***TASK*** the task is to summarize an input biomedical literature in six sentences 
    ***INPUT*** the input is a biomedical literature 
    ***OUTPUT*** the output is the summary of an input biomedical literature in six sentences 
    ***DOCUMENTATION*** 
    ***EXAMPLES*** 
    Input: BACKGROUND There is increasing awareness of the prognostic value of residual symptomatology in affective disorders and of the need for specific therapeutic strategies in this phase of illness . The aims of the study were to apply a novel , short-term psychotherapeutic approach for increasing well-being , based on Ryff 's conceptual model , to remitted patients with affective disorders and to compare the results with those obtained with symptom-oriented cognitive behavioural strategies . METHODS Twenty patients with affective disorders ( major depression , panic disorder with agoraphobia , social phobia , generalized anxiety disorder , obsessive-compulsive disorder ) who had been successfully treated by behavioural or pharmacological methods  were r and omly assigned to a well-being enhancing therapeutic strategy ( well-being therapy ) or cognitive-behavioural treatment of residual symptoms . RESULTS Both well-being and cognitive-behavioural therapies were associated with a significant reduction of residual symptoms . However , a significant advantage of well-being therapy over cognitive-behavioural strategies was observed with observer-rated methods . DISCUSSION These preliminary results suggest the feasibility of well-being therapy in the residual stage of affective disorders . Further research should determine its value as a relapse-preventive strategy in specific mood and anxiety disorders BACKGROUND Given our poor underst and ing of the very long-term course of anorexia nervosa . many questions remain regarding the potential for recovery and relapse . The purpose of the present study was to investigate long-term outcome and prognosis in an anorexic sample 21 years after the initial treatment . METHOD A multidimensional and prospect i ve design was used to assess outcome in 84 patients 9 years after a previous follow-up and 21 years after admission . Among the 70 living patients , the follow-up rate was 90 % . Causes of death for the deceased patients were obtained through the attending physician . Predictors of a poor outcome at the 21-year follow-up were selected based on the results of a previous 12-year follow-up of these patients . RESULTS Fifty-one per cent of the patients were found to be fully recovered at follow-up , 21 % were partially recovered and 10 % still met full diagnostic criteria for anorexia nervosa . Sixteen per cent were deceased , due to causes related to anorexia nervosa . The st and ardized mortality rate was 9.8 . The three groups also showed significant differences in psychosocial outcome . A low body mass index and a greater severity of social and psychological problems were identified as predictors of a poor outcome . CONCLUSIONS Recovery is still possible for anorexic patients after a period of 21 years . On the other h and , patients can relapse , becoming symptomatic again despite previously achieving recovery status . Only a few patients classified as having a poor outcome were found to seek any form of treatment , therefore , it is recommended that these patients should be monitored regularly and offered treatment whenever possible Abstract Background The Happiness Route is an innovative intervention that uses a happiness-based approach for people with an accumulation of risk factors for low well-being : socially isolated people with health impairments and a low socioeconomic status . The goal of this intervention is to improve well-being by engaging participants in intrinsically motivated activities with methods from positive psychology . We hypothesize that the primary outcome measure , emotional , social and psychological well-being of participants of the Happiness Route , will increase in comparison to the traditional and commonly-used problem-based approach . Secondary outcome measures are health-related quality of life , psychosocial functioning and health care consumption . Methods and design Participants will be socially isolated people with health problems and a low socioeconomic status . Participants will be recruited in ten Dutch communities and c and i date s will be signed up by intermediaries , professionals from the health and social sector . R and omly assigned , half of the participants will follow the Happiness Route and half of the participants will follow the active , problem-focused control group ‘ Customized Care ’ . In total , 256 participants will be included . In both conditions , participants will receive counseling sessions from trained counselors . In the control group , participants will talk about their problems and the care they get and counselors help to optimize their care . In the Happiness Route , the counselor ask questions such as “ How do you want to live your life ? ” . The intervention helps people to find their ‘ passion ’ , i.e. , a positive goal -engaged and intrinsically motivated activity . It enables them to follow their passion through by a once-only personal happiness budget ( maximal € 500 ) . We use well-vali date d and reliable question