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

Dolores Vara Mª, Adriana Mira, Marta Miragall, Azucena García-Palacios, Cristina Botella, Margalida Gili, Pau Riera-Serra, Javier García-Campayo, Fermín Mayoral-Cleries and Rosa Mª Baños
Additional contact information
Dolores Vara Mª: Polibienestar Research Institute, University of Valencia, 46022 Valencia, 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
Azucena García-Palacios: CIBERObn Physiopathology of Obesity and Nutrition, Instituto de Salud Carlos III, 28029 Madrid, Spain
Cristina Botella: CIBERObn Physiopathology of Obesity and Nutrition, Instituto de Salud Carlos III, 28029 Madrid, Spain
Margalida Gili: Institut Universitari d’Investigació en Ciències de la Salut, University of Balearic Islands, E-07122 Palma de Mallorca, Spain
Pau Riera-Serra: Institut Universitari d’Investigació en Ciències de la Salut, University of Balearic Islands, E-07122 Palma de Mallorca, Spain
Javier García-Campayo: Primary Care Prevention and Health Promotion Research Network, RedIAPP, 28029 Madrid, 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

IJERPH, 2020, vol. 17, issue 21, 1-21

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.

Keywords: depression; primary care; internet-based intervention; positive affect (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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