Skip to main content
. Author manuscript; available in PMC: 2019 Sep 18.
Published in final edited form as: J Am Coll Cardiol. 2018 Sep 18;72(12):1382–1396. doi: 10.1016/j.jacc.2018.07.042

Table 2.

Activities to promote positive psychological well-being in clinical encounters and beyond.

Characteristic/Asset Introductory activity in clinical encounter Structured activities Skill to be developed
Optimism Considering and discussing a better possible health-related future Writing in detail about a best possible health-related future one year from now and how this could be realized Developing optimistic health expectations and goal-focused accomplishment of these expectations
Gratitude Discussing reasons to be grateful related to one’s current health status Initiating a practice of recalling or journaling positive life events
Writing a letter of gratitude to another person
Cultivating a grateful world-view, including gratitude for health.
Self-
fficacy/confidence and use of personal strengths
Considering one’s prior successes, the characteristics that led to such successes, and how this might apply to health goals Writing about a major past life success, and writing about how the skills that led to this success will apply to self-care
Identifying a personal signature strength (e.g., perseverance, social intelligence, creativity) and using this strength in a new way
Developing a strengths-focused identity, and cultivating use of personal strength(s) for health-related activities
Positive affect Discussing past positive life events and valued current activities that bring pleasure Scheduling pleasurable activities
Capitalizing on positive life events by savoring or sharing them
Creating a practice of experiencing and savoring positive life events
Meaning/purpose Discussing the things in one’s life that provide a sense of purpose Writing about one’s legacy, steps to reach those life goals, and how health related activities can facilitate such goals Identifying specific, meaningful life goals and utilizing health-related self-care to facilitate reaching such goals