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'''Mental Fitness''' is a proactive and [[Preventive healthcare|preventative]] approach to [[Psychology|psychological]] [[well-being]], characterized by the intentional practice of exercises and techniques designed to build [[Cognition|cognitive]] and [[Emotion|emotional]] capacities, enhance [[psychological resilience]], and optimize performance:<ref name=":0">{{Cite journal | |
'''Mental Fitness''' is a proactive and [[Preventive healthcare|preventative]] approach to [[Psychology|psychological]] [[well-being]], characterized by the intentional practice of exercises and techniques designed to build [[Cognition|cognitive]] and [[Emotion|emotional]] capacities, enhance [[psychological resilience]], and optimize performance:<ref name=":0">{{Cite journal |last1=Iorfino |first1=Frank |last2=Varidel |first2=Mathew |last3=Capon |first3=William |last4=Richards |first4=Matthew |last5=Crouse |first5=Jacob J. |last6=LaMonica |first6=Haley M. |last7=Park |first7=Shin Ho |last8=Piper |first8=Sarah |last9=Song |first9=Yun Ju Christine |last10=Gorban |first10=Carla |last11=Scott |first11=Elizabeth M. |last12=Hickie |first12=Ian B. |date=2024-07-08 |title=Quantifying the interrelationships between physical, social, and cognitive-emotional components of mental fitness using digital technology |journal=npj Mental Health Research |language=en |volume=3 |issue=1 |page=36 |doi=10.1038/s44184-024-00078-7 |pmid=38977903 |pmc=11231280 |issn=2731-4251}}</ref>. Analogous to [[physical fitness]], where consistent training strengthens the body, mental fitness posits that regular, targeted mental exercises can strengthen psychological "muscles" such as focus, [[optimism]], emotional balance, and resilience<ref name=":0" />. |
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The concept is distinct from traditional [[Mental health|mental healthcare]], which primarily focuses on the diagnosis and treatment of [[Mental disorder|mental]] [[Mental disorder|disorder]] and pathology. Mental fitness operates on the wellness end of the health-wellness spectrum<ref>{{Cite web |title=Health and wellness {{!}} Spectrum Center |url=https://spectrumcenter.umich.edu/health-wellness |access-date=2025-06-27 |website=spectrumcenter.umich.edu}}</ref>, aiming to help the general population manage everyday [[Stressor|stressors]], prevent [[burnout]], and improve overall functioning, rather than treating clinical conditions such as major depressive disorder or bipolar disorder<ref name=":0" />. |
The concept is distinct from traditional [[Mental health|mental healthcare]], which primarily focuses on the diagnosis and treatment of [[Mental disorder|mental]] [[Mental disorder|disorder]] and pathology. Mental fitness operates on the wellness end of the health-wellness spectrum<ref>{{Cite web |title=Health and wellness {{!}} Spectrum Center |url=https://spectrumcenter.umich.edu/health-wellness |access-date=2025-06-27 |website=spectrumcenter.umich.edu}}</ref>, aiming to help the general population manage everyday [[Stressor|stressors]], prevent [[burnout]], and improve overall functioning, rather than treating clinical conditions such as major depressive disorder or bipolar disorder<ref name=":0" />. |
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While the term "mental fitness" was used loosely in popular and commercial contexts for decades, its formalization as a scientific construct is a more recent development. A key figure in this effort is Dr. Paula L. Robinson of the University of Wollongong, whose research in the 2010s sought to establish a rigorous, evidence-based definition and a measurable framework for the concept.<sup>1</sup> |
While the term "mental fitness" was used loosely in popular and commercial contexts for decades, its formalization as a scientific construct is a more recent development. A key figure in this effort is Dr. Paula L. Robinson of the University of Wollongong, whose research in the 2010s sought to establish a rigorous, evidence-based definition and a measurable framework for the concept.<sup>1</sup> |
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This academic work was a crucial step in bestowing scientific legitimacy upon the concept. For mental fitness to be taken seriously by psychology, healthcare, and large organizations, it required a clear definition, a theoretical model, and validated measurement tools, moving it beyond a vague self-help idea. Robinson's work directly addressed this gap. Through a Delphi study, a structured communication method that relies on a panel of experts, Robinson et al. (2015) established a consensus definition of mental fitness as "the modifiable capacity to utilise resources and skills to flexibly adapt to challenges or advantages, enabling thriving".<ref>{{Cite web |title= |
This academic work was a crucial step in bestowing scientific legitimacy upon the concept. For mental fitness to be taken seriously by psychology, healthcare, and large organizations, it required a clear definition, a theoretical model, and validated measurement tools, moving it beyond a vague self-help idea. Robinson's work directly addressed this gap. Through a Delphi study, a structured communication method that relies on a panel of experts, Robinson et al. (2015) established a consensus definition of mental fitness as "the modifiable capacity to utilise resources and skills to flexibly adapt to challenges or advantages, enabling thriving".<ref>{{Cite web |title=Conceptualising and measuring mental fitness: A Delphi study |url=https://www.researchgate.net/publication/299524669 |archive-url=http://web.archive.org/web/20230401185445/https://www.researchgate.net/publication/299524669_Conceptualising_and_measuring_mental_fitness_A_Delphi_study |archive-date=2023-04-01 |access-date=2025-06-27 |website=ResearchGate |language=en}}</ref> |
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This research also codified four guiding principles that have become central to the modern understanding of mental fitness:<ref name=":3" /> |
This research also codified four guiding principles that have become central to the modern understanding of mental fitness:<ref name=":3" /> |
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==== "Awe Walks" and Prosocial Emotions ==== |
==== "Awe Walks" and Prosocial Emotions ==== |
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'''Description:''' An "awe walk" is a novel mindfulness-based intervention that involves taking a short walk (e.g., 15 minutes) with the specific intention of shifting one's attention outward to notice things that are vast, wondrous, or beautiful. Awe is formally defined as the positive emotion experienced when in the presence of something vast that one cannot immediately understand.<ref name=":9">{{Cite journal | |
'''Description:''' An "awe walk" is a novel mindfulness-based intervention that involves taking a short walk (e.g., 15 minutes) with the specific intention of shifting one's attention outward to notice things that are vast, wondrous, or beautiful. Awe is formally defined as the positive emotion experienced when in the presence of something vast that one cannot immediately understand.<ref name=":9">{{Cite journal |last1=Warren |first1=Janet M. |last2=Smith |first2=Nicola |last3=Ashwell |first3=Margaret |date=December 2017 |title=A structured literature review on the role of mindfulness, mindful eating and intuitive eating in changing eating behaviours: effectiveness and associated potential mechanisms |url=https://www.cambridge.org/core/journals/nutrition-research-reviews/article/structured-literature-review-on-the-role-of-mindfulness-mindful-eating-and-intuitive-eating-in-changing-eating-behaviours-effectiveness-and-associated-potential-mechanisms/351A3D01E43F49CC9794756BC950EFFC |journal=Nutrition Research Reviews |language=en |volume=30 |issue=2 |pages=272–283 |doi=10.1017/S0954422417000154 |pmid=28718396 |issn=0954-4224}}</ref> The practice encourages a "small self," where personal concerns recede in the face of something larger. |
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'''Evidence:''' Though a newer area of research, initial studies have yielded promising results. A study conducted with healthy older adults at the University of California, San Francisco, found that participants who took weekly awe walks for eight weeks reported significant emotional benefits compared to a control group who took regular walks.<ref name=":9" /> The awe-walk group experienced greater increases in daily prosocial positive emotions, such as compassion and gratitude, and greater decreases in daily distress. Analysis of selfies taken during the walks showed that the awe walkers' smiles grew more intense over the course of the study, and they increasingly framed themselves as smaller relative to their surroundings, providing objective evidence of the "small self" effect. These findings suggest that cultivating awe can enhance positive emotions that foster social connection and diminish the negative emotions that can hasten decline in later life.<ref name=":9" /> |
'''Evidence:''' Though a newer area of research, initial studies have yielded promising results. A study conducted with healthy older adults at the University of California, San Francisco, found that participants who took weekly awe walks for eight weeks reported significant emotional benefits compared to a control group who took regular walks.<ref name=":9" /> The awe-walk group experienced greater increases in daily prosocial positive emotions, such as compassion and gratitude, and greater decreases in daily distress. Analysis of selfies taken during the walks showed that the awe walkers' smiles grew more intense over the course of the study, and they increasingly framed themselves as smaller relative to their surroundings, providing objective evidence of the "small self" effect. These findings suggest that cultivating awe can enhance positive emotions that foster social connection and diminish the negative emotions that can hasten decline in later life.<ref name=":9" /> |
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'''Description:''' Values clarification is a therapeutic process used prominently in ACT and CBT to help individuals identify their core personal values—the principles that give their life meaning and direction (e.g., community, creativity, integrity, adventure). The exercise involves not only identifying these values but also assessing the degree to which one's daily actions and major life decisions are aligned with them. |
'''Description:''' Values clarification is a therapeutic process used prominently in ACT and CBT to help individuals identify their core personal values—the principles that give their life meaning and direction (e.g., community, creativity, integrity, adventure). The exercise involves not only identifying these values but also assessing the degree to which one's daily actions and major life decisions are aligned with them. |
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'''Evidence:''' While often a component of a larger therapy, values clarification is considered a key mechanism for promoting psychological well-being. Living a life that is congruent with one's values is strongly associated with a greater sense of purpose, satisfaction, and authenticity.<sup>51</sup> The process helps guide decision-making, particularly in the face of moral dilemmas, and can reduce the stress and anxiety that arise from "value incongruence"—a state where one's behaviors conflict with one's beliefs.<ref name=":13">{{Cite web |last=Psychologist |first=Joaquín Selva, Bc S. |date=2018-04-23 |title=Values Clarification in CBT and Beyond: 18+ Examples & Tools |url=https://positivepsychology.com/values-clarification/ |access-date=2025-06-27 |website=PositivePsychology.com |language=en-US}}</ref> Within the ACT framework, clarified values serve as a crucial motivator, helping individuals endure short-term discomfort in the service of long-term, meaningful goals, thereby building psychological flexibility.<ref>{{Cite journal | |
'''Evidence:''' While often a component of a larger therapy, values clarification is considered a key mechanism for promoting psychological well-being. Living a life that is congruent with one's values is strongly associated with a greater sense of purpose, satisfaction, and authenticity.<sup>51</sup> The process helps guide decision-making, particularly in the face of moral dilemmas, and can reduce the stress and anxiety that arise from "value incongruence"—a state where one's behaviors conflict with one's beliefs.<ref name=":13">{{Cite web |last=Psychologist |first=Joaquín Selva, Bc S. |date=2018-04-23 |title=Values Clarification in CBT and Beyond: 18+ Examples & Tools |url=https://positivepsychology.com/values-clarification/ |access-date=2025-06-27 |website=PositivePsychology.com |language=en-US}}</ref> Within the ACT framework, clarified values serve as a crucial motivator, helping individuals endure short-term discomfort in the service of long-term, meaningful goals, thereby building psychological flexibility.<ref>{{Cite journal |last1=P |first1=Anusuya S. |last2=S |first2=Gayatridevi |date=January 2025 |title=Acceptance and Commitment Therapy and Psychological Well-Being: A Narrative Review |journal=Cureus |volume=17 |issue=1 |pages=e77705 |doi=10.7759/cureus.77705 |doi-access=free |issn=2168-8184 |pmc=11837766 |pmid=39974259}}</ref> |
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==== Goal-Setting for Well-being ==== |
==== Goal-Setting for Well-being ==== |
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'''Description:''' Visualization, also known as mental imagery, is a cognitive technique where an individual creates a detailed, vivid mental simulation of successfully performing a task or achieving a desired outcome. It is a cornerstone of modern sports psychology, used by athletes to prepare for competition.<ref name=":14">{{Cite web |last=Psy.D |first=Joe Puentes |date=2024-03-13 |title=Visualization Techniques and Mental Imagery for Athletes |url=https://www.performancepsychologycenter.com/post/visualization-techniques-and-mental-imagery |access-date=2025-06-27 |website=Performance Psych |language=en}}</ref> |
