INCLUSION OF FLOW EXPERIENCE ACTIVITY IN TREATMENT PORTFOLIO FOR DEPRESSIVE SYMPTOMS- PRELIMINARY FINDINGS

  • Amra Khan University of Karachi, Pakistan
  • Amena Zehra Ali University of Karachi, Pakistan
Keywords: Depression treatment, Flow as intervention, Flow Experience, Intrinsic motivation, Positive Psychology Intervention

Abstract

Objective

Flow experience is an intensely engrossing pleasurable mental experience that comes from being completely absorbed in the activity the person is performing. The present study was conducted to develop flow experience as a supplementary psychological treatment intervention and to examine its efficacy when added to treatment portfolio for depressive symptoms.

Design

A 2x2 longitudinal quasi experimental design was used to test the efficacy of flow experience as intervention.

Place and Duration

 Study was conducted in Karachi and Lahore from March 2018 to December 2019.

Methods and Patients

Participants were recruited in the research on the basis of volunteer sampling from mental health set ups of Karachi and Lahore. Twenty four (24) individuals meeting the sampling criteria consented and completed the research participation. Flow experience intervention was added in two treatment as usual (TAU) groups: TAU 1 where treatment as usual was psychiatric medication and TAU2 where treatment as usual was psychiatric medication and psychotherapy.

Result

Result shows a significant decline (t=12.12, df = 4, p<.05) in depressive symptoms when flow experience activity was added in TAU2 for a duration of four weeks.

Conclusion

The preliminary finding shows flow experience is a promising supplementary intervention for depressive symptoms when used in addition to psychiatric medication and psychotherapy. A more generalizable application of intervention is recommended.

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Author Biographies

Amra Khan, University of Karachi, Pakistan

Department of Psychology

Amena Zehra Ali, University of Karachi, Pakistan

Associate Professor, Department of Psychology

 

References

Csikszentmihalyi M. Flow and the Foundations of Positive Psychology: The Collected Works of Mihaly Csikszentmihalyi [Internet]. Springer Netherlands; 2014 [cited 2019 Nov 14]. Available from: https://www.springer.com/gp/book/9789401790871

Csikszentmihalyi M. Beyond Boredom and Anxiety: Experiencing Flow in Work and Play. 25th Anniversary edition. San Francisco: Jossey-Bass; 2000. 231 p.

Csikszentmihalyi M, Abuhamdeh S, Nakamura J. Flow. In: Elliot AJ, Dweck CS, editors. Handbook of Competence and Motivation. New York: Guilford Publications; 2005. p. 598–608.

Nakamura J, Csikszentmihalyi M. In: Snyder CR, Lopez SJ, editors. Handbook of positive psychology. Oxford [England] ; New York: Oxford University Press; 2002. p. 89–105.

Ulrich M, Keller J, Hoenig K, Waller C, Grön G. Neural correlates of experimentally induced flow experiences. NeuroImage. 2014 Feb 1;86:194–202.

Illies R, Wagner D, Wilson K, Ceja L, Johnson M, DeRue S, et al. Flow at Work and Basic Psychological Needs: Effects on Well Being. Appl Psychol. 2017;66(1):3–24.

Kasa M, Hassan Z. Mediating role of flow in the relationship between job characterisic and job burnout on work family conflict: A study on the hotel industry in Sarawak. Soc Sci Rev. 2019;19(3):255–61.

Sahoo FM. Flow experience and workplace well-being. J Indian Acad Appl Psychol. 2015;41:189–98.

Kasa M, Hassan Z. The Role of Flow between burnout and organizational citizenship behavioramong hotel employees in Malaysia. Procedia - Soc Behav Sci. 2015;211:199–206.

Zubair A, Kamal A. Authentic Leadership and Creativity: Mediating Role of Work-Related Flow and Psychological Capital. J Behav Sci [Internet]. 2015 [cited 2022 Sep 25];25(1). Available from: https://www.semanticscholar.org/paper/Authentic-Leadership-and-Creativity%3A-Mediating-Role-Zubair-Kamal/3c65fc90477396d4ec4637b916b4ee5c13420c85

Jackson SA, Ford SK, Kimiecik JC, Marsh HW. Psychological correlates of Flow in Sport. J Sport Exerc Psychol. 1998;20(4):358–78.

Boffi M, Riva E, Rainisio N, Inghilleri P. Social Psychology of Flow: A Situated framework for optimal experience. In: The Eduflow Model: A contribution toward the study of optimal learning environments. Springer International Publishing; 2016. p. 215–31.

Bonaiuto M, Mao Y, Roberts S, Psalti A, Ariccio S, Ganucci Cancellieri U, et al. Optimal experience and personal growth: Flow and consolidation of place identity. Front Psychol. 2016;

Koufaris M. Applying technology acceptance model and flow theory to online consumer behavior. Inf Syst Res. 2002;13(2):205–23.

