000112067 001__ 112067 000112067 005__ 20240319080959.0 000112067 0247_ $$2doi$$a10.3389/fpsyg.2022.856139 000112067 0248_ $$2sideral$$a127927 000112067 037__ $$aART-2022-127927 000112067 041__ $$aeng 000112067 100__ $$0(orcid)0000-0003-2683-7346$$aAguilar-Latorre, Alejandra 000112067 245__ $$aAssociations Between Severity of Depression, Lifestyle Patterns, and Personal Factors Related to Health Behavior: Secondary Data Analysis From a Randomized Controlled Trial 000112067 260__ $$c2022 000112067 5060_ $$aAccess copy available to the general public$$fUnrestricted 000112067 5203_ $$aDepression is a prevalent condition that has a significant impact on psychosocial functioning and quality of life. The onset and persistence of depression have been linked to a variety of biological and psychosocial variables. Many of these variables are associated with specific lifestyle characteristics, such as physical activity, diet, and sleep patterns. Some psychosocial determinants have an impact on people’ health-related behavior change. These include personal factors such as sense of coherence, patient activation, health literacy, self-efficacy, and procrastination. This study aims to analyze the association between the severity of depression, lifestyle patterns, and personal factors related to health behavior. It also aims to analyze whether personal factors moderate the relationship between lifestyles and depression.MethodsThis study is a secondary data analysis (SDA) of baseline data collected at the start of a randomized controlled trial (RCT). A sample of 226 patients with subclinical, mild, or moderate depression from primary healthcare centers in two sites in Spain (Zaragoza and Mallorca) was used, and descriptive, bivariate, multivariate, and moderation analyses were performed. Depression was the primary outcome, measured by Beck II Self-Applied Depression Inventory. Lifestyle variables such as physical exercise, adherence to Mediterranean diet and sleep quality, social support, and personal factors such as self-efficacy, patient activation in their own health, sense of coherence, health literacy, and procrastination were considered secondary outcomes.ResultsLow sense of coherence (β = −0.172; p < 0.001), poor sleep quality (β = 0.179; p = 0.008), low patient activation (β = −0.119; p = 0.019), and sedentarism (more minutes seated per day; β = 0.003; p = 0.025) are predictors of having more depressive symptoms. Moderation analyses were not significant.DiscussionLifestyle and personal factors are related to depressive symptomatology. Our findings reveal that sense of coherence, patient’s activation level, sedentarism, and sleep quality are associated with depression. Further research is needed regarding adherence to Mediterranean diet, minutes walking per week and the interrelationship between lifestyles, personal factors, and depression. 000112067 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/PI18-01336 000112067 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000112067 590__ $$a3.8$$b2022 000112067 592__ $$a0.891$$b2022 000112067 591__ $$aPSYCHOLOGY, MULTIDISCIPLINARY$$b34 / 147 = 0.231$$c2022$$dQ1$$eT1 000112067 593__ $$aPsychology (miscellaneous)$$c2022$$dQ2 000112067 594__ $$a4.5$$b2022 000112067 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000112067 700__ $$aSerrano-Ripoll, Maria J. 000112067 700__ $$0(orcid)0000-0001-6565-9699$$aOliván-Blázquez, Bárbara$$uUniversidad de Zaragoza 000112067 700__ $$aGervilla, Elena 000112067 700__ $$aNavarro, Capilla 000112067 7102_ $$14009$$2740$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicología Social 000112067 773__ $$g13 (2022), 856139 [9 pp.]$$pFront. psychol.$$tFrontiers in Psychology$$x1664-1078 000112067 8564_ $$s359333$$uhttps://zaguan.unizar.es/record/112067/files/texto_completo.pdf$$yVersión publicada 000112067 8564_ $$s2409698$$uhttps://zaguan.unizar.es/record/112067/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000112067 909CO $$ooai:zaguan.unizar.es:112067$$particulos$$pdriver 000112067 951__ $$a2024-03-18-13:55:51 000112067 980__ $$aARTICLE