The 2 measuers of interest for this analysis are the Autobiographical Memory Test (AMT) and the and the Revised NEO Personality Inventory (NEO PI-R).

1 Data cleaning

For all analyses, subjects were excluded that had:

  • no NEO-PI and no AMT data.
  • no NEO-PI and only baseline AMT data.

The remaining number of subjects is 79, which was used for descriptive statistics. There were 78 subjects with at least 2 AMT measures and 76 subjects had NEO-PI-R data.

2 Descriptives

2.1 Table 1

Characteristic

Active TBS

Sham TBS

P

N = 42

N = 37

Demographics

Gender (% Female)

29 (69)

27 (73)

0.893

Age, y

66.8 ± 4.4

67.4 ± 7.5

0.650

White - no. (%)

37 (88)

26 (70)

0.057

Years of education - mean (SD)

12.9 ± 3.8

12.9 ± 5.4

0.971

At least 3 minimum wages - no. (%)

21 (50)

20 (54)

0.893

Retired - no. (%)

28 (67)

23 (62)

0.856

Clinical characteristics

Hypertension - no. (%)

18 (43)

16 (43)

1.000

Hypothyroidism - no. (%)

9 (21)

5 (14)

0.393

Onset age of MDD, years - mean (SD) *

41.1 ± 15.2; N=33

44 ± 19.5; N=30

0.510

No. previous depressive episodes - median (IQR) *

3 (1-4); N=32

3 (2-4); N=30

0.985

Duration of current episode, months - mean (SD) *

36.7 ± 39.7; N=33

27.5 ± 33.4; N=30

0.326

Scales at baseline

HDRS-17

20.9 ± 3.1

21.4 ± 3.5

0.572

MADRS

27.4 ± 6.2

27.8 ± 6.3

0.748

Geriatric Depression Scale (GDS)

8.8 ± 1.6

8.8 ± 1.4

0.988

Mania (YMRS)

1.7 ± 1.7

1.7 ± 1.3

0.966

Positive affect (PANAS)

26 ± 5.8

25 ± 4.4

0.395

Negative affect (PANAS)

24.6 ± 6.1

23.9 ± 5.3

0.590

Clinical Global Impression (CGI-1)

4.3 ± 1

4.3 ± 1

0.876

Cumulative Illnes (G-CIRS)

4.2 ± 3.3

3.4 ± 2.7

0.229

AMT Total

32.4 ± 6.5; N=41

30.8 ± 6.4

0.275

AMT positive

11.2 ± 1.8; N=41

10.6 ± 2.3

0.239

AMT negative

11.4 ± 2; N=41

10.5 ± 2.6

0.082

AMT Total

9.8 ± 3.5; N=41

9.7 ± 2.8

0.857

Notes: N is provided where it deviates from the regular sample N. There were no cases of hyperthyroidism.

2.2 NEO PI-R

NEO PI-R was collected at week 6. It was not included in Table 1, which commonly only includes baseline data.

