Self-reported health and depression among EIRA cohort: a moderated mediation model of sex and perceived social support
BackgroundThe positive relationship between health and good perceived social support has been widely demonstrated in the scientific literature. It is known that having a good social support influences the proper maintenance of health even as a protective factor, besides being a good predictor in the...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-06-01
|
| Series: | Frontiers in Psychology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1540530/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849332296040054784 |
|---|---|
| author | Raquel Sánchez-Recio Raquel Sánchez-Recio Bárbara Oliván-Blázquez Bárbara Oliván-Blázquez Bárbara Oliván-Blázquez Fátima Méndez-López Fátima Méndez-López Fátima Méndez-López Santiago Gascón-Santos Santiago Gascón-Santos Ruth Martí-Lluch Ruth Martí-Lluch Ruth Martí-Lluch Ruth Martí-Lluch Edurne Zabaleta-Del-Olmo Edurne Zabaleta-Del-Olmo Edurne Zabaleta-Del-Olmo Olaya Tamayo-Morales Olaya Tamayo-Morales José A. Maderuelo-Fernández José A. Maderuelo-Fernández José A. Maderuelo-Fernández Marc Casajuana Tomas López-Jiménez Emma Motrico Emma Motrico Irene Gómez-Gómez Irene Gómez-Gómez Álvaro Sánchez-Pérez Álvaro Sánchez-Pérez Álvaro Sánchez-Pérez María Luisa Rodero-Cosano Joan Llobera Joan Llobera Joan Llobera Juan A. Bellón Juan A. Bellón Juan A. Bellón Juan A. Bellón Patricia Moreno-Peral Patricia Moreno-Peral Bonaventura Bolíbar Bonaventura Bolíbar José I. Recio-Rodríguez José I. Recio-Rodríguez Rafel Ramos Rafel Ramos Rafel Ramos Rafel Ramos Ana Clavería Ana Clavería |
| author_facet | Raquel Sánchez-Recio Raquel Sánchez-Recio Bárbara Oliván-Blázquez Bárbara Oliván-Blázquez Bárbara Oliván-Blázquez Fátima Méndez-López Fátima Méndez-López Fátima Méndez-López Santiago Gascón-Santos Santiago Gascón-Santos Ruth Martí-Lluch Ruth Martí-Lluch Ruth Martí-Lluch Ruth Martí-Lluch Edurne Zabaleta-Del-Olmo Edurne Zabaleta-Del-Olmo Edurne Zabaleta-Del-Olmo Olaya Tamayo-Morales Olaya Tamayo-Morales José A. Maderuelo-Fernández José A. Maderuelo-Fernández José A. Maderuelo-Fernández Marc Casajuana Tomas López-Jiménez Emma Motrico Emma Motrico Irene Gómez-Gómez Irene Gómez-Gómez Álvaro Sánchez-Pérez Álvaro Sánchez-Pérez Álvaro Sánchez-Pérez María Luisa Rodero-Cosano Joan Llobera Joan Llobera Joan Llobera Juan A. Bellón Juan A. Bellón Juan A. Bellón Juan A. Bellón Patricia Moreno-Peral Patricia Moreno-Peral Bonaventura Bolíbar Bonaventura Bolíbar José I. Recio-Rodríguez José I. Recio-Rodríguez Rafel Ramos Rafel Ramos Rafel Ramos Rafel Ramos Ana Clavería Ana Clavería |
| author_sort | Raquel Sánchez-Recio |
| collection | DOAJ |
| description | BackgroundThe positive relationship between health and good perceived social support has been widely demonstrated in the scientific literature. It is known that having a good social support influences the proper maintenance of health even as a protective factor, besides being a good predictor in the recovery of health during a disease process, influencing differently men and women.AimThis project aims to study the moderating effects of perceived social support in the relationship between depression and self-perceived health according to gender, after a complex multiple-risk intervention was carried out in patients of primary health care with low social support.MethodsA cluster randomized clinical trial was developed in the subgroup of patients included in phase 3 of the EIRA project. CONSORT recommendations were followed to present the results. To determine the mediating effect between social support and self-perceived health, three regression analyses were carried out using the procedure designed by Hayes through the PROCESS macro for SPSS.Results3,062 people (54.9% women) participated in the study. Men reported experiencing more social support and self-perceived health (p < 0.001) than women at the beginning of the study, but women reported higher social support at post-intervention. Moderation analyses showed that, post-intervention, those women (bsimple = −2.9867, p < 0.001) and males (bsimple = −1.4337, p < 0.001) who scored lower in depression reported higher social support.ConclusionIn primary care, it is necessary to encourage intervention strategies that promote social networks as a key element of positive action aimed at maintaining and improving the population’s health, especially in adults and more specifically in women.Clinical trial registrationClinicalTrials.gov, identifier NCT03136211. |
| format | Article |
| id | doaj-art-450d9e4b5f1947abb76bae20b96aaf85 |
| institution | Kabale University |
