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

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Abstract

Objectives

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.

Methods

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.

Results

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.

Conclusions

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.

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Data Availability

Due to complications arising from multiple ethics boards, the data involved in this study cannot be made publicly available.

References

  • Auerbach, R. P., Mortier, P., Bruffaerts, R., Alonso, J., Benjet, C., Cuijpers, P., Demyttenaere, K., Ebert, D. D., Green, J. G., & Hasking, P. (2018). WHO world mental health surveys international college student project: Prevalence and distribution of mental disorders. Journal of Abnormal Psychology, 127(7), 623.

    Article  Google Scholar 

  • Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., Walsh, E., Duggan, D., & Williams, J. M. G. (2008). Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment, 15(3), 329–342. https://doi.org/10.1177/1073191107313003

    Article  PubMed  Google Scholar 

  • Benjamini, Y., & Hochberg, Y. (1995). Controlling the false discovery rate: A practical and powerful approach to multiple testing. Journal of the Royal Statistical Society Series B (Methodological), 57(1), 289–300.

    Article  Google Scholar 

  • Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4

    Article  PubMed  Google Scholar 

  • Bryk, A. (2016). Fidelity of implementation: Is it the right concept. Carnegie Commons Blog, 17. Available from: https://www.carnegiefoundation.org/blog/fidelity-of-implementation-is-it-the-right-concept/

  • Center for Collegiate Mental Health. (2020). Annual report. 40. Available from https://ccmh.psu.edu/annual-reports

  • Chiteji, N. (2010). Time-preference, non-cognitive skills and well-being across the life course: Do non-cognitive skills encourage healthy behavior? The American Economic Review, 100(2), 200–204.

    Article  Google Scholar 

  • Cimprich, B., Visovatti, M., & Ronis, D. L. (2011). The Attentional Function Index—A self-report cognitive measure. Psycho-Oncology, 20(2), 194–202.

    Article  Google Scholar 

  • Cohen, J. (1977). Statistical power analysis for the behavioral sciences. Routledge.

    Google Scholar 

  • Crocker, J., & Canevello, A. (2008). Creating and undermining social support in communal relationships: The role of compassionate and self-image goals. Journal of Personality and Social Psychology, 95(3), 555.

    Article  Google Scholar 

  • Dahl, C. J., Lutz, A., & Davidson, R. J. (2015). Reconstructing and deconstructing the self: Cognitive mechanisms in meditation practice. Trends in Cognitive Sciences, 19(9), 515–523. https://doi.org/10.1016/j.tics.2015.07.001

    Article  PubMed  PubMed Central  Google Scholar 

  • Dahl, C. J., Wilson-Mendenhall, C. D., & Davidson, R. J. (2020). The plasticity of well-being: A training-based framework for the cultivation of human flourishing. Proceedings of the National Academy of Sciences, 117(51), 32197–32206. https://doi.org/10.1073/pnas.2014859117

    Article  Google Scholar 

  • Davis, M. H. (1980). Interpersonal reactivity index. Edwin Mellen Press.

  • Dehejia, R. H., & Wahba, S. (2002). Propensity score-matching methods for nonexperimental causal studies. Review of Economics and Statistics, 84(1), 151–161.

    Article  Google Scholar 

  • Duffy, M. E., Twenge, J. M., & Joiner, T. E. (2019). Trends in mood and anxiety symptoms and suicide-related outcomes among US undergraduates, 2007–2018: Evidence from two national surveys. Journal of Adolescent Health, 65(5), 590–598. https://doi.org/10.1016/j.jadohealth.2019.04.033

    Article  Google Scholar 

  • Dvořáková, K., Greenberg, M. T., & Roeser, R. W. (2019). On the role of mindfulness and compassion skills in students’ coping, well-being, and development across the transition to college: A conceptual analysis. Stress and Health, 35(2), 146–156. https://doi.org/10.1002/smi.2850

    Article  PubMed  PubMed Central  Google Scholar 

  • Dvořáková, K., Kishida, M., Li, J., Elavsky, S., Broderick, P. C., Agrusti, M. R., & Greenberg, M. T. (2017). Promoting healthy transition to college through mindfulness training with first-year college students: Pilot randomized controlled trial. Journal of American College Health, 65(4), 259–267. https://doi.org/10.1080/07448481.2017.1278605

    Article  PubMed  Google Scholar 

  • Enders, C. K. (2001). The performance of the full information maximum likelihood estimator in multiple regression models with missing data. Educational and Psychological Measurement, 61(5), 713–740.

