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

Fátima Méndez-López; Bárbara Oliván-Blázquez; Marta Domínguez-García; Cruz Bartolomé-Moreno; Isabel Rabanaque; Rosa Magallón-Botaya

doi:10.3389/fpsyt.2023.1121389

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

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

Authors

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 Rabanaque⁶, Rosa Magallón-Botaya^{1

2

7}

Affiliations

¹ Aragonese Primary Care Research Group, Health Research Institute of Aragon (IISA), Zaragoza, Spain.
² Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS) RD21/0016/0001, Zaragoza, Spain.
³ Department of Psychology and Sociology, University of Zaragoza, Zaragoza, Spain.
⁴ Aragonese Healthcare Service (SALUD), Zaragoza, Spain.
⁵ Department of Family and Community Care Teaching - Sector I, Aragonese Healthcare Service, Zaragoza, Spain.
⁶ Department of Geography and Territorial Planning, University of Zaragoza, Zaragoza, Spain.
⁷ Department of Medicine, Psychiatry and Dermatology, University of Zaragoza, Zaragoza, Spain.

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.

Grants and funding

This study has been funded by Health Institute Carlos III (ISCIII) through the project grant number PI19/01076 (Feder Funds Another way to make Europe) and through internal funds from the Aragonese Primary Care Research Group (B21_23R) of the Health Research Institute of Aragon (IIS Aragon), Zaragoza, Spain. The funder had no role in the study design, data collection, analysis, decision to publish or preparation of the manuscript. The funding organisation will audit trial conduct once a year.