Evaluation of a culturally adapted cognitive behavior therapy-based, third-wave therapy manual

Table 5 Results of repeated measures analysis of variance for outcome variables

Dependent variable	Independent variable	Degrees of freedom	F value	P value	Partial eta squared (variance explained; i.e., effect size)	Bonferroni adjusted pairwise comparisons
HADS depression	Timepoint (within subjects)	2, 36	12.81	< 0.001	0.42	Baseline (mean 11.21 SD 4.28) vs post-treatment (mean 7.11, SD 3.99), P = 0.004	Baseline vs follow-up (mean 7.21, SD 4.99), P = 0.001	Post treatment vs follow-up, P = 1.0
	Employment (between subjects)	1, 17	9.73	0.006	0.36	Employed vs unemployed mean difference1 -4.55 (95%CI: -7.62 to -1.47); employed have lower mean score at all three time points
	Employment X time point (within subjects)	2, 34	0.06	0.94	0.004	NA	NA	NA
HADS Anxiety	Timepoint (within subjects)	2, 36	9.93	< 0.001	0.36	Baseline (mean 14.53 SD 4.01) vs post-treatment (mean 11.05, SD 3.40), P = 0.003	Baseline vs follow-up (mean 11.21, SD 4.05), P = 0.001	Post treatment vs follow-up, P = 0.831
WHO disability scale total	Timepoint (within subjects)	1.29, 14.182	6.732	0.016	0.382	Baseline (mean 66.58 SD 40.13) vs post-treatment (mean 44.42, SD 32.35), P = 0.034	Baseline vs follow-up (mean 38.75, SD 26.499), P = 0.014	Post treatment vs follow-up, P = 0.194
	Living alone (between subjects)	1, 10	8.99	0.013	0.47	Living alone vs with someone mean difference1 51.9 (95%CI: 13.33 to 90.47); living alone have higher score at all three timepoints
	Living alone X timepoint (within subjects)	1.21, 12.072	0.392	0.581	0.042	NA	NA	NA
	Employment (between subjects)	1, 10	8.68	0.015	0.47	Employed vs unemployed mean difference1 -44.26 (95%CI: -77.62 to -10.79); employed have lower mean score at all three time points
	Employment X Time point (within subjects)	1.32, 13.182	2.992	0.1	0.232	NA	NA	NA
CORE total	Timepoint	1.25, 18.722	14.982	0.001	0.52	Baseline (mean 76.81, SD 23.26) vs post-treatment (mean 49.25, SD 27.00), P = 0.002	Baseline vs follow-up (mean 52.19, SD 25.72), P < 0.001	Post treatment vs follow-up, P = 0.404
CORE total mean with risk	Timepoint	1.25, 18.722	14.982	0.001	0.52	Baseline (mean 2.26, SD 0.68) vs post-treatment (mean 1.45, SD 0.79), P = 0.002	Baseline vs follow-up (mean 1.53, SD 0.76), P < 0.001	Post treatment vs follow-up, P = 0.404
CORE Total mean without risk	Timepoint	1.24, 18.662	16.58	< 0.001	0.532	Baseline (mean 2.62, SD 0.71) vs post-treatment (mean 1, SD 0.87), P = 0.001	Baseline vs follow-up (mean 1.77, SD 0.79), P < 0.001	Post treatment vs follow-up, P = 0.523
CORE risk mean	Timepoint	2, 36	1.83	0.175	0.09	Baseline (mean 0.48, SD 0.75) vs post-treatment (mean 0.26, SD 0.55), P = 0.109	Baseline vs follow-up (mean 0.39, SD 0.77), P = 0.418	Post treatment vs follow-up, P = 0.096
CORE symptoms mean	Timepoint	2, 32	91.10	< 0.001	0.54	Baseline (mean 2.81, SD 0.77) vs post-treatment (mean 1.76, SD 1.03), P < 0.001	Baseline vs follow-up (mean 1.91, SD 0.89), P < 0.001	Post treatment vs follow-up, P = 0.317
CORE functioning mean	Timepoint	1.25, 19.922	7.26	0.01	0.31	Baseline (mean 2.25, SD 0.88) vs post-treatment (mean 1.61, SD 0.86), P = 0.016	Baseline vs follow-up (mean 1.65, SD 0.83), P = 0.009	Post treatment vs follow-up, P = 0.692
CORE well being mean	Timepoint	2, 36	20.41	< 0.001	0.53	Baseline (mean 2.82, SD 0.67) vs post-treatment (mean 1.68, SD 0.68), P < 0.001	Baseline vs follow-up (mean 1.76, SD 0.87), P < 0.001	Post treatment vs follow-up, P = 0.61
BSI total	Timepoint	2, 36	6.50	0.008	0.26	Baseline (mean 22.11, SD 11.40) vs post-treatment (mean 19.05, SD 10.23), P < 0.066	Baseline vs follow-up (mean 16.47, SD 11.10), P < 0.008	Post treatment vs follow-up, P = 0.041

¹This is the difference in average means across all three time-points.

²Greenhouse-Geisser value given due to significant Mauchly’s test of sphericity.

CI: Confidence interval; NA: Not available; WHO: World Health Organization; CORE: Clinical Outcomes in Routine Evaluation; HADS: Hospital Anxiety and Depression Scale; BSI: Bradford Somatic Inventory.