Characteristic

Active TBS

Sham TBS

P

N = 40

N = 36

Neuroticismo

107.1 ± 14.7

106.7 ± 12.5

0.911

Extroversao

95.7 ± 15.8

93.5 ± 12.2

0.493

Abertura

107.2 ± 16.6

97.8 ± 14.6

0.012

Amabilidade

120.7 ± 12.5

116 ± 10.4

0.079

Conscienciosidade

111.3 ± 15.3

109.1 ± 13.1

0.503

Neuroticismo ansiedade

18.6 ± 3.4

18.5 ± 2.7

0.834

Neuroticismo raiva

16.9 ± 3.6

17.9 ± 3.4

0.212

Neuroticismo depressao

19.6 ± 4.2

19.4 ± 3.1

0.762

Neuroticismo embaraco

19 ± 3.6

17.5 ± 3.2

0.062

Neuroticismo impulsividade

16.3 ± 4.4

16.2 ± 3

0.952

Neuroticismo vulnerabilidade

16.4 ± 3.7

17.2 ± 3.7

0.336

Extroversao acolhimento

20.1 ± 4.5

19 ± 3.8

0.270

Extroversao gregarismo

13.9 ± 4.7

14.7 ± 3.6

0.461

Extroversao assertividade

14.1 ± 3.7

14.1 ± 3.4

0.986

Extroversao atividade

14.6 ± 3.5

15.1 ± 3

0.497

Extroversao busca de sensacoes

16.5 ± 3.3

15.9 ± 2.7

0.423

Extroversao emocoes positivas

16.5 ± 4.8

14.7 ± 4

0.075

Extroversao emocoes positivas extroversao

40 ± 10.5

36.2 ± 8.9

0.097

Abertura fantasia

17.4 ± 4.3

15.1 ± 3.9

0.018

Abertura estetica

19.6 ± 4

17.6 ± 3.4

0.021

Abertura sentimento

18.4 ± 3.2

17.2 ± 3.1

0.092

Abertura acoes variadas

14.7 ± 3.7

14.6 ± 3.3

0.965

Abertura ideias

17.9 ± 4.4

16.2 ± 4.9

0.126

Abertura valores

19.3 ± 3.5

17.1 ± 3.5

0.008

Amabilidade confianca

17.9 ± 4.7

17.9 ± 3

0.966

Amabilidade franqueza

20.5 ± 3

20.2 ± 3.2

0.670

Amabilidade altruismo

21.9 ± 3.3

20.6 ± 3.4

0.100

Amabilidade complacencia

18.7 ± 3.4

16.8 ± 3

0.012

Amabilidade modestia

20.2 ± 2.5

19.6 ± 3

0.374

Amabilidade sensibiliidade

21.6 ± 2.8

20.9 ± 3.3

0.376

Conscienciosidade competencia

19.6 ± 3.2

18.8 ± 3.2

0.248

Conscienciosidade ordem

17.8 ± 4.3

16.9 ± 3

0.276

Conscienciosidade senso de dever

22.7 ± 3

22.6 ± 3.1

0.896

Conscienciosidade esforco por realizacoes

17.9 ± 3.6

17.6 ± 3.9

0.760

Conscienciosidade autodisciplina

15.3 ± 4.3

16.2 ± 2.9

0.310

Conscienciosidade ponderacao

18 ± 4.3

16.6 ± 4.6

0.160

Notes: Some significant findings were expected because of the amount of tests. Most notable is probably the difference in openness (abertura), which differed between groups even on the level of the combined scale.

3 Figures

All error bars represent 95% confidence intervals.

3.1 Longitudinal plots (HDRS & AMT)

3.2 Response and Remission (HDRS)

Condition

Type

Baseline

Week 1

Week 2

Week 4

Week 6

Week 8

Week 12

Active TBS

HDRS remission - no. (%)

0 (0)

1 (2)

3 (7)

5 (12)

8 (20)

13 (32)

14 (34)

Sham TBS

HDRS remission - no. (%)

0 (0)

3 (8)

1 (3)

1 (3)

4 (11)

7 (20)

7 (19)

Active TBS

HDRS response - no. (%)

0 (0)

4 (10)

8 (19)

12 (29)

16 (39)

20 (49)

20 (49)

Sham TBS

HDRS response - no. (%)

0 (0)

3 (8)

4 (11)

6 (17)

10 (28)

13 (37)

11 (31)

4 Statistical analysis

4.1 TBS effects on AMT

For each AMT measure, a separate linear mixed model was fit. All time points where AMT data was collected (baseline, weeks 4 and 12) were included. The AMT measure was the outcome, while time and condition were included as interacting fixed effects, and subject as a random effect (random intercept). A significant interaction would indicate that treatment had an effect on the AMT measure.

Scale

Effect

Estimate

SE

t

DF

P

Cohen's d

TOTAL TMA

Main effect

0.06

0.70

0.09

149.02

0.932

0.01 [-0.31, 0.34]

Interaction

-0.24

0.97

-0.25

150.26

0.803

-0.04 [-0.36, 0.28]

TOTAL TMA POS

Main effect

0.09

0.20

0.44

147.46

0.660

0.07 [-0.25, 0.4]

Interaction

-0.26

0.28

-0.92

148.44

0.358

-0.15 [-0.47, 0.17]

TOTAL TMA NEG

Main effect

0.14

0.20

0.70

146.52

0.486

0.12 [-0.21, 0.44]

Interaction

-0.14

0.28

-0.50

147.38

0.621

-0.08 [-0.4, 0.24]

TOTAL TMA NU

Main effect

0.32

0.24

1.34

148.03

0.182

0.22 [-0.1, 0.54]

Interaction

0.20

0.33

0.61

148.92

0.545

0.1 [-0.22, 0.42]

Notes: Effects: Main Effect of time, interaction effect of time and group; Estimate: Coefficient (beta) of an effect/predictor; SE: standard error of the estimate; t: test statistic; DF: degrees of freedom, P: P-value; Cohen’s d: effect size with 95% confidence interval.

For example, total AMT scores did not change significantly over time/during the study (t = 0.09, DF = 149, P = 0.932) and total AMT score changes did not differ significantly between the active and the sham TBS groups (t = -0.25, DF = 150, P = 0.803).

4.2 Prediction of AMT change

Linear regression models were set up with AMT deltas (week 12 - baseline) as dependent variables and a predictor and group as interacting independent variables. Predictors were the NEO-PI-R sum scores and HDRS baseline measure. Each combination of AMT measure and predictor was tested in a separate linear regression. A significant main effect means the variable predicts AMT changes, independent of group. A significant interaction means the variable predicts TBS efficacy. However, as there were no significant changes in AMT measures across time and no TBS effects on AMT measures (previous section), it is unlikely to have findings for the current analyses.

