Lifestyle change recommendations in major XXXX : Do they work?

@entity1 @entity308
BACKGROUND: Modifying some lifestyle factors can be useful in @entity308 , at least as an adjuvant treatment. Combining different lifestyle interventions seems to be an adequate strategy to increase their antidepressant efficacy according with preliminary studies, but this issue has not been enough investigated. METHODS: The present study is a randomized, double-blinded, multicentre, two arm-parallel clinical trials, with a 12 month follow-up. The sample consisted of 273 Primary Care @entity1 . Four combined hygienic-dietary written recommendations were given to the @entity1 about diet, exercise, light exposure and sleep hygiene. RESULTS: Both active and control interventions were associated with improvement on BDI (Beck @entity308 Inventory) scores. However, there were not statistically significant differences (7.0 vs. 7.6; p=0.594). LIMITATIONS: We were unable to monitor whether @entity1 carry out recommendations. Intervention could be too difficult to accomplish for @entity308 @entity1 without enough support and supervision. CONCLUSIONS: Just giving written lifestyle recommendations are not enough for @entity308 @entity1 to benefit from them, so perhaps lifestyle change recommendations work or do not work on @entity308 depending on how they are presented to @entity1 and on monitoring systems of their implementation.
