125772 20241125101134.0 doi 10.3389/fpubh.2023.1007238 sideral 133255 ART-2023-133255 eng Magallón-Botaya, R. Universidad de Zaragoza (orcid)0000-0002-5494-6550 Effectiveness of health literacy interventions on anxious and depressive symptomatology in primary health care: A systematic review and meta-analysis 2023 Access copy available to the general public Unrestricted Background: Affective disorders are a debilitating and very prevalent problem throughout the world. Often these are associated with the onset of comorbidities or a consequence of chronic diseases. Anxiety and depression are associated with poor social and personal relationships, compromised health. We aimed to synthesize evidence from studies measuring the impact of a health literacy (HL) intervention on the improvement of affective disorders. Methods: For this systematic review and meta-analysis, we searched PubMed/MEDLINE, Embase, Web of Science, Ibecs, Cuiden, Scielo, Science Direct and Dialnet for exclusively randomized controlled trial studies (RCTs) published between 1 Jan 2011, and 31 May 2022. The search terms employed were “health literacy,” “health knowledge,” “anxiety,” “anxiety disorder,” “depression,” “depressive disorder,” and “adult.” The risk of bias assessment was performed using the Cochrane Collaboration Revised Risk of Bias tool (RoB2). We conducted random-effects meta-analyses and explored heterogeneity using meta-regression and a stratified survey. Results: Of 2,863 citations found through the initial screening, 350 records were screened by the title and abstract for their themes and relevance. Finally, nine studies complied with the inclusion criteria for the meta-analysis. 66.66% of studies (n = 6) were rated as having a low risk of bias and 33.33% (n = 3) were judged to raise some concerns. The health literacy interventions were associated with −1.378 reduction in depression and anxiety questionnaires scores [95% CI (−1.850, −0.906)]. Low mood disorder scores are associated with better mental health and wellbeing. Conclusion: Our findings demonstrate that an HL intervention in relation to the symptoms associated with affective disorders improves the emotional state of patients in PHC, with a moderately positive effect in reducing depression and anxiety. info:eu-repo/grantAgreement/ES/DGA/B21-20R-GAIAP info:eu-repo/grantAgreement/ES/ISCIII/PI19-01076 info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 3.0 2023 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 115 / 408 = 0.282 2023 Q2 T1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 115 / 408 = 0.282 2023 Q2 T1 0.895 2023 Public Health, Environmental and Occupational Health 2023 Q1 4.8 2023 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Méndez-López, F. Universidad de Zaragoza (orcid)0000-0002-6409-9041 Oliván-Blázquez, B. Universidad de Zaragoza (orcid)0000-0001-6565-9699 Silva-Aycaguer, L. C. Lerma-Irureta, D. Bartolomé-Moreno, C. Universidad de Zaragoza (orcid)0000-0001-8820-9105 1006 255 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Enfermería 4009 740 Universidad de Zaragoza Dpto. Psicología y Sociología Área Psicología Social 1007 610 Universidad de Zaragoza Dpto. Medicina, Psiqu. y Derm. Area Medicina 11 (2023), [18 pp.] Front. public health. Frontiers in public health 2296-2565 1745194 http://zaguan.unizar.es/record/125772/files/texto_completo.pdf Versión publicada 2334784 http://zaguan.unizar.es/record/125772/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:125772 articulos driver 2024-11-22-11:59:51 ARTICLE