'''Description:''' Visualization, also known as mental imagery, is a cognitive technique where an individual creates a detailed, vivid mental simulation of successfully performing a task or achieving a desired outcome. It is a cornerstone of modern sports psychology, used by athletes to prepare for competition.<ref name=":14">{{Cite web |last=Psy.D |first=Joe Puentes |date=2024-03-13 |title=Visualization Techniques and Mental Imagery for Athletes |url=https://www.performancepsychologycenter.com/post/visualization-techniques-and-mental-imagery |access-date=2025-06-27 |website=Performance Psych |language=en}}</ref> |
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'''Evidence:''' A large body of research supports the efficacy of visualization for performance enhancement. Studies consistently show that regular mental rehearsal can improve objective performance, sharpen focus, and increase confidence.<ref>{{Cite journal | |
'''Evidence:''' A large body of research supports the efficacy of visualization for performance enhancement. Studies consistently show that regular mental rehearsal can improve objective performance, sharpen focus, and increase confidence.<ref>{{Cite journal |last1=Blankert |first1=Tim |last2=Hamstra |first2=Melvyn R. W. |date=2017-01-02 |title=Imagining Success: Multiple Achievement Goals and the Effectiveness of Imagery |journal=Basic and Applied Social Psychology |volume=39 |issue=1 |pages=60–67 |doi=10.1080/01973533.2016.1255947 |issn=0197-3533 |pmc=5351796 |pmid=28366970}}</ref> The scientific basis for this effect is the principle of "functional equivalence," which suggests that imagining an action activates the same neural pathways in the brain as actually performing it. This mental practice strengthens these neural circuits, making the physical execution of the skill smoother, more automatic, and more resilient under pressure.<sup>58</sup> |
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==== Productivity Techniques (e.g., Pomodoro) ==== |
==== Productivity Techniques (e.g., Pomodoro) ==== |
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'''Description:''' Breathwork refers to any practice that involves the conscious and intentional control of breathing patterns. The most common form used for stress reduction is slow, deep, diaphragmatic (or "belly") breathing. This technique counteracts the shallow, rapid, upper-chest breathing that is a hallmark of the body's "fight-or-flight" stress response.<ref name=":15">{{Cite web |last=Malesu |first=Vijay Kumar |date=2025-04-28 |title=The Science Behind Breathwork and Stress Reduction |url=https://www.news-medical.net/health/The-Science-Behind-Breathwork-and-Stress-Reduction.aspx |access-date=2025-06-27 |website=News-Medical |language=en}}</ref> |
'''Description:''' Breathwork refers to any practice that involves the conscious and intentional control of breathing patterns. The most common form used for stress reduction is slow, deep, diaphragmatic (or "belly") breathing. This technique counteracts the shallow, rapid, upper-chest breathing that is a hallmark of the body's "fight-or-flight" stress response.<ref name=":15">{{Cite web |last=Malesu |first=Vijay Kumar |date=2025-04-28 |title=The Science Behind Breathwork and Stress Reduction |url=https://www.news-medical.net/health/The-Science-Behind-Breathwork-and-Stress-Reduction.aspx |access-date=2025-06-27 |website=News-Medical |language=en}}</ref> |
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'''Evidence:''' The effectiveness of breathwork for stress reduction is strongly supported by scientific evidence. A meta-analysis of randomized controlled trials (RCTs) published in ''Scientific Reports'' concluded that breathwork interventions were significantly associated with lower levels of self-reported stress, anxiety, and depressive symptoms.<ref>{{Cite journal | |
'''Evidence:''' The effectiveness of breathwork for stress reduction is strongly supported by scientific evidence. A meta-analysis of randomized controlled trials (RCTs) published in ''Scientific Reports'' concluded that breathwork interventions were significantly associated with lower levels of self-reported stress, anxiety, and depressive symptoms.<ref>{{Cite journal |last1=Fincham |first1=Guy William |last2=Strauss |first2=Clara |last3=Montero-Marin |first3=Jesus |last4=Cavanagh |first4=Kate |date=2023-01-09 |title=Effect of breathwork on stress and mental health: A meta-analysis of randomised-controlled trials |journal=Scientific Reports |volume=13 |issue=1 |pages=432 |doi=10.1038/s41598-022-27247-y |issn=2045-2322 |pmc=9828383 |pmid=36624160|bibcode=2023NatSR..13..432F }}</ref> The physiological mechanisms are well understood. Slow, controlled breathing directly stimulates the [[vagus nerve]], which activates the parasympathetic nervous system—the body's "rest and digest" system. This activation leads to a cascade of calming physiological changes, including a lower heart rate, reduced blood pressure, a decrease in the stress hormone cortisol, and an increase in heart rate variability (HRV), a key biomarker of psychological resilience and autonomic flexibility.<ref>{{Cite web |last=Services |first=Department of Health & Human |title=Breathing to reduce stress |url=http://www.betterhealth.vic.gov.au/health/healthyliving/breathing-to-reduce-stress |access-date=2025-06-27 |website=www.betterhealth.vic.gov.au |language=en}}</ref> |
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==== Deep Relaxation and [[Yoga nidra|Yoga Nidra]] ==== |
==== Deep Relaxation and [[Yoga nidra|Yoga Nidra]] ==== |
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'''Description:''' Yoga Nidra, which translates to "yogic sleep," is a systematic, guided meditation practice that induces a state of profound relaxation that lies on the threshold between wakefulness and sleep. Practitioners lie down and are guided through a series of steps, including a body scan, breath awareness, and visualizations, with the goal of achieving deep physical, mental, and emotional rest while maintaining a state of conscious awareness.<ref name=":16">{{Cite web |last=Blogger |first=Guest |date=2024-12-20 |title=Yoga Nidra: The Science Behind This Deep Relaxation Technique |url=https://www.theyogacollective.com/the-scientific-basis-of-yoga-nidra-exploring-the-science-behind-this-deep-relaxation-technique/ |access-date=2025-06-27 |website=The Yoga Collective |language=en-US}}</ref> |
'''Description:''' Yoga Nidra, which translates to "yogic sleep," is a systematic, guided meditation practice that induces a state of profound relaxation that lies on the threshold between wakefulness and sleep. Practitioners lie down and are guided through a series of steps, including a body scan, breath awareness, and visualizations, with the goal of achieving deep physical, mental, and emotional rest while maintaining a state of conscious awareness.<ref name=":16">{{Cite web |last=Blogger |first=Guest |date=2024-12-20 |title=Yoga Nidra: The Science Behind This Deep Relaxation Technique |url=https://www.theyogacollective.com/the-scientific-basis-of-yoga-nidra-exploring-the-science-behind-this-deep-relaxation-technique/ |access-date=2025-06-27 |website=The Yoga Collective |language=en-US}}</ref> |
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'''Evidence:''' Research indicates that Yoga Nidra is an effective non-pharmacological intervention for stress and anxiety. Studies have shown that the practice activates the parasympathetic nervous system, leading to significant reductions in cortisol.<sup>68</sup> EEG studies have observed that Yoga Nidra can shift brainwave activity from the beta waves of normal waking consciousness to the slower alpha and theta waves associated with deep relaxation and meditation.<ref>{{Cite journal | |
'''Evidence:''' Research indicates that Yoga Nidra is an effective non-pharmacological intervention for stress and anxiety. Studies have shown that the practice activates the parasympathetic nervous system, leading to significant reductions in cortisol.<sup>68</sup> EEG studies have observed that Yoga Nidra can shift brainwave activity from the beta waves of normal waking consciousness to the slower alpha and theta waves associated with deep relaxation and meditation.<ref>{{Cite journal |last1=Tartar |first1=Jaime |last2=Burri |first2=Bharath Kumar Reddy |last3=Konatam |first3=Shravya |last4=Norton |first4=Janel |last5=Okerlin |first5=Annie |last6=Intsiful |first6=Ariana |last7=Banks |first7=Jonathan |date=2025-01-28 |title=Yoga Nidra as a Non-Pharmacological Intervention for Improving Mood |url=https://researchdirects.com/ |journal=Research in Therapeutic Sciences |language=en |volume=4 |issue=1 |doi=10.53520/rdts2025.105138 |doi-broken-date=28 June 2025 |issn=2837-5033}}</ref> Research suggests that the psychological benefits, such as improved mood, are optimized when the practitioner remains in an engaged state of awareness rather than fully falling asleep, highlighting the nuanced interplay between relaxation and consciousness in the practice.<sup>69</sup> |
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==== Sensory Modulation (Flotation-REST, Binaural Beats) ==== |
==== Sensory Modulation (Flotation-REST, Binaural Beats) ==== |
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'''Description:''' These techniques involve altering the sensory environment to influence brain states. |
'''Description:''' These techniques involve altering the sensory environment to influence brain states. |
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* '''[[Flotation-REST]] (Restricted Environmental Stimulation Therapy):''' This practice involves floating effortlessly in a dark, soundproof tank filled with a high concentration of Epsom salt water heated to skin temperature. The goal is to minimize external sensory input—sight, sound, touch, and gravity—as much as possible.<ref name=":17">{{Citation | |
* '''[[Flotation-REST]] (Restricted Environmental Stimulation Therapy):''' This practice involves floating effortlessly in a dark, soundproof tank filled with a high concentration of Epsom salt water heated to skin temperature. The goal is to minimize external sensory input—sight, sound, touch, and gravity—as much as possible.<ref name=":17">{{Citation |last1=Hilpert |first1=Kai |title=Experiences and Perceptions of Regular Floatation-REST Users: Results from an Online Survey |date=2025-04-16 |url=https://www.medrxiv.org/content/10.1101/2025.04.14.25325793v1 |access-date=2025-06-27 |publisher=medRxiv |language=en |doi=10.1101/2025.04.14.25325793 |last2=Ster |first2=Irina Chis}}</ref> |
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* '''[[Binaural beats|Binaural Beats]]:''' This is an auditory illusion created when two tones of slightly different frequencies are presented separately to each ear (e.g., 400 Hz to the left ear and 410 Hz to the right). The brain perceives a third, phantom "beat" at the frequency of the difference (in this case, 10 Hz). This is hypothesized to entrain brainwaves to the target frequency, theoretically inducing a desired mental state (e.g., delta for sleep, alpha for relaxation, beta for focus).<ref name=":18">{{Cite journal | |
* '''[[Binaural beats|Binaural Beats]]:''' This is an auditory illusion created when two tones of slightly different frequencies are presented separately to each ear (e.g., 400 Hz to the left ear and 410 Hz to the right). The brain perceives a third, phantom "beat" at the frequency of the difference (in this case, 10 Hz). This is hypothesized to entrain brainwaves to the target frequency, theoretically inducing a desired mental state (e.g., delta for sleep, alpha for relaxation, beta for focus).<ref name=":18">{{Cite journal |last1=Askarpour |first1=Hedyeh |last2=Mirzaee |first2=Faezeh |last3=Habibi |first3=Fatemeh |last4=Pourfridoni |first4=Mohammad |title=Binaural Beats' Effect on Brain Activity and Psychiatric Disorders: A Literature Review |url=https://openpublichealthjournal.com/VOLUME/17/ELOCATOR/e18749445332258/FULLTEXT/ |language=en |doi=10.2174/0118749445332258241008103504|doi-broken-date=28 June 2025 }}</ref> |
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'''Evidence:''' |
'''Evidence:''' |
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==== Art and Drama Therapy ==== |
==== Art and Drama Therapy ==== |
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'''Description:''' [[Creative arts therapies|Creative Arts Therapies]] (CATs) use the creative process itself as a therapeutic intervention. Art therapy, for example, employs mediums like painting, drawing, and sculpting to help individuals express and explore emotions, reconcile internal conflicts, manage stress, and improve self-awareness.<ref name=":19">{{Cite journal | |
'''Description:''' [[Creative arts therapies|Creative Arts Therapies]] (CATs) use the creative process itself as a therapeutic intervention. Art therapy, for example, employs mediums like painting, drawing, and sculpting to help individuals express and explore emotions, reconcile internal conflicts, manage stress, and improve self-awareness.<ref name=":19">{{Cite journal |last1=Martin |first1=Lily |last2=Oepen |first2=Renate |last3=Bauer |first3=Katharina |last4=Nottensteiner |first4=Alina |last5=Mergheim |first5=Katja |last6=Gruber |first6=Harald |last7=Koch |first7=Sabine C. |date=2018-02-22 |title=Creative Arts Interventions for Stress Management and Prevention-A Systematic Review |journal=Behavioral Sciences (Basel, Switzerland) |volume=8 |issue=2 |pages=28 |doi=10.3390/bs8020028 |doi-access=free |issn=2076-328X |pmc=5836011 |pmid=29470435}}</ref> The focus is on the process of creation rather than the final product. |
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'''Evidence:''' A systematic review of 37 studies on CATs found that 81% of the interventions reported a significant reduction in stress among participants.<ref name=":19" /> A separate meta-analysis focusing specifically on children and adolescents concluded that art therapy interventions led to a significant decrease in anxiety symptoms.<ref name=":19" /> The practice is thought to be effective because it provides a non-verbal outlet for emotions that may be difficult to articulate, thereby facilitating processing and release. |
'''Evidence:''' A systematic review of 37 studies on CATs found that 81% of the interventions reported a significant reduction in stress among participants.<ref name=":19" /> A separate meta-analysis focusing specifically on children and adolescents concluded that art therapy interventions led to a significant decrease in anxiety symptoms.<ref name=":19" /> The practice is thought to be effective because it provides a non-verbal outlet for emotions that may be difficult to articulate, thereby facilitating processing and release. |
