000074814 001__ 74814
000074814 005__ 20200922122723.0
000074814 0247_ $$2doi$$a10.1186/s12888-018-1779-7
000074814 0248_ $$2sideral$$a106969
000074814 037__ $$aART-2018-106969
000074814 041__ $$aeng
000074814 100__ $$0(orcid)0000-0001-6565-9699$$aOliván Blázquez, Bárbara$$uUniversidad de Zaragoza
000074814 245__ $$aFacilitators and barriers to modifying dietary and hygiene behaviours as adjuvant treatment in patients with depression in primary care: A qualitative study.
000074814 260__ $$c2018
000074814 5060_ $$aAccess copy available to the general public$$fUnrestricted
000074814 5203_ $$aBackground: Major depression is a highly prevalent condition. Its pathogenesis is related to a wide variety of biological and psychosocial factors and among these is factors related to lifestyle. Lifestyle-based interventions seem to be appropriate strategies as coadjutant treatment. The objective of this study is to explore and identify expectations and experiences of both patients and healthcare professionals that can point to the main barriers and facilitators with regard to the promotion of healthy dietary and hygiene behaviours in patients suffering from major depression.
Methods: A qualitative design was used to collect information from a wide range of purposefully and theoretically guided samples of depressed patients and health professionals from Primary Care (PC). Both in-depth interviews and discussion groups were used. A standardized protocol was designed to guide the interviews and groups, including the preparation of a topic list to be addressed, with previously tested, open suggestions that could be of interest. A thematic analysis was performed from grounded theory in order to explore, develop and define until saturation the emergent categories of analysis derived from the individual interview and group data.
Results: Both patients as well as PC professionals noted a series of central aspects with respect to the implementation of a programme for the acquisition of healthy dietary and hygiene habits for depressive patients, which may be organized around ‘personal’, ‘programmatic’, and ‘transversal’ aspects. As for the personal aspects, categories regarding ‘patient history’, and ‘disposition’ were found; the programmatic aspects included categories such as ‘presentation and monitoring’, and modification of ‘cognitive’ and ‘behavioural’ habits; whereas the transversal aspects comprised the possibilities of ‘social support’ and defining categories of ‘objectives’.
Conclusion: The implementation of intervention programmes that combine dietary and hygiene-related factors in patients with depression is complex, given the nature of the disorder itself, and its symptoms such as apathy and feelings of guilt or incompetence. Key issues exist for the success of the intervention, such as the simplicity of guidelines, tailoring through motivational interviewing, prolonged and intense monitoring throughout the different stages of the disorder, and the provision of adequate feedback and social support. PC could be an appropriate level in which to implement these interventions.
000074814 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI11-01392
000074814 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000074814 590__ $$a2.666$$b2018
000074814 591__ $$aPSYCHIATRY$$b67 / 146 = 0.459$$c2018$$dQ2$$eT2
000074814 592__ $$a1.306$$b2018
000074814 593__ $$aPsychiatry and Mental Health$$c2018$$dQ1
000074814 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000074814 700__ $$0(orcid)0000-0001-5677-1662$$aMontero Marín, Jesús
000074814 700__ $$aGarcía Toro, Mauro
000074814 700__ $$aVicens, Enric
000074814 700__ $$aSerrano, María
000074814 700__ $$aCastro García, Adoración
000074814 700__ $$aSarasa Bosque, M.C.
000074814 700__ $$aMendive Arbeloa, Manuel
000074814 700__ $$0(orcid)0000-0002-1690-4130$$aLópez del Hoyo, Yolanda$$uUniversidad de Zaragoza
000074814 7102_ $$14009$$2740$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicología Social
000074814 7102_ $$14009$$2730$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicología Básica
000074814 773__ $$g18, 205 (2018), [12 pp.]$$pBMC Psychiatry$$tBMC Psychiatry$$x1471-244X
000074814 8564_ $$s760389$$uhttps://zaguan.unizar.es/record/74814/files/texto_completo.pdf$$yVersión publicada
000074814 8564_ $$s95856$$uhttps://zaguan.unizar.es/record/74814/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000074814 909CO $$ooai:zaguan.unizar.es:74814$$particulos$$pdriver
000074814 951__ $$a2020-09-22-12:19:14
000074814 980__ $$aARTICLE