function, self-compassion), and increases in prosocial attitudes (empathic concern, shared humanity; Cohen's ds= 0.18-0.46) compared to controls. There was no evidence for ASHF course impacts on health or risk behaviors, raising the possibility that these outcomes take more time to change. This research provides initial evidence that the ASHF course may be a promising curricular approach to reduce and potentially prevent poor mental health while promoting flourishing in college students. Continued research is needed to confirm these conclusions.

Comparable studies

Other non-randomized and open-label trials on depression, most cited first.

Study Year Design Participants
Psilocybin with psychological support for treatment-resistant depression: an open-label feasibility study. Patients with moderate-to-severe, unipolar, treatment-resistant major depression 2016 Open-label feasibility trial n = 12
Psilocybin with psychological support for treatment-resistant depression: six-month follow-up. Patients with severe, unipolar, treatment-resistant major depression 2017 Open-label trial n = 20
Quality of Acute Psychedelic Experience Predicts Therapeutic Efficacy of Psilocybin for Treatment-Resistant Depression Patients with treatment-resistant depression 2018 Clinical trial n = 20
Rapid Resolution of Suicidal Ideation After a Single Infusion of anN-Methyl-D-Aspartate Antagonist in Patients With Treatment-Resistant Major Depressive Disorder Subjects with DSM-IV-diagnosed treatment-resistant major depressive disorder 2010 Open-label trial n = 33
Antidepressant Effects of a Single Dose of Ayahuasca in Patients With Recurrent Depression Patients with recurrent depression 2015 Open-label trial n = 17

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