Table 3.
Effects of patient and treatment characteristics on anxiety recurrence in simple (a) and multivariable (b) logistic regression models.
a. Simple logistic regression models | |||||||||
---|---|---|---|---|---|---|---|---|---|
Treatment assignment |
|||||||||
Overall | Collaborative care | Usual care | |||||||
Independent variables | N = 274 | N = 171 | N = 103 | ||||||
OR | 95% CI | P value | OR | 95% CI | P value | OR | 95% CI | P value | |
Random Treatment | |||||||||
Collaborative Care | 0.58 | 0.35–0.98 | 0.04 | - | - | - | - | - | - |
Baseline (pretreatment) characteristics | |||||||||
Agea | 0.99 | 0.97-1.01 | 0.28 | 1.00 | 0.97–1.02 | 0.51 | 0.99 | 0.96–1.02 | 0.36 |
Female | 0.86 | 0.5–1.48 | 0.58 | 0.85 | 0.41–1.79 | 0.67 | 0.87 | 0.39–1.92 | 0.72 |
Hispanic | 1.78 | 0.93-3.42 | 0.08 | 1.70 | 0.71–4.06 | 0.23 | 1.81 | 0.66–4.92 | 0.25 |
White (non-Hispanic) | 0.62 | 0.37-1.03 | 0.06 | 0.73 | 0.38–1.43 | 0.36 | 0.45 | 0.2–1.02 | 0.06 |
Black (non-Hispanic) | 0.74 | 0.32–1.75 | 0.50 | 0.43 | 0.12–1.56 | 0.20 | 1.51 | 0.41–5.59 | 0.53 |
Multiple races (non-Hispanic) | 1.87 | 0.85-4.11 | 0.12 | 1.53 | 0.56–4.14 | 0.40 | 3.22 | 0.76–13.7 | 0.11 |
US born | 1.04 | 0.52-2.07 | 0.92 | 1.41 | 0.53–3.74 | 0.50 | 0.74 | 0.26–2.09 | 0.57 |
Some post-high school education | 0.53 | 0.29–0.96 | 0.04 | 0.34 | 0.16–0.72 | 0.005 | 1.04 | 0.38–2.82 | 0.94 |
Patient's income (in thousands)a | 1.00 | 0.99–1.00 | 0.29 | 1.00 | 0.99–1.01 | 0.59 | 0.99 | 0.98–1 | 0.22 |
Number of dependent childrena | 1.17 | 0.92-1.49 | 0.21 | 1.25 | 0.92–1.71 | 0.16 | 1.03 | 0.7–1.52 | 0.86 |
Baseline BSI-12a | 1.06 | 1.03–1.10 | 0.0003 | 1.07 | 1.03–1.12 | 0.002 | 1.06 | 1.01–1.12 | 0.02 |
Baseline ASIa | 1.03 | 1.01-1.05 | 0.004 | 1.02 | 0.99-1.05 | 0.08 | 1.06 | 1.02-1.10 | 0.004 |
Baseline SDSa | 1.06 | 1.02-1.10 | 0.001 | 1.06 | 1.01-1.11 | 0.01 | 1.06 | 1.01-1.12 | 0.03 |
Baseline PHQ-8a | 1.06 | 1.02-1.11 | 0.006 | 1.07 | 1.01-1.13 | 0.02 | 1.08 | 1.01-1.17 | 0.03 |
GAD diagnosis | 0.89 | 0.50-1.57 | 0.68 | 1.05 | 0.49–2.26 | 0.90 | 0.73 | 0.3–1.75 | 0.48 |
PD diagnosis | 1.27 | 0.76-2.12 | 0.36 | 1.30 | 0.67–2.54 | 0.44 | 1.30 | 0.58–2.92 | 0.53 |
SAD diagnosis | 1.14 | 0.67–1.92 | 0.63 | 0.92 | 0.46–1.87 | 0.82 | 1.43 | 0.64–3.2 | 0.39 |
PTSD diagnosis | 1.34 | 0.60-3.00 | 0.47 | 1.51 | 0.59–3.85 | 0.39 | 1.49 | 0.29–7.75 | 0.64 |
Number of anxiety disorders | - | - | 0.38 | - | - | 0.56 | - | - | 0.61 |
1 | reference | reference | reference | ||||||
2 | 1.20 | 0.48-3.01 | - | 1.47 | 0.73-2.96 | - | 1.51 | 0.66–3.45 | - |
3 or 4 | 1.46 | 0.86-2.47 | - | 1.25 | 0.39-3.97 | - | 1.31 | 0.27–6.47 | - |
OCD diagnosis | 1.27 | 0.40-4.00 | 0.68 | 1.07 | 0.27–4.32 | 0.92 | 3.00 | 0.26–34.2 | 0.38 |
MDD diagnosis | 1.32 | 0.80-2.18 | 0.28 | 0.91 | 0.47–1.78 | 0.79 | 2.73 | 1.21–6.16 | 0.02 |
Suicidal ideation in past month | 1.00 | 0.41-2.45 | 0.99 | 1.04 | 0.35–3.13 | 0.94 | 1.10 | 0.23–5.17 | 0.91 |