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'''Description:''' This refers to the practice of actively building and maintaining a network of supportive and positive relationships with family, friends, and the community. |
'''Description:''' This refers to the practice of actively building and maintaining a network of supportive and positive relationships with family, friends, and the community. |
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'''Evidence:''' The link between social connection and mental health is one of the most robust findings in psychological and public health research. Strong social connection is an independent predictor of both mental and physical health, including longevity.<ref name=":20">{{Cite journal |last=Holt-Lunstad |first=Julianne |date=2024 |
'''Evidence:''' The link between social connection and mental health is one of the most robust findings in psychological and public health research. Strong social connection is an independent predictor of both mental and physical health, including longevity.<ref name=":20">{{Cite journal |last=Holt-Lunstad |first=Julianne |date=October 2024 |title=Social connection as a critical factor for mental and physical health: evidence, trends, challenges, and future implications |journal=World Psychiatry: Official Journal of the World Psychiatric Association (WPA) |volume=23 |issue=3 |pages=312–332 |doi=10.1002/wps.21224 |issn=1723-8617 |pmc=11403199 |pmid=39279411}}</ref> Conversely, social isolation and loneliness are strongly linked to poorer mental health outcomes. A systematic literature review found that adults with psychological problems often experience greater difficulty in forming social connections, leading to higher levels of loneliness. Longitudinal studies and meta-analyses have established a powerful, bidirectional causal link between social isolation and depression, meaning that isolation increases the risk of depression, and depression, in turn, increases the risk of isolation.<ref name=":20" /> |
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==== Cognitive Training ("Brain Games") ==== |
==== Cognitive Training ("Brain Games") ==== |
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'''Description:''' This category includes a wide range of commercially available applications and online games designed to train specific<ref>{{Cite journal |last=Yuldani |first=Al-Qalb |date=June 26, 2025 |title=Social Connectedness and Loneliness in Adults with Psychological Problems: A Systematic Review |url=https://ejournal.uinib.ac.id/jurnal/index.php/alqalb/article/view/11060 |journal=Rumah Jurnal UIN IB}}</ref>cognitive functions such as memory, attention, processing speed, and problem-solving.<ref name=":21">{{Cite web |last=Dulas |first=Ian McDonough and Michael |date=2025-01-11 |title=Brain-training games: What the evidence really says about their benefits |url=https://www.psypost.org/brain-training-games-what-the-evidence-really-says-about-their-benefits/ |access-date=2025-06-27 |website=PsyPost - Psychology News |language=en-US}}</ref> |
'''Description:''' This category includes a wide range of commercially available applications and online games designed to train specific<ref>{{Cite journal |last=Yuldani |first=Al-Qalb |date=June 26, 2025 |title=Social Connectedness and Loneliness in Adults with Psychological Problems: A Systematic Review |url=https://ejournal.uinib.ac.id/jurnal/index.php/alqalb/article/view/11060 |journal=Rumah Jurnal UIN IB|volume=16 |issue=1 }}</ref>cognitive functions such as memory, attention, processing speed, and problem-solving.<ref name=":21">{{Cite web |last=Dulas |first=Ian McDonough and Michael |date=2025-01-11 |title=Brain-training games: What the evidence really says about their benefits |url=https://www.psypost.org/brain-training-games-what-the-evidence-really-says-about-their-benefits/ |access-date=2025-06-27 |website=PsyPost - Psychology News |language=en-US}}</ref> |
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'''Evidence:''' The effectiveness of commercial brain games for producing broad, transferable cognitive improvements is highly debated, and the scientific evidence is generally weak. While users typically improve their performance on the specific tasks within the game, multiple meta-analyses have found little evidence that these skills transfer to unrelated, real-world cognitive tasks or provide a general boost to cognition.<ref>{{Cite web |last=Dulas |first=Ian McDonough and Michael |date=2025-01-11 |title=Brain-training games: What the evidence really says about their benefits |url=https://www.psypost.org/brain-training-games-what-the-evidence-really-says-about-their-benefits/ |access-date=2025-06-27 |website=PsyPost - Psychology News |language=en-US}}</ref> The field has been subject to regulatory scrutiny; in 2016, the U.S. Federal Trade Commission issued a major penalty to Lumosity, one of the most popular brain-training companies, for making unsubstantiated claims about its ability to prevent cognitive decline and improve school and work performance.<sup>78</sup> Research suggests that engaging in novel, complex, and challenging learning activities (such as learning a new skill like digital photography or quilting) is more likely to produce transferable cognitive gains than repetitive brain games.<sup>78</sup> |
'''Evidence:''' The effectiveness of commercial brain games for producing broad, transferable cognitive improvements is highly debated, and the scientific evidence is generally weak. While users typically improve their performance on the specific tasks within the game, multiple meta-analyses have found little evidence that these skills transfer to unrelated, real-world cognitive tasks or provide a general boost to cognition.<ref>{{Cite web |last=Dulas |first=Ian McDonough and Michael |date=2025-01-11 |title=Brain-training games: What the evidence really says about their benefits |url=https://www.psypost.org/brain-training-games-what-the-evidence-really-says-about-their-benefits/ |access-date=2025-06-27 |website=PsyPost - Psychology News |language=en-US}}</ref> The field has been subject to regulatory scrutiny; in 2016, the U.S. Federal Trade Commission issued a major penalty to Lumosity, one of the most popular brain-training companies, for making unsubstantiated claims about its ability to prevent cognitive decline and improve school and work performance.<sup>78</sup> Research suggests that engaging in novel, complex, and challenging learning activities (such as learning a new skill like digital photography or quilting) is more likely to produce transferable cognitive gains than repetitive brain games.<sup>78</sup> |
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|Identifying & restructuring maladaptive thoughts, altering neural pathways |
|Identifying & restructuring maladaptive thoughts, altering neural pathways |
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|'''Strong''' |
|'''Strong''' |
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|Meta-analyses of CBT show high efficacy for anxiety/depression.<ref name=":10" /> Systematic reviews support use for resilience.<ref>{{Cite journal | |
|Meta-analyses of CBT show high efficacy for anxiety/depression.<ref name=":10" /> Systematic reviews support use for resilience.<ref>{{Cite journal |last1=Joyce |first1=Sadhbh |last2=Shand |first2=Fiona |last3=Tighe |first3=Joseph |last4=Laurent |first4=Steven J. |last5=Bryant |first5=Richard A. |last6=Harvey |first6=Samuel B. |date=2018-06-01 |title=Road to resilience: a systematic review and meta-analysis of resilience training programmes and interventions |url=https://bmjopen.bmj.com/content/8/6/e017858 |journal=BMJ Open |language=en |volume=8 |issue=6 |pages=e017858 |doi=10.1136/bmjopen-2017-017858 |issn=2044-6055 |pmid=29903782|pmc=6009510 }}</ref> |
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|'''Breathwork''' |
|'''Breathwork''' |
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|Shifts attention outward, reduces self-focus, promotes prosocial emotions |
|Shifts attention outward, reduces self-focus, promotes prosocial emotions |
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|'''Emerging''' |
|'''Emerging''' |
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|Supported by novel, high-quality studies<ref>{{Cite journal | |
|Supported by novel, high-quality studies<ref>{{Cite journal |last1=Sturm |first1=Virginia E. |last2=Datta |first2=Samir |last3=Roy |first3=Ashlin R. K. |last4=Sible |first4=Isabel J. |last5=Kosik |first5=Eena L. |last6=Veziris |first6=Christina R. |last7=Chow |first7=Tiffany E. |last8=Morris |first8=Nathaniel A. |last9=Neuhaus |first9=John |last10=Kramer |first10=Joel H. |last11=Miller |first11=Bruce L. |last12=Holley |first12=Sarah R. |last13=Keltner |first13=Dacher |date=August 2022 |title=Big smile, small self: Awe walks promote prosocial positive emotions in older adults |journal=Emotion (Washington, D.C.) |volume=22 |issue=5 |pages=1044–1058 |doi=10.1037/emo0000876 |issn=1931-1516 |pmc=8034841 |pmid=32955293}}</ref>, but lacks large-scale meta-analyses. A promising new area. |
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|- |
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|'''Flotation-REST''' |
|'''Flotation-REST''' |
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|Sensory reduction, induces deep relaxation response, lowers cortisol |
|Sensory reduction, induces deep relaxation response, lowers cortisol |
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|'''Emerging''' |
|'''Emerging''' |
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|Supported by several studies showing stress/anxiety reduction<ref>{{Citation | |
|Supported by several studies showing stress/anxiety reduction<ref>{{Citation |last1=Hilpert |first1=Kai |title=Experiences and Perceptions of Regular Floatation-REST Users: Results from an Online Survey |date=2025-04-16 |url=https://www.medrxiv.org/content/10.1101/2025.04.14.25325793v1 |access-date=2025-06-27 |publisher=medRxiv |language=en |doi=10.1101/2025.04.14.25325793 |last2=Ster |first2=Irina Chis}}</ref>, but the body of research is smaller than for mindfulness or CBT. |
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|- |
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|'''Binaural Beats''' |
|'''Binaural Beats''' |
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# '''Quadrant 4: Mental Fitness.''' Long-term, wellness-focused behaviors that proactively build resilience, focus, and performance to combat stress and burnout. |
# '''Quadrant 4: Mental Fitness.''' Long-term, wellness-focused behaviors that proactively build resilience, focus, and performance to combat stress and burnout. |
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The strategic utility of such a framework extends beyond simple description; it is a sophisticated marketing tool designed for "category creation." The wellness market (Quadrant 1) is saturated, and the healthcare market (Quadrants 2 and 3) is dominated by established clinical providers. By mapping the landscape in this specific way, the matrix strategically carves out Quadrant 4 as a new, distinct, and underserved category. It defines this category with appealing attributes—proactive, long-term, and focused on thriving—and positions "Mental Fitness" as the pioneering solution within it.<ref name=":24">{{Cite news |date=2021-10-04 |title= |
The strategic utility of such a framework extends beyond simple description; it is a sophisticated marketing tool designed for "category creation." The wellness market (Quadrant 1) is saturated, and the healthcare market (Quadrants 2 and 3) is dominated by established clinical providers. By mapping the landscape in this specific way, the matrix strategically carves out Quadrant 4 as a new, distinct, and underserved category. It defines this category with appealing attributes—proactive, long-term, and focused on thriving—and positions "Mental Fitness" as the pioneering solution within it.<ref name=":24">{{Cite news |date=2021-10-04 |title=It's a New Era for Mental Health at Work |url=https://hbr.org/2021/10/its-a-new-era-for-mental-health-at-work |access-date=2025-06-27 |work=Harvard Business Review |language=en |issn=0017-8012}}</ref><sup>1</sup> The framework's narrative portrays the typical user journey as a frustrating and costly navigation of the other three quadrants, presenting Mental Fitness as a more efficient and preventative starting point.<sup>1</sup> The inherent reductionism of the 2x2 matrix, which simplifies the messy reality of interventions into neat boxes, is a feature of this strategy, as it makes the argument for this new category more compelling and clear. |
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=== From Tools to Culture === |
=== From Tools to Culture === |
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* '''Commodification and Exclusivity:''' A primary critique is that the wellness industry turns health and self-care into commodities that are often expensive and exclusive. From high-priced organic foods and supplements to luxury wellness retreats and boutique fitness classes, many aspects of modern wellness culture are accessible only to the affluent. This can create a system where well-being is perceived as a luxury good rather than a universal right, reserved for those with the wealth to purchase it.<ref name=":25">{{Cite journal |last=Crawford |first=R. |date=1980 |title=Healthism and the medicalization of everyday life |url=https://pubmed.ncbi.nlm.nih.gov/7419309 |journal=International Journal of Health Services: Planning, Administration, Evaluation |volume=10 |issue=3 |pages=365–388 |doi=10.2190/3H2H-3XJN-3KAY-G9NY |issn=0020-7314 |pmid=7419309}}</ref> |
* '''Commodification and Exclusivity:''' A primary critique is that the wellness industry turns health and self-care into commodities that are often expensive and exclusive. From high-priced organic foods and supplements to luxury wellness retreats and boutique fitness classes, many aspects of modern wellness culture are accessible only to the affluent. This can create a system where well-being is perceived as a luxury good rather than a universal right, reserved for those with the wealth to purchase it.<ref name=":25">{{Cite journal |last=Crawford |first=R. |date=1980 |title=Healthism and the medicalization of everyday life |url=https://pubmed.ncbi.nlm.nih.gov/7419309 |journal=International Journal of Health Services: Planning, Administration, Evaluation |volume=10 |issue=3 |pages=365–388 |doi=10.2190/3H2H-3XJN-3KAY-G9NY |issn=0020-7314 |pmid=7419309}}</ref> |