    Article  Google Scholar 

  • Ettman, C. K., Abdalla, S. M., Cohen, G. H., Sampson, L., Vivier, P. M., & Galea, S. (2020). Prevalence of depression symptoms in US adults before and during the COVID-19 pandemic. JAMA Network Open, 3(9), e2019686. https://doi.org/10.1001/jamanetworkopen.2020.19686

    Article  PubMed  PubMed Central  Google Scholar 

  • Feingold, A. (2009). Effect sizes for growth-modeling analysis for controlled clinical trials in the same metric as for classical analysis. Psychological Methods, 14(1), 43–53. https://doi.org/10.1037/a0014699

    Article  PubMed  PubMed Central  Google Scholar 

  • Fletcher, J. M. (2010). Adolescent depression and educational attainment: Results using sibling fixed effects. Health Economics, 19(7), 855–871.

    Article  Google Scholar 

  • Funk, M. J., Westreich, D., Wiesen, C., Stürmer, T., Brookhart, M. A., & Davidian, M. (2011). Doubly robust estimation of causal effects. American Journal of Epidemiology, 173(7), 761–767. https://doi.org/10.1093/aje/kwq439

    Article  PubMed  PubMed Central  Google Scholar 

  • Galante, J., Galante, I., Bekkers, M.-J., & Gallacher, J. (2014). Effect of kindness-based meditation on health and well-being: A systematic review and meta-analysis. Journal of Consulting and Clinical Psychology, 82(6), 1101–1114. https://doi.org/10.1037/a0037249

    Article  PubMed  Google Scholar 

  • Gall, T. L., Evans, D. R., & Bellerose, S. (2000). Transition to first-year university: Patterns of change in adjustment across life domains and time. Journal of Social and Clinical Psychology, 19(4), 544–567. https://doi.org/10.1521/jscp.2000.19.4.544

    Article  Google Scholar 

  • Gilbert, P., Catarino, F., Duarte, C., Matos, M., Kolts, R., Stubbs, J., Ceresatto, L., Duarte, J., Pinto‐Gouveia, J., & Basran, J. (2017). The development of compassionate engagement and action scales for self and others. Journal of Compassionate Health Care, 4(1), 4. https://doi.org/10.1186/s40639‐017‐0033‐3

  • Goldberg, S. B., Bolt, D. M., & Davidson, R. J. (2021). Data missing not at random in mobile health research: Assessment of the problem and a case for sensitivity analyses. Journal of Medical Internet Research, 23(6), e26749. https://doi.org/10.2196/26749

    Article  PubMed  PubMed Central  Google Scholar 

  • Goldberg, S. B., Riordan, K. M., Sun, S., & Davidson, R. J. (2022). The empirical status of mindfulness-based interventions: A systematic review of 44 meta-analyses of randomized controlled trials. Perspectives on Psychological Science, 17(1), 108–130.

    Article  Google Scholar 

  • Heltzel, G., & Laurin, K. (2020). Polarization in America: Two possible futures. Current Opinion in Behavioral Sciences, 34, 179–184. https://doi.org/10.1016/j.cobeha.2020.03.008

    Article  PubMed  PubMed Central  Google Scholar 

  • Hervás, G., & Vázquez, C. (2013). Construction and validation of a measure of integrative well-being in seven languages: The Pemberton Happiness Index. Health and Quality of Life Outcomes, 11(1), 66.

