Transdiagnostic model of psychological factors and sex differences in depression in a large sample of Ecuador

Ruisoto Palomera, Pablo; López Guerra, Victor Manuel; López Núñez, Carla; Paladines Costa, María Belén; Sánchez Puertas, Rafael; Pineda Cabrera, Nairoby Jackeline

Publication:
Transdiagnostic model of psychological factors and sex differences in depression in a large sample of Ecuador

dc.contributor.author	Ruisoto Palomera, Pablo
dc.contributor.author	López Guerra, Victor Manuel
dc.contributor.author	López Núñez, Carla
dc.contributor.author	Paladines Costa, María Belén
dc.contributor.author	Sánchez Puertas, Rafael
dc.contributor.author	Pineda Cabrera, Nairoby Jackeline
dc.contributor.department	Ciencias de la Salud	es_ES
dc.contributor.department	Osasun Zientziak	eu
dc.date.accessioned	2022-08-19T09:43:09Z
dc.date.available	2022-08-19T09:43:09Z
dc.date.issued	2022
dc.date.updated	2022-08-19T09:14:07Z
dc.description.abstract	Background/Objective: depression represents a leading cause of disability and a major contributor to the overall global burden of disease with women systematically reporting a higher prevalence than men. This study aimed to examine the predictive value and relation of three transdiagnostic psychological factors (perceived stress, psychological inflexibility and loneliness) on depression and its sex differences for the general population in a large sample of Ecuador. Method: a non-probabilistic and non-clinical sample of 16.074 people from across Ecuador were online surveyed using a cross-sectional design. The structural equation model was based on scores from standardized questionnaires as measures of depression, psychological perceived stress, psychological inflexibility, and loneliness. Results: women reported significantly higher levels of depression, mediated by differences in perceived stress, psychological inflexibility and loneliness. Perceived stress was the most important predictor of depression and mediated the effect of loneliness on depression. Complementarily, psychological inflexibility partially mediated the effect of perceived stress and loneliness on depression. The overall model accounted for the 78% of the total variance in depression. Conclusions: results of this study provide a novel and robust transdiagnostic model of sex differences on depression and insights on how to design effective programs for preventing depression targeting modifiable transdiagnostic risk factors.	en
dc.description.sponsorship	The study was funded by the Particular Technical University of Loja (Ecuador) (PROY-INV-PSI2020-2781). Additional funding to P.R. was provided by the European Union— 'NextGenerationEU' through the Grant for the Requalification of the Spanish University System for 2021-2023 at the Public University of Navarra (Resolution 1402/2021).	en
dc.format.mimetype	application/pdf	en
dc.identifier.citation	Ruisoto, P.; López, V. M.; López, C.; Paladines, M. B.; Sánchez, R. N.; Pineda, N. J. (2022). Transdiagnostic model of psychological factors and sex differences in depression in a large sample of Ecuador International Journal of Clinical and Health Psychology. 22,(3), pp. 9-99	en
dc.identifier.issn	1697-2600
dc.identifier.uri	https://academica-e.unavarra.es/handle/2454/43820
dc.language.iso	eng	en
dc.publisher	Asociación Española de Psicología Conductual	es_ES
dc.relation.ispartof	International Journal of Clinical and Health Psychology, 2022, 22 (3), pp. 9-99	en
dc.rights	© 2022 The Author(s). This is an open access article under the CC BY-NC-ND license	en
dc.rights.accessRights	Acceso abierto / Sarbide irekia	es
dc.rights.accessRights	info:eu-repo/semantics/openAccess	en
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject	Depression	en
dc.subject	Psychological stress	en
dc.subject	Psychological inflexibility	en
dc.subject	Loneliness	en
dc.subject	Transdiagnostic approach	en
dc.title	Transdiagnostic model of psychological factors and sex differences in depression in a large sample of Ecuador	en
dc.type	Artículo / Artikulua	es
dc.type	info:eu-repo/semantics/article	en
dc.type.version	Versión publicada / Argitaratu den bertsioa	es
dc.type.version	info:eu-repo/semantics/publishedVersion	en
dspace.entity.type	Publication
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relation.isAuthorOfPublication.latestForDiscovery	67d90c33-1a8d-4a17-b259-940ae5d3674a