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* '''Healthism and Moral Judgment:''' The wellness movement is often associated with "healthism," an ideology that posits health as the ultimate personal virtue and an individual's moral responsibility.<ref name=":25" /> This perspective tends to ignore or downplay the profound impact of social determinants of health, such as poverty, systemic discrimination, environmental factors, and access to healthcare.<sup>97</sup> By framing health as solely a matter of personal choice and willpower, healthism can lead to judgment and shame directed at individuals who do not or cannot conform to its ideals, particularly those in larger bodies or with chronic illnesses. |
* '''Healthism and Moral Judgment:''' The wellness movement is often associated with "healthism," an ideology that posits health as the ultimate personal virtue and an individual's moral responsibility.<ref name=":25" /> This perspective tends to ignore or downplay the profound impact of social determinants of health, such as poverty, systemic discrimination, environmental factors, and access to healthcare.<sup>97</sup> By framing health as solely a matter of personal choice and willpower, healthism can lead to judgment and shame directed at individuals who do not or cannot conform to its ideals, particularly those in larger bodies or with chronic illnesses. |
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* '''Pseudoscience and Anxiety:''' The wellness industry has been widely criticized for promoting pseudoscience and unsubstantiated claims, with high-profile brands like Gwyneth Paltrow's Goop often cited as examples.<ref>{{Cite web |title=The wellness industry has commodified your health {{!}} |
* '''Pseudoscience and Anxiety:''' The wellness industry has been widely criticized for promoting pseudoscience and unsubstantiated claims, with high-profile brands like Gwyneth Paltrow's Goop often cited as examples.<ref>{{Cite web |title=The wellness industry has commodified your health {{!}} Carson's Class Notes |url=https://www.emorywheel.com/article/2023/10/the-wellness-industry-has-commodified-your-health-carsons-class-notes |access-date=2025-06-27 |website=The wellness industry has commodified your health {{!}} Carson’s Class Notes - The Emory Wheel |language=en-US}}</ref> This can be coupled with fear-mongering marketing tactics that create or exacerbate health anxiety, leading to a state where the constant pursuit of "wellness" becomes a source of stress in itself. Critics argue this can foster a borderline orthorexic obsession with being "healthy," where any deviation from a strict regimen induces guilt and fear. |
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This creates a central paradox for the wellness movement. While its stated goal is to alleviate stress and burnout, its commercialized form can inadvertently introduce new anxieties: the pressure to constantly self-optimize, the financial burden of participating, and the guilt associated with failing to meet the ever-shifting standards of "peak wellness." The pursuit of mental fitness, when framed within this culture, can risk becoming another metric by which individuals judge their self-worth, potentially undermining its intended benefits. |
This creates a central paradox for the wellness movement. While its stated goal is to alleviate stress and burnout, its commercialized form can inadvertently introduce new anxieties: the pressure to constantly self-optimize, the financial burden of participating, and the guilt associated with failing to meet the ever-shifting standards of "peak wellness." The pursuit of mental fitness, when framed within this culture, can risk becoming another metric by which individuals judge their self-worth, potentially undermining its intended benefits. |
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Beyond the commercial aspects, a more fundamental sociological critique is leveled at the individualistic focus of many mental fitness and positive psychology interventions. |
Beyond the commercial aspects, a more fundamental sociological critique is leveled at the individualistic focus of many mental fitness and positive psychology interventions. |
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* '''The Decontextualized Self:''' Critics argue that these approaches often treat the individual as a "decontextualized" self, separate from the social, cultural, economic, and political systems that shape their well-being.<ref>{{Cite journal | |
* '''The Decontextualized Self:''' Critics argue that these approaches often treat the individual as a "decontextualized" self, separate from the social, cultural, economic, and political systems that shape their well-being.<ref>{{Cite journal |last1=Gaffaney |first1=Jaclyn |last2=Donaldson |first2=Stewart Ian |date=2025-03-26 |title=Addressing the criticisms and critiques of positive psychology: recommendations for improving the science and practice of the field |journal=Frontiers in Psychology |language=English |volume=16 |doi=10.3389/fpsyg.2025.1548612 |doi-access=free |pmid=40207134 |pmc=11978841 |issn=1664-1078}}</ref> The focus is placed heavily on changing an individual's internal thoughts and attitudes, while the external conditions causing their distress are often left unexamined. |
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* '''Individualizing Systemic Problems:''' This critique is particularly trenchant in the corporate context. By providing employees with mental fitness tools to "build resilience" or "manage stress," an organization can subtly shift the responsibility for dealing with workplace pressures onto the individual worker.<sup>94</sup> This approach can function as a way to avoid addressing the root causes of employee burnout, which may stem from systemic issues like excessive workloads, poor management, inadequate compensation, or a toxic organizational culture. The implicit message can become, "The problem is not the demanding job; the problem is your lack of fitness to handle it. Here is an app to help you cope better".<ref name=":26">{{Cite web |date=2024-03-28 |title=Reclaim |
* '''Individualizing Systemic Problems:''' This critique is particularly trenchant in the corporate context. By providing employees with mental fitness tools to "build resilience" or "manage stress," an organization can subtly shift the responsibility for dealing with workplace pressures onto the individual worker.<sup>94</sup> This approach can function as a way to avoid addressing the root causes of employee burnout, which may stem from systemic issues like excessive workloads, poor management, inadequate compensation, or a toxic organizational culture. The implicit message can become, "The problem is not the demanding job; the problem is your lack of fitness to handle it. Here is an app to help you cope better".<ref name=":26">{{Cite web |date=2024-03-28 |title=Reclaim 'wellness' from the rich and famous, and restore its political radicalism, new book argues {{!}} University of Cambridge |url=https://www.cam.ac.uk/research/news/reclaim-wellness-from-the-rich-and-famous-and-restore-its-political-radicalism-new-book-argues |access-date=2025-06-27 |website=www.cam.ac.uk |language=en}}</ref> |
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From a critical sociological perspective, the corporate adoption of mental fitness can be viewed as a tool of neoliberal governance. This perspective suggests that the concept reframes a systemic, organizational problem (stress created by corporate practices) as a personal deficit (an individual's lack of mental fitness). The promotion of self-management and resilience as the primary solution aligns with a broader political and economic ideology that emphasizes individual responsibility over collective action or structural reform. This allows an organization to maintain a high-pressure, productivity-focused status quo while appearing to be supportive of employee well-being, effectively individualizing a problem that may be organizational in nature. This approach stands in stark contrast to the more radical roots of the 1970s wellness movement, which called for fundamentally changing the nature of work itself to be more humane.<ref name=":26" /> |
From a critical sociological perspective, the corporate adoption of mental fitness can be viewed as a tool of neoliberal governance. This perspective suggests that the concept reframes a systemic, organizational problem (stress created by corporate practices) as a personal deficit (an individual's lack of mental fitness). The promotion of self-management and resilience as the primary solution aligns with a broader political and economic ideology that emphasizes individual responsibility over collective action or structural reform. This allows an organization to maintain a high-pressure, productivity-focused status quo while appearing to be supportive of employee well-being, effectively individualizing a problem that may be organizational in nature. This approach stands in stark contrast to the more radical roots of the 1970s wellness movement, which called for fundamentally changing the nature of work itself to be more humane.<ref name=":26" /> |
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Finally, the concept of mental fitness faces several methodological and conceptual challenges that warrant a critical approach. |
Finally, the concept of mental fitness faces several methodological and conceptual challenges that warrant a critical approach. |
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* '''Uneven Evidence Base:''' As demonstrated in the summary table of practices, the scientific evidence supporting the various components of mental fitness is not uniform. The term is often used as a broad umbrella that bundles together practices with strong backing from multiple meta-analyses (e.g., MBSR, CBT) with those that have weak, contradictory, or emerging evidence (e.g., binaural beats, brain games).<ref>{{Cite journal | |
* '''Uneven Evidence Base:''' As demonstrated in the summary table of practices, the scientific evidence supporting the various components of mental fitness is not uniform. The term is often used as a broad umbrella that bundles together practices with strong backing from multiple meta-analyses (e.g., MBSR, CBT) with those that have weak, contradictory, or emerging evidence (e.g., binaural beats, brain games).<ref>{{Cite journal |last1=Chiesa |first1=Alberto |last2=Serretti |first2=Alessandro |date=May 2009 |title=Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis |url=https://pubmed.ncbi.nlm.nih.gov/19432513 |journal=Journal of Alternative and Complementary Medicine (New York, N.Y.) |volume=15 |issue=5 |pages=593–600 |doi=10.1089/acm.2008.0495 |issn=1557-7708 |pmid=19432513}}</ref> This can create a "halo effect" where less-proven techniques gain perceived legitimacy by being associated with more established ones. |
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* '''Lack of Standardization:''' Many of the interventions promoted under the mental fitness banner lack standardization. For example, a systematic review of Dialectical Behavior Therapy (DBT) for emotional regulation found that high variability across programs and methodological limitations made it difficult to draw firm conclusions about its effectiveness relative to other treatments.<ref>{{Cite journal | |
* '''Lack of Standardization:''' Many of the interventions promoted under the mental fitness banner lack standardization. For example, a systematic review of Dialectical Behavior Therapy (DBT) for emotional regulation found that high variability across programs and methodological limitations made it difficult to draw firm conclusions about its effectiveness relative to other treatments.<ref>{{Cite journal |last1=Harvey |first1=Lauren J. |last2=Hunt |first2=Caroline |last3=White |first3=Fiona A. |date=September 2019 |title=Dialectical Behaviour Therapy for Emotion Regulation Difficulties: A Systematic Review |url=https://www.cambridge.org/core/journals/behaviour-change/article/abs/dialectical-behaviour-therapy-for-emotion-regulation-difficulties-a-systematic-review/2EA397FE6050C7400D4C1C8D2F3E4A15 |journal=Behaviour Change |language=en |volume=36 |issue=3 |pages=143–164 |doi=10.1017/bec.2019.9 |issn=0813-4839}}</ref> The term "breathwork" or "meditation" can refer to a vast array of different techniques, not all of which may be equally effective. |
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* '''The "Positivity" Dichotomy:''' Early iterations of Positive Psychology were criticized for creating a simplistic and potentially harmful dichotomy between "positive" and "negative" emotions, implying that the goal was to eliminate the latter. While the field has since evolved toward a more nuanced, "second-wave" and "third-wave" perspective that acknowledges the value and necessity of the full range of human emotions, some commercial mental fitness programs can fall into this original trap.<sup>101</sup> An overemphasis on positivity can encourage the suppression or avoidance of valid negative emotions, which is ultimately counterproductive to genuine psychological well-being. |
* '''The "Positivity" Dichotomy:''' Early iterations of Positive Psychology were criticized for creating a simplistic and potentially harmful dichotomy between "positive" and "negative" emotions, implying that the goal was to eliminate the latter. While the field has since evolved toward a more nuanced, "second-wave" and "third-wave" perspective that acknowledges the value and necessity of the full range of human emotions, some commercial mental fitness programs can fall into this original trap.<sup>101</sup> An overemphasis on positivity can encourage the suppression or avoidance of valid negative emotions, which is ultimately counterproductive to genuine psychological well-being. |
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Mental Fitness is a proactive and preventative approach to psychological well-being, characterized by the intentional practice of exercises and techniques designed to build cognitive and emotional capacities, enhance psychological resilience, and optimize performance:[1]. Analogous to physical fitness, where consistent training strengthens the body, mental fitness posits that regular, targeted mental exercises can strengthen psychological "muscles" such as focus, optimism, emotional balance, and resilience[1].
