A multiple health behaviour change intervention to prevent depression: A randomized controlled trial
Gómez Gómez, Inere ; Motrico, Emma ; Moreno Peral, Patricia ; Casajuana Closas, Marc ; López Jiménez, Tomás ; Zabaleta del Olmo, Edurne ; Clavería, Ana ; Llobera, Joan ; Martí Lluch, Ruth ; Ramos, Rafael ; Maderuelo Fernández, José Ángel ; Vicens, Caterine ; Domínguez García, Marta (Universidad de Zaragoza) ; Bartolomé Moreno, Cruz ; Recio Rodriguez, José I. ; Bellón, Juan Á.
Resumen: Objective: 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.
Idioma: Inglés
DOI: 10.1016/j.genhosppsych.2023.02.004
Año: 2023
Publicado en: GENERAL HOSPITAL PSYCHIATRY 82 (2023), 86-94
ISSN: 0163-8343
Factor impacto JCR: 4.1 (2023)
Categ. JCR: PSYCHIATRY rank: 52 / 279 = 0.186 (2023) - Q1 - T1
Categ. JCR: PSYCHIATRY rank: 52 / 279 = 0.186 (2023) - Q1 - T1
Factor impacto CITESCORE: 9.6 - Psychiatry and Mental Health (Q1)
Factor impacto SCIMAGO: 1.751 - Psychiatry and Mental Health (Q1)
Tipo y forma: Artículo (Versión definitiva)
Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)
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Exportado de SIDERAL (2025-12-19-14:43:36)
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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.
Idioma: Inglés
DOI: 10.1016/j.genhosppsych.2023.02.004
Año: 2023
Publicado en: GENERAL HOSPITAL PSYCHIATRY 82 (2023), 86-94
ISSN: 0163-8343
Factor impacto JCR: 4.1 (2023)
Categ. JCR: PSYCHIATRY rank: 52 / 279 = 0.186 (2023) - Q1 - T1
Categ. JCR: PSYCHIATRY rank: 52 / 279 = 0.186 (2023) - Q1 - T1
Factor impacto CITESCORE: 9.6 - Psychiatry and Mental Health (Q1)
Factor impacto SCIMAGO: 1.751 - Psychiatry and Mental Health (Q1)
Tipo y forma: Artículo (Versión definitiva)
Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)
Debe reconocer adecuadamente la autoría, proporcionar un enlace a la licencia e indicar si se han realizado cambios. Puede hacerlo de cualquier manera razonable, pero no de una manera que sugiera que tiene el apoyo del licenciador o lo recibe por el uso que hace. No puede utilizar el material para una finalidad comercial. Si remezcla, transforma o crea a partir del material, no puede difundir el material modificado.Exportado de SIDERAL (2025-12-19-14:43:36)
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Artículos > Artículos por área > Medicina
Registro creado el 2025-12-19, última modificación el 2025-12-19