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.
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.
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DOI：
10.3390/ijerph17218094
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发表时间：
2020-11-03
影响因子：
--
通讯作者：
Baños RM
中科院分区：
文献类型：
--
作者：
Vara MD;Mira A;Miragall M;García-Palacios A;Botella C;Gili M;Riera-Serra P;García-Campayo J;Mayoral-Cleries F;Baños RM
背景资料：在初级保健中出现了大量低强度的基于互联网的抑郁症治疗干预措施（IBI），其中大多数侧重于减少负面情绪。然而，最近的研究也强调了解决积极影响（PA）的重要性。本研究是一项随机对照试验的次要分析。我们研究了IBI的作用，重点是促进PA在初级保健（PC）抑郁症患者。具体目标是探索受益最大的患者的概况，并分析预测积极功能指标显著改善的变化机制。方法：56例患者。测量了抑郁、情感、幸福感、健康相关生活质量和健康状况。结果如下：受益最多的参与者是那些收入和教育水平较低，心理健康评分和基线幸福感较差的人（解释方差的7.9%-39.5%）。抑郁严重程度和PA的改善是幸福感长期变化的重要预测因素，F（3，55）= 17.78，p < 0.001，R2 = 47.8%。结论：这项研究强调了在PC中实施IBIs的重要性，以及PA作为重度抑郁症治疗关键目标的相关性。
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.
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