Mental Health

[ Because this page is separated into separate sections for meta-analysis/reviews and individual studies, I'm ignoring my typical custom of coloring evidence from then. ]

Lots of research has been done on happiness/well-being, and much of it is centered around correlation rather than causation. If you care about that, you can read about it elsewhere Well-being contributing factors, but I'm focusing only on causal factors here.

See also Muelhauser.

My personal take-aways are

  1. You should do aerobic exercise 20-30 minutes 3x per week.
  2. You should meditate at least 10 minutes per day.
  3. You should make use of a variety of intentional positive psychology interventions, especially mindfulness-based stress reduction and reminiscing.
  4. You should consider using light therapy.

Exercise RCT Meta-Analyses & Reviews

  • Acute exercise has an immediate moderate effect on short-term and long-term memory, while long-term exercise had small and insignificant effects, respectively Roig.
  • Aerobic exercise lasting 21-30 minutes reduces anxiety (d=0.41) Petruzzello. Moreover, these effects grow over the first several weeks and anaerobic exercise generally lacked this.
  • Both cardio and resistance training improve mood (d=0.69), but should be done only 1-2 times per week for this purpose. Effects shrink over time Arent
  • Exercise also improves on 8 of 10 psychological measures examined in Netz, especially self-efficacy (d=0.38) and overall well-being (d=0.30). Strength training had positive effects, but they were generally smaller than cardio's (d=0.16 vs 0.26).
  • Aerobic exercise also boosts positive affect (d=0.45) Reed
  • Tai Chi reduces stress (d=0.66), anxiety (d=0.66), depression (d=0.56), while improving mood (d=0.45) Tai Chi on psychological well-being: systematic review and meta-analysis. Another meta-analysis found similar results The effects of tai chi on depression, anxiety, and psychological well-being: a systematic review and meta-analysis.
  • Exercise reduced anxiety (d=0.48) Wipfli.
  • Aerobic exercise improves executive function (D=0.34) Moreau, especially the preadolescent children and older adults Ludyga - both groups with their easily-googleable meta-analyses I won't link to here.

Probably the biggest issue with these cardio studies is that, as far as I can tell, all the measures of these various mental health metrics were conducted within 30 minutes of the exercise stopping, so its really unclear whether running actually makes you happier long-term other than that the effect size doesn't appear to shrink over that half hour Petruzzello.

Anaerobic exercise also has significant cognitive benefits, generally of similar magnitude as cardio Northey. However I've yet to see any literature review or meta-analysis claiming that it boosts mood or well-being.

Positive Psychology Intervention (PPI) RCT Meta-Analyses & Reviews

Positive psychology interventions improve mental health along several measures (d~0.3) Sin, Bolier (see also this literature review The added value of the positive: A literature review of positive psychology interventions in organizations).

A 2009 meta-analysis gives some pragmatic advice Sin,:

  • Several studies have found that exerting high levels of effort to practice a happiness-boosting strategy, and continuing to practice it even after the intervention is over, results in greater improvements...
  • It also appears that a "shotgun" approach, in which individuals practice multiple PPI activities, may be more effective than engaging in only one activity...

Unfortunately, as of 2013, some scholars have claimed that there simply haven't been enough high-quality trials to distinguish which particular PPIs are most effective Bolier so these meta-analyses have generally grouped them all together.

On the other hand, several meta-analyses have been published on the effectiveness of gratitude interventions. One analysis found gratitude interventions improve psychological well-being (d~0.3) even compared to alternative interventions (d~0.2) Davis. This was generally confirmed a year later Dickens. A meta-analysis found even strong effects among youth Renshaw.

Meditation is another PPI. It improves anxiety (d=0.22), depression (d=0.23), pain Goyal and more generally on emotional and relationship measurers, but not much on cognitive measures Sedlmeier. Moreover, when compared to generic relaxation techniques, most of these effects remain, suggesting meditation is doing more than just relaxing people (or at least it relaxes them exceptionally well). Like exercise, the positive effects grow during the first several weeks. Meditation improves sleep quality, but other techniques are comparable Rusch. Unfortunately, I could not find an analysis for how long (in minutes/hours) to meditate for most metrics. The exception is sleep, where they examined 3-42 hours of meditation and found no dose-response. The minimum time studied was 1.25 hours per week. One RCT found that meditation reduces stress even if done immediately after exercise (at least in the short-term) Bahrke See also Luberto. TODO: Zeng. The evidence is more sparse for yoga, but looks more-or-less similar Büssing.

Another PPI is reminiscing, which improves well-being (d~0.5) The effects of reminiscence on psychological well-being in older adults: A meta-analysis.

Next, there are compassion-based PPIs. TODO: Kirby Wilson.

Finally, there's an 8-week course on various PPI techniques called "Mindfulness-based stress reduction" Mindfulness-based stress reduction. In Wikipedia. It has a large effect size (d~0.5) Grossman. I've seen people say one individual study (not a meta-analysis) Felver shows benefits extend at least two weeks, but I've been unable to obtain that study's text.

As with cardio, most of these studies measured changes soon after the intervention, which makes it difficult to determine to what extent these mental health benefits persist long-term.

Other Meta-Analyses & Reviews

  • Light therapy reduces depression (d=0.4) even among people with nominally non-seasonal depression. The balance of the evidence especially when using a bright white light in the morning for less than an hour Tao.
  • A literature review on insomnia Baglioni ended up concluding that the most consistent evidence exists for melatonin. Meditation, exercise, and hypnotherapy have weaker evidence in favor. There is minimal evidence for herbal pharmacotherapies, light exposure therapy, homeopathy, or dietary supplements. A second review also found exercise to be quite effective on a number of different sleep-related metrics , with the balance of the evidence suggesting exercising ~3 days per week of moderate intensity exercise Vanderlinden.
  • Vitamin B improves cognition but not antioxidants or vitamin D Suh.
  • Zinc supplementation improves depression da Silva Lai .
  • Four reviews found St John's wort improves depression Ramirez Streltzer Venkatanarayanan Röder. A fifth review concluded the evidence was mixed Berner.

RCTs

  • A famous study from 1978 found that lottery winners were no happier than their demographics would have predicted Brickman, but a later study found the opposite: that winning the lottery does, in fact, make you happier, even 2 years later Gardner.
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