Factors contributing to the recognition of anxiety and depression in general practice

Sinnema, Henny; Terluin, Berend; Volker, Daniëlle; Wensing, Michel; van Balkom, Anton

doi:10.1186/s12875-018-0784-8

BMC Primary Care

Table 2 Results of the trivariate and multivariate multilevel logistic regression analyses predicting recognition of anxiety and depression

From: Factors contributing to the recognition of anxiety and depression in general practice

Independent variables (predictors)	Trivariate analysis				Multivariate analysis
Independent variables (predictors)	OR	95% CI	P		OR	95% CI	P
Condition (intervention/control)	1.50	0.94–2.39	0.087	‡	3.08	1.47–6.46	0.003
Age	0.98	0.96–1.00	0.060	‡
Condition^aAge	1.00	0.97–1.03	0.989
Married or living together (ref. not married or living together)	1.40	0.77–2.52	0.268	‡	1.25	0.67–2.35	0.478
Condition^aMarried or living together	0.33	0.14–0.79	0.013	‡	0.39	0.16–0.95	0.039
Number of chronic medical conditions^a	0.94	0.83–1.08	0.389
Condition^aNumber of chronic medical conditions	1.03	0.85–1.25	0.784
4DSQ^b
Distress	1.03	0.99–1.07	0.098	‡	1.03	1.00–1.07	0.024
Condition^aDistress	1.04	0.99–1.10	0.153	‡
Depression	1.04	0.95–1.15	0.393
Condition^aDepression	1.03	0.89–1.16	0.666
Anxiety	1.02	0.94–1.10	0.615
Condition^aAnxiety	1.04	0.93–1.15	0.512
Somatization	1.01	0.96–1.06	0.736
Condition^aSomatization	1.04	0.97–1.11	0.301
Need for care (ref. no need for care)	2.77	1.56–4.91	0.001	‡	2.54	1.60–4.03	0.000
Condition^aNeed for care	1.18	0.49–2.85	0.719
DAQ^c
Treatment Attitudes	1.02	0.97–1.06	0.508
Condition^aTreatment Attitudes	0.96	0.88–1.04	0.294
Professional Unease	0.98	0.94–1.02	0.322	‡
Condition^aProfessional Unease	1.05	0.99–1.11	0.137	‡
Depression Malleability	0.98	0.95–1.00	0.084	‡
Condition^aDepression Malleability	1.03	0.99–1.07	0.150	‡
Depression identification	0.96	0.94–0.99	0.003	‡	0.97	0.95–0.99	0.018
Condition^aDepression identification	1.04	0.99–1.10	0.089	‡
REASON^d
Comfort and competence with mental health care	0.52	0.27–1.03	0.060	‡
Condition^aComfort and competence with mental health care	2.52	0.90–7.07	0.079	‡
Concerns about difficulties with the health care system	1.26	0.85–1.88	0.253	‡
Condition^aConcerns about difficulties with the health care system	0.67	0.38–1.18	0.170	‡
Functional status^e	1.00	0.98–1.02	0.662	‡
Condition^aFunctional status	1.03	1.00–1.05	0.055	‡

Reference category: No recognition; OR = odds ratio; 95% CI = 95% confidence interval; P = p-value, ‡ variables entered in the multivariate model
^aInteraction term
^b4DSQ Four-Dimensional Symptom Questionnaire
^cDAQ Depression Attitude Questionnaire
^dREASON questionnaire: GPs’ attitudes to their role in the management of anxiety and depressive disorders
^eFunctional status was measured with the WHODAS-II World Health Organisation’s Disability Assessment Scale II

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