Predictor

Main effect

Interaction

Estimate

SE

t

P

Estimate

SE

t

P

TOTAL_TMA

HDRS at baseline

-0.34

0.42

-0.81

0.418

0.34

0.66

0.51

0.610

Neuroticismo

0.01

0.10

0.06

0.952

-0.18

0.13

-1.38

0.171

Extroversao

0.01

0.10

0.14

0.886

0.09

0.12

0.75

0.456

Abertura

-0.01

0.08

-0.10

0.924

-0.03

0.11

-0.29

0.770

Amabilidade

-0.05

0.12

-0.44

0.662

0.06

0.15

0.41

0.683

Conscienciosidade

0.10

0.09

1.13

0.264

-0.06

0.12

-0.47

0.641

TOTAL_TMA_POS

HDRS at baseline

-0.12

0.13

-0.90

0.372

0.05

0.21

0.25

0.803

Neuroticismo

0.01

0.03

0.27

0.786

-0.01

0.04

-0.20

0.838

Extroversao

0.01

0.03

0.42

0.676

-0.01

0.04

-0.32

0.748

Abertura

0.02

0.03

0.55

0.581

-0.03

0.04

-0.76

0.448

Amabilidade

-0.04

0.04

-1.12

0.266

0.05

0.05

0.92

0.363

Conscienciosidade

0.03

0.03

0.86

0.392

-0.04

0.04

-1.02

0.311

TOTAL_TMA_NEG

HDRS at baseline

-0.14

0.14

-1.01

0.316

0.21

0.23

0.91

0.366

Neuroticismo

-0.01

0.04

-0.41

0.686

-0.04

0.05

-0.92

0.361

Extroversao

0.02

0.04

0.67

0.507

0.02

0.04

0.38

0.707

Abertura

-0.01

0.03

-0.32

0.748

0.01

0.04

0.34

0.733

Amabilidade

-0.05

0.04

-1.06

0.291

0.05

0.06

0.89

0.379

Conscienciosidade

0.04

0.03

1.19

0.237

-0.02

0.04

-0.57

0.569

TOTAL_TMA_Nu

HDRS at baseline

-0.08

0.19

-0.40

0.687

0.08

0.30

0.27

0.791

Neuroticismo

0.01

0.04

0.25

0.804

-0.13

0.06

-2.16

0.035

Extroversao

-0.02

0.05

-0.52

0.608

0.09

0.06

1.56

0.123

Abertura

-0.01

0.04

-0.35

0.725

-0.02

0.05

-0.35

0.730

Amabilidade

0.04

0.06

0.67

0.504

-0.03

0.07

-0.45

0.652

Conscienciosidade

0.04

0.04

0.87

0.389

0.01

0.06

0.18

0.859

Notes: Main Effect of time, interaction effect of time and group. Estimate: Coefficient (beta) of an effect/predictor; SE: standard error of the estimate; t: test statistic; DF: degrees of freedom, P: P-value.

4.3 Correlations between AMT and NEO-PI-R measures

Mean AMT values over the three time points were calculated per subject and then correlated with NEO-PI-R measures.

The first table shows Pearson’s correlations, and the second shows the P-values for each correlation.High correlations between different AMT measures are expected.

Pearson

TOTAL_TMA

TOTAL_TMA_POS

TOTAL_TMA_NEG

TOTAL_TMA_Nu

Neuroticismo

Extroversao

Abertura

Amabilidade

TOTAL_TMA_POS

0.87

TOTAL_TMA_NEG

0.90

0.76

TOTAL_TMA_Nu

0.90

0.67

0.70

Neuroticismo

-0.04

-0.05

-0.09

0.06

Extroversao

0.07

0.03

0.10

0.00

-0.41

Abertura

0.34

0.17

0.30

0.38

-0.03

0.39

Amabilidade

-0.04

-0.05

0.00

-0.05

-0.02

0.07

0.27

Conscienciosidade

-0.05

-0.06

0.02

-0.09

-0.50

0.29

-0.06

0.04

P-values

TOTAL_TMA

TOTAL_TMA_POS

TOTAL_TMA_NEG

TOTAL_TMA_Nu

Neuroticismo

Extroversao

Abertura

Amabilidade

TOTAL_TMA_POS

0.000

TOTAL_TMA_NEG

0.000

0.000

TOTAL_TMA_Nu

0.000

0.000

0.000

Neuroticismo

0.748

0.699

0.447

0.650

Extroversao

0.595

0.800

0.391

0.987

0.000

Abertura

0.004

0.153

0.012

0.001

0.789

0.001

Amabilidade

0.752

0.698

0.984

0.660

0.887

0.578

0.022

Conscienciosidade

0.691

0.641

0.884

0.473

0.000

0.015

0.633

0.722

4.4 TBS effects on HDRS

Before running predictive analyses, it makes sense to investigate if the treatment of interest was effective. It is easier to find predictors of TBS efficacy if TBS reduced depressive symptoms.

In the original sample of 108 subjects, TBS significantly improved depressive symptoms if all data until week 12 was included (P = 0.045), but was barely not significant when only data until week 6, the primary study endpoint, was analysed (P = 0.059).

In the subsequent predictive analyses, AMT and NEO-PI data are investigated as predictors of TBS response. Because of missing AMT and NEO-PI data, two different subsamples will be used for these analyses. It is interesting to see how the TBS effect on HDRS behaves in these subsamples.

A linear mixed-effects model was used to investigate if treatment was effective was in the two different subsamples used for the subsequent predictive analyses for AMT and NEO PI measures. Time was assumed to be linear on a natural logarithmic scale. HDRS-17 was the outcome, group and time were included as interacting fixed effects, and subject as random-intercept effect.

4.4.1 NEO PI subsample

## [1] "Week 12 as endpoint:"
##                              Estimate Std Error     df t value     P
## (Intercept)                     19.94      0.80 149.35   25.05 0.000
## conditionActive TBS             -0.10      1.10 149.31   -0.09 0.926
## time_log                        -2.81      0.31 452.12   -9.19 0.000
## conditionActive TBS:time_log    -0.85      0.42 452.08   -2.01 0.045

In the NEO PI subsample with week 12 as endpoint, results showed a reduction in HDRS-17 scores across time, independent of group (t(452) = -9.19, P < .001). There was a significant interaction of group and time (t(452) = -2.01, P = 0.045). This indicates that active TBS treatment was effective in reducing depressive symptoms.

