Table 3. Relative impact of predictors on Generalized Anxiety Disorder (GAD-7) score in responses over the year of surveys.
Association between GAD-7 and predictor at each survey time period 1,2 | Change in association between GAD-7 and predictor over the year 1,2 | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Survey 1 (Initial; N = 684) | Survey 2 (3-month; N = 553) | Survey 3 (12-month; N = 439) | ||||||||||
Predictors | O.R. | 95%CI | P-value | O.R. | 95%CI | P-value | O.R. | 95%CI | P-value | O.R. | 95%CI | P-value |
Change in GAD-7 over 1 year 3 | 1.13 | (0.89, 1.44) | 0.31 | |||||||||
Individual predictors | ||||||||||||
Current home/family stress | 2.13 | (1.82, 2.50) | <0.001 | 1.97 | (1.72, 2.25) | <0.001 | 1.40 | (1.09, 1.80) | 0.008 | 0.66 | (0.49, 0.89) | 0.007 |
Poor clinical team support | 1.27 | (1.11, 1.45) | 0.001 | 1.36 | (1.21, 1.53) | <0.001 | 1.82 | (1.47, 2.26) | <0.001 | 1.43 | (1.11, 1.84) | 0.005 |
Future home/family stress | 1.18 | (1.01, 1.39) | 0.041 | 1.14 | (0.99, 1.30) | 0.063 | 0.97 | (0.74, 1.27) | 0.81 | 0.82 | (0.59, 1.13) | 0.23 |
Inadequacy of information | 1.16 | (1.01, 1.33) | 0.039 | 1.14 | (1.01, 1.29) | 0.028 | 1.09 | (0.87, 1.37) | 0.46 | 0.94 | (0.72, 1.23) | 0.66 |
Future financial stress | 1.16 | (0.98, 1.38) | 0.079 | 1.15 | (0.99, 1.32) | 0.062 | 1.08 | (0.77, 1.51) | 0.67 | 0.93 | (0.62, 1.38) | 0.70 |
Poor ability for quality care | 1.13 | (0.98, 1.30) | 0.082 | 1.14 | (1.02, 1.29) | 0.025 | 1.21 | (0.96, 1.53) | 0.11 | 1.07 | (0.82, 1.41) | 0.62 |
Covid ward status | 1.10 | (0.97, 1.25) | 0.13 | 1.07 | (0.96, 1.19) | 0.22 | 0.94 | (0.75, 1.18) | 0.58 | 0.85 | (0.65, 1.11) | 0.23 |
Excessive information | 1.10 | (0.97, 1.24) | 0.13 | 1.09 | (0.98, 1.21) | 0.11 | 1.05 | (0.86, 1.27) | 0.65 | 0.95 | (0.76, 1.20) | 0.68 |
Concerned about PPE | 1.10 | (0.96, 1.26) | 0.16 | 1.10 | (0.98, 1.24) | 0.097 | 1.10 | (0.89, 1.37) | 0.37 | 1.00 | (0.78, 1.30) | 0.98 |
Smoking | 1.07 | (0.95, 1.20) | 0.28 | 1.08 | (0.97, 1.19) | 0.15 | 1.12 | (0.96, 1.31) | 0.15 | 1.05 | (0.86, 1.27) | 0.63 |
Poor access to rapid tests | 1.04 | (0.92, 1.18) | 0.54 | 1.05 | (0.94, 1.17) | 0.39 | 1.08 | (0.88, 1.33) | 0.46 | 1.04 | (0.81, 1.33) | 0.76 |
Enough deployment training | 1.04 | (0.91, 1.18) | 0.60 | 1.03 | (0.92, 1.16) | 0.57 | 1.02 | (0.83, 1.26) | 0.84 | 0.99 | (0.77, 1.26) | 0.91 |
Public sector | 1.03 | (0.91, 1.17) | 0.63 | 1.03 | (0.92, 1.15) | 0.61 | 1.02 | (0.80, 1.30) | 0.89 | 0.99 | (0.74, 1.31) | 0.92 |
Social situation | 1.03 | (0.90, 1.17) | 0.68 | 1.02 | (0.91, 1.13) | 0.76 | 0.97 | (0.80, 1.19) | 0.79 | 0.95 | (0.75, 1.21) | 0.66 |
Lower staff grade | 0.99 | (0.87, 1.12) | 0.88 | 0.99 | (0.89, 1.11) | 0.88 | 1.00 | (0.80, 1.24) | 0.97 | 1.01 | (0.78, 1.31) | 0.96 |
Current financial stress | 0.99 | (0.83, 1.18) | 0.89 | 1.04 | (0.89, 1.20) | 0.63 | 1.27 | (0.92, 1.76) | 0.15 | 1.29 | (0.88, 1.89) | 0.19 |
Higher education level | 0.94 | (0.83, 1.06) | 0.31 | 0.92 | (0.83, 1.03) | 0.16 | 0.87 | (0.70, 1.07) | 0.18 | 0.93 | (0.73, 1.18) | 0.54 |
Intensity of exposure | 0.91 | (0.79, 1.05) | 0.19 | 0.95 | (0.84, 1.07) | 0.37 | 1.12 | (0.91, 1.38) | 0.30 | 1.22 | (0.95, 1.58) | 0.12 |
Males | 0.85 | (0.76, 0.96) | 0.007 | 0.85 | (0.77, 0.94) | 0.002 | 0.84 | (0.68, 1.02) | 0.083 | 0.98 | (0.78, 1.24) | 0.88 |
Age group | 0.75 | (0.66, 0.85) | <0.001 | 0.72 | (0.64, 0.80) | <0.001 | 0.61 | (0.49, 0.76) | <0.001 | 0.82 | (0.64, 1.05) | 0.11 |
1 Associations between predictors and outcomes, and change in outcomes over 1 year were estimated using repeated-measures ordered logistic regression; the effects were shown as odds ratios (O.R.; 95% confidence intervals; P-values), adjusted for each of the predictors shown in the tables; missing data was substituted by multiple imputation. Odds ratios of 1.00 indicate no association; O.R. more than 1.00 indicate a positive association; O.R. less than 1.00 indicate a negative association.
2 The association between predictors and outcomes in the surveys were estimated for the mean survey completion dates for each survey, set as the zero value of the time interaction predictor: (date of each survey completion by specific respondent minus the mean date of each survey completion). Mean date of survey completion was: Survey 1, 0.1 years on 6/05/2020; Survey 2, 0.29 years on 13/07/2020; Survey 3, 1.1 years 8/05/2021. The change in association between each predictor and outcomes was determined by the time interaction.
3 Model fit parameters: Log likelihood (null) -4675.94; Log likelihood (model) -4320.87; df 62; Akaike information criterion (AIC) 8765.744; Bayesian information criterion (BIC) 9102.042