The role of gender in moderating treatment outcome in collaborative care for anxiety

Psychiatric Services : a Journal of the American Psychiatric Association
Kathleen M GrubbsJ Greer Sullivan

Abstract

The aim of this study was to test whether gender moderates intervention effects in the Coordinated Anxiety Learning and Management (CALM) intervention, a 12-month, randomized controlled trial of a collaborative care intervention for anxiety disorders (panic disorder, generalized anxiety disorder, posttraumatic stress disorder, and social anxiety disorder) in 17 primary care clinics in California, Washington, and Arkansas. Participants (N=1,004) completed measures of symptoms (Brief Symptom Inventory [BSI]) and functioning (mental and physical health components of the 12-Item Short Form [MCS and PCS] and Healthy Days, Restricted Activity Days Scale) at baseline, six, 12, and 18 months. Data on dose, engagement, and beliefs about psychotherapy were collected for patients in the collaborative care group. Gender moderated the relationship between treatment and its outcome on the BSI, MCS, and Healthy Days measures but not on the PCS. Women who received collaborative care showed clinical improvements on the BSI, MHC, and Healthy Days that were significantly different from outcomes for women in usual care. There were no differences for men in collaborative care compared with usual care on any measures. In the intervention group, wome...Continue Reading

Citations

Oct 22, 2016·Personality and Mental Health·Elfrida Hartveit KvarsteinTheresa Wilberg
Mar 2, 2018·The Journal of Behavioral Health Services & Research·Tyra DarkJeffrey S Harman
Jan 1, 2018·Evidence-based Practice in Child and Adolescent Mental Health·Judelysse GomezAnthony Spirito
Jul 27, 2017·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Sheryl L ColeyElizabeth A Jacobs

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pharmacotherapy

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