(The other analyses in this section can be interpreted analogously.)

## [1] "Week 6 as endpoint:"
##                              Estimate Std Error     df t value     P
## (Intercept)                     20.47      0.74 155.25   27.68 0.000
## conditionActive TBS              0.07      1.02 155.25    0.07 0.944
## time_log                        -3.51      0.40 301.16   -8.83 0.000
## conditionActive TBS:time_log    -1.09      0.55 301.11   -1.98 0.048

4.4.2 AMT subsample

## [1] "Week 12 as endpoint:"
##                              Estimate Std Error     df t value     P
## (Intercept)                     19.98      0.76 162.47   26.45 0.000
## conditionActive TBS             -0.42      1.04 162.39   -0.40 0.687
## time_log                        -2.84      0.30 460.23   -9.36 0.000
## conditionActive TBS:time_log    -0.84      0.42 459.56   -2.01 0.044
## [1] "Week 6 as endpoint:"
##                              Estimate Std Error     df t value     P
## (Intercept)                     20.53      0.71 169.53   29.01 0.000
## conditionActive TBS             -0.32      0.98 169.50   -0.33 0.745
## time_log                        -3.57      0.40 307.70   -8.97 0.000
## conditionActive TBS:time_log    -0.99      0.55 307.16   -1.80 0.072

4.5 Prediction of HDRS (antidepressant response)

Predictors are AMT measures at baseline and all NEO PI measures, which were evaluated for HDRS changes (deltas) from baseline to endpoint using linear regression and for HDRS response using logistic regression (generalized linear model). For each predictor, separate models were set up with the outcome referring to Week 6 or 12 as endpoint. Group and predictor were included as interacting factors. A significant main effect of the predictor indicates that the predictor had an effect on HDRS changes/responses on the whole sample, independent of group. A significant interaction of the predictor and group is the “desirable” outcome: It indicates that this measure predicts TBS effectiveness.

Because of the big number of tests, it’s likely that some significant findings are “false positives”, which means they are significant based on chance alone. There are several ways to counteract this:

  • Reduce the number of tests based on theory
  • Use a correction for multiple comparisons. With the current number of tests, it seems unlikely they would stay significant after correction.