The concept is distinct from traditional mental healthcare, which primarily focuses on the diagnosis and treatment of mental disorder and pathology. Mental fitness operates on the wellness end of the health-wellness spectrum[2], aiming to help the general population manage everyday stressors, prevent burnout, and improve overall functioning, rather than treating clinical conditions such as major depressive disorder or bipolar disorder[1].
History
[edit]The term "Mental Fitness" is a contemporary framing of ideas with deep historical roots. Its conceptual lineage can be traced through the 19th-century mental hygiene movement, 20th-century military psychology, and its eventual formalization in academic research in the 21st century.
Early Precursors: The Mental Hygiene Movement
[edit]
The intellectual groundwork for mental fitness was laid in the 19th century with the emergence of the "mental hygiene" movement. This movement represented one of the first organized efforts to shift the focus from merely confining individuals with mental illness to proactively preserving mental well-being in the general population. The term "mental hygiene" was first used in the United States by physician William Sweetzer in 1843.[3] A more comprehensive definition was later provided in 1893 by Isaac Ray, a founder of the American Psychiatric Association, who described it as "the art of preserving the mind against all incidents and influences calculated to deteriorate its qualities, impair its energies, or derange its movements".[4] Ray's definition was remarkably holistic, encompassing the management of lifestyle factors such as exercise, rest, diet, and climate, as well as the "government of the passions" and the "discipline of the intellect". While at this point, there was no clear distinction between mental fitness and mental health, all clear antecedents of the principles found in modern mental fitness programs.[4]
The movement gained significant momentum in the early 20th century through the work of figures like Clifford Beers, a former patient who exposed the abuses of the asylum system in his book A Mind That Found Itself, and the psychiatrist Adolph Meyer.[4] They advocated for a shift toward community-based prevention, public education, and early intervention, aiming to take well-being practices out of the confines of institutions and make them accessible to all.[4] This mirrors the contemporary goal of mental fitness to democratize tools for psychological well-being beyond the clinical setting.
Following World War II, the term "mental hygiene" was gradually superseded by "mental health".[4] This linguistic shift was intentional, aiming to move away from the somewhat clinical and dated connotations of "hygiene" toward a more positive and aspirational framing. The modern term "mental fitness" can be understood as the next step in this evolution. It is, in effect, a 21st-century rebranding of the core tenets of the mental hygiene movement. It revives the original focus on proactivity, prevention, and lifestyle management but packages it in the accessible and aspirational language of "fitness," a concept that resonates strongly with a modern, performance-oriented consumer and corporate audience.[5] This new terminology also allows the concept to distance itself from some of the more controversial aspects of the early mental hygiene movement, which at times was associated with eugenics, presenting a fresh and untainted vision of proactive mental well-being.
Military Psychology and Mental Preparedness
[edit]The concept of mental fitness found one of its first large-scale, pragmatic applications within the military. During World War I and continuing into World War II, military psychologists implemented screening processes to assess the "mental fitness" of soldiers.[6] The primary objective was to identify individuals who possessed the psychological resilience to cope with the extreme stressors of combat and to prevent cases of "shell shock," the term then used for what is now largely understood as post-traumatic stress disorder (PTSD).[6]
Initially, these efforts were based on the belief that psychological breakdown in war was a result of an individual's pre-existing weaknesses. However, the sheer scale of psychological casualties during WWII forced a significant shift in this understanding. It became clear that anyone, regardless of their prior disposition, could be psychologically overwhelmed by the trauma of war.[6] This realization led to a change in focus from simply screening out the "unfit" to actively providing psychiatric treatment to help soldiers cope and return to duty. It also led to the recognition of the critical role of environmental factors, such as social support within a unit, in fostering morale and resilience.[6]
This military context established an early, high-stakes application of mental preparedness that was fundamentally performance-oriented. The goal was not just the soldier's well-being for its own sake, but their ability to function effectively under immense pressure. This focus on performance contrasts with a purely therapeutic goal and aligns closely with the language of "high performance" and "optimization" used in modern mental fitness programs.[7] This history reveals a foundational tension within the concept of mental fitness: whether its primary objective is the holistic well-being of the individual or the optimization of their performance for the benefit of an organization. In the military context, the latter was the clear priority. As the concept has moved into the corporate world, this tension persists, with the "business case" for mental fitness often framed in terms of productivity and return on investment, raising important questions about the ultimate beneficiary of such programs.
Academic Formalization and Research
[edit]While the term "mental fitness" was used loosely in popular and commercial contexts for decades, its formalization as a scientific construct is a more recent development. A key figure in this effort is Dr. Paula L. Robinson of the University of Wollongong, whose research in the 2010s sought to establish a rigorous, evidence-based definition and a measurable framework for the concept.1
This academic work was a crucial step in bestowing scientific legitimacy upon the concept. For mental fitness to be taken seriously by psychology, healthcare, and large organizations, it required a clear definition, a theoretical model, and validated measurement tools, moving it beyond a vague self-help idea. Robinson's work directly addressed this gap. Through a Delphi study, a structured communication method that relies on a panel of experts, Robinson et al. (2015) established a consensus definition of mental fitness as "the modifiable capacity to utilise resources and skills to flexibly adapt to challenges or advantages, enabling thriving".[8]
This research also codified four guiding principles that have become central to the modern understanding of mental fitness:[5]
- It is a positive term: It is intended to be used without the negative connotations or stigma associated with terms like "mental health" or "mental illness".
- It is analogous to physical fitness: The concept is designed to be easily understood by the wider community through the familiar parallel to physical exercise.
- It is measurable: Mental fitness is a quantifiable psychological construct, not merely an abstract idea.
- It can be improved: Like physical fitness, it can be enhanced through intentional and consistent practice.
Furthermore, Robinson's framework organizes mental fitness into components analogous to physical fitness, such as mental strength, flexibility, and endurance.1 This structure provides a coherent way to categorize different interventions and develop comprehensive training programs. By establishing that mental fitness is a measurable and improvable capacity, this academic formalization transformed it into a concept suitable for evidence-based interventions, scientific study, and the calculation of return on investment, which has been critical for its adoption in corporate and organizational settings.
Theoretical Foundations
[edit]The concept of mental fitness is not built in a vacuum; it rests on several well-established theories in psychology and neuroscience. These foundations provide the scientific rationale for why and how mental fitness practices are believed to work. The key pillars include the Illness-Wellness Continuum, which provides the philosophical justification; Positive Psychology, which supplies the evidence-based content; and the principle of Neuroplasticity, which explains the biological mechanism of change.
The Illness-Wellness Continuum
[edit]A foundational shift in thinking about health occurred in the mid-20th century. In its 1948 constitution, the World Health Organization (WHO) made the groundbreaking declaration that health is not merely the "absence of disease or infirmity," but "a state of complete physical, mental and social well-being".1 This moved the goalposts for healthcare from simply fixing what is broken to actively cultivating what is good.
In the 1970s, physician Dr. John Travis, building on the work of Halbert L. Dunn, gave this idea a powerful visual form with his "Illness-Wellness Continuum".1 This model conceptualizes health not as a binary state of sick or not-sick, but as a continuous spectrum.
- Structure of the Continuum: The continuum spans from premature death on the far left, through a central "neutral point" representing the absence of illness, to a state of "high-level wellness" on the far right.
- The Two Paradigms: Travis described two distinct approaches to health corresponding to the two halves of the continuum. The left side represents the Treatment Paradigm, where traditional medicine operates. Its goal is to treat symptoms, injuries, and disabilities to move a person from a state of illness back to the neutral point. The right side represents the Wellness Paradigm. This paradigm is proactive and focuses on growth, education, and self-awareness to help an individual move beyond the neutral point toward optimal functioning and thriving.
- Dynamic Nature and Outlook: Travis emphasized that well-being is a dynamic, ongoing process, not a static achievement. A person's position on the continuum is less important than the direction they are facing. He argued that one's outlook is a critical factor; for example, a person with a physical disability who maintains a positive, growth-oriented mindset is oriented toward the wellness side of the continuum, whereas a physically healthy person with a perpetually negative and complaining outlook is oriented toward the illness side.
The Illness-Wellness Continuum provides the core philosophical and strategic justification for mental fitness. It carves out a legitimate conceptual space for interventions that are not designed to treat a diagnosed illness but to help any individual, regardless of their starting point, move further along the spectrum toward greater well-being.1 This model is more than just a theoretical construct; it is a strategic tool that effectively redefines the scope of "health." By doing so, it creates a vast, previously untapped market for wellness-oriented services. While traditional healthcare primarily serves the "ill" half of the continuum, the popularization of the wellness paradigm suggests that everyone, even those without a clinical diagnosis, is a potential practitioner aimed at optimization and enhancement.
Positive Psychology
[edit]If the Illness-Wellness Continuum provides the "why" for mental fitness, Positive Psychology provides the "what." Spearheaded by Dr. Martin Seligman in the late 1990s, this field emerged from the critique that psychology had for too long focused almost exclusively on pathology, disorder, and human suffering—the "left side" of the continuum.1 Seligman called for a scientific shift toward understanding what makes life worth living: human strengths, virtues, positive emotions, and flourishing.[9]
Positive Psychology has generated a wealth of evidence-based concepts and interventions that form the core curriculum of many mental fitness programs. Key contributions include:
- Learned Optimism: Contrasting with his earlier work on "learned helplessness," Seligman's research demonstrated that optimism is not a fixed trait but a cognitive skill that can be taught and learned. This involves changing one's explanatory style—how one explains the causes of bad events—from internal, stable, and global ("It's my fault, it will last forever, and it will ruin everything") to external, temporary, and specific.[10] This concept is central to the mental fitness goal of building a resilient mindset.1
- Character Strengths and Virtues: In collaboration with Christopher Peterson, Seligman developed the Values in Action (VIA) Classification of Strengths, a framework designed as a "positive counterpart" to the Diagnostic and Statistical Manual of Mental Disorders (DSM). Instead of cataloging what can go wrong with people, it catalogs what can go right, identifying 24 universal character strengths (such as creativity, bravery, kindness, and gratitude) organized under six core virtues.[10] This gives practitioners a vocabulary and a target for what to cultivate in individuals.
- The PERMA Model of Well-being: To provide a more comprehensive definition of happiness, Seligman proposed the PERMA model, which outlines five essential elements of flourishing[10]:
- Positive Emotion: Experiencing feelings like joy, gratitude, serenity, and hope.
- Engagement: Being fully absorbed in activities, often leading to a state of "flow."
- Relationships: Having strong, positive social connections.
- Meaning: Belonging to and serving something bigger than oneself.
- Accomplishment: Pursuing and achieving goals for a sense of mastery.
Positive Psychology acts as the scientific engine that translates the aspirational goal of "wellness" into a set of practical, measurable, and trainable skills. It provides the evidence-based content that mental fitness companies package into accessible apps, coaching programs, and workshops.2 By grounding their offerings in research from figures like Seligman and institutions like the University of Pennsylvania, these companies can claim their products are "research-backed," lending them a crucial layer of scientific credibility and differentiating them from unsubstantiated self-help fads.1
Neuroplasticity: The Brain's Capacity for Change
[edit]Neuroplasticity provides the biological "how" for mental fitness. It is the fundamental principle that the brain's structure and function are not fixed after childhood but can change and adapt throughout an individual's life in response to experience.[11] This discovery overturned decades of scientific dogma that viewed the adult brain as a static organ and provides the core biological mechanism through which mental fitness practices can create lasting change.
The process of neuroplasticity follows a simple but powerful rule: neurons that fire together, wire together. The brain strengthens neural connections that are used frequently, making them faster and more efficient, while it prunes away connections that are neglected.[11] This means that every thought, emotion, and behavior reinforces a specific neural pathway. Chronic stress, for example, can strengthen the neural circuits associated with fear and anxiety, making them the brain's default response. Mental fitness practices are designed to consciously and repeatedly activate alternative, more adaptive neural pathways, thereby "rewiring" the brain over time.1
Different practices are believed to induce neuroplastic changes in specific ways:
- Mindfulness and Meditation: Studies using neuroimaging have shown that regular meditation practice can lead to measurable changes in brain structure. These include increased gray matter density in the prefrontal cortex (an area critical for executive functions like emotional regulation and decision-making) and the hippocampus (involved in learning and memory). Conversely, it can lead to decreased gray matter density in the amygdala, the brain's fear center, which is associated with a reduced stress response.
- Cognitive Reframing: This practice directly engages neuroplasticity. When an individual consciously identifies a habitual negative thought, challenges it, and replaces it with a more balanced one, they are actively inhibiting an old neural pathway and forging a new one. With repetition, this new, more adaptive thought pattern can become the brain's automatic response, weakening the grip of the old negative habit.[11]
The concept of neuroplasticity is a powerful legitimizing tool for the mental fitness industry. It transforms the abstract idea of "working on your mind" into the tangible, scientific-sounding process of "brain training." For a target audience of high-performing knowledge workers who view their brain as their primary asset, the proposition of being able to "literally think differently" by creating new neural pathways is highly compelling.1 This biological explanation makes the benefits of mental exercises, which can be subjective and hard to measure, feel concrete and scientifically proven, providing a powerful marketing narrative that sells an otherwise intangible product.
Core Principles and Practices
[edit]Mental fitness is not a single activity but an umbrella term for a wide range of evidence-based exercises and techniques drawn from various disciplines. These practices are designed to train different aspects of psychological well-being, analogous to how a physical fitness routine might include cardiovascular exercise, strength training, and flexibility work. The following sections detail the core practices associated with mental fitness, summarizing their methods and the scientific evidence supporting their efficacy.
Mindfulness and Mediation based Practice
[edit]Description: MBSR is a standardized, eight-week group program developed in the 1970s by Jon Kabat-Zinn at the University of Massachusetts Medical Center. It is one of the most well-researched mindfulness interventions. The program systematically teaches participants various mindfulness meditation techniques, including the body scan (a gradual sweeping of attention through the body), sitting meditation (focusing on the breath and observing thoughts non-judgmentally), and gentle Hatha yoga.[12]
Evidence: The efficacy of MBSR is supported by a substantial body of scientific literature. Multiple meta-analyses of randomized controlled trials have demonstrated that MBSR is effective in reducing symptoms of stress, anxiety, and depression across a wide range of populations, including those with chronic illness (e.g., cancer patients) and healthy, non-clinical individuals.[12] Research indicates that MBSR yields a moderate to large effect on stress reduction when compared to no-treatment control groups.[12] The mechanisms are believed to involve improved attentional control, enhanced emotional regulation, and the development of a "decentered" perspective, where one can observe thoughts and feelings as transient mental events rather than as facts.
Mindful Eating
[edit]Description: Mindful eating involves applying the principles of mindfulness to the entire experience of eating. It is not a diet but a practice of awareness. Key components include eating slowly and without distraction (e.g., away from screens), engaging all senses to notice the taste, smell, texture, and appearance of food, and paying close attention to the body's internal cues of hunger, fullness, and satisfaction.[13]
Evidence: A comprehensive literature review encompassing 68 intervention and observational studies concluded that mindfulness and mindful eating strategies are effective at improving problematic eating behaviors. The practice was found to be particularly successful in reducing binge eating and emotional eating (i.e., eating in response to feelings rather than hunger).[13] By increasing awareness of internal satiety cues, mindful eating can help individuals slow down and eat less, as they become more attuned to when they are full.42 While mindful eating does not consistently lead to significant weight loss on its own, it is considered a valuable tool for preventing weight gain and can be an effective component of a broader weight management program.[13]
"Awe Walks" and Prosocial Emotions
[edit]Description: An "awe walk" is a novel mindfulness-based intervention that involves taking a short walk (e.g., 15 minutes) with the specific intention of shifting one's attention outward to notice things that are vast, wondrous, or beautiful. Awe is formally defined as the positive emotion experienced when in the presence of something vast that one cannot immediately understand.[14] The practice encourages a "small self," where personal concerns recede in the face of something larger.
Evidence: Though a newer area of research, initial studies have yielded promising results. A study conducted with healthy older adults at the University of California, San Francisco, found that participants who took weekly awe walks for eight weeks reported significant emotional benefits compared to a control group who took regular walks.[14] The awe-walk group experienced greater increases in daily prosocial positive emotions, such as compassion and gratitude, and greater decreases in daily distress. Analysis of selfies taken during the walks showed that the awe walkers' smiles grew more intense over the course of the study, and they increasingly framed themselves as smaller relative to their surroundings, providing objective evidence of the "small self" effect. These findings suggest that cultivating awe can enhance positive emotions that foster social connection and diminish the negative emotions that can hasten decline in later life.[14]
Cognitive and Behavioral Techniques
[edit]These techniques are largely derived from evidence-based psychotherapies, most notably Cognitive Behavioral Therapy (CBT) and its "third-wave" descendants like Acceptance and Commitment Therapy (ACT). They focus on the interplay between thoughts, feelings, and behaviors, providing structured methods to identify and change unhelpful patterns.
Description: Cognitive reframing is a core technique of CBT that involves identifying, challenging, and altering negative or irrational thought patterns (known as cognitive distortions). The premise is that it is not events themselves that cause distress, but our interpretation of those events. The process typically involves recognizing an automatic negative thought, examining the evidence for and against it, and consciously generating a more balanced, realistic, or positive interpretation.[15]
Evidence: The effectiveness of cognitive reframing is strongly supported by decades of research on CBT. Meta-analyses have shown that CBT is a highly effective treatment for a wide range of conditions, benefiting approximately 70% of individuals with anxiety or depression.[15] Systematic reviews have also confirmed that CBT-based interventions are effective in building resilience and reducing specific fears, such as the fear of falling in older adults.[16] The mechanism is understood through the lens of neuroplasticity; regular practice of reframing weakens the entrenched neural pathways of habitual negative thinking and strengthens new, more adaptive ones.[15]
Therapeutic Journaling
[edit]Description: Therapeutic journaling is the practice of writing down one's thoughts and feelings as a means of processing them. It can take several forms, including expressive writing, which involves writing in detail about a stressful or traumatic event, and gratitude journaling, which focuses on documenting things for which one is thankful.[17]
Evidence: Journaling is a well-supported intervention for improving mental well-being. Multiple meta-analyses have concluded that regular journaling can lead to statistically significant reductions in symptoms of anxiety, stress, and depression.[17] The benefits of expressive writing are particularly well-documented; studies have linked it not only to improved psychological outcomes (e.g., better moods, fewer depressive symptoms) but also to tangible physical health benefits, such as lowered blood pressure, improved immune function, and fewer stress-related visits to the doctor.[18] The therapeutic effect is thought to stem from several mechanisms, including emotional catharsis (venting), enhanced cognitive processing (organizing a narrative around an experience), and activation of the brain's prefrontal cortex, which is involved in emotional regulation.[17]
Values Clarification
[edit]Description: Values clarification is a therapeutic process used prominently in ACT and CBT to help individuals identify their core personal values—the principles that give their life meaning and direction (e.g., community, creativity, integrity, adventure). The exercise involves not only identifying these values but also assessing the degree to which one's daily actions and major life decisions are aligned with them.
Evidence: While often a component of a larger therapy, values clarification is considered a key mechanism for promoting psychological well-being. Living a life that is congruent with one's values is strongly associated with a greater sense of purpose, satisfaction, and authenticity.51 The process helps guide decision-making, particularly in the face of moral dilemmas, and can reduce the stress and anxiety that arise from "value incongruence"—a state where one's behaviors conflict with one's beliefs.[19] Within the ACT framework, clarified values serve as a crucial motivator, helping individuals endure short-term discomfort in the service of long-term, meaningful goals, thereby building psychological flexibility.[20]
Goal-Setting for Well-being
[edit]Description: This practice involves the conscious process of establishing clear, specific, and achievable objectives. The SMART framework (Specific, Measurable, Achievable, Relevant, Time-bound) is a commonly used structure for effective goal-setting in this context.[21]
Evidence: Goal-setting is a fundamental tool for improving mental health. Its benefits are multifaceted: it provides a sense of direction and purpose, which can counteract feelings of helplessness or apathy; it boosts self-esteem and self-efficacy as small goals are achieved, creating a positive feedback loop of accomplishment; and it fosters emotional regulation by teaching persistence and resilience in the face of setbacks.54 The foundational work on goal-setting theory by psychologists Edwin Locke and Gary Latham demonstrated that individuals who set clear and challenging goals consistently outperform those who do not.[22] When these goals are aligned with an individual's intrinsic values, the positive impact on motivation and well-being is significantly enhanced.56
Visualization and Mental Rehearsal
[edit]Description: Visualization, also known as mental imagery, is a cognitive technique where an individual creates a detailed, vivid mental simulation of successfully performing a task or achieving a desired outcome. It is a cornerstone of modern sports psychology, used by athletes to prepare for competition.[23]
Evidence: A large body of research supports the efficacy of visualization for performance enhancement. Studies consistently show that regular mental rehearsal can improve objective performance, sharpen focus, and increase confidence.[24] The scientific basis for this effect is the principle of "functional equivalence," which suggests that imagining an action activates the same neural pathways in the brain as actually performing it. This mental practice strengthens these neural circuits, making the physical execution of the skill smoother, more automatic, and more resilient under pressure.58
Productivity Techniques (e.g., Pomodoro)
[edit]Description: The Pomodoro Technique is a time management method developed by Francesco Cirillo in the 1980s. It uses a timer to break down work into focused, 25-minute intervals, known as "pomodoros," which are separated by short, 5-minute breaks. After four pomodoros, a longer break of 15–30 minutes is taken.60
Evidence: While the Pomodoro Technique has not been subjected to the same level of rigorous meta-analytic review as clinical interventions like CBT, it is a widely adopted practice with strong anecdotal support for its effectiveness. Its principles align with established cognitive science research on attention and productivity. By working in short, focused sprints, the technique helps manage attention as a limited resource, reduces the mental friction of starting tasks (procrastination), and prevents mental fatigue by enforcing regular breaks. It provides a structure that minimizes distractions and encourages single-tasking, which is known to be more efficient than multitasking.[25]
Physiological and Somatic Regulation
[edit]These practices focus on the mind-body connection, using physical or sensory methods to regulate the body's physiological state—particularly the autonomic nervous system—as a means of influencing mental and emotional well-being.
