Given the large sample size, parametric tests were deemed appropriate, since in large samples, even when data distribution is not normal, the statistics tend to be normal [49]. First, a descriptive analysis of the sample was performed to obtain the mean and standard deviation for the quantitative variables and the frequency and percentages for the qualitative ones. This descriptive analysis was also performed for the chronic disease variable (yes/no), comparing these groups using the Student’s t-test or Chi-square test. To analyze the relationship between the PHQ-9 score and the sociodemographic variables and adherence to the Mediterranean diet (both in general and item by item), a correlation between the quantitative variables was performed using the Pearson Correlation Coefficient, and a comparison group analysis was performed for the qualitative variables using the Student’s t-test. Finally, a multiple linear regression was performed, controlling for the influence of the various independent variables [50]. The educational level variable was categorized into two categories to be included in the multiple regression. All of the covariates were introduced in the regression models using a stepwise method [51] to obtain a better fitting result upon statistical analysis. These analyses were performed considering the entire sample and were compared with those of individuals with any comorbidity (yes/no).
Data from the questionnaire were statistically analyzed using the SPSS v.25 [52] and AMOS v.20 statistical packages. All significance levels were established at 0.05. Observations having any missing data were eliminated.
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