Table 4.

Logistic Regression Predicting CPT/PE Initiation (n = 265,556)

	ORa	CI95	p
Bipolar Disorder	1.05	1.02–1.08	<0.001
Depressive Disorder	1.38	1.35–1.41	<0.001
Other Psychotic Spectrum Disorder	0.98	0.92–1.03	0.406
Pain Disorder	1.41	1.38–1.44	<0.001
Schizophrenia	0.61	0.56–0.67	<0.001
Any Substance Use Disorderb	1.25	1.22–1.28	<0.001
Suicidal Ideation or Attempt	1.42	1.38–1.46	<0.001
Traumatic Brain Injury	1.41	1.38–1.44	<0.001
Age	1.01	1.01–1.01	<0.001
Gender (Reference: Male)
Female	1.07	1.04–1.11	<0.001
Race (Reference: White)
Black or African American	1.03	1.00–1.06	0.014
American Indian or Alaska Native	1.12	1.03–1.21	0.008
Asian	0.96	0.89–1.03	0.282
Native Hawaiian or Other Pacific Islander	1.08	0.99–1.17	0.074
Multiracial	1.03	0.94–1.12	0.532
Missing	0.90	0.86–0.93	<0.001
Marital Status (Reference: Married)
Never Married	0.91	0.89–0.94	<0.001
Divorced, Separated, or Single	0.91	0.89–0.93	<0.001
Widowed, Widower, or Widow	0.82	0.70–0.98	0.025
Missing	0.89	0.83–0.96	0.003
Service Branch (Reference: Air Force)
Army	0.99	0.95–1.03	0.678
Coast Guard	0.62	0.38–0.94	0.025
Marine	1.05	1.00–1.10	0.040
Navy	0.94	0.88–0.98	0.009
Component (Reference: Active Duty)
Guard	1.05	1.02–1.08	<0.001
Reserve	1.08	1.05–1.11	<0.001
Rank (Reference: Enlisted)
Officer	1.26	1.20–1.33	<0.001
Warrant	0.89	0.78–1.01	0.081
Number of Deployments (Reference: Single)
Multiple	1.10	1.08–1.12	<0.001
Missing	1.14	0.98–1.33	0.080
Military Sexual Trauma	1.45	1.39–1.51	<0.001
Smokingc	0.88	0.85–0.91	<0.001
PTSD Medicationd	1.00	0.98–1.02	0.874
Year of First Mental Health Visit (Reference 2001–2004)
2005	1.06	0.99–1.15	0.103
2006	1.17	1.09–1.26	<0.001
2007	1.18	1.11–1.27	<0.001
2008	1.24	1.15–1.32	<0.001
2009	1.25	1.17–1.34	<0.001
2010	1.22	1.14–1.31	<0.001
2011	1.24	1.16–1.33	<0.001
2012	1.31	1.22–1.40	<0.001
2013	1.37	1.28–1.46	<0.001
2014	1.31	1.22–1.41	<0.001
2015–2017	1.29	1.16–1.43	<0.001

Note. CI₉₅, 95% confidence interval; CPT, cognitive processing therapy; PE, prolonged exposure therapy; PTSD, posttraumatic stress disorder; OR, odds ratio.

^aOR with no CPT/PE initiation as the reference category vs. CPT/PE initiation.

^bAny substance use disorder refers to the presence of any alcohol/drug abuse and/or dependence.

^cSmoking in the year prior to the first mental health visit, identified using stop codes, ICD codes, and current procedural terminology codes for medications for smoking cessation and nicotine use

^dDocumented prescription of one or more of the following medications that are recommended to treat PTSD in the year prior to the first mental health visit or at any time in the year after the first mental health visit: amitriptyline, citalopram, desvenlafaxine, duloxetine, escitalopram, fluoxetine, fluvoxamine, imipramine, mirtazapine, paroxetine, prazosin, sertraline, or venlafaxine.