    Article  Google Scholar 

  • Hirshberg, M. J., Goldberg, S. B., Rosenkranz, M., & Davidson, R. J. (2020). Prevalence of harm in mindfulness-based stress reduction. Psychological Medicine, 52(6), 1080–1088. https://doi.org/10.1017/S0033291720002834

    Article  Google Scholar 

  • Hirshberg, M. J., Goldberg, S. B., Rosenkranz, M., & Davidson, R. J. (2021). Response to Van Dam and Galante’s correspondence ‘Underestimating harm in mindfulness-based stress reduction.’ Psychological Medicine, 1–3.

  • Hirshberg, M. J., Goldberg, S. B., Schaefer, S. M., Flook, L., Findley, D., & Davidson, R. J. (2018). Divergent effects of brief contemplative practices in response to an acute stressor: A randomized controlled trial of brief breath awareness, loving-kindness, gratitude or an attention control practice. PLoS ONE, 13(12), e0207765.

    Article  Google Scholar 

  • Huang, F. L. (2018a). Using cluster bootstrapping to analyze nested data with a few clusters. Educational and Psychological Measurement, 78(2), 297–318.

    Article  Google Scholar 

  • Huang, F. L. (2018b). Multilevel modeling and ordinary least squares regression: How comparable are they? The Journal of Experimental Education, 86(2), 265–281. https://doi.org/10.1080/00220973.2016.1277339

    Article  Google Scholar 

  • Huberty, J., Green, J., Glissmann, C., Larkey, L., Puzia, M., & Lee, C. (2019). Efficacy of the mindfulness meditation mobile app “Calm” to reduce stress among college students: Randomized controlled trial. JMIR MHealth and UHealth, 7(6), e14273.

    Article  Google Scholar 

  • Inkelas, K. K., Colaianne, B. A., Hirshberg, M. J., Greenberg, M. T., Davidson, R. J., Dunne, J. D., Germano, D., & Roeser, R. W. (2021). Does variability across three universities in the implementation of a college course on human flourishing affect student outcomes? Journal of American College Health, 1–14. https://doi.org/10.1080/07448481.2021.1920956

  • Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 12.

    Article  Google Scholar 

  • Kahler, C. W., Strong, D. R., & Read, J. P. (2005). Toward efficient and comprehensive measurement of the alcohol problems continuum in college students: The Brief Young Adult Alcohol Consequences Questionnaire. Alcoholism Clinical and Experimental Research, 29(7), 1180–1189.

    Article  Google Scholar 

  • Kazdin, A. E. (1993). Adolescent mental health: Prevention and treatment programs. American Psychologist, 48(2), 127.

    Article  Google Scholar 

  • Keeling, R. (2013). Learning reconsidered: A campus-wide focus on the student experience: NASPA Publications

  • Kirby, J. N. (2017). Compassion interventions: The programmes, the evidence, and implications for research and practice. Psychology and Psychotherapy: Theory, Research and Practice, 90(3), 432–455. https://doi.org/10.1111/papt.12104

    Article  Google Scholar 

  • Kroenke, K., Strine, T. W., Spitzer, R. L., Williams, J. B., Berry, J. T., & Mokdad, A. H. (2009). The PHQ-8 as a measure of current depression in the general population. Journal of Affective Disorders, 114(1–3), 163–173.

    Article  Google Scholar 

  • Lang, D. (2007). The impact of a first-year experience course on the academic performance, persistence, and graduation rates of first-semester college students at a public research university. Journal of the First-Year Experience & Students in Transition, 19(1), 9–25.

    Google Scholar 

  • Lerner, R. M., Roeser, R. W., & Phelps, E. (2008). Positive youth development & spirituality: From theory to research. Templeton Foundation Press West Conshohocken.

