Table 3.
Clinical significance analysis of changes in main outcomes of depressiona, anxietyb, and post-traumatic stressc by treatment condition from baseline to post and to 3 months follow-up by success of surgery for women who met the criteria for distress at baseline
| Post | 3-month follow-up | |||||||
|---|---|---|---|---|---|---|---|---|
| Recoveredd | Reliably improved e | No change e | Reliably deteriorated e | Recoveredd | Reliably improved e | No change e | Reliably deteriorated e | |
| Depressiona (N = 40) | (N = 29) | |||||||
| Unsuccessful surgery | ||||||||
| Control | 6/9 (66.7%) | 9/9 (100.0%) | 0/9 (0.0%) | 0/9 (0.0%) | 4/5 (80.0%) | 4/5 (80.0%) | 0/5 (0.0%) | 1/5 (20.0%) |
| Intervention | 4/5 (80.0%) | 4/5 (80.0%) | 1/5 (20.0%) | 0/5 (0.0%) | 3/3 (100.0%) | 3/3 (100.0%) | 0/3 (0.0%) | 0/3 (0.0%) |
| Successful surgery | ||||||||
| Control | 11/12 (91.7%) | 11/12 (91.7%) | 1/12 (8.3%) | 0/12 (0.0%) | 9/9 (100.0%) | 9/9 (100.0%) | 0/9 (0.0%) | 0/9 (0.0%) |
| Intervention | 11/14 (78.6%) | 11/14 (78.6%) | 3/14 (21.4%) | 0/14 (0.0%) | 12/12 (100.0%) | 12/12 (100.0%) | 0/12 (0.0%) | 0/12 (0.0%) |
| Anxietyb (N = 25) | (N = 19) | |||||||
| Unsuccessful Surgery | ||||||||
| Control | 4/5 (80.0%) | 5/5 (100.0%) | 0/5 (0.0%) | 0/5 (0.0%) | 2/3 (66.7%) | 2/3 (66.7%) | 1/3 (33.3%) | 0/3 (0.0%) |
| Intervention | 4/4 (100.0%) | 4/4 (100.0%) | 0/4 (0.0%) | 0/4 (0.0%) | 3/3 (100.0%) | 3/3 (100.0%) | 0/3 (0.0%) | 0/3 (0.0%) |
| Successful surgery | ||||||||
| Control | 9/9 (100.0%) | 9/9 (100.0%) | 0/9 (0.0%) | 0/9 (0.0%) | 7/7 (100.0%) | 7/7 (100.0%) | 0/7 (0.0%) | 0/7 (0.0%) |
| Intervention | 6/7 (85.7%) | 6/7 (85.7%) | 1/7 (14.3%) | 0/7 (0.0%) | 6/6 (100.0%) | 6/6 (100.0%) | 0/6 (0.0%) | 0/6 (0.0%) |
| PTSD symptomsc (N = 44) | (N = 32) | |||||||
| Unsuccessful surgery | ||||||||
| Control | 6/11 (54.5%) | 8/11 (72.7%) | 1/11 (9.1%) | 2/11 (18.2%) | 4/6 (66.7%) | 5/6 (83.3%) | 1/6 (16.7%) | 0/6 (0.0%) |
| Intervention | 5/6 (83.3%) | 5/6 (83.3%) | 1/6 (16.7%) | 0/6 (0.0%) | 3/4 (75.0%) | 3/4 (75.0%) | 1/4 (25.0%) | 0/4 (0.0%) |
| Successful surgery | ||||||||
| Control | 6/10 (60.0%) | 7/10 (70.0%) | 2/10 (20.0%) | 1/10 (10.0%) | 8/8 (100.0%) | 8/8 (100.0%) | 0/8 (0.0%) | 0/8 (0.0%) |
| Intervention | 10/17 (58.8%) | 11/17 (64.7%) | 5/17 (29.4%) | 1/17 (5.9%) | 9/14 (64.3%) | 10/14 (71.4%) | 3/14 (21.4%) | 1/14 (7.1%) |
aDepression measured by Center for Epidemiologic Studies Depression Scale (CES-D), sample includes women who met criteria (CES-D ≥ 16) at baseline (N = 40), of which (N = 29) returned at 3 months
bAnxiety measure by Beck Anxiety Inventory (BAI), sample includes women who met criteria (BAI ≥ 10) at baseline (N = 25), of which (N = 19) returned at 3 months
cPTSD Symptoms measure by PTS Checklist, sample includes women who met criteria (PTS Checklist ≥ 30) at baseline (N = 44), of which (N = 32) returned at 3 months
dRecovered means that change in mental health score meets two criteria: (1) Follow-up score is below the predetermined cut-off point ( where and s f are the sample mean and sample standard deviation of the functional distribution and and s d are the sample mean and sample standard deviation of the dysfunction distribution; (2) The reliable change index (RCI) score is > − −1.96 where RCI is calculated as where X post and X baseline are mental health score at baseline and post and S E is the standard error of measurement, calculated as , where r xx is the test retest reliability of the mental health scale used
eReliably improved defined as RCI < −1.96; No change defined as −1.96 ≤ RCI ≤ 1.96; Reliably deteriorated is RCI > 1.96