Breathwork for Stress Reduction
[edit]Description: Breathwork refers to any practice that involves the conscious and intentional control of breathing patterns. The most common form used for stress reduction is slow, deep, diaphragmatic (or "belly") breathing. This technique counteracts the shallow, rapid, upper-chest breathing that is a hallmark of the body's "fight-or-flight" stress response.[26]
Evidence: The effectiveness of breathwork for stress reduction is strongly supported by scientific evidence. A meta-analysis of randomized controlled trials (RCTs) published in Scientific Reports concluded that breathwork interventions were significantly associated with lower levels of self-reported stress, anxiety, and depressive symptoms.[27] The physiological mechanisms are well understood. Slow, controlled breathing directly stimulates the vagus nerve, which activates the parasympathetic nervous system—the body's "rest and digest" system. This activation leads to a cascade of calming physiological changes, including a lower heart rate, reduced blood pressure, a decrease in the stress hormone cortisol, and an increase in heart rate variability (HRV), a key biomarker of psychological resilience and autonomic flexibility.[28]
Deep Relaxation and Yoga Nidra
[edit]Description: Yoga Nidra, which translates to "yogic sleep," is a systematic, guided meditation practice that induces a state of profound relaxation that lies on the threshold between wakefulness and sleep. Practitioners lie down and are guided through a series of steps, including a body scan, breath awareness, and visualizations, with the goal of achieving deep physical, mental, and emotional rest while maintaining a state of conscious awareness.[29]
Evidence: Research indicates that Yoga Nidra is an effective non-pharmacological intervention for stress and anxiety. Studies have shown that the practice activates the parasympathetic nervous system, leading to significant reductions in cortisol.68 EEG studies have observed that Yoga Nidra can shift brainwave activity from the beta waves of normal waking consciousness to the slower alpha and theta waves associated with deep relaxation and meditation.[30] Research suggests that the psychological benefits, such as improved mood, are optimized when the practitioner remains in an engaged state of awareness rather than fully falling asleep, highlighting the nuanced interplay between relaxation and consciousness in the practice.69
Sensory Modulation (Flotation-REST, Binaural Beats)
[edit]Description: These techniques involve altering the sensory environment to influence brain states.
- Flotation-REST (Restricted Environmental Stimulation Therapy): This practice involves floating effortlessly in a dark, soundproof tank filled with a high concentration of Epsom salt water heated to skin temperature. The goal is to minimize external sensory input—sight, sound, touch, and gravity—as much as possible.[31]
- Binaural Beats: This is an auditory illusion created when two tones of slightly different frequencies are presented separately to each ear (e.g., 400 Hz to the left ear and 410 Hz to the right). The brain perceives a third, phantom "beat" at the frequency of the difference (in this case, 10 Hz). This is hypothesized to entrain brainwaves to the target frequency, theoretically inducing a desired mental state (e.g., delta for sleep, alpha for relaxation, beta for focus).[32]
Evidence:
- Flotation-REST: The evidence for Flotation-REST is promising but less extensive than for practices like mindfulness. Research has demonstrated that flotation sessions can produce significant reductions in self-reported stress and anxiety. These subjective reports are corroborated by objective physiological markers, including decreased levels of cortisol and blood pressure, and shifts in brainwave patterns toward alpha and theta waves, which are indicative of a deep relaxation response.[31] The practice is also being explored for its potential benefits in pain management and improving sleep quality.70
- Binaural Beats: The scientific evidence for the efficacy of binaural beats is notably mixed and inconclusive. A 2015 systematic review highlighted the contradictory findings in the literature.73 Some studies suggest that specific frequencies may enhance certain cognitive functions (e.g., beta for memory, gamma for creative thinking), but other studies have found no significant effect or even impaired cognitive performance.[31] The lack of consistent results and methodological rigor in many studies means that binaural beats remain a speculative tool with unproven benefits.
Other Associated Practices
[edit]Art and Drama Therapy
[edit]Description: Creative Arts Therapies (CATs) use the creative process itself as a therapeutic intervention. Art therapy, for example, employs mediums like painting, drawing, and sculpting to help individuals express and explore emotions, reconcile internal conflicts, manage stress, and improve self-awareness.[33] The focus is on the process of creation rather than the final product.
Evidence: A systematic review of 37 studies on CATs found that 81% of the interventions reported a significant reduction in stress among participants.[33] A separate meta-analysis focusing specifically on children and adolescents concluded that art therapy interventions led to a significant decrease in anxiety symptoms.[33] The practice is thought to be effective because it provides a non-verbal outlet for emotions that may be difficult to articulate, thereby facilitating processing and release.
Social Connection
[edit]Description: This refers to the practice of actively building and maintaining a network of supportive and positive relationships with family, friends, and the community.
Evidence: The link between social connection and mental health is one of the most robust findings in psychological and public health research. Strong social connection is an independent predictor of both mental and physical health, including longevity.[34] Conversely, social isolation and loneliness are strongly linked to poorer mental health outcomes. A systematic literature review found that adults with psychological problems often experience greater difficulty in forming social connections, leading to higher levels of loneliness. Longitudinal studies and meta-analyses have established a powerful, bidirectional causal link between social isolation and depression, meaning that isolation increases the risk of depression, and depression, in turn, increases the risk of isolation.[34]
Cognitive Training ("Brain Games")
[edit]Description: This category includes a wide range of commercially available applications and online games designed to train specific[35]cognitive functions such as memory, attention, processing speed, and problem-solving.[36]
Evidence: The effectiveness of commercial brain games for producing broad, transferable cognitive improvements is highly debated, and the scientific evidence is generally weak. While users typically improve their performance on the specific tasks within the game, multiple meta-analyses have found little evidence that these skills transfer to unrelated, real-world cognitive tasks or provide a general boost to cognition.[37] The field has been subject to regulatory scrutiny; in 2016, the U.S. Federal Trade Commission issued a major penalty to Lumosity, one of the most popular brain-training companies, for making unsubstantiated claims about its ability to prevent cognitive decline and improve school and work performance.78 Research suggests that engaging in novel, complex, and challenging learning activities (such as learning a new skill like digital photography or quilting) is more likely to produce transferable cognitive gains than repetitive brain games.78
Summary of Evidence for Mental Fitness Practices
[edit]The following table synthesizes the scientific evidence for the core practices associated with mental fitness, based on the findings of meta-analyses, systematic reviews, and other key studies. It provides an at-a-glance comparison of the level of scientific support for each technique.
Practice | Proposed Mechanism(s) | Level of Evidence | Key Supporting Sources |
Mindfulness (MBSR) | Attentional control, emotional regulation, decentering, reduced amygdala reactivity | Strong | Meta-analyses show significant reduction in stress, anxiety, depression.36 |
Cognitive Reframing (CBT) | Identifying & restructuring maladaptive thoughts, altering neural pathways | Strong | Meta-analyses of CBT show high efficacy for anxiety/depression.[15] Systematic reviews support use for resilience.[38] |
Breathwork | Parasympathetic nervous system activation, increased HRV, cortisol reduction | Strong | Meta-analyses of RCTs confirm significant reduction in stress, anxiety, depression.[26] |
Therapeutic Journaling | Emotional catharsis, cognitive processing, prefrontal cortex activation | Strong | Meta-analyses show significant reduction in anxiety, stress, depression.[17] Linked to physical health benefits.[18] |
Social Connection | Buffering stress, providing support, fostering sense of belonging | Strong | Robust longitudinal and meta-analytic evidence linking isolation to depression and mortality.[34] |
Goal-Setting | Provides purpose & motivation, boosts self-efficacy, structures behavior | Moderate | Strong theoretical basis (Locke & Latham) and widely used in therapy.[39] Efficacy is well-established in practice. |
Yoga Nidra | Parasympathetic activation, cortisol reduction, alpha/theta brainwave states | Moderate | Systematic reviews and studies show benefits for stress and mood, but fewer large-scale meta-analyses than MBSR.[29] |
Art Therapy | Non-verbal expression, stress reduction, emotional processing | Moderate | Systematic review and meta-analysis show significant reductions in stress and anxiety.[33] |
Values Clarification | Aligns behavior with core beliefs, increases sense of purpose, psychological flexibility | Moderate | Core component of evidence-based therapies like ACT.[19] Efficacy is demonstrated within these broader frameworks. |
Mindful Eating | Increased awareness of internal cues, reduced emotional/external eating | Moderate | Literature reviews show effectiveness for problematic eating behaviors, but not consistently for weight loss.[13] |
Visualization | Strengthens neural pathways for skills (functional equivalence), boosts confidence | Moderate | Well-established in sports psychology with numerous studies supporting performance benefits.[23] |
Awe Walks | Shifts attention outward, reduces self-focus, promotes prosocial emotions | Emerging | Supported by novel, high-quality studies[40], but lacks large-scale meta-analyses. A promising new area. |
Flotation-REST | Sensory reduction, induces deep relaxation response, lowers cortisol | Emerging | Supported by several studies showing stress/anxiety reduction[41], but the body of research is smaller than for mindfulness or CBT. |
Binaural Beats | Brainwave entrainment | Contradictory / Weak | Systematic reviews note highly contradictory findings, with some studies showing no effect or negative effects on cognition.[32] |
Cognitive Training (Brain Games) | Training specific cognitive skills | Contradictory / Weak | Meta-analyses show little evidence of transfer to real-world tasks.[36] Subject to regulatory scrutiny for misleading claims.78 |
Economics Impact and Industry Adoption
[edit]The concept of mental fitness has found its most significant application and commercial success within the corporate world. Driven by a confluence of economic pressures, a strained healthcare system, and a growing awareness of workplace mental health, companies are increasingly adopting mental fitness programs as a strategic tool for managing human capital.
The Economic and Human Cost of Workplace Stress
The rise of corporate mental fitness is a direct response to a mental health crisis in the workplace that carries staggering economic and human costs.