    Google Scholar 

  • Lindahl, J. R., Fisher, N. E., Cooper, D. J., Rosen, R. K., & Britton, W. B. (2017). The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists. PLoS ONE, 12(5), e0176239. https://doi.org/10.1371/journal.pone.0176239

    Article  PubMed  PubMed Central  Google Scholar 

  • Lipson, S. K., Lattie, E. G., & Eisenberg, D. (2018). Increased rates of mental health service utilization by U.S. college students: 10-year population-level trends (2007–2017). Psychiatric Services, 70(1), 60–63. https://doi.org/10.1176/appi.ps.201800332

    Article  PubMed  Google Scholar 

  • Mann, H. (1848). Twelfth annual report to the Massachusetts Board of Education. The Republic and the School Horace Mann and the Education of Free Men New York Teachers College Press Retrieved November, 12, 2006.

    Google Scholar 

  • McNeish, D., & Stapleton, L. M. (2016). Modeling clustered data with very few clusters. Multivariate Behavioral Research, 51(4), 495–518. https://doi.org/10.1080/00273171.2016.1167008

    Article  PubMed  Google Scholar 

  • Mehling, W. E., Price, C., Daubenmier, J. J., Acree, M., Bartmess, E., & Stewart, A. (2012). The Multidimensional Assessment of Interoceptive Awareness (MAIA). PLoS ONE, 7(11), e48230. https://doi.org/10.1371/journal.pone.0048230

    Article  PubMed  PubMed Central  Google Scholar 

  • Moffitt, T. E., Arseneault, L., Belsky, D., Dickson, N., Hancox, R. J., Harrington, H., Houts, R., Poulton, R., Roberts, B. W., Ross, S., et al. (2011). A gradient of childhood self-control predicts health, wealth, and public safety. Proceedings of the National Academy of Sciences, 108(7), 2693–2698.

    Article  Google Scholar 

  • Mojtabai, R., Stuart, E. A., Hwang, I., Susukida, R., Eaton, W. W., Sampson, N., & Kessler, R. C. (2015). Long-term effects of mental disorders on employment in the National Comorbidity Survey ten-year follow-up. Social Psychiatry and Psychiatric Epidemiology, 50(11), 1657–1668.

    Article  Google Scholar 

  • Orben, A., Tomova, L., & Blakemore, S.-J. (2020). The effects of social deprivation on adolescent development and mental health. The Lancet Child & Adolescent Health, 4(8), 634–640. https://doi.org/10.1016/S2352-4642(20)30186-3

    Article  Google Scholar 

  • Palmer, P. J., Zajonc, A., & Scribner, M. (2010). The heart of higher education: A call to renewal. Wiley.

  • Piedmont, R. L. (1999). Does spirituality represent the sixth factor of personality? Spiritual transcendence and the five-factor model. Journal of Personality, 67(6), 985–1013. https://doi.org/10.1111/1467-6494.00080

    Article  Google Scholar 

  • Pishgar, F., Greifer, N., Leyrat, C., & Stuart, E. (2020). MatchThem: Matching and weighting after multiple imputation. arXiv preprint arXiv:2009.11772.

  • R Core Team (2021). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria, 2012. ISBN 3–900051–07–0.

  • Raes, F., Pommier, E., Neff, K. D., & Van Gucht, D. (2011). Construction and factorial validation of a short form of the self-compassion scale. Clinical Psychology & Psychotherapy, 18(3), 250–255.

    Article  Google Scholar 

  • Renn, K. A., & Reason, R. D. (2012). College students in the United States: Characteristics, experiences, and outcomes. Wiley.

    Google Scholar 

  • Roisman, G. I., Masten, A. S., Coatsworth, J. D., & Tellegen, A. (2004). Salient and emerging developmental tasks in the transition to adulthood. Child Development, 75(1), 123–133. https://doi.org/10.1111/j.1467-8624.2004.00658.x

    Article  PubMed  Google Scholar 

  • Ryff, C. D., & Keyes, C. L. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69(4), 719–727.

