RT Journal Article
T1 Mediators in psychological and psychoeducational interventions for the prevention of depression and anxiety. A systematic review.
A1 Moreno-Peral, Patricia
A1 Bellón-Saameño, Juan Ángel
A1 Huibers, Marcus J.H.
A1 Mestre, José M.
A1 García-López, Luis Joaquín
A1 Taubner, Svenja
A1 Rodríguez-Morejón, Alberto
A1 Bolinski, Felix
A1 Sales, Célia M.D.
A1 Conejo-Cerón, Sonia
K1 Trastornos de ansiedad
K1 Depresión mental
K1 Revisiones sistemáticas (Medicina)
AB Although efforts have been undertaken to determine how psychological interventions exert their effects, research on mediators and mechanisms of change remains limited, especially in the field of prevention. We aimed to assess available evidence on mediators of psychological and psychoeducational interventions for the prevention of depression and anxiety in varied populations. A systematic review using PubMed, PsycINFO, Web of Science, Embase, OpenGrey, and the Cochrane Central Register of Controlled Trials was performed. Two independent reviewers assessed the eligibility criteria of all articles, extracted data, determined the risk of bias in randomized controlled trials, and the requirements for mediators. The outcomes were mediators of the incidence of depression or anxiety and/or the reduction of symptoms of depression or anxiety. We identified 28 nested mediator studies within randomized controlled trials involving 7442 participants. Potential cognitive, behavioral, emotional and interpersonal mediators were evaluated in different psychological and psychoeducational interventions to prevent depression and anxiety. The effects were mediated mainly by cognitive variables, which were the most commonly assessed factors. For depression, the mediator with the strongest empirical support was negative thinking in adults. Cognitive change is an important mediator in preventive psychological and psychoeducational interventions for both anxiety and depression.
PB Elsevier Science
YR 2020
FD 2020-01-08
LK https://hdl.handle.net/10630/39005
UL https://hdl.handle.net/10630/39005
LA eng
NO Moreno-Peral, P., Bellón, J. Á., Huibers, M. J. H., Mestre, J. M., García-López, L. J., Taubner, S., Rodríguez-Morejón, A., Bolinski, F., Sales, C. M. D., & Conejo-Cerón, S. (2020). Mediators in psychological and psychoeducational interventions for the prevention of depression and anxiety. A systematic review. Clinical psychology review, 76, 101813. https://doi.org/10.1016/j.cpr.2020.101813
NO https://openpolicyfinder.jisc.ac.uk/id/publication/15169
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 27 feb 2026