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. 2023 Jun 9:14:1121389.
doi: 10.3389/fpsyt.2023.1121389. eCollection 2023.

Protocol for an observational cohort study on psychological, addictive, lifestyle behavior and highly prevalent affective disorders in primary health care adults

Fátima Méndez-López  1   2 , Bárbara Oliván-Blázquez  1   2   3 , Marta Domínguez-García  1   2   4 , Cruz Bartolomé-Moreno  1   2   4   5 , Isabel Rabanaque  6 , Rosa Magallón-Botaya  1   2   7
Affiliations

Protocol for an observational cohort study on psychological, addictive, lifestyle behavior and highly prevalent affective disorders in primary health care adults

Fátima Méndez-López et al. Front Psychiatry. .

Abstract

Background: Depression and anxious symptoms are prevalent in the general population, and their onset and persistence may be linked to biological and psychosocial factors, many of which are lifestyle-related. The way we manage our care, physical and emotional health and/or discomfort is highly influenced by our own abilities, skills and attitudes despite life's circumstances. The main aim of this protocol to analyze the relationship between psychological constructs (self-efficacy, activation, health literacy, resilience, personality traits, sense of coherence, self-esteem), and the presence of affective-emotional problems (anxiety, depression) and addictions in primary health care.

Methods: This is a protocol of a prospective longitudinal cohort study including people of 35-74 years old of Aragon primary health care centers (Spain). Three evaluations will be conducted: baseline evaluation, and follow-up assessments five and ten years after recruitment. The primary outcomes will be severity of depression, severity of anxiety, and addictive behaviors. A detailed set of secondary outcomes will be assessed across all three assessments. This will include psychosocial or personal factors on health behavior, social support, lifestyle patterns, quality of life, the use of health and social resources, and chronic comorbid pathology.

Discussion: The analysis of the impact of psychological constructs and lifestyles on the mental health of people and communities will provide evidence that will make it possible to better address and prevent these prevalent problems and address their improvement from a more global and holistic perspective. The evaluation of psychological constructs should be incorporated into health services to improve people's ability their self-care, the level of knowledge of managing their disease and their physical, mental and social health.

Clinical trial registration: https://www.isrctn.com/, identifier ISRCTN12820058.

Keywords: anxiety; behavior and behavior mechanism; depression; mental health; primary health care.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
Total population distribution of Aragon by age and sex respect to National Institute of Statistics data from the census of Aragon 2021.
FIGURE 2
FIGURE 2
Chronological data collection. PHQ-9, Patient Health Questionnaire; BDI-II, Beck Depression Inventory; GAD-7, Generalized Anxiety Disorder; AUDIT, Alcohol Use Disorders Identification Test; PGBQ, Pathological Gambling Brief Questionnaire; MULTICAGE-ICT, MULTICAGE-Information and Communications Technologies; GSES-12, General Self Efficacy Scale; CD-Risc-10, Connor–Davidson Resilience Scale; SOC-13, Sense of Coherence Scale; RSES, Rosenberg Self-Esteem Scale; PAM-13, Patient Activation Questionnaire; HLS-EUQ-16, Health Literacy Survey European Questionnaire; BFI-10, Big Five Inventory; EQ-5D, European Quality of Life-5 Dimensions Questionnaire; MEDAS, Mediterranean Diet Adherence Screener; PSQI, Pittsburgh Sleep Quality Index; IPAQ-SF, International Physical Activity Questionnaire-Short Form.
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