TY - JOUR
KW - Adult
KW - Affect
KW - Depression/therapy
KW - Depressive Disorder, Major/therapy
KW - Facial Expression
KW - Female
KW - Humans
KW - Internet
KW - Internet-Based Intervention
KW - Male
KW - Middle Aged
KW - Primary Health Care
KW - Quality of Life
KW - Treatment Outcome
KW - Depression
KW - Positive affect
KW - primary care
AU - M. D. Vara
AU - A. Mira
AU - M. Miragall
AU - A. García-Palacios
AU - C. Botella
AU - M. Gili
AU - P. Riera-Serra
AU - J. Garcia-Campayo
AU - F. Mayoral-Cleries
AU - R. M. Baños
A1 - 
AB - Background: A large number of low-intensity Internet-based interventions (IBIs) for the treatment of depression have emerged in Primary Care; most of them focused on decreasing negative emotions. However, recent studies have highlighted the importance of addressing positive affect (PA) as well. This study is a secondary analysis of a randomized control trial. We examine the role of an IBI focused on promoting PA in patients with depression in Primary Care (PC). The specific objectives were to explore the profile of the patients who benefit the most and to analyze the change mechanisms that predict a significantly greater improvement in positive functioning measures. Methods: 56 patients were included. Measures of depression, affect, well-being, health-related quality of life, and health status were administered. Results: Participants who benefited the most were those who had lower incomes and education levels and worse mental health scores and well-being at baseline (7.9%-39.5% of explained variance). Improvements in depression severity and PA were significant predictors of long-term change in well-being, F (3,55) = 17.78, p < 0.001, R(2) = 47.8%. Conclusions: This study highlights the importance of implementing IBIs in PC and the relevance of PA as a key target in Major Depressive Disorder treatment.
AD - Polibienestar Research Institute, University of Valencia, 46022 Valencia, Spain.; CIBERObn Physiopathology of Obesity and Nutrition, Instituto de Salud Carlos III, 28029 Madrid, Spain.; Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology, University of Valencia, 46010 Valencia, Spain.; CIBERObn Physiopathology of Obesity and Nutrition, Instituto de Salud Carlos III, 28029 Madrid, Spain.; Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology, University of Valencia, 46010 Valencia, Spain.; CIBERObn Physiopathology of Obesity and Nutrition, Instituto de Salud Carlos III, 28029 Madrid, Spain.; Department of Basic and Clinical Psychology and Psychobiology, Faculty of Health Sciences, Jaume I University, 12071 Castellon de la Plana, Spain.; CIBERObn Physiopathology of Obesity and Nutrition, Instituto de Salud Carlos III, 28029 Madrid, Spain.; Department of Basic and Clinical Psychology and Psychobiology, Faculty of Health Sciences, Jaume I University, 12071 Castellon de la Plana, Spain.; Institut Universitari d'Investigació en Ciències de la Salut, University of Balearic Islands, E-07122 Palma de Mallorca, Spain.; Institut d'Investigació Sanitaria Illes Balears, 07120 Palma de Mallorca, Spain.; Primary Care Prevention and Health Promotion Research Network, RedIAPP, 28029 Madrid, Spain.; Institut Universitari d'Investigació en Ciències de la Salut, University of Balearic Islands, E-07122 Palma de Mallorca, Spain.; Institut d'Investigació Sanitaria Illes Balears, 07120 Palma de Mallorca, Spain.; Primary Care Prevention and Health Promotion Research Network, RedIAPP, 28029 Madrid, Spain.; Aragon Institute for Health Research (IIS Aragón), Miguel Servet Hospital, University of Zaragoza, 50009 Zaragoza, Spain.; Mental Health Unit, Hospital Regional of Malaga, Biomedicine Research Institute (IBIMA), 29010 Málaga, Spain.; Polibienestar Research Institute, University of Valencia, 46022 Val(TRUNCATED)
BT - International journal of environmental research and public health
C5 - Healthcare Disparities
CP - 21
DO - 10.3390/ijerph17218094
IS - 21
JF - International journal of environmental research and public health
LA - eng
M1 - Journal Article
N2 - Background: A large number of low-intensity Internet-based interventions (IBIs) for the treatment of depression have emerged in Primary Care; most of them focused on decreasing negative emotions. However, recent studies have highlighted the importance of addressing positive affect (PA) as well. This study is a secondary analysis of a randomized control trial. We examine the role of an IBI focused on promoting PA in patients with depression in Primary Care (PC). The specific objectives were to explore the profile of the patients who benefit the most and to analyze the change mechanisms that predict a significantly greater improvement in positive functioning measures. Methods: 56 patients were included. Measures of depression, affect, well-being, health-related quality of life, and health status were administered. Results: Participants who benefited the most were those who had lower incomes and education levels and worse mental health scores and well-being at baseline (7.9%-39.5% of explained variance). Improvements in depression severity and PA were significant predictors of long-term change in well-being, F (3,55) = 17.78, p < 0.001, R(2) = 47.8%. Conclusions: This study highlights the importance of implementing IBIs in PC and the relevance of PA as a key target in Major Depressive Disorder treatment.
PY - 2020
SN - 1660-4601; 1661-7827; 1660-4601
SP - 8094. doi: 10.3390/ijerph17218094
T1 - A Low-Intensity Internet-Based Intervention Focused on the Promotion of Positive Affect for the Treatment of Depression in Spanish Primary Care: Secondary Analysis of a Randomized Controlled Trial
T2 - International journal of environmental research and public health
TI - A Low-Intensity Internet-Based Intervention Focused on the Promotion of Positive Affect for the Treatment of Depression in Spanish Primary Care: Secondary Analysis of a Randomized Controlled Trial
U1 - Healthcare Disparities
U2 - 33153062
U3 - 10.3390/ijerph17218094
VL - 17
VO - 1660-4601; 1661-7827; 1660-4601
Y1 - 2020
Y2 - Nov 3
ER -