000165239 001__ 165239
000165239 005__ 20251219174252.0
000165239 0247_ $$2doi$$a10.1016/j.genhosppsych.2023.02.004
000165239 0248_ $$2sideral$$a146693
000165239 037__ $$aART-2023-146693
000165239 041__ $$aeng
000165239 100__ $$aGómez Gómez, Inere
000165239 245__ $$aA multiple health behaviour change intervention to prevent depression: A randomized controlled trial
000165239 260__ $$c2023
000165239 5060_ $$aAccess copy available to the general public$$fUnrestricted
000165239 5203_ $$aObjective: To examine the effectiveness of a 12-month MHBC intervention in the prevention of onset depression in primary health care (PHC).
Methods: Twenty-two PHC centres took part in the cluster-randomized controlled trial. Patients were randomized to receive either usual care or an MHBC intervention. The endpoints were onset of major depression and reduction of depressive symptoms in participants without baseline depression at a 12-month follow-up.
Results: 2531 patients agreed and were eligible to participate. At baseline, around 43% were smokers, 82% were non-adherent to the Mediterranean diet and 55% did not perform enough physical activity. The intervention group exhibited a greater positive change in two or more behaviours (OR 1.75 [95%CI: 1.17 to 2.62]; p = 0.006); any behaviour (OR 1.58 [95%CI: 1.13 to 2.20]; p = 0.007); and adherence to the Mediterranean diet (OR 1.94 [95%CI: 1.29 to 2.94]; p = 0.002), while this increase was not statistically significant for smoking and physical activity. The intervention was not effective in preventing major depression (OR 1.17; [95% CI 0.53 to 2.59)]; p = 0.690) or reducing depressive symptoms (Mean difference: 0.30; [95% CI -0.77 to 1.36]; p = 0.726) during follow-up.
Conclusions: As compared to usual care, the MHBC intervention provided a non-significant reduction in the incidence of major depression.
000165239 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttps://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
000165239 590__ $$a4.1$$b2023
000165239 591__ $$aPSYCHIATRY$$b52 / 279 = 0.186$$c2023$$dQ1$$eT1
000165239 591__ $$aPSYCHIATRY$$b52 / 279 = 0.186$$c2023$$dQ1$$eT1
000165239 592__ $$a1.751$$b2023
000165239 593__ $$aPsychiatry and Mental Health$$c2023$$dQ1
000165239 594__ $$a9.6$$b2023
000165239 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000165239 700__ $$aMotrico, Emma
000165239 700__ $$aMoreno Peral, Patricia
000165239 700__ $$aCasajuana Closas, Marc
000165239 700__ $$aLópez Jiménez, Tomás
000165239 700__ $$aZabaleta del Olmo, Edurne
000165239 700__ $$aClavería, Ana
000165239 700__ $$aLlobera, Joan
000165239 700__ $$aMartí Lluch, Ruth
000165239 700__ $$aRamos, Rafael
000165239 700__ $$aMaderuelo Fernández, José Ángel
000165239 700__ $$aVicens, Caterine
000165239 700__ $$0(orcid)0000-0001-8942-814X$$aDomínguez García, Marta$$uUniversidad de Zaragoza
000165239 700__ $$aBartolomé Moreno, Cruz
000165239 700__ $$aRecio Rodriguez, José I.
000165239 700__ $$aBellón, Juan Á.
000165239 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000165239 773__ $$g82 (2023), 86-94$$pGen. hosp. psych.$$tGENERAL HOSPITAL PSYCHIATRY$$x0163-8343
000165239 8564_ $$s1076323$$uhttps://zaguan.unizar.es/record/165239/files/texto_completo.pdf$$yVersión publicada
000165239 8564_ $$s2297711$$uhttps://zaguan.unizar.es/record/165239/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000165239 909CO $$ooai:zaguan.unizar.es:165239$$particulos$$pdriver
000165239 951__ $$a2025-12-19-14:43:36
000165239 980__ $$aARTICLE