    Article  Google Scholar 

  • Santos, Laurie. (2018). Yale University Psychology 157: Psychology and the good life. Available from: https://www.psychologyandthegoodlife.com/

  • Seligman, M. (2018). PERMA and the building blocks of well-being. The Journal of Positive Psychology, 13(4), 333–335.

    Article  Google Scholar 

  • Shapiro, S. L., Brown, K. W., & Astin, J. (2011). Toward the integration of meditation into higher education: A review of research evidence. Teachers College Record: The Voice of Scholarship in Education, 113(3), 493–528. https://doi.org/10.1177/016146811111300306

    Article  Google Scholar 

  • Smeets, E., Neff, K., Alberts, H., & Peters, M. (2014). Meeting suffering with kindness: Effects of a brief self-compassion intervention for female college students: Self-compassion intervention for students. Journal of Clinical Psychology, 70(9), 794–807. https://doi.org/10.1002/jclp.22076

    Article  PubMed  Google Scholar 

  • Totzeck, C., Teismann, T., Hofmann, S. G., von Brachel, R., Pflug, V., Wannemüller, A., & Margraf, J. (2020). Loving-kindness meditation promotes mental health in university students. Mindfulness, 11(7), 1623–1631. https://doi.org/10.1007/s12671-020-01375-w

    Article  Google Scholar 

  • US Department of Education. National Center for Educational Statistics. (2019). Historical statistics of the United States, colonial times to 1970; Current Population Reports. Current Population Survey (CPS), October, 1970 through 2017. U.S. Department of Commerce.

  • Walker, D. F., Soltis, J. F., & Schoonmaker, F. (2009). Curriculum and aims (5th edition). Teachers College Press.

  • Wyatt, T. J., Oswalt, S. B., & Ochoa, Y. (2017). Mental health and academic performance of first-year college students. International Journal of Higher Education, 6(3), 178–187.

    Article  Google Scholar 

  • Xiao, H., Carney, D. M., Youn, S. J., Janis, R. A., Castonguay, L. G., Hayes, J. A., & Locke, B. D. (2017). Are we in crisis? National mental health and treatment trends in college counseling centers. Psychological Services, 14(4), 407–415.

    Article  Google Scholar 

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Funding

This study was supported by generous individual donations to the Center for Healthy Minds, a 2019 National Academy of Education/Spencer Foundation Postdoctoral fellowship (first author), the Bennett Pierce Chair in Care and Compassion (last author), and the Contemplative Sciences Center at the University of Virginia.

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Authors

Contributions

MJH: designed and executed the study, led the data analyses, and wrote the paper. BAC: designed and executed the study, assisted with the data analyses, and collaborated in the final writing and editing of the study. MTG: designed the study, assisted with the data analyses, and collaborated in the final writing and editing of the study. KKI: designed and executed the study, and collaborated in the final writing and editing of the study. RJD: designed the study, provided research infrastructure, and collaborated in the final writing and editing of the study. DG: provided research infrastructure and collaborated in the final writing and editing of the study. JDD: collaborated in the final writing and editing of the study. RWR: designed and executed the study, assisted with the data analyses, and collaborated in the final writing and editing of the study.

Corresponding author

Correspondence to Matthew J. Hirshberg.

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Ethics Approval

The institutional review boards of the University of Wisconsin–Madison, the Pennsylvania State University, and the University of Virginia each approved the research described in this article. In addition, a certificate of confidentiality was obtained to protect participant privacy.

Informed Consent

All participants provided written informed consent before study activities commenced.

Conflict of Interest

Richard J. Davidson is the founder, president, and serves on the board of directors for the non-profit organization, Healthy Minds Innovations, Inc. No donors, either anonymous or identified, have participated in the design, conduct, or reporting of research results in this manuscript.

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Hirshberg, M.J., Colaianne, B.A., Greenberg, M.T. et al. Can the Academic and Experiential Study of Flourishing Improve Flourishing in College Students? A Multi-university Study. Mindfulness 13, 2243–2256 (2022). https://doi.org/10.1007/s12671-022-01952-1

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