4.5.1 Predictors of HDRS change

Predictor

Main effect

Interaction

Estimate

SE

t

P

Estimate

SE

t

P

Week 6

AMT total

0.06

0.16

0.38

0.707

-0.11

0.21

-0.50

0.618

AMT positive

0.00

0.44

-0.01

0.995

-0.14

0.68

-0.20

0.841

AMT negative

0.17

0.38

0.46

0.647

-0.27

0.61

-0.44

0.661

AMT neutral

0.16

0.36

0.45

0.657

-0.26

0.46

-0.58

0.567

Neuroticismo

0.00

0.08

-0.03

0.979

0.09

0.10

0.91

0.364

Extroversao

-0.06

0.08

-0.78

0.439

-0.05

0.10

-0.56

0.580

Abertura

-0.02

0.07

-0.37

0.715

-0.01

0.09

-0.12

0.903

Amabilidade

0.09

0.10

0.93

0.356

-0.06

0.12

-0.53

0.599

Conscienciosidade

0.10

0.08

1.33

0.189

-0.06

0.10

-0.60

0.553

Neuroticismo ansiedade

0.48

0.35

1.37

0.175

0.12

0.44

0.28

0.781

Neuroticismo raiva

0.26

0.29

0.89

0.377

-0.10

0.39

-0.25

0.802

Neuroticismo depressao

0.03

0.32

0.09

0.930

0.11

0.39

0.28

0.782

Neuroticismo embaraco

-0.31

0.31

-1.02

0.312

0.82

0.40

2.04

0.045

Neuroticismo impulsividade

-0.70

0.33

-2.15

0.035

0.68

0.39

1.76

0.082

Neuroticismo vulnerabilidade

0.16

0.27

0.60

0.548

-0.12

0.37

-0.33

0.745

Extroversao acolhimento

-0.15

0.25

-0.59

0.557

-0.36

0.32

-1.14

0.260

Extroversao gregarismo

0.13

0.27

0.46

0.644

-0.42

0.34

-1.24

0.219

Extroversao assertividade

0.13

0.30

0.44

0.659

-0.16

0.39

-0.40

0.693

Extroversao atividade

-0.22

0.34

-0.64

0.522

0.00

0.43

0.01

0.994

Extroversao busca de sensacoes

-0.77

0.35

-2.18

0.032

0.37

0.45

0.83

0.408

Extroversao emocoes positivas

-0.16

0.25

-0.65

0.516

-0.07

0.32

-0.23

0.822

Extroversao emocoes positivas extroversao

-0.07

0.11

-0.64

0.525

-0.04

0.14

-0.28

0.782

Abertura fantasia

-0.12

0.26

-0.46

0.644

-0.14

0.34

-0.43

0.670

Abertura estetica

0.07

0.30

0.23

0.822

-0.23

0.38

-0.61

0.545

Abertura sentimento

0.17

0.33

0.53

0.598

-0.23

0.44

-0.53

0.596

Abertura acoes variadas

0.05

0.30

0.15

0.880

0.00

0.39

0.01

0.996

Abertura ideias

-0.16

0.20

-0.77

0.441

0.08

0.29

0.26

0.796

Abertura valores

-0.22

0.28

-0.77

0.444

0.16

0.39

0.41

0.685

Amabilidade confianca

0.55

0.33

1.66

0.101

-0.52

0.38

-1.35

0.182

Amabilidade franqueza

0.20

0.30

0.67

0.508

0.20

0.43

0.46

0.647

Amabilidade altruismo

-0.12

0.30

-0.42

0.674

0.02

0.41

0.05

0.956

Amabilidade complacencia

0.34

0.34

1.02

0.310

-0.21

0.43

-0.48

0.630

Amabilidade modestia

0.41

0.33

1.23

0.221

-0.32

0.50

-0.64

0.527

Amabilidade sensibiliidade

-0.23

0.30

-0.78

0.441

0.02

0.45

0.04

0.967

Conscienciosidade competencia

0.13

0.31

0.41

0.679

-0.35

0.43

-0.81

0.423

Conscienciosidade ordem

0.49

0.33

1.51

0.137

-0.14

0.39

-0.36

0.721

Conscienciosidade senso de dever

0.07

0.32

0.22

0.825

0.09

0.45

0.21

0.835

Conscienciosidade esforco por realizacoes

-0.14

0.25

-0.56

0.574

0.08

0.37

0.21

0.837

Conscienciosidade autodisciplina

0.58

0.34

1.70

0.093

-0.52

0.40

-1.28

0.205

Conscienciosidade ponderacao

0.34

0.21

1.59

0.115

-0.14

0.30

-0.45

0.653

Week 12

AMT total

0.18

0.17

1.05

0.299

-0.42

0.24

-1.79

0.078

AMT positive

0.28

0.48

0.58

0.567

-1.15

0.75

-1.53

0.130

AMT negative

0.52

0.42

1.25

0.217

-1.08

0.68

-1.59

0.116

AMT neutral

0.31

0.40

0.76

0.448

-0.73

0.51

-1.44

0.153

Neuroticismo

-0.02

0.09

-0.27

0.789

0.09

0.12

0.76

0.448

Extroversao

-0.04

0.09

-0.47

0.640

-0.09

0.11

-0.75

0.453

Abertura

-0.06

0.08

-0.75

0.459

-0.04

0.10

-0.40

0.687

Amabilidade

0.11

0.11

1.00

0.320

-0.08

0.14

-0.55

0.586

Conscienciosidade

0.11

0.09

1.32

0.189

-0.04

0.11

-0.38

0.707

Neuroticismo ansiedade

0.43

0.41

1.06

0.293

0.20

0.51

0.40

0.689

Neuroticismo raiva

0.28

0.34

0.83

0.410

0.02

0.45

0.04

0.970

Neuroticismo depressao

0.08

0.37

0.22

0.830

-0.08

0.45

-0.17

0.865

Neuroticismo embaraco

-0.62

0.35

-1.78

0.079

1.20

0.45

2.66

0.010

Neuroticismo impulsividade

-0.79

0.37

-2.11

0.038

0.61

0.44

1.39

0.170

Neuroticismo vulnerabilidade

0.17

0.31

0.53

0.597

-0.14

0.43

-0.33

0.741

Extroversao acolhimento

-0.05

0.29

-0.16

0.873

-0.44

0.37

-1.18

0.241

Extroversao gregarismo

0.20

0.31

0.64

0.527

-0.48

0.39

-1.25

0.216

Extroversao assertividade

0.08

0.34

0.24

0.810

-0.42

0.45

-0.94

0.351

Extroversao atividade

-0.22

0.39

-0.56

0.578

0.15

0.50

0.30

0.764

Extroversao busca de sensacoes

-0.46

0.42

-1.12

0.268

0.01

0.53

0.02

0.986

Extroversao emocoes positivas

-0.24

0.28

-0.83

0.408

-0.02

0.36

-0.07

0.947

Extroversao emocoes positivas extroversao

-0.09

0.13

-0.72

0.474

0.00

0.16

-0.02

0.986

Abertura fantasia

-0.30

0.29

-1.02

0.311

0.08

0.38

0.21

0.832

Abertura estetica

0.02

0.33

0.07

0.944

-0.46

0.43

-1.07

0.290

Abertura sentimento

0.20

0.37

0.53

0.597

-0.48

0.50

-0.95

0.344

Abertura acoes variadas

-0.13

0.34

-0.37

0.715

0.05

0.45

0.11

0.914

Abertura ideias

-0.26

0.23

-1.12

0.265

-0.07

0.33

-0.21

0.833

Abertura valores

-0.19

0.32

-0.59

0.555

-0.25

0.44

-0.56

0.579

Amabilidade confianca

0.67

0.38

1.78

0.079

-0.59

0.44

-1.35

0.180

Amabilidade franqueza

0.30

0.35

0.86

0.392

0.09

0.50

0.18

0.856

Amabilidade altruismo

0.09

0.34

0.25

0.803

-0.21

0.48

-0.44

0.662

Amabilidade complacencia

0.03

0.38

0.08

0.938

0.30

0.50

0.61

0.547

Amabilidade modestia

0.41

0.38

1.08

0.283

-0.50

0.58

-0.86

0.391

Amabilidade sensibiliidade

-0.19

0.34

-0.57

0.573

-0.12

0.51

-0.23

0.819

Conscienciosidade competencia

0.31

0.36

0.87

0.388

-0.31

0.49

-0.63

0.528

Conscienciosidade ordem

0.40

0.38

1.07

0.290

-0.02

0.45

-0.04

0.967

Conscienciosidade senso de dever

0.16

0.37

0.42

0.673

-0.01

0.52

-0.03

0.979

Conscienciosidade esforco por realizacoes

-0.17

0.29

-0.58

0.566

0.32

0.42

0.77

0.443

Conscienciosidade autodisciplina

0.37

0.40

0.93

0.354

-0.37

0.47

-0.78

0.436

Conscienciosidade ponderacao

0.39

0.24

1.60

0.115

-0.03

0.35

-0.10

0.921

Notes: Main Effect of time, interaction effect of time and group. Estimate: Coefficient (beta) of an effect/predictor; SE: standard error of the estimate; t: test statistic; DF: degrees of freedom, P: P-value.

4.5.2 Predictors HDRS response

Response is defined as at least a 50% reduction in the HDRS score from baseline to endpoint. weeks 6 and 12 are analyzed as endpoints.