Obadă DR. Online flow experience and percieved quality of a brand website. Soc Behav Sci. 2014;149:673–9.

Abrar K, Mian AK, Zaman S. How Social Gratification affects Social Network Gaming Habitual Behavior. Sequential Mediation of Flow Experience and Consumer Satisfaction. Glob Manag J Acad Corp Stud [Internet]. 2022 [cited 2022 Nov 7];12(1). Available from: https://www.gmjacs.bahria.edu.pk/index.php/ojs/article/view/224

Abrar K, Mian AK. Modeling Social Network Gaming Habitual Behavior Among Young Consumers. A Uses and Gratification and Flow Perspective. Abasyn Univ J Soc Sci [Internet]. 2020 [cited 2022 Nov 7];13(2). Available from: https://www.prdb.pk/front/modeling-social-network-gaming-habitual-behavior-among-young-6102

Kiatsakared P, Chen KY. The Effect of Flow Experience on Online Game Addiction during the COVID-19 Pandemic: The Moderating Effect of Activity Passion. Sustainability. 2022 Sep 28;14(19):12364.

Ditchburn JL, van Schaik P, Dixon J, MacSween A, Martin D. The effects of exergaming on pain, postural control, technology acceptance and flow experience in older people with chronic musculoskeletal pain: a randomised controlled trial [Internet]. 2020 [cited 2022 Oct 27]. Available from: https://www.researchsquare.com

Yoshida K, Sawamura D, Ogawa K, Ikoma K, Asakawa K, Yamauchi T, et al. Flow Experience During Attentional Training Improves Cognitive Functions in Patients with Traumatic Brain Injury: An Exploratory Case Study. Hong Kong J Occup Ther. 2014 Dec 1;24(2):81–7.

Riva E, Freire T, Bassi M. The flow experience in clinical settings: Applications in psychotherapy and mental health rehabilitation. In: Harmat L, Andersen O, Ullén F, Sadlo G, editors. Flow experience: Empirical research and applications. Cham, Switzerland: Springer International Publishing/Springer Nature; 2016. p. 309–26.

Delle Fave A, Massimini F. The ESM and the measurement of clinical change: a case of anxiety disorder. In: de Vries M, editor. The Expeience of Psychopathology: investigating mental disorders in their natural settings. New York: Cambridge University Press; 1992. p. 280–9.

Kaida K, Niki K. Total sleep deprivation decreases flow experience and mood status. Neuropsychiatr Dis Treat. 2014;10:19–25.

Nolan E. The Effects of Collaborative Gameplay on Flow Experience and Mood. Dun Laoghaire Institute of Art, Design & Technology; 2017.

Duckworth AL, Steen TA, Seligman MEP. Positive Psychology in Clinical Practice. Annu Rev Clin Psychol. 2005;1(1):629–51.

Van Dam NT, Earleywine M. Validation of the Center for Epidemiologic Studies Depression Scale—Revised (CESD-R): Pragmatic depression assessment in the general population. Psychiatry Res. 2011;186(1):128–32.

Csikszentmihalyi M, LeFevre J. Optimal experience in work and leisure. J Pers Soc Psychol. 1989 May;56(5):815–22.

Cohen J. A power primer. Psychol Bull. 1992;(112):155–9.

Mackenzie SH, Hodge K, Boyes M. The Multiphasic and Dynamic nature of Flow in Adventure Experiences. J Leis Res. 2013;45(2):214–32.

Futterman Collier AD, Wayment HA, Birkett M. Impact of Making Textile Handcrafts on Mood Enhancement and Inflammatory Immune Changes. Art Ther. 2016 Oct;33(4):178–85.

Holt NJ. The impact of remote arts on prescription: Changes in mood, attention and loneliness during art workshops as mechanisms for wellbeing change [Internet]. Open Science Framework; 2022 Jul [cited 2022 Nov 9]. Available from: https://osf.io/cxy2n

J. Larche C, Tran P, B. Kruger T, Dhaliwal N, J. Dixon M. Escaping the Woes Through Flow? Examining the Relationship Between Escapism, Depression, and Flow Experience in Role-Playing and Platform Games. J Gambl Issues. 2021;

Published
2023-09-28
How to Cite
1.
Khan A, Zehra Ali A. INCLUSION OF FLOW EXPERIENCE ACTIVITY IN TREATMENT PORTFOLIO FOR DEPRESSIVE SYMPTOMS- PRELIMINARY FINDINGS. J Pak Psychiatr Soc [Internet]. 2023Sep.28 [cited 2024Dec.3];20(03):27-2. Available from: https://jpps.pk/index.php/journal/article/view/250