Coping behaviors to reduce anxiety and depressive symptoms: A prospective repeated assessment study

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 (RAB...

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Autores: Fortea L, Solanes A, Pomarol-Clotet E, Garcia-Leon MA, Fortea A, Torrent C, Varo C, Mar Bonnin C, Montejo L, Alonso J, Carmona S, Soldevila-Matías P, Alustiza I, Arbós D, Hidalgo-Mazzei D, Grande I, Vieta E, Àngel Fullana M, Radua J
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:INCLIVA
Repositorio:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
OAI Identifier:oai:incliva.fundanetsuite.com:p18600
Acceso en línea:https://incliva.portalinvestigacion.com/publicaciones/18600
Access Level:acceso abierto
Palabra clave:Coping behaviors
Anxiety
Depression
COVID-19
Uncertain times
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spelling Coping behaviors to reduce anxiety and depressive symptoms: A prospective repeated assessment studyFortea LSolanes APomarol-Clotet EGarcia-Leon MAFortea ATorrent CVaro CMar Bonnin CMontejo LAlonso JCarmona SSoldevila-Matías PAlustiza IArbós DHidalgo-Mazzei DGrande IVieta EÀngel Fullana MRadua JCoping behaviorsAnxietyDepressionCOVID-19Uncertain timesIntroduction: 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 x gender x region x urbanicity to conduct a one-year-long bi-weekly online follow-up about the frequency often 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. (c) 2024 The Author(s). Published by Elsevier Espana, S.L.U. on behalf of Sociedad Espanola de Psiquiatr & imath;<acute accent>a y Salud Mental (SEPSM). This is an open access article under the CC BY license (http://creativecommons. org/licenses/by/4.0/).ELSEVIER ESPANA SLU2025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://incliva.portalinvestigacion.com/publicaciones/18600Spanish Journal of Psychiatry and Mental HealthISSN: 29502861ISSNe: 29502853reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVAinstname:INCLIVAInglésinfo:eu-repo/semantics/openAccessoai:incliva.fundanetsuite.com:p186002026-06-07T16:35:31Z
dc.title.none.fl_str_mv Coping behaviors to reduce anxiety and depressive symptoms: A prospective repeated assessment study
title Coping behaviors to reduce anxiety and depressive symptoms: A prospective repeated assessment study
spellingShingle Coping behaviors to reduce anxiety and depressive symptoms: A prospective repeated assessment study
Fortea L
Coping behaviors
Anxiety
Depression
COVID-19
Uncertain times
title_short Coping behaviors to reduce anxiety and depressive symptoms: A prospective repeated assessment study
title_full Coping behaviors to reduce anxiety and depressive symptoms: A prospective repeated assessment study
title_fullStr Coping behaviors to reduce anxiety and depressive symptoms: A prospective repeated assessment study
title_full_unstemmed Coping behaviors to reduce anxiety and depressive symptoms: A prospective repeated assessment study
title_sort Coping behaviors to reduce anxiety and depressive symptoms: A prospective repeated assessment study
dc.creator.none.fl_str_mv Fortea L
Solanes A
Pomarol-Clotet E
Garcia-Leon MA
Fortea A
Torrent C
Varo C
Mar Bonnin C
Montejo L
Alonso J
Carmona S
Soldevila-Matías P
Alustiza I
Arbós D
Hidalgo-Mazzei D
Grande I
Vieta E
Àngel Fullana M
Radua J
author Fortea L
author_facet Fortea L
Solanes A
Pomarol-Clotet E
Garcia-Leon MA
Fortea A
Torrent C
Varo C
Mar Bonnin C
Montejo L
Alonso J
Carmona S
Soldevila-Matías P
Alustiza I
Arbós D
Hidalgo-Mazzei D
Grande I
Vieta E
Àngel Fullana M
Radua J
author_role author
author2 Solanes A
Pomarol-Clotet E
Garcia-Leon MA
Fortea A
Torrent C
Varo C
Mar Bonnin C
Montejo L
Alonso J
Carmona S
Soldevila-Matías P
Alustiza I
Arbós D
Hidalgo-Mazzei D
Grande I
Vieta E
Àngel Fullana M
Radua J
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Coping behaviors
Anxiety
Depression
COVID-19
Uncertain times
topic Coping behaviors
Anxiety
Depression
COVID-19
Uncertain times
description 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 x gender x region x urbanicity to conduct a one-year-long bi-weekly online follow-up about the frequency often 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. (c) 2024 The Author(s). Published by Elsevier Espana, S.L.U. on behalf of Sociedad Espanola de Psiquiatr & imath;<acute accent>a y Salud Mental (SEPSM). This is an open access article under the CC BY license (http://creativecommons. org/licenses/by/4.0/).
publishDate 2025
dc.date.none.fl_str_mv 2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.none.fl_str_mv https://incliva.portalinvestigacion.com/publicaciones/18600
url https://incliva.portalinvestigacion.com/publicaciones/18600
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER ESPANA SLU
publisher.none.fl_str_mv ELSEVIER ESPANA SLU
dc.source.none.fl_str_mv Spanish Journal of Psychiatry and Mental Health
ISSN: 29502861
ISSNe: 29502853
reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
instname:INCLIVA
instname_str INCLIVA
reponame_str r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
collection r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
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