Predictor

Main effect

Interaction

Odds ratio

z

P

Odds ratio

z

P

Week 6

AMT total

1.01

0.11

0.912

0.98

-0.21

0.834

AMT positive

1.05

0.31

0.757

0.96

-0.19

0.853

AMT negative

1.00

-0.02

0.981

0.93

-0.33

0.739

AMT neutral

1.00

0.02

0.982

0.99

-0.08

0.933

Neuroticismo

1.01

0.33

0.745

0.95

-1.18

0.236

Extroversao

1.04

1.25

0.212

1.01

0.35

0.728

Abertura

1.03

1.05

0.294

1.00

-0.03

0.980

Amabilidade

0.96

-1.09

0.274

1.05

1.05

0.292

Conscienciosidade

0.97

-1.07

0.284

1.05

1.24

0.214

Neuroticismo ansiedade

0.91

-0.69

0.492

0.88

-0.68

0.494

Neuroticismo raiva

0.89

-0.95

0.340

0.95

-0.32

0.750

Neuroticismo depressao

1.02

0.14

0.891

0.86

-1.00

0.316

Neuroticismo embaraco

1.19

1.36

0.174

0.71

-2.12

0.034

Neuroticismo impulsividade

1.45

2.19

0.028

0.71

-1.87

0.061

Neuroticismo vulnerabilidade

0.93

-0.74

0.459

1.15

1.05

0.294

Extroversao acolhimento

1.11

0.97

0.333

1.10

0.66

0.509

Extroversao gregarismo

0.95

-0.48

0.628

1.18

1.29

0.197

Extroversao assertividade

1.06

0.51

0.607

0.96

-0.29

0.772

Extroversao atividade

1.05

0.37

0.713

1.10

0.57

0.571

Extroversao busca de sensacoes

1.43

1.97

0.049

0.79

-1.09

0.275

Extroversao emocoes positivas

1.13

1.23

0.217

1.03

0.23

0.820

Extroversao emocoes positivas extroversao

1.05

1.01

0.312

1.03

0.53

0.598

Abertura fantasia

1.12

1.14

0.254

1.06

0.43

0.667

Abertura estetica

1.09

0.76

0.445

0.94

-0.47

0.640

Abertura sentimento

0.93

-0.57

0.566

1.16

0.93

0.353

Abertura acoes variadas

1.03

0.29

0.768

1.06

0.38

0.704

Abertura ideias

1.10

1.14

0.255

0.97

-0.25

0.801

Abertura valores

1.12

1.04

0.298

0.92

-0.60

0.549

Amabilidade confianca

0.76

-1.86

0.062

1.40

2.08

0.037

Amabilidade franqueza

0.84

-1.32

0.186

1.18

0.98

0.327

Amabilidade altruismo

1.01

0.13

0.896

1.05

0.33

0.739

Amabilidade complacencia

0.89

-0.86

0.392

1.03

0.21

0.837

Amabilidade modestia

0.89

-0.93

0.353

0.97

-0.14

0.891

Amabilidade sensibiliidade

1.15

1.06

0.287

0.98

-0.11

0.909

Conscienciosidade competencia

0.99

-0.06

0.952

1.27

1.39

0.164

Conscienciosidade ordem

0.76

-1.77

0.077

1.22

1.15

0.252

Conscienciosidade senso de dever

0.92

-0.70

0.484

1.22

1.19

0.233

Conscienciosidade esforco por realizacoes

1.07

0.66

0.512

0.95

-0.33

0.745

Conscienciosidade autodisciplina

0.90

-0.78

0.436

1.15

0.93

0.352

Conscienciosidade ponderacao

0.91

-1.05

0.295

1.13

1.02

0.307

Week 12

AMT total

0.96

-0.78

0.438

1.14

1.63

0.103

AMT positive

0.93

-0.43

0.664

1.23

0.87

0.385

AMT negative

0.95

-0.36

0.720

1.31

1.21

0.225

AMT neutral

0.86

-1.10

0.272

1.41

1.96

0.050

Neuroticismo

1.01

0.24

0.813

0.99

-0.15

0.884

Extroversao

1.01

0.29

0.768

1.02

0.46

0.643

Abertura

1.02

0.79

0.431

0.98

-0.50

0.620

Amabilidade

0.99

-0.24

0.814

1.00

-0.02

0.982

Conscienciosidade

0.98

-0.78

0.438

0.99

-0.16

0.876

Neuroticismo ansiedade

0.83

-1.37

0.172

1.00

-0.02

0.981

Neuroticismo raiva

0.91

-0.81

0.419

1.11

0.74

0.457

Neuroticismo depressao

1.01

0.09

0.931

1.01

0.09

0.929

Neuroticismo embaraco

1.34

2.07

0.038

0.69

-2.22

0.026

Neuroticismo impulsividade

1.25

1.61

0.107

0.87

-0.88

0.378

Neuroticismo vulnerabilidade

0.93

-0.74

0.458

1.13

0.90

0.369

Extroversao acolhimento

1.04

0.38

0.703

1.06

0.49

0.626

Extroversao gregarismo

0.98

-0.24

0.813

1.20

1.43

0.153

Extroversao assertividade

0.89

-1.02

0.307

1.15

0.95

0.344

Extroversao atividade

1.00

-0.03

0.978

0.94

-0.41

0.681

Extroversao busca de sensacoes

1.28

1.57

0.117

0.85

-0.88

0.378

Extroversao emocoes positivas

1.05

0.52

0.604

0.99

-0.06

0.950

Extroversao emocoes positivas extroversao

1.02

0.54

0.591

0.99

-0.18

0.859

Abertura fantasia

1.04

0.45

0.651

0.97

-0.22

0.827

Abertura estetica

1.02

0.14

0.890

1.00

0.01

0.993

Abertura sentimento

0.89

-0.93

0.352

1.15

0.86

0.393

Abertura acoes variadas

1.04

0.33

0.744

0.90

-0.71

0.479

Abertura ideias

1.10

1.17

0.244

0.93

-0.71

0.479

Abertura valores

1.18

1.47

0.141

0.90

-0.74

0.460

Amabilidade confianca

0.73

-2.10

0.036

1.41

2.08

0.037

Amabilidade franqueza

1.00

0.02

0.985

0.91

-0.63

0.528

Amabilidade altruismo

1.04

0.39

0.697

0.99

-0.09

0.925

Amabilidade complacencia

1.04

0.30

0.762

0.79

-1.44

0.151

Amabilidade modestia

0.90

-0.86

0.389

1.19

0.97

0.333

Amabilidade sensibiliidade

1.20

1.34

0.179

0.86

-0.85

0.396

Conscienciosidade competencia

0.98

-0.14

0.885

0.98

-0.15

0.878

Conscienciosidade ordem

0.86

-1.15

0.249

1.04

0.27

0.784

Conscienciosidade senso de dever

0.97

-0.28

0.777

0.99

-0.05

0.964

Conscienciosidade esforco por realizacoes

1.05

0.49

0.625

0.86

-1.11

0.269

Conscienciosidade autodisciplina

0.90

-0.78

0.434

1.09

0.59

0.557

Conscienciosidade ponderacao

0.95

-0.67

0.500

0.94

-0.50

0.618

Notes: Main Effect of time, interaction effect of time and group. Odds ratio: The change in odds of response for a one-unit change in the predictor variable; Z: test statistic; P: P-value. If the interaction is significant, the main effect cannot be interpreted.

4.5.3 Predictors HDRS remission

Response is defined as at least a 50% reduction in the HDRS score from baseline to endpoint. weeks 6 and 12 are analyzed as endpoints.

