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 (RABS...

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Detalles Bibliográficos
Autores: Fortea, Lydia, Solanes, Aleix, Pomarol-Clotet, Edith, García León, María Ángeles, Fortea, Adriana, Torrent, Carla, Varo Martín, Cristina, Bonnin, Caterina del Mar, Montejo, Laura, Alonso, Jordi, Carmona, Susana, Soldevila-Matías, Pau, Alustiza, Irene, Arbós, Daniel, Hidalgo-Mazzei, Diego, Grande, Iria, Vieta, Eduard, Fullana, Miquel Àngel, Radua, Joaquim
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/165071
Acceso en línea:https://hdl.handle.net/11441/165071
https://doi.org/10.1016/j.sjpmh.2024.08.003
Access Level:acceso abierto
Palabra clave:Coping behaviors
Anxiety
Depression
COVID-19
Uncertain times
Descripción
Sumario: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.