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...
| Autores: | , , , , , , , , , , , , , , , , , , |
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| 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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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 |
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2025 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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https://incliva.portalinvestigacion.com/publicaciones/18600 |
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https://incliva.portalinvestigacion.com/publicaciones/18600 |
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Inglés |
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Inglés |
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info:eu-repo/semantics/openAccess |
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openAccess |
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ELSEVIER ESPANA SLU |
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ELSEVIER ESPANA SLU |
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Spanish Journal of Psychiatry and Mental Health ISSN: 29502861 ISSNe: 29502853 reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA instname:INCLIVA |
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INCLIVA |
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r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA |
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r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA |
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