Lifetime suicide attempt | 1.33 | 0.65-2.74 | 0.44 | 1.29 | 0.51–3.25 | 0.59 | 1.53 | 0.46–5.11 | 0.49 |
Alcohol abuse (past 3 months) | 1.63 | 0.43-6.25 | 0.47 | 3.91 | 0.63–24.18 | 0.14 | 0.47 | 0.05–4.7 | 0.52 |
Alcohol abuse (past 12 months) | 1.46 | 0.45-4.74 | 0.53 | 2.62 | 0.63–10.93 | 0.19 | 0.47 | 0.05–4.7 | 0.52 |
Alcohol dependence (past 12 months) | 1.53 | 0.33-6.97 | 0.59 | 0.83 | 0.08–8.14 | 0.87 | 3.00 | 0.26–34.2 | 0.38 |
Number of chronic medical conditions | - | - | 0.21 | - | - | 0.36 | - | - | 0.35 |
0 | reference | reference | reference | ||||||
1 | 1.34 | 0.66-2.74 | - | 0.98 | 0.37–2.65 | - | 1.78 | 0.62–5.17 | - |
2 or more | 1.73 | 0.94-3.20 | - | 1.61 | 0.73–3.56 | - | 2.03 | 0.76–5.43 | - |
Self-perceived financial resources | - | - | 0.053 | - | - | 0.11 | - | - | 0.39 |
More than enough money | reference | reference | reference | ||||||
Just enough | 2.73 | 1.13–6.6 | - | 3.23 | 0.9–11.68 | - | 2.31 | 0.67–7.98 | - |
Less than enough | 3.06 | 1.21-7.76 | - | 4.16 | 1.1–15.67 | - | 2.36 | 0.59–9.37 | - |
Self-perceived SES overalla | 0.85 | 0.72-0.99 | 0.04 | 0.97 | 0.8–1.18 | 0.74 | 0.57 | 0.4–0.8 | 0.001 |
Self-perceived SES in communitya | 0.89 | 0.77–1.02 | 0.09 | 0.92 | 0.77–1.09 | 0.35 | 0.84 | 0.66–1.06 | 0.14 |
Self-efficacy expectancya | 0.0.94 | 0.78-1.12 | 0.48 | 0.92 | 0.73–1.16 | 0.47 | 0.93 | 0.68–1.27 | 0.64 |
Outcome expectancya | 1.06 | 0.91–1.24 | 0.46 | 1.01 | 0.82–1.25 | 0.91 | 1.14 | 0.89–1.45 | 0.31 |
Comfort with mental health helpa | 1.06 | 0.93–1.21 | 0.41 | 1.07 | 0.9–1.27 | 0.42 | 1.05 | 0.84–1.33 | 0.66 |
6-month characteristics | |||||||||
Married or cohabitating | 0.46 | 0.28-0.77 | 0.003 | 0.35 | 0.17–0.69 | 0.003 | 0.56 | 0.25–1.27 | 0.16 |
Employed | 0.71 | 0.38-1.31 | 0.27 | 0.57 | 0.25–1.28 | 0.17 | 0.99 | 0.38–2.59 | 0.99 |
Any health insurance | 0.58 | 0.28–1.17 | 0.13 | 0.47 | 0.19–1.15 | 0.10 | 0.78 | 0.24–2.5 | 0.67 |
Medicaid | 4.29 | 1.26-14.65 | 0.02 | 2.56 | 0.5–13.17 | 0.26 | 8.11 | 0.91–72.13 | 0.06 |
Medicare | 1.87 | 0.85-4.11 | 0.12 | 2.29 | 0.73–7.21 | 0.16 | 1.33 | 0.44–3.98 | 0.62 |
Other government insurance (e.g. Tricare) | 0.66 | 0.13–3.35 | 0.62 | 0.62 | 0.07–5.64 | 0.67 | 0.72 | 0.06–8.2 | 0.79 |
Private insurance | 0.51 | 0.28–0.93 | 0.03 | 0.44 | 0.21–0.96 | 0.04 | 0.62 | 0.24–1.6 | 0.32 |
Social support (SSS)a | 0.81 | 0.63-1.04 | 0.10 | 0.97 | 0.7–1.34 | 0.84 | 0.60 | 0.39–0.91 | 0.02 |
6-month BSI-12a | 1.22 | 1.05-1.42 | 0.01 | 1.11 | 0.91–1.34 | 0.31 | 1.38 | 1.08–1.78 | 0.01 |
6-month ASIa | 1.05 | 1.02-1.09 | 0.0004 | 1.05 | 1.01-1.09 | 0.02 | 1.06 | 1.01-1.11 | 0.01 |
6-month SDSa | 1.11 | 1.05-1.16 | 0.0002 | 1.08 | 1.01-1.16 | 0.02 | 1.13 | 1.04-1.23 | 0.006 |
6-month PHQ-8a | 1.12 | 1.04-1.20 | 0.002 | 1.09 | 1–1.2 | 0.049 | 1.18 | 1.04–1.33 | 0.009 |
Number of psychotropics in past 6 mo.a | 1.08 | 0.88–1.33 | 0.48 | 1.19 | 0.89–1.57 | 0.24 | 0.99 | 0.72–1.35 | 0.94 |
>2 mo. of any anxiolytic in past 6 mo. | 0.90 | 0.54–1.50 | 0.69 | 1.28 | 0.64–2.56 | 0.48 | 0.55 | 0.25–1.24 | 0.15 |