| issn | 1664-1078 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj-art-450d9e4b5f1947abb76bae20b96aaf852025-08-20T03:46:15ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-06-011610.3389/fpsyg.2025.15405301540530Self-reported health and depression among EIRA cohort: a moderated mediation model of sex and perceived social supportRaquel Sánchez-Recio0Raquel Sánchez-Recio1Bárbara Oliván-Blázquez2Bárbara Oliván-Blázquez3Bárbara Oliván-Blázquez4Fátima Méndez-López5Fátima Méndez-López6Fátima Méndez-López7Santiago Gascón-Santos8Santiago Gascón-Santos9Ruth Martí-Lluch10Ruth Martí-Lluch11Ruth Martí-Lluch12Ruth Martí-Lluch13Edurne Zabaleta-Del-Olmo14Edurne Zabaleta-Del-Olmo15Edurne Zabaleta-Del-Olmo16Olaya Tamayo-Morales17Olaya Tamayo-Morales18José A. Maderuelo-Fernández19José A. Maderuelo-Fernández20José A. Maderuelo-Fernández21Marc Casajuana22Tomas López-Jiménez23Emma Motrico24Emma Motrico25Irene Gómez-Gómez26Irene Gómez-Gómez27Álvaro Sánchez-Pérez28Álvaro Sánchez-Pérez29Álvaro Sánchez-Pérez30María Luisa Rodero-Cosano31Joan Llobera32Joan Llobera33Joan Llobera34Juan A. Bellón35Juan A. Bellón36Juan A. Bellón37Juan A. Bellón38Patricia Moreno-Peral39Patricia Moreno-Peral40Bonaventura Bolíbar41Bonaventura Bolíbar42José I. Recio-Rodríguez43José I. Recio-Rodríguez44Rafel Ramos45Rafel Ramos46Rafel Ramos47Rafel Ramos48Ana Clavería49Ana Clavería50Department of Preventive Medicine and Public Health, Faculty of Social and Labor Sciences, Research Group on Health Services in Aragon (GRISSA), University of Zaragoza, Zaragoza, SpainZaragoza Penitentiary Center, Zaragoza, SpainNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Instituto de Salud Carlos III, Madrid, SpainDepartment of Psychology and Sociology, University of Zaragoza, Zaragoza, SpainPrimary Care Research Unit (GAIAP), Health Research Institute of Aragon (IIS Aragon), Zaragoza, SpainNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Instituto de Salud Carlos III, Madrid, SpainPrimary Care Research Unit (GAIAP), Health Research Institute of Aragon (IIS Aragon), Zaragoza, SpainDepartment of Physiatry and Nursing, University of Zaragoza, Zaragoza, SpainNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Instituto de Salud Carlos III, Madrid, SpainDepartment of Psychology and Sociology, University of Zaragoza, Zaragoza, SpainNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Instituto de Salud Carlos III, Madrid, SpainVascular Health Research Group of Girona, Institut Universitari per a la Recerca a l'Atenció Primària Jordi Gol i Gurina (IDIAPJGol), Girona, SpainParc Hospitalari Martí Julià, Institut d'Investigació Biomèdica de Girona (IDIBGI), Salt, SpainDepartment of Medical Sciences, School of Medicine, University of Girona, Girona, Spain0Nursing Department, Faculty of Nursing, Universitat de Girona, Girona, Spain1Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain2Gerència Territorial de Barcelona, Institut Català de la Salut, Barcelona, Spain3Universidad de Salamanca, Unidad de Investigación en Atención Primaria de Salamanca (APISAL), Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, Spain4Gerencia de Atención Primaria de Salamanca, Gerencia Regional de Salud de Castilla y León (SACyL), Salamanca, SpainNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Instituto de Salud Carlos III, Madrid, Spain3Universidad de Salamanca, Unidad de Investigación en Atención Primaria de Salamanca (APISAL), Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, Spain4Gerencia de Atención Primaria de Salamanca, Gerencia Regional de Salud de Castilla y León (SACyL), Salamanca, Spain1Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain1Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, SpainNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Instituto de Salud Carlos III, Madrid, Spain5Departamento de Psicología Evolutiva y de la Educación, Universidad de Sevilla, Sevilla, SpainNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Instituto de Salud Carlos III, Madrid, Spain6Departamento de Métodos Cuantitativos, Universidad Loyola Andalucia, Sevilla, SpainNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Instituto de Salud Carlos III, Madrid, Spain7Unidad de Investigación Atención Primaria de Bizkaia, Subdirección para la Coordinación de la Atención Primaria, Dirección General Osakidetza, Baracaldo, Bizkaia, Spain8Grupo de Investigación en ciencias de la diseminación e implementación en servicios de salud, Instituto de Investigación Sanitaria Biocruces Bizkaia, Baracaldo, Bizkaia, Spain6Departamento de Métodos Cuantitativos, Universidad Loyola Andalucia, Sevilla, SpainNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Instituto de Salud Carlos III, Madrid, Spain9Primary Care Research Unit of Mallorca, Balearic Islands Health Service (Ib-Salut), Palma, Spain0GrAPP-caIB – Health Research Institute of the Balearic Islands (IdISBa), Palma, SpainNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Instituto