Predictor

Main effect

Interaction

Odds ratio

z

P

Odds ratio

z

P

Week 6

AMT total

1.19

1.72

0.085

0.85

-1.34

0.179

AMT positive

1.57

1.46

0.144

0.60

-1.37

0.170

AMT negative

1.43

1.41

0.158

0.75

-0.88

0.377

AMT neutral

1.48

1.60

0.110

0.71

-1.25

0.210

Neuroticismo

0.99

-0.25

0.800

1.00

-0.09

0.925

Extroversao

1.08

1.61

0.107

0.92

-1.49

0.136

Abertura

1.08

2.00

0.046

0.91

-2.01

0.045

Amabilidade

0.98

-0.35

0.723

0.99

-0.21

0.837

Conscienciosidade

0.97

-0.66

0.506

1.02

0.49

0.627

Neuroticismo ansiedade

0.87

-0.78

0.435

0.93

-0.29

0.769

Neuroticismo raiva

1.01

0.09

0.929

0.91

-0.50

0.615

Neuroticismo depressao

0.93

-0.45

0.656

0.99

-0.07

0.947

Neuroticismo embaraco

1.09

0.49

0.625

0.82

-0.97

0.332

Neuroticismo impulsividade

1.46

1.52

0.128

0.72

-1.23

0.219

Neuroticismo vulnerabilidade

0.75

-1.62

0.104

1.54

2.09

0.037

Extroversao acolhimento

1.44

1.59

0.113

0.72

-1.33

0.184

Extroversao gregarismo

0.88

-0.83

0.409

1.21

1.06

0.287

Extroversao assertividade

1.18

1.01

0.315

0.72

-1.63

0.102

Extroversao atividade

1.13

0.64

0.522

0.86

-0.66

0.511

Extroversao busca de sensacoes

1.34

1.24

0.214

0.79

-0.90

0.368

Extroversao emocoes positivas

1.36

1.91

0.056

0.70

-1.97

0.049

Extroversao emocoes positivas extroversao

1.13

1.72

0.085

0.87

-1.74

0.081

Abertura fantasia

1.25

1.52

0.129

0.94

-0.31

0.756

Abertura estetica

1.07

0.41

0.685

0.89

-0.61

0.544

Abertura sentimento

1.17

0.92

0.358

0.77

-1.19

0.232

Abertura acoes variadas

1.37

1.57

0.117

0.59

-2.22

0.027

Abertura ideias

1.30

1.90

0.058

0.69

-2.21

0.027

Abertura valores

1.51

1.94

0.052

0.65

-1.79

0.074

Amabilidade confianca

0.64

-2.01

0.044

1.51

1.74

0.083

Amabilidade franqueza

1.04

0.22

0.825

0.90

-0.49

0.627

Amabilidade altruismo

1.07

0.42

0.672

0.91

-0.47

0.637

Amabilidade complacencia

0.70

-1.59

0.111

1.19

0.68

0.497

Amabilidade modestia

0.89

-0.64

0.523

0.96

-0.15

0.884

Amabilidade sensibiliidade

1.70

2.13

0.033

0.59

-1.83

0.067

Conscienciosidade competencia

1.09

0.51

0.612

1.16

0.65

0.517

Conscienciosidade ordem

0.61

-1.94

0.053

1.52

1.56

0.120

Conscienciosidade senso de dever

1.18

0.79

0.428

0.78

-0.99

0.325

Conscienciosidade esforco por realizacoes

1.06

0.35

0.726

0.89

-0.61

0.543

Conscienciosidade autodisciplina

0.85

-0.88

0.377

1.11

0.49

0.626

Conscienciosidade ponderacao

0.88

-0.96

0.336

1.21

1.15

0.251

Week 12

AMT total

1.01

0.11

0.909

1.04

0.50

0.618

AMT positive

1.03

0.13

0.893

1.23

0.76

0.445

AMT negative

0.98

-0.15

0.882

1.15

0.57

0.566

AMT neutral

1.05

0.30

0.767

1.03

0.14

0.890

Neuroticismo

1.01

0.17

0.866

0.98

-0.50

0.620

Extroversao

1.05

1.42

0.156

0.99

-0.15

0.882

Abertura

1.04

1.51

0.130

0.96

-1.06

0.288

Amabilidade

0.98

-0.52

0.601

1.04

0.87

0.383

Conscienciosidade

0.98

-0.60

0.547

1.01

0.29

0.770

Neuroticismo ansiedade

0.78

-1.57

0.117

1.04

0.21

0.835

Neuroticismo raiva

0.89

-0.88

0.378

1.03

0.19

0.853

Neuroticismo depressao

1.05

0.32

0.752

0.90

-0.67

0.506

Neuroticismo embaraco

1.24

1.47

0.141

0.74

-1.74

0.081

Neuroticismo impulsividade

1.51

2.02

0.043

0.70

-1.65

0.099

Neuroticismo vulnerabilidade

0.91

-0.76

0.448

1.12

0.79

0.430

Extroversao acolhimento

1.18

1.20

0.232

1.03

0.20

0.844

Extroversao gregarismo

0.95

-0.43

0.667

1.30

1.78

0.075

Extroversao assertividade

1.10

0.76

0.449

0.90

-0.65

0.513

Extroversao atividade

1.12

0.75

0.455

0.97

-0.19

0.849

Extroversao busca de sensacoes

1.28

1.33

0.183

0.86

-0.70

0.486

Extroversao emocoes positivas

1.19

1.49

0.137

0.89

-0.89

0.374

Extroversao emocoes positivas extroversao

1.08

1.47

0.142

0.94

-1.00

0.315

Abertura fantasia

1.30

2.05

0.040

0.78

-1.66

0.097

Abertura estetica

1.08

0.59

0.552

0.94

-0.39

0.700

Abertura sentimento

1.04

0.26

0.798

1.06

0.33

0.744

Abertura acoes variadas

1.08

0.58

0.564

0.94

-0.39

0.694

Abertura ideias

1.09

1.00

0.318

0.90

-0.85

0.393

Abertura valores

1.19

1.41

0.158

0.85

-1.02

0.307

Amabilidade confianca

0.73

-1.88

0.060

1.41

1.90

0.057

Amabilidade franqueza

0.93

-0.55

0.585

1.06

0.31

0.757

Amabilidade altruismo

1.07

0.49

0.622

1.13

0.68

0.498

Amabilidade complacencia

0.91

-0.64

0.523

1.15

0.78

0.437

Amabilidade modestia

0.85

-1.06

0.291

1.22

0.98

0.326

Amabilidade sensibiliidade

1.33

1.67

0.096

0.77

-1.24

0.215

Conscienciosidade competencia

1.01

0.10

0.919

1.03

0.15

0.878

Conscienciosidade ordem

0.77

-1.53

0.125

1.06

0.28

0.777

Conscienciosidade senso de dever

1.08

0.53

0.594

0.94

-0.32

0.751

Conscienciosidade esforco por realizacoes

1.03

0.30

0.768

0.90

-0.71

0.477

Conscienciosidade autodisciplina

1.01

0.10

0.924

1.07

0.37

0.711

Conscienciosidade ponderacao

0.89

-1.11

0.267

1.15

1.06

0.291

Notes: Main Effect of time, interaction effect of time and group. Odds ratio: The change in odds of response for a one-unit change in the predictor variable; Z: test statistic; P: P-value. If the interaction is significant, the main effect cannot be interpreted.