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. 2019 Mar 5;321(9):858–868. doi: 10.1001/jama.2019.0556

Table 2. Effect of Supplements and Food-Related Behavioral Activation Therapy on Major Depressive Disorder Onset.

No. of Patients No. of Events No. of Follow-up Dropoutsa Imputed OR (95% CI)b P Valueb
Primary Outcome: 12-mo MDD Onset
Placeboc 513 51 113 1 [Reference]
Supplementsd 512 54 126 1.06 (0.87-1.29) .57
Food-related behavioral activation therapy
Noe 513 57 122 1 [Reference]
Yesf 512 48 117 0.93 (0.76-1.13) .47
Supplements by therapyg NA NA NA 0.93 (0.76-1.14) .48
Post Hoc Outcome: Time to MDD Onset
Time to Event or Censoring (Person-Months) HR (95% CI)
Placebo 4656 51 113 1 [Reference]
Supplements 4488 54 126 1.05 (0.86-1.27) .65
Food-related behavioral activation therapy
No 4503 57 122 1 [Reference]
Yes 4641 48 117 0.91 (0.75-1.10) .32
Supplements by therapyg NA NA NA 0.91 (0.75-1.11) .36

Abbreviations: HR, hazard ratio; MDD, major depressive disorder; NA, not applicable; OR, odds ratio.

a

No. that did not complete 12 mo follow-up and had no MDD at previous follow-up measurements.

b

Derived from multiple imputed data. Models were adjusted for interventions, site and history of MDD. Food-related behavioral activation therapy and pills were effect-coded (−1,1).

c

Twenty-five of 257 participants (9.7%) in the placebo without therapy group and 26 of 256 (10.2%) in the placebo group with therapy.

d

Thirty-two of 256 participants (12.5%) in the supplements without therapy group and 22 of 256 (8.6%) in the supplements without therapy group.

e

Twenty-five of 257 participants (9.7%) in the placebo group without therapy and 32 of 256 (12.5%) in the supplements without therapy group.

f

Twenty-six of 256 participants (10.2%) in the placebo with therapy group and 22 of 256 (8.6%) in the supplements with therapy group.

g

Interaction between therapy and supplements.