>2 mo. of antidepressant in past 6 mo. | 0.81 | 0.49-1.34 | 0.41 | 1.04 | 0.53–2.03 | 0.91 | 0.61 | 0.28–1.36 | 0.23 |
>2 mo. of bz in past 6 mo. | 2.76 | 1.42-5.35 | 0.003 | 4.04 | 1.73–9.47 | 0.001 | 1.56 | 0.53–4.55 | 0.42 |
>2 mo. of other anxiolytic in past 6 mo. | 1.30 | 0.41-4.10 | 0.65 | 1.02 | 0.19–5.43 | 0.98 | 1.53 | 0.29–7.96 | 0.62 |
Any counseling with CBT elements | 0.94 | 0.53-1.66 | 0.83 | 6.73 | 0.86-52.41 | 0.07 | 0.85 | 0.39-1.88 | 0.69 |
Counseling with ≥ 3 CBT elements sometimes provided at office visits | 0.80 | 0.48-1.35 | 0.41 | 1.58 | 0.60-4.16 | 0.36 | 0.82 | 0.35-1.93 | 0.65 |
Counseling with ≥ 3 CBT elements usually provided at office visits | 0.75 | 0.45-1.26 | 0.27 | 1.35 | 0.68-2.69 | 0.39 | 0.16 | 0.02-1.34 | 0.09 |
Smoking (cigarettes/day)a | 1.11 | 1.04-1.18 | 0.003 | 1.12 | 1.03–1.23 | 0.01 | 1.08 | 0.98–1.2 | 0.11 |
Patient satisfactiona | 0.84 | 0.71-0.99 | 0.04 | 0.97 | 0.77–1.22 | 0.77 | 0.75 | 0.57–1 | 0.047 |
b. Multivariable logistic regression models | |||||||||
---|---|---|---|---|---|---|---|---|---|
Treatment assignment |
|||||||||
Overall | Collaborative Care | Usual care | |||||||
N = 274 | N = 171 | N = 103 | |||||||
Independent predictors | OR | 95% CI | P Value | OR | 95% CI | P Value | OR | 95% CI | P Value |
6-month SDSa | 1.07 | 1.01-1.13 | 0.02 | - | - | - | - | - | - |
Smoking (cigarettes/day)a | 1.10 | 1.02-1.18 | 0.01 | - | - | - | - | - | - |
Married or cohabitating | 0.46 | 0.26-0.82 | 0.008 | 0.27 | 0.12-0.59 | 0.001 | - | - | - |
6-month ASIa | 1.05 | 1.02-1.08 | 0.004 | 1.06 | 1.01-1.1 | 0.01 | - | - | - |
>2 mo. of benzodiazepine in past 6 mo. | 2.88 | 1.36-6.12 | 0.006 | 5.05 | 1.92-13.30 | 0.001 | - | - | - |
Some post-high school education | - | - | - | 0.34 | 0.15–0.82 | 0.02 | - | - | - |
Baseline ASIa | - | - | - | - | - | - | 1.06 | 1.02-1.11 | 0.003 |
Self-perceived SES overall (1-10 scale)a | - | - | - | - | - | - | 0.55 | 0.38-0.81 | 0.002 |
Logistic regression adjusted r2 | 0.22 | 0.26 | 0.26 |
Variables are continuous (all variables without notation are categorical).
Note: Boldface type indicates independent variable significant at Wald chi-square p < 0.05 in simple logistic regression analysis. All significant variables were included in backward stepwise logistic regression to yield final multivariable models.
Abbreviations: BSI-12 = 12-item Brief Symptom Inventory for anxiety and somatization; ASI = Anxiety Sensitivity Index; SDS = Sheehan Disability Scale; PHQ-8 = 8-item Patient Health Questionnaire (depression scale); GAD = generalized anxiety disorder; PD = panic disorder; SAD = generalized social anxiety disorder; PTSD = post-traumatic stress disorder; OCD = obsessive compulsive disorder; MDD = major depressive disorder; SES = socioeconomic status (1-10 scale, 10 is highest); SSS = Social Support Survey from the Medical Outcomes Study; mo. = months; bz = benzodiazepine; CBT = cognitive behavioral therapy.