Self-reported health and depression among EIRA cohort: a moderated mediation model of sex and perceived social support

Sánchez-Recio, Raquel (Universidad de Zaragoza) ; Oliván-Blázquez, Bárbara (Universidad de Zaragoza) ; Méndez-López, Fátima (Universidad de Zaragoza) ; Gascón-Santos, Santiago (Universidad de Zaragoza) ; Martí-Lluch, Ruth ; Zabaleta-Del-Olmo, Edurne ; Tamayo-Morales, Olaya ; Maderuelo-Fernández, José A. ; Casajuana, Marc ; López-Jiménez, Tomas ; Motrico, Emma ; Gómez-Gómez, Irene ; Sánchez-Pérez, Álvaro ; Rodero-Cosano, María Luisa ; Llobera, Joan ; Bellón, Juan A. ; Moreno-Peral, Patricia ; Bolíbar, Bonaventura ; Recio-Rodríguez, José I. ; Ramos, Rafel ; Clavería, Ana

Resumen: The positive relationship between health and good perceived social support has been widely demonstrated in the scientific literature. It is known that having a good social support influences the proper maintenance of health even as a protective factor, besides being a good predictor in the recovery of health during a disease process, influencing differently men and women.AimThis project aims to study the moderating effects of perceived social support in the relationship between depression and self-perceived health according to gender, after a complex multiple-risk intervention was carried out in patients of primary health care with low social support.MethodsA cluster randomized clinical trial was developed in the subgroup of patients included in phase 3 of the EIRA project. CONSORT recommendations were followed to present the results. To determine the mediating effect between social support and self-perceived health, three regression analyses were carried out using the procedure designed by Hayes through the PROCESS macro for SPSS.Results3,062 people (54.9% women) participated in the study. Men reported experiencing more social support and self-perceived health (p < 0.001) than women at the beginning of the study, but women reported higher social support at post-intervention. Moderation analyses showed that, post-intervention, those women (bsimple = −2.9867, p < 0.001) and males (bsimple = −1.4337, p < 0.001) who scored lower in depression reported higher social support.ConclusionIn primary care, it is necessary to encourage intervention strategies that promote social networks as a key element of positive action aimed at maintaining and improving the population’s health, especially in adults and more specifically in women.Clinical trial registrationClinicalTrials.gov, identifier NCT03136211.

Idioma: Alemán

DOI: 10.3389/fpsyg.2025.1540530

Año: 2025

Publicado en: Frontiers in Psychology 16 (2025), 12 pp.
ISSN: 1664-1078

Financiación: info:eu-repo/grantAgreement/ES/ISCIII-MINECO/PI15/01072
Financiación: info:eu-repo/grantAgreement/ES/ISCIII/RD16-0007-0003
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Financiación: info:eu-repo/grantAgreement/ES/MINECO/ISCIII/PI15-01412

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Enfermería (Dpto. Fisiatría y Enfermería)
Área (Departamento): Área Psicología Social (Dpto. Psicología y Sociología)
Área (Departamento): Área Person.Eval.Trat.Psicoló. (Dpto. Psicología y Sociología)