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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

Author

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  • Mª Dolores Vara

    (Polibienestar Research Institute, University of Valencia, 46022 Valencia, Spain
    CIBERObn Physiopathology of Obesity and Nutrition, Instituto de Salud Carlos III, 28029 Madrid, Spain)

  • Adriana Mira

    (Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology, University of Valencia, 46010 Valencia, Spain)

  • Marta Miragall

    (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)

  • Azucena García-Palacios

    (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)

  • Cristina Botella

    (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)

  • Margalida Gili

    (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)

  • Pau Riera-Serra

    (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)

  • Javier García-Campayo

    (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)

  • Fermín Mayoral-Cleries

    (Mental Health Unit, Hospital Regional of Malaga, Biomedicine Research Institute (IBIMA), 29010 Málaga, Spain)

  • Rosa Mª Baños

    (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)

Abstract

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.

Suggested Citation

  • Mª Dolores Vara & Adriana Mira & Marta Miragall & Azucena García-Palacios & Cristina Botella & Margalida Gili & Pau Riera-Serra & Javier García-Campayo & Fermín Mayoral-Cleries & Rosa Mª Baños, 2020. "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," IJERPH, MDPI, vol. 17(21), pages 1-21, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:8094-:d:439273
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    References listed on IDEAS

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    1. Laura A Weiss & Gerben J Westerhof & Ernst T Bohlmeijer, 2016. "Can We Increase Psychological Well-Being? The Effects of Interventions on Psychological Well-Being: A Meta-Analysis of Randomized Controlled Trials," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-16, June.
    2. Carmela A White & Bob Uttl & Mark D Holder, 2019. "Meta-analyses of positive psychology interventions: The effects are much smaller than previously reported," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-48, May.
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    Cited by:

    1. Ana Fonseca & Jorge Osma, 2021. "Using Information and Communication Technologies (ICT) for Mental Health Prevention and Treatment," IJERPH, MDPI, vol. 18(2), pages 1-5, January.

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