de Salud Carlos III, Madrid, Spain1Instituto de Investigación Biomédica de Málaga – IBIMA, Málaga, Spain2El Palo” Health Centre, Andalusian Health Service (SAS), Málaga, Spain3Department of Public Health and Psychiatry, University of Málaga (UMA), Málaga, SpainNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Instituto de Salud Carlos III, Madrid, Spain1Instituto de Investigación Biomédica de Málaga – IBIMA, Málaga, SpainNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Instituto de Salud Carlos III, Madrid, Spain1Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, SpainNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Instituto de Salud Carlos III, Madrid, Spain3Universidad de Salamanca, Unidad de Investigación en Atención Primaria de Salamanca (APISAL), Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, SpainNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Instituto de Salud Carlos III, Madrid, SpainVascular Health Research Group of Girona, Institut Universitari per a la Recerca a l'Atenció Primària Jordi Gol i Gurina (IDIAPJGol), Girona, Spain4Department of Medical Sciences, University of Girona, Girona, Spain5Primary Care Services, Catalan Institute of Health, Girona, SpainNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Instituto de Salud Carlos III, Madrid, Spain6Primary Care Research Unit, SERGAS, Galicia South Health Research Institute, Vigo, SpainBackgroundThe positive relationship between health and good perceived social support has been widely demonstrated in the scientific literature. It is known that having a good social support influences the proper maintenance of health even as a protective factor, besides being a good predictor in the recovery of health during a disease process, influencing differently men and women.AimThis project aims to study the moderating effects of perceived social support in the relationship between depression and self-perceived health according to gender, after a complex multiple-risk intervention was carried out in patients of primary health care with low social support.MethodsA cluster randomized clinical trial was developed in the subgroup of patients included in phase 3 of the EIRA project. CONSORT recommendations were followed to present the results. To determine the mediating effect between social support and self-perceived health, three regression analyses were carried out using the procedure designed by Hayes through the PROCESS macro for SPSS.Results3,062 people (54.9% women) participated in the study. Men reported experiencing more social support and self-perceived health (p < 0.001) than women at the beginning of the study, but women reported higher social support at post-intervention. Moderation analyses showed that, post-intervention, those women (bsimple = −2.9867, p < 0.001) and males (bsimple = −1.4337, p < 0.001) who scored lower in depression reported higher social support.ConclusionIn primary care, it is necessary to encourage intervention strategies that promote social networks as a key element of positive action aimed at maintaining and improving the population’s health, especially in adults and more specifically in women.Clinical trial registrationClinicalTrials.gov, identifier NCT03136211.https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1540530/fullsocial supportdepressionself-reported healthhealth behavior and promotionhybrid trialprimary health care |
| spellingShingle | Raquel Sánchez-Recio Raquel Sánchez-Recio Bárbara Oliván-Blázquez Bárbara Oliván-Blázquez Bárbara Oliván-Blázquez Fátima Méndez-López Fátima Méndez-López Fátima Méndez-López Santiago Gascón-Santos Santiago Gascón-Santos Ruth Martí-Lluch Ruth Martí-Lluch Ruth Martí-Lluch Ruth Martí-Lluch Edurne Zabaleta-Del-Olmo Edurne Zabaleta-Del-Olmo Edurne Zabaleta-Del-Olmo Olaya Tamayo-Morales Olaya Tamayo-Morales José A. Maderuelo-Fernández José A. Maderuelo-Fernández José A. Maderuelo-Fernández Marc Casajuana Tomas López-Jiménez Emma Motrico Emma Motrico Irene Gómez-Gómez Irene Gómez-Gómez Álvaro Sánchez-Pérez Álvaro Sánchez-Pérez Álvaro Sánchez-Pérez María Luisa Rodero-Cosano Joan Llobera Joan Llobera Joan Llobera Juan A. Bellón Juan A. Bellón Juan A. Bellón Juan A. Bellón Patricia Moreno-Peral Patricia Moreno-Peral Bonaventura Bolíbar Bonaventura Bolíbar José I. Recio-Rodríguez José I. Recio-Rodríguez Rafel Ramos Rafel Ramos Rafel Ramos Rafel Ramos Ana Clavería Ana Clavería Self-reported health and depression among EIRA cohort: a moderated mediation model of sex and perceived social support Frontiers in Psychology social support depression self-reported health health behavior and promotion hybrid trial primary health care |
| title | Self-reported health and depression among EIRA cohort: a moderated mediation model of sex and perceived social support |
