“…These data, together with those that emphasize the upward trend in the number of institutionalized older adults in countries such as Spain ( Instituto Nacional de Estadística , 2004 ; Instituto Nacional de Estadística , 2013 ), make it essential to delve into the factors that determine the mental health of this priority population group. Thus, both reviews ( Djernes , 2006 ) and studies specifically focused on institutionalized older adults ( Santiago & Mattos , 2014 ) agree that among the leading determinants of depressive disorders are mainly demographic, social, psychological, functional and health aspects. However, while some of these variables (i.e., comorbidity with other diseases, pain, cognitive impairment, previous hospitalizations, lack of social support, etc.)…”