- Economic Impact: The World Health Organization estimates that depression and anxiety cost the global economy over $1 trillion each year in lost productivity.[42] In the United States alone, job-related stress is estimated to cost industries more than $300 billion annually in absenteeism, accidents, and reduced productivity, while contributing an additional $190 billion to annual healthcare expenditures.[43] Stress is recognized as a significant factor in a high percentage of illnesses, with some sources claiming it is a driver in up to 95% of cases.1
- Workforce Well-being: The human toll is equally severe. Recent data indicates that workplace stress has reached an all-time high.[44] According to a 2021 report, 76% of U.S. workers reported experiencing at least one symptom of a mental health condition, and a striking 84% stated that their workplace conditions had contributed to at least one mental health challenge.[45] The American Psychological Association found that 77% of workers experienced work-related stress in the last month.[46]
- A Strained Healthcare System: The traditional healthcare infrastructure is ill-equipped to handle this scale of demand. The system is often described as "sick care" rather than healthcare, focusing on crisis management instead of prevention.1 This reactive model is overwhelmed. In the U.S., more than half of all therapists report managing long waitlists, delaying access to care.1 Compounding this issue, a high percentage of mental health professionals—up to 60% in some studies—report experiencing burnout themselves, which exacerbates the provider shortage.[44] Furthermore, mental health services are chronically underfunded, receiving a disproportionately small fraction of total healthcare spending.1
This confluence of factors—massive demand for support driven by workplace stress, coupled with a critically insufficient supply of traditional care—has created a systemic failure. This market vacuum, where the existing system is incapable of meeting the need, is precisely the environment in which the private sector mental fitness industry has emerged and thrived. It offers a solution that is scalable (often through technology like apps), more affordable than one-on-one therapy, and largely does not require licensed clinical professionals for its core interventions.4 In this context, the rise of the mental fitness industry can be seen not just as a cultural trend but as a direct market response to the structural limitations of public and traditional healthcare systems.
Mental Fitness in Corporate Setting
[edit]As awareness of these costs has grown, corporations have begun to shift their perspective on employee well-being from a necessary expense to a strategic investment with a measurable return. The business case for investing in mental fitness is built on several key arguments:
- Return on Investment (ROI): Companies are no longer viewing mental health support as just a benefit, but as a performance driver. A comprehensive analysis by Deloitte found that organizations investing in mental health programs received an ROI of up to 5:1, with some seeing even higher returns.[44]10 These returns are realized through tangible cost savings from reduced absenteeism and lower employee turnover, as well as productivity gains.
- Combating Presenteeism: Beyond the cost of employees being absent from work (absenteeism), a significant and often hidden cost is "presenteeism"—the phenomenon of employees being physically at work but mentally disengaged and unproductive due to stress, anxiety, or burnout.[44]10 Mental fitness programs, with their focus on enhancing focus, energy, and resilience, directly target this loss of productivity.
- Talent Attraction and Retention: In a competitive labor market, a strong mental health support system has become a critical factor in attracting and retaining top talent. A 2022 survey found that 81% of workers will actively seek out workplaces that support mental health in the future.[45] Neglecting mental fitness can lead to higher rates of burnout and turnover. The cost of replacing an employee is substantial, with estimates ranging from 50% to as high as 200% of the employee's annual salary, depending on the role's complexity and seniority.[47]
Industry Frameworks
[edit]To distinguish mental fitness from other solutions in mental health and wellness space to corporations, a 2x2 matrix is often used to compare mental fitness to related mental space. In this, the entire mental health space along two key axes 1:
- Horizontal Axis: The Health + Wellness Continuum. This axis represents the spectrum from addressing mental health challenges (Illness) on the left to promoting thriving (Wellness) on the right.
- Vertical Axis: Behavior Change Duration. This axis distinguishes between immediate, short-term interventions (Actions) at the bottom and sustained, long-term approaches (Behaviors) at the top.
This creates four distinct quadrants representing different categories of solutions[48]
- Quadrant 1: Mental Relief. Short-term, wellness-focused actions that provide temporary comfort (e.g., self-help books, vacations, soothing supplements).
- Quadrant 2: Mental Healthcare. Short-term, illness-focused interventions for clinical or subclinical conditions (e.g., therapy for episodic anxiety, prescription medication).
- Quadrant 3: Behavioral Health. Long-term, illness-focused treatments for persistent clinical challenges (e.g., ongoing therapy for OCD or bipolar disorder).
- Quadrant 4: Mental Fitness. Long-term, wellness-focused behaviors that proactively build resilience, focus, and performance to combat stress and burnout.
The strategic utility of such a framework extends beyond simple description; it is a sophisticated marketing tool designed for "category creation." The wellness market (Quadrant 1) is saturated, and the healthcare market (Quadrants 2 and 3) is dominated by established clinical providers. By mapping the landscape in this specific way, the matrix strategically carves out Quadrant 4 as a new, distinct, and underserved category. It defines this category with appealing attributes—proactive, long-term, and focused on thriving—and positions "Mental Fitness" as the pioneering solution within it.[49]1 The framework's narrative portrays the typical user journey as a frustrating and costly navigation of the other three quadrants, presenting Mental Fitness as a more efficient and preventative starting point.1 The inherent reductionism of the 2x2 matrix, which simplifies the messy reality of interventions into neat boxes, is a feature of this strategy, as it makes the argument for this new category more compelling and clear.
From Tools to Culture
[edit]Industry experts and reports emphasize that for corporate mental fitness initiatives to be effective, they must be part of a holistic strategy that goes beyond simply providing a tool.[44] Offering a mental fitness platform within a work culture that continues to demand excessive hours, tolerates workplace bullying, or stigmatizes conversations about workload is likely to be ineffective and perceived by employees as an empty gesture or "wellness-washing".
Effective implementation requires building a genuine culture of mental wellness. Best practices include:
- Leadership Modeling: Senior executives must actively participate in and publicly support mental wellness initiatives. When leaders openly discuss their own mental health challenges and model healthy behaviors (like taking breaks and disconnecting after hours), it reduces stigma and signals that the organization is serious about well-being.[49]
- Manager Training: An employee's direct manager is often the most critical steward of their mental wellness. It is essential to train managers to recognize the signs of stress and burnout in their team members, to have supportive conversations, and to connect employees with available resources.[50]
- Systemic Integration: Mental wellness should not be a siloed initiative. It should be integrated into all aspects of the employee lifecycle, from including a module in new-hire onboarding to making it a regular topic in company-wide meetings.[51]94
- Open Communication and Feedback: Organizations should create formal and informal channels for employees to provide feedback on workplace stressors and the effectiveness of wellness programs. Acting on this feedback demonstrates that the organization is listening and committed to genuine improvement.[52]94
Critiques and Limitations
[edit]Despite its growing popularity and potential benefits, the concept of mental fitness and the industry surrounding it are subject to significant critiques. These criticisms question its underlying ideology, its potential to individualize systemic problems, and the methodological rigor of some of its claims.
The Wellness Industry and "Healthism"
[edit]Mental fitness is situated within the broader wellness industry, a massive, multi-trillion-dollar global market that has been criticized for commodifying health and promoting problematic ideologies.
- Commodification and Exclusivity: A primary critique is that the wellness industry turns health and self-care into commodities that are often expensive and exclusive. From high-priced organic foods and supplements to luxury wellness retreats and boutique fitness classes, many aspects of modern wellness culture are accessible only to the affluent. This can create a system where well-being is perceived as a luxury good rather than a universal right, reserved for those with the wealth to purchase it.[53]
- Healthism and Moral Judgment: The wellness movement is often associated with "healthism," an ideology that posits health as the ultimate personal virtue and an individual's moral responsibility.[53] This perspective tends to ignore or downplay the profound impact of social determinants of health, such as poverty, systemic discrimination, environmental factors, and access to healthcare.97 By framing health as solely a matter of personal choice and willpower, healthism can lead to judgment and shame directed at individuals who do not or cannot conform to its ideals, particularly those in larger bodies or with chronic illnesses.
- Pseudoscience and Anxiety: The wellness industry has been widely criticized for promoting pseudoscience and unsubstantiated claims, with high-profile brands like Gwyneth Paltrow's Goop often cited as examples.[54] This can be coupled with fear-mongering marketing tactics that create or exacerbate health anxiety, leading to a state where the constant pursuit of "wellness" becomes a source of stress in itself. Critics argue this can foster a borderline orthorexic obsession with being "healthy," where any deviation from a strict regimen induces guilt and fear.
This creates a central paradox for the wellness movement. While its stated goal is to alleviate stress and burnout, its commercialized form can inadvertently introduce new anxieties: the pressure to constantly self-optimize, the financial burden of participating, and the guilt associated with failing to meet the ever-shifting standards of "peak wellness." The pursuit of mental fitness, when framed within this culture, can risk becoming another metric by which individuals judge their self-worth, potentially undermining its intended benefits.
Sociological Critiques of Individualism
[edit]Beyond the commercial aspects, a more fundamental sociological critique is leveled at the individualistic focus of many mental fitness and positive psychology interventions.
- The Decontextualized Self: Critics argue that these approaches often treat the individual as a "decontextualized" self, separate from the social, cultural, economic, and political systems that shape their well-being.[55] The focus is placed heavily on changing an individual's internal thoughts and attitudes, while the external conditions causing their distress are often left unexamined.
- Individualizing Systemic Problems: This critique is particularly trenchant in the corporate context. By providing employees with mental fitness tools to "build resilience" or "manage stress," an organization can subtly shift the responsibility for dealing with workplace pressures onto the individual worker.94 This approach can function as a way to avoid addressing the root causes of employee burnout, which may stem from systemic issues like excessive workloads, poor management, inadequate compensation, or a toxic organizational culture. The implicit message can become, "The problem is not the demanding job; the problem is your lack of fitness to handle it. Here is an app to help you cope better".[56]
From a critical sociological perspective, the corporate adoption of mental fitness can be viewed as a tool of neoliberal governance. This perspective suggests that the concept reframes a systemic, organizational problem (stress created by corporate practices) as a personal deficit (an individual's lack of mental fitness). The promotion of self-management and resilience as the primary solution aligns with a broader political and economic ideology that emphasizes individual responsibility over collective action or structural reform. This allows an organization to maintain a high-pressure, productivity-focused status quo while appearing to be supportive of employee well-being, effectively individualizing a problem that may be organizational in nature. This approach stands in stark contrast to the more radical roots of the 1970s wellness movement, which called for fundamentally changing the nature of work itself to be more humane.[56]
Methodological and Conceptual Challenges
[edit]Finally, the concept of mental fitness faces several methodological and conceptual challenges that warrant a critical approach.
- Uneven Evidence Base: As demonstrated in the summary table of practices, the scientific evidence supporting the various components of mental fitness is not uniform. The term is often used as a broad umbrella that bundles together practices with strong backing from multiple meta-analyses (e.g., MBSR, CBT) with those that have weak, contradictory, or emerging evidence (e.g., binaural beats, brain games).[57] This can create a "halo effect" where less-proven techniques gain perceived legitimacy by being associated with more established ones.
- Lack of Standardization: Many of the interventions promoted under the mental fitness banner lack standardization. For example, a systematic review of Dialectical Behavior Therapy (DBT) for emotional regulation found that high variability across programs and methodological limitations made it difficult to draw firm conclusions about its effectiveness relative to other treatments.[58] The term "breathwork" or "meditation" can refer to a vast array of different techniques, not all of which may be equally effective.
- The "Positivity" Dichotomy: Early iterations of Positive Psychology were criticized for creating a simplistic and potentially harmful dichotomy between "positive" and "negative" emotions, implying that the goal was to eliminate the latter. While the field has since evolved toward a more nuanced, "second-wave" and "third-wave" perspective that acknowledges the value and necessity of the full range of human emotions, some commercial mental fitness programs can fall into this original trap.101 An overemphasis on positivity can encourage the suppression or avoidance of valid negative emotions, which is ultimately counterproductive to genuine psychological well-being.
See also
[edit]- Positive psychology
- Resilience (psychological)
- Mindfulness
- Cognitive behavioral therapy
- Wellness (alternative medicine)
- Mental hygiene
- Neuroplasticity
- Corporate wellness
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External links
[edit]Quotations related to Mental Fitness at Wikiquote
Media related to Mental Fitness at Wikimedia Commons
- Mental Health by WHO
- The Public Health Agency of Canada
- "Mental health and substance abuse". WHO Regional Office for the Eastern Mediterranean.
- National Institute of Mental Health (United States)
- Health-EU Portal Mental Health in the EU
- Mental Health Department of Health (United Kingdom)
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