Coping behaviors to reduce anxiety and depressive symptoms: A prospective repeated assessment study
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- dc.contributor.author Fortea, Lydia
- dc.contributor.author Solanes, Aleix
- dc.contributor.author Pomarol-Clotet, Edith
- dc.contributor.author García-León, María Ángeles
- dc.contributor.author Fortea, Adriana
- dc.contributor.author Torrent, Carla
- dc.contributor.author Varo, Cristina
- dc.contributor.author Bonnín, Caterina del Mar
- dc.contributor.author Montejo, Laura
- dc.contributor.author Alonso Caballero, Jordi
- dc.contributor.author Carmona, Susanna
- dc.contributor.author Soldevila-Matías, Pau
- dc.contributor.author Alustiza, Irene
- dc.contributor.author Arbós Labairu, Daniel
- dc.contributor.author Hidalgo Mazzei, Diego
- dc.contributor.author Grande, Iria
- dc.contributor.author Vieta, Eduard
- dc.contributor.author Fullana Rivas, Miguel Ángel
- dc.contributor.author Radua, Joaquim
- dc.date.accessioned 2024-11-14T08:21:29Z
- dc.date.available 2024-11-14T08:21:29Z
- dc.date.issued 2024
- dc.description Data de publicació eelctrònica: 01-09-2024
- dc.description.abstract Introduction: Health institutions provide general recommendations to cope with global crises such as pandemics or geopolitical tensions. However, these recommendations are mainly based on cross-sectional evidence. The preregistered Repeated Assessment of Behaviors and Symptoms in the Population (RABSYPO) study sought to establish prospective longitudinal evidence from a cohort with a demographic distribution similar to that of the Spanish population to provide evidence for developing solid universal recommendations to reduce anxiety and depressive symptoms during times of uncertainty. Material and methods: We first recruited via social networks a pool of Spanish individuals willing to participate and then randomly selected some within each stratum of age×gender×region×urbanicity to conduct a one-year-long bi-weekly online follow-up about the frequency of ten simple potential coping behaviors as well as anxiety (GAD-7) and depressive symptoms (PHQ-9). Mixed-effects autoregressive moving average models were used to analyze the relationship between past behaviors' frequency and subsequent symptom changes across the twenty-seven time points. Results: Among the 1049 who started the follow-up, 942 completed it and were included in the analyses. Avoiding excessive exposure to distressing news and maintaining a healthy/balanced diet, followed by spending time outdoors and physical exercise, were the coping behaviors most strongly associated with short and long-term reductions of anxiety and depressive symptoms. Engaging in relaxing activities and drinking water to hydrate were only associated with short-term symptom reductions. Socializing was associated with symptom reductions in the long term. Conclusions: This study provides compelling prospective evidence that adopting a set of simple coping behaviors is associated with small but significant reductions in anxiety and depressive symptoms during times of uncertainty. It also includes a layman's summary of this evidence to help develop general recommendations that serve as universal tools for enhancing mental health and well-being.
- dc.format.mimetype application/pdf
- dc.identifier.citation Fortea L, Solanes A, Pomarol-Clotet E, Garcia-Leon MA, Fortea A, Torrent C, et al. Coping behaviors to reduce anxiety and depressive symptoms: A prospective repeated assessment study. Span J Psychiatry Ment Health. 2024 Sep 1:S2950-2853(24)00051-6. DOI: 10.1016/j.sjpmh.2024.08.003
- dc.identifier.doi http://dx.doi.org/10.1016/j.sjpmh.2024.08.003
- dc.identifier.issn 2950-2853
- dc.identifier.uri http://hdl.handle.net/10230/68520
- dc.language.iso eng
- dc.publisher Elsevier
- dc.relation.ispartof Span J Psychiatry Ment Health. 2024 Sep 1:S2950-2853(24)00051-6
- dc.rights © 2024 The Author(s). Published by Elsevier Espana, S.L.U. on behalf of Sociedad Española de Psiquiatría y Salud Mental (SEPSM). This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword Anxiety
- dc.subject.keyword COVID-19
- dc.subject.keyword Coping behaviors
- dc.subject.keyword Depression
- dc.subject.keyword Uncertain times
- dc.title Coping behaviors to reduce anxiety and depressive symptoms: A prospective repeated assessment study
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion