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Article

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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Polibienestar Research Institute, University of Valencia, 46022 Valencia, Spain
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CIBERObn Physiopathology of Obesity and Nutrition, Instituto de Salud Carlos III, 28029 Madrid, Spain
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Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology, University of Valencia, 46010 Valencia, Spain
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Department of Basic and Clinical Psychology and Psychobiology, Faculty of Health Sciences, Jaume I University, 12071 Castellon de la Plana, Spain
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Institut Universitari d’Investigació en Ciències de la Salut, University of Balearic Islands, E-07122 Palma de Mallorca, Spain
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Institut d’Investigació Sanitaria Illes Balears, 07120 Palma de Mallorca, Spain
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Primary Care Prevention and Health Promotion Research Network, RedIAPP, 28029 Madrid, Spain
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Aragon Institute for Health Research (IIS Aragón), Miguel Servet Hospital, University of Zaragoza, 50009 Zaragoza, Spain
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Mental Health Unit, Hospital Regional of Malaga, Biomedicine Research Institute (IBIMA), 29010 Málaga, Spain
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(21), 8094; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17218094
Received: 26 September 2020 / Revised: 27 October 2020 / Accepted: 30 October 2020 / Published: 3 November 2020
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. View Full-Text
Keywords: depression; primary care; internet-based intervention; positive affect depression; primary care; internet-based intervention; positive affect
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MDPI and ACS Style

Vara, M.D.; Mira, A.; Miragall, M.; García-Palacios, A.; Botella, C.; Gili, M.; Riera-Serra, P.; García-Campayo, J.; Mayoral-Cleries, F.; Baños, R.M. 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. Int. J. Environ. Res. Public Health 2020, 17, 8094. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17218094

AMA Style

Vara MD, Mira A, Miragall M, García-Palacios A, Botella C, Gili M, Riera-Serra P, García-Campayo J, Mayoral-Cleries F, Baños RM. 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. International Journal of Environmental Research and Public Health. 2020; 17(21):8094. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17218094

Chicago/Turabian Style

Vara, Mª D., Adriana Mira, Marta Miragall, Azucena García-Palacios, Cristina Botella, Margalida Gili, Pau Riera-Serra, Javier García-Campayo, Fermín Mayoral-Cleries, and Rosa M. Baños 2020. "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" International Journal of Environmental Research and Public Health 17, no. 21: 8094. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17218094

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