97175 20210902121913.0 doi 10.3390/ijerph17218094 sideral 121087 ART-2020-121087 eng Vara, M.D. A 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 2020 Access copy available to the general public Unrestricted Background: 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. info:eu-repo/grantAgreement/ES/MINECO-ISCIII/PI16-01017 info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 3.39 2020 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 41 / 176 = 0.233 2020 Q1 T1 ENVIRONMENTAL SCIENCES 118 / 273 = 0.432 2020 Q2 T2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 68 / 203 = 0.335 2020 Q2 T2 0.747 2020 Health, Toxicology and Mutagenesis 2020 Q2 Public Health, Environmental and Occupational Health 2020 Q2 Pollution 2020 Q2 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Mira, A. Miragall, M. García-Palacios, A. Botella, C. Gili, M. Riera-Serra, P. García-Campayo, J. Universidad de Zaragoza (orcid)0000-0002-3797-4218 Mayoral-Cleries, F. Baños, R.M. 1007 745 Universidad de Zaragoza Dpto. Medicina, Psiqu. y Derm. Area Psiquiatría 17, 21 (2020), 8094 [21 pp] Int. j. environ. res. public health International Journal of Environmental Research and Public Health 1661-7827 541403 http://zaguan.unizar.es/record/97175/files/texto_completo.pdf Versión publicada 456302 http://zaguan.unizar.es/record/97175/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:97175 articulos driver 2021-09-02-10:43:42 ARTICLE