English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Plus monthly

Global: Zendy Tools annual

Global: Zendy Tools monthly

Global: Zendy Free Plan

istential issues were crucial in patients with eating disorders, and overall, well-being outcomes were particularly important for women [3, 4] . Recent empirical evidence confirms Engel’s assumptions on well-being as an important aspect of health and disease to an extent that I have never dared to imagine. The authors of the World Happiness Report 2016 Update found that positive affect, autonomy, generosity and social support were highly correlated with quality of life and well-being, while there was almost no correlation between negative affect – an important criterion in the definition of psychiatric disorders – and overall happiness [5] . A study including all 3.9 million US personnel who served during the Operation Enduring Freedom or Operation Iraqi Freedom points in the same direction. It demonstrated that the direct involvement in acts of war was not associated with the rate of suicide at all [6] . Instead, socially positive experiences such as marriage, social support, long-term employment and ascending in the military hierarchy were the main drivers of survival. This means that resiliency and quality of life may be better explained by social well-being than by combat trauma. Unsurprisingly, books about resiliency, personal growth, mindfulness, flow and well-being dominate nonfiction bestseller lists across the world. In contrast, most The pioneer of psychosocial medicine, George Engel, proposed in his biopsychosocial model that positive and negative psychosocial factors play important roles in any type of diseases, although their relative importance may vary considerably between diseases and even different phases of the same disease [1] . In addition, he elaborated a unified concept of health and disease, suggesting that there is no health and no disease, but only a dynamic balance between health and disease. As a result, health is not just the absence of disease, but also the presence of well-being. As a young psychiatrist, I was impressed by Carol Ryff’s model of psychological well-being [2] . To estimate the subjective relevance of Ryff’s proposed well-being dimensions, I developed a treatment outcome measure combining symptom-related items with items on interpersonal goals, existential issues and personal growth [3] . In a naturalistic study, I applied this self-report measure to 84 outpatients 1 year after the end of their integrative psychiatric-psychotherapeutic treatments. The main results of my study were: psychotherapy contributed more to well-being-related outcomes than pharmacotherapy; patient satisfaction was particularly related to reported changes in the interpersonal domain; personal growth was the most important dimension of perceived change in patients with adjustment and personality disorders; exReceived: May 26, 2016 Accepted: May 29, 2016 Published online: August 11, 2016

Well-Being: An Important Concept for Psychotherapy and Psychiatric Neuroscience