Transdiagnostic model of psychological factors and sex differences in depression in a large sample of Ecuador
Fecha
2022Autor
Versión
Acceso abierto / Sarbide irekia
Tipo
Artículo / Artikulua
Versión
Versión publicada / Argitaratu den bertsioa
Impacto
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nodoi-noplumx
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Resumen
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 s ...
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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. [--]
Materias
Depression,
Psychological stress,
Psychological inflexibility,
Loneliness,
Transdiagnostic approach
Editor
Asociación Española de Psicología Conductual
Publicado en
International Journal of Clinical and Health Psychology, 2022, 22 (3), pp. 9-99
Departamento
Universidad Pública de Navarra. Departamento de Ciencias de la Salud /
Nafarroako Unibertsitate Publikoa. Osasun Zientziak Saila
Entidades Financiadoras
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).