| title_full | Self-reported health and depression among EIRA cohort: a moderated mediation model of sex and perceived social support |
| title_fullStr | Self-reported health and depression among EIRA cohort: a moderated mediation model of sex and perceived social support |
| title_full_unstemmed | Self-reported health and depression among EIRA cohort: a moderated mediation model of sex and perceived social support |
| title_short | Self-reported health and depression among EIRA cohort: a moderated mediation model of sex and perceived social support |
| title_sort | self reported health and depression among eira cohort a moderated mediation model of sex and perceived social support |
| topic | social support depression self-reported health health behavior and promotion hybrid trial primary health care |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1540530/full |
| work_keys_str_mv | AT raquelsanchezrecio selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT raquelsanchezrecio selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT barbaraolivanblazquez selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT barbaraolivanblazquez selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT barbaraolivanblazquez selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT fatimamendezlopez selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT fatimamendezlopez selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT fatimamendezlopez selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT santiagogasconsantos selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT santiagogasconsantos selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT ruthmartilluch selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT ruthmartilluch selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT ruthmartilluch selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT ruthmartilluch selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT edurnezabaletadelolmo selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT edurnezabaletadelolmo selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT edurnezabaletadelolmo selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT olayatamayomorales selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT olayatamayomorales selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT joseamaderuelofernandez selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT joseamaderuelofernandez selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT joseamaderuelofernandez selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT marccasajuana selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT tomaslopezjimenez selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT emmamotrico selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT emmamotrico selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT irenegomezgomez selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT irenegomezgomez selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT alvarosanchezperez selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT alvarosanchezperez selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT alvarosanchezperez selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT marialuisaroderocosano selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT joanllobera selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT joanllobera selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT joanllobera selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT juanabellon selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT juanabellon selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT juanabellon selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT juanabellon selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT patriciamorenoperal selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT patriciamorenoperal selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT bonaventurabolibar selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT bonaventurabolibar selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT joseireciorodriguez selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT joseireciorodriguez selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT rafelramos selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT rafelramos selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT rafelramos selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT rafelramos selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT anaclaveria selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport AT anaclaveria selfreportedhealthanddepressionamongeiracohortamoderatedmediationmodelofsexandperceivedsocialsupport |