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Beliefs and attitudes towards lifestyle change and risks in primary care - a community-based study.

BMC Public Health · 2019 · PMC6683394 · PMID 31382938

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a decreasing trendno p-value reported
A decreasing trend of depressive symptoms was related to decreasing helplessness/pessimism.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.