naires to measure primary and secondary outcome measures at baseline , directly after the intervention and at a nine-month follow-up . Discussion Shortcomings of earlier intervention studies in positive psychology will be tackled with this study , such as having a target group who is especially vulnerable for low well-being . The practice -based setting is especially interesting , as it can give valuable insights in how positive psychology interventions work in practice , but can also give rise to several challenges . Trial registration Dutch Trial Register , trial registration number TC=3377NTR . http://www.trialregister.nl/trialreg/admin/ rct view.asp?TC=3377 Background : There is increasing awareness that the goal of treatment in generalized anxiety disorder ( GAD ) should not simply be a response , but restoration of normal function . The aim of this study was to apply a novel psychotherapeutic approach for increasing the level of remission in GAD . Methods : Twenty patients with DSM-IV GAD devoid of comorbid conditions were r and omly assigned to 8 sessions of cognitive behavioral therapy ( CBT ) or the sequential administration of 4 sessions of CBT followed by other 4 sessions of well-being therapy ( WBT ) . Assessment methods included the Anxiety and Depression Scales of Paykel ’s Clinical Interview for Depression , Ryff ’s Psychological Well-being Scales and Kellner ’s Symptom Question naire . A one-year follow-up was undertaken . Results : Significant advantages of the CBT-WBT sequential combination over CBT only were observed with both observer and self-rated methods after treatment . Such gains were maintained at follow-up . Conclusions : These preliminary results suggest the feasibility and clinical advantages of adding WBT to the treatment of GAD . They lend support to a sequential use of treatment components for achieving a more sustained recovery Seligman ( 2002 ) suggested three paths to well-being , the pursuit of pleasure , the pursuit of meaning , and the pursuit of engagement , later adding two more , positive relationships and accomplishment , in his 2011 version . The contribution of these new components to well-being has yet to be addressed . In an online positive psychology intervention study , we r and omly assigned 1624 adults aged 18–78 ( M = 46.13 ; 79.2 % women ) to seven conditions . Participants wrote down three things they related to either one of the five components of Seligman 's Well-Being theory ( Conditions 1–5 ) , all of the five components ( Condition 6 ) or early childhood memories ( placebo control condition ) . We assessed happiness ( AHI ) and depression ( CES-D ) before and after the intervention , and 1- , 3- , and 6 months afterwards . Additionally , we considered moderation effects of well-being levels at baseline . Results confirmed that all interventions were effective in increasing happiness and most ameliorated depressive symptoms . The interventions worked best for those in the middle-range of the well-being continuum . We conclude that interventions based on pleasure , engagement , meaning , positive relationships , and accomplishment  are effective strategies for increasing well-being and ameliorating depressive symptoms and that positive psychology interventions are most effective for those people in the middle range of the well-being continuum Mental health is more than the absence of mental illness . Rather , both well-being ( positive mental health ) and mental illness are actually two related continua , with higher levels of well-being defined as " flourishing . " This two-continua model and existing studies about the impact of flourishing on psychopathology underscore the need for interventions that enhance flourishing and well-being . Acceptance and Commitment Therapy ( ACT ) is a model of cognitive behavioral therapy that aims not only to reduce psychopathology but also to promote flourishing as well . This is the first study to evaluate the impact of ACT on flourishing . A post- analysis was conducted on an earlier r and omized controlled trial of a sample of adults with depressive symptomatology who participated in a guided self-help ACT intervention .  This post- analysis showed a 5%-28 % increase of flourishing by the participants . In addition , the effects on flourishing were maintained at the three-month follow-up . When compared to participants in a control group , the flourishing of the ACT-trained participants increased from 5 % to about 14 % after nine weeks . In addition to levels of positive mental health at baseline , an increase of psychological flexibility during the intervention was a significant predictor of flourishing at the three-month follow-up 
    Output:
    
Results In addition to the remission of eating disorder pathology , dimensions of psychological well-being and self-adaptability/resilience were found to be fundamental criteria for eating disorder recovery .
The most frequently mentioned criteria were : self-acceptance , positive relationships , personal growth , decrease in eating disorder behavior/cognitions , self-adaptability/resilience and autonomy .
Conclusions People who have recovered rate psychological well-being as a central criterion for ED recovery in addition to the remission of eating disorder symptoms .