{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:55:50Z","timestamp":1760147750586,"version":"build-2065373602"},"reference-count":50,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2023,2,25]],"date-time":"2023-02-25T00:00:00Z","timestamp":1677283200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Funda\u00e7\u00e3o Arauc\u00e1ria"},{"name":"Universidade Cesumar"},{"name":"Instituto Cesumar de Ci\u00eancia, Tecnologia e Inova\u00e7\u00e3o"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The present study aimed to investigate the effects of a multi-professional intervention model on the mental health of middle-aged, overweight survivors of COVID-19. A clinical trial study with parallel groups and repeated measures was conducted. For eight weeks, multi-professional interventions were conducted (psychoeducation, nutritional intervention, and physical exercises). One hundred and thirty-five overweight or obese patients aged 46.46 \u00b1 12.77 years were distributed into four experimental groups: mild, moderate, severe COVID, and control group. The instruments were used: mental health continuum-MHC, revised impact scale\u2013IES-r, generalized anxiety disorder-GAD-7, and Patient health questionnaire PHQ-9, before and after eight weeks. The main results indicated only a time effect, with a significant increase in global MHC scores, emotional well-being, social well-being, and psychological well-being, as well as detected a significant reduction in global IES-R scores, intrusion, avoidance, and hyperarousal, in addition to a reduction in GAD-7 and PHQ-9 scores (p &lt; 0.05). In conclusion, it was possible to identify those psychoeducational interventions that effectively reduced anxiety, depression, and post-traumatic stress symptoms in post-COVID-19 patients, regardless of symptomatology, in addition to the control group. However, moderate and severe post-COVID-19 patients need to be monitored continuously since the results of these groups did not follow the response pattern of the mild and control groups.<\/jats:p>","DOI":"10.3390\/ijerph20054132","type":"journal-article","created":{"date-parts":[[2023,2,27]],"date-time":"2023-02-27T02:22:16Z","timestamp":1677464536000},"page":"4132","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Effects of a Multi-Professional Intervention on Mental Health of Middle-Aged Overweight Survivors of COVID-19: A Clinical Trial"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2571-0194","authenticated-orcid":false,"given":"Joed Jacinto","family":"Ryal","sequence":"first","affiliation":[{"name":"Postgraduate Program in Health Promotion, Cesumar University, Maringa 87050-390, Brazil"},{"name":"Interdisciplinary Laboratory of Intervention in Health Promotion, Cesumar Institute of Science, Technology and Innovation, Maringa 87050-390, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3895-6628","authenticated-orcid":false,"given":"Victor Augusto Santos","family":"Perli","sequence":"additional","affiliation":[{"name":"Interdisciplinary Laboratory of Intervention in Health Promotion, Cesumar Institute of Science, Technology and Innovation, Maringa 87050-390, Brazil"},{"name":"Medicine Course, Department of Health Sciences, Cesumar University, Maringa 87050-390, Brazil"}]},{"given":"D\u00e9borah Cristina de Souza","family":"Marques","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health Promotion, Cesumar University, Maringa 87050-390, Brazil"},{"name":"Interdisciplinary Laboratory of Intervention in Health Promotion, Cesumar Institute of Science, Technology and Innovation, Maringa 87050-390, Brazil"}]},{"given":"Ana Fl\u00e1via","family":"Sordi","sequence":"additional","affiliation":[{"name":"Interdisciplinary Laboratory of Intervention in Health Promotion, Cesumar Institute of Science, Technology and Innovation, Maringa 87050-390, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6700-4645","authenticated-orcid":false,"given":"Marilene Ghiraldi de Souza","family":"Marques","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health Promotion, Cesumar University, Maringa 87050-390, Brazil"},{"name":"Interdisciplinary Laboratory of Intervention in Health Promotion, Cesumar Institute of Science, Technology and Innovation, Maringa 87050-390, Brazil"}]},{"given":"Maria Luiza","family":"Camilo","sequence":"additional","affiliation":[{"name":"Interdisciplinary Laboratory of Intervention in Health Promotion, Cesumar Institute of Science, Technology and Innovation, Maringa 87050-390, Brazil"}]},{"given":"Rute Grossi","family":"Milani","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health Promotion, Cesumar University, Maringa 87050-390, Brazil"},{"name":"Interdisciplinary Laboratory of Intervention in Health Promotion, Cesumar Institute of Science, Technology and Innovation, Maringa 87050-390, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7571-9181","authenticated-orcid":false,"given":"Jorge","family":"Mota","sequence":"additional","affiliation":[{"name":"Research Centre of Physical Activity, Health, and Leisure, Laboratory for Integrative and Translational Research in Population Health (ITR), Faculty of Sports, University of Porto, 4200-450 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3948-8280","authenticated-orcid":false,"given":"Pablo","family":"Vald\u00e9s-Badilla","sequence":"additional","affiliation":[{"name":"Department of Physical Activity Sciences, Faculty of Education Sciences, Universidad Catolica del Maule, Talca 3530-000, Chile"},{"name":"Sports Coach Career, School of Education, Universidad Vi\u00f1a del Mar, Vi\u00f1a del Mar 2520-000, Chile"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4625-9128","authenticated-orcid":false,"given":"Braulio Henrique","family":"Magnani Branco","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health Promotion, Cesumar University, Maringa 87050-390, Brazil"},{"name":"Interdisciplinary Laboratory of Intervention in Health Promotion, Cesumar Institute of Science, Technology and Innovation, Maringa 87050-390, Brazil"},{"name":"Medicine Course, Department of Health Sciences, Cesumar University, Maringa 87050-390, Brazil"},{"name":"Research Centre of Physical Activity, Health, and Leisure, Laboratory for Integrative and Translational Research in Population Health (ITR), Faculty of Sports, University of Porto, 4200-450 Porto, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1016\/j.bbi.2020.07.037","article-title":"Anxiety and depression in COVID-19 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