000097175 001__ 97175 000097175 005__ 20210902121913.0 000097175 0247_ $$2doi$$a10.3390/ijerph17218094 000097175 0248_ $$2sideral$$a121087 000097175 037__ $$aART-2020-121087 000097175 041__ $$aeng 000097175 100__ $$aVara, M.D. 000097175 245__ $$aA low-intensity internet-based intervention focused on the promotion of positive affect for the treatment of depression in Spanish primary care: Secondary analysis of a randomized controlled trial 000097175 260__ $$c2020 000097175 5060_ $$aAccess copy available to the general public$$fUnrestricted 000097175 5203_ $$aBackground: A large number of low-intensity Internet-based interventions (IBIs) for the treatment of depression have emerged in Primary Care; most of them focused on decreasing negative emotions. However, recent studies have highlighted the importance of addressing positive affect (PA) as well. This study is a secondary analysis of a randomized control trial. We examine the role of an IBI focused on promoting PA in patients with depression in Primary Care (PC). The specific objectives were to explore the profile of the patients who benefit the most and to analyze the change mechanisms that predict a significantly greater improvement in positive functioning measures. Methods: 56 patients were included. Measures of depression, affect, well-being, health-related quality of life, and health status were administered. Results: Participants who benefited the most were those who had lower incomes and education levels and worse mental health scores and well-being at baseline (7.9%–39.5% of explained variance). Improvements in depression severity and PA were significant predictors of long-term change in well-being, F (3, 55) = 17.78, p < 0.001, R2 = 47.8%. Conclusions: This study highlights the importance of implementing IBIs in PC and the relevance of PA as a key target in Major Depressive Disorder treatment. 000097175 536__ $$9info:eu-repo/grantAgreement/ES/MINECO-ISCIII/PI16-01017 000097175 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000097175 590__ $$a3.39$$b2020 000097175 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b41 / 176 = 0.233$$c2020$$dQ1$$eT1 000097175 591__ $$aENVIRONMENTAL SCIENCES$$b118 / 273 = 0.432$$c2020$$dQ2$$eT2 000097175 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b68 / 203 = 0.335$$c2020$$dQ2$$eT2 000097175 592__ $$a0.747$$b2020 000097175 593__ $$aHealth, Toxicology and Mutagenesis$$c2020$$dQ2 000097175 593__ $$aPublic Health, Environmental and Occupational Health$$c2020$$dQ2 000097175 593__ $$aPollution$$c2020$$dQ2 000097175 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000097175 700__ $$aMira, A. 000097175 700__ $$aMiragall, M. 000097175 700__ $$aGarcía-Palacios, A. 000097175 700__ $$aBotella, C. 000097175 700__ $$aGili, M. 000097175 700__ $$aRiera-Serra, P. 000097175 700__ $$0(orcid)0000-0002-3797-4218$$aGarcía-Campayo, J.$$uUniversidad de Zaragoza 000097175 700__ $$aMayoral-Cleries, F. 000097175 700__ $$aBaños, R.M. 000097175 7102_ $$11007$$2745$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Psiquiatría 000097175 773__ $$g17, 21 (2020), 8094 [21 pp]$$pInt. j. environ. res. public health$$tInternational Journal of Environmental Research and Public Health$$x1661-7827 000097175 8564_ $$s541403$$uhttps://zaguan.unizar.es/record/97175/files/texto_completo.pdf$$yVersión publicada 000097175 8564_ $$s456302$$uhttps://zaguan.unizar.es/record/97175/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000097175 909CO $$ooai:zaguan.unizar.es:97175$$particulos$$pdriver 000097175 951__ $$a2021-09-02-10:43:42 000097175 980__ $$aARTICLE