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Table 3 Multivariate associations between adequacy of care and remission of CMD and change in quality of life

From: Treatment adequacy and remission of depression and anxiety disorders and quality of life in primary care older adults

 

Remission of CMD N = 206*

Change in HRQOL between T1 and T2 n = 209*

Change in satisfaction with life between T1 and T2 n = 204*

Weighted adjusted odds ratio** (95% CI)

p value

Weighted adjusted Beta estimates** (95% CI)

p value

Weighted adjusted Beta estimates** (95% CI)

p value

Adequacy of care for CMD

      

 Yes vs no

0.66 (0.45–0.97)

0.032

2.83 (− 0.12; 5.79)

0.060

0.69 (0.18; 1.20)

0.008

Sex

 Female vs male

0.86 (0.61–1.23)

0.415

1.22 (− 1.48; 3.92)

0.377

0.75 (0.28–1.21)

0.002

Age

0.95 (0.92–0.98)

0.003

− 0.35 (− 0.60; − 0.09)

0.007

0.02 (− 0.02; 0.07)

0.305

Social deprivation index

0.91 (0.81–2.22)***

0.143

− 0.18 (− 1.13; 0.78)***

0.720

− 0.17 (− 0.33; 0.001)***

0.051

Material deprivation index

1.16 (1.03–1.32)***

0.016

− 0.79 (− 1.74; 0.16)***

0.104

0.09 (− 0.07; 0.26)***

0.263

Psychological distress

0.89 (0.84–0.95)

 < 0.001

− 1.20 (− 1.67; − 0.72)

 < 0.001

− 0.01 (− 0.10; 0.07)

0.769

Anxiety symptom severity

1.14 (1.01–1.28)

0.029

2.04 (1.14; 2.94)

 < 0.001

− 0.12 (− 0.28; 0.03)

0.119

Number of daily hassles

0.98 (0.96–1.00)

0.090

0.13 (− 0.05; 0.31)

0.143

0.003 (− 0.03; 0.03)

0.852

HRQOL at baseline

  

− 0.69 (− 0.77; − 0.61)

 < 0.001

  

Life satisfaction at baseline

    

− 0.35 (− 0.41; − 0.28)

 < 0.001

Type of primary care practices

 Small (< 3 GP) vs large clinics (≥ 3 GP)

0.37 (0.25–0.55)

 < 0.001

3.03 (0.09; 5.98)

0.043

− 0.13 (− 0.66; 0.39)

0.617

Retention index – GP

0.79 (0.29–2.11)

0.634

12.60 (5.11; 20.09)

 < 0.001

− 0.58 (− 1.92; 0.76)

0.396

  1. Significant results (p < 0.05) are in bold
  2. *Number of participants included in multivariable models
  3. **Variables considered to create the propensity score: deprivation indexes, psychological distress, anxiety symptoms, number of daily hassles, type of primary care practices and retention index for general services
  4. **Deprivation indexes were included as continuous variables in multivariable models
  5. CI: Confident Intervals; CMD: Common mental disorders; GP: General practitioner; HRQOL: Health-related quality of life
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Health and Quality of Life Outcomes

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