Skip to main content
Log in

Orthogonal factors vs. interdependent variables as predictors of drug treatment response in anxious outpatients

  • Published:
Psychopharmacologia Aims and scope Submit manuscript

Abstract

Two forms of multiple regression analysis, one based upon a set of individual variables, one based upon a set of orthogonal factors generated from them, were used to predict response to treatment in a group of 199 primarily anxious, neurotic outpatients treated for a 4 week period with either diazepam or phenobarbital. Greater improvement, irrespective of medication received, was found in patients who: 1. enjoyed greater social and personal advantage, 2. participated in a more empathetic treatment relationship, 3. were oriented toward drugs and away from psychotherapy as a primary treatment modality, 4. had less severe presenting symptomatology, and 5. had sufficient cognitive differentiation to realize that their problems were emotional in origin. Diazepam was superior to phenobarbital in employed patients and in patients with more severe somatizing tendencies, while the relative effectiveness of the 2 medications was reversed in unemployed patients and those with limited somatizing tendencies. Weaknesses in one form of regression analysis were complemented by strengths in the other.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Blalock, H. M.: Causal inferences in nonexperimental research. Chapel Hill: University of North Carolina Press 1964

    Google Scholar 

  • Bottenberg, R. A., Ward, J. H.: Applied multiple linear regression. (PRL-TDR-63-6). Texas: Lackland Air Force Base 1963

    Google Scholar 

  • Burket, G. R.: A study of reduced rank models for multiple prediction. Psychometric Monograph, Nr 12 (1964)

  • Cattell, R. B., Rickels, K.: The relationship of clinical symptoms and IPAT factored tests of anxiety, regression, and asthenia: A factor analytic study. J. nerv. ment. Dis. 146, 147–160 (1968)

    Google Scholar 

  • Cohen, J.: Multiple regression as a general data-analytic system. Psychol. Bull. 70, 426–443 (1968)

    Google Scholar 

  • Darlington, R. B.: Multiple regression in psychological research and practice. Psychol. Bull. 69, 161–182 (1968)

    Google Scholar 

  • Downing, R. W., Rickels, K.: Patient personality and demographic factors as predictors of early response to psychotropic drug treatment. Compr. Psychiat. 11, 568–575 (1970a)

    Google Scholar 

  • Downing, R. W., Rickels, K.: The prediction of placebo response in anxious and depressed outpatients. In: Psychopharmacology and the individual patient. J. R. Wittenborn, S. C. Goldberg, and P. R. A. May, eds., pp. 160–188. New York: Raven Press 1970b

    Google Scholar 

  • Downing, R. W., Rickels, K.: Predictors of amitriptyline response in neurotic depression. J. nerv. ment. Dis. 154, 248–263 (1972)

    Google Scholar 

  • Dowinng, R. W., Rickels, K.: Predictors of response to amitriptyline and placebo in three outpatient treatment settings. J. nerv. ment. Dis. 156, 109–129 (1973)

    Google Scholar 

  • Downing, R. W., Rickels, K., Wittenborn, J. R., Mattsson, N.: The interpretation of data from investigations assessing the effectiveness of psychotropic agents. In: Principles and problems in establishing the efficacy of psychotropic agents. J. Levine, B. C. Schiele, and L. Bouthilet, eds., pp. 267–288. Public Health Service Publication No. 2138 (1971)

  • Goldberg, S. C. and Mattsson, N.: Symptom changes associated with improvement in schizophrenia. J. cons. Psychol. 31, 175–180 (1967)

    Google Scholar 

  • Harman, H. H.: Modern factor analysis. Chicago: University of Chicago Press 1960

    Google Scholar 

  • Health Services Computing Facility. BMD X 72 Factor Analysis. Los Angeles: University of California, undated

  • Hesbacher, P. T., Rickels, K., Gordon, P. E., Gray, B., Meckelnburg, R., Weise, C. C., Vandervort, W. J.: Setting, patient, and doctor effects on drug response in neurotic patients: I. Differential attrition, dosage deviation and side reaction responses to treatment. Psychopharmacologia (Berl.) 18, 180–208 (1970a)

    Google Scholar 

  • Hesbacher, P. T., Rickels, K., Hutchison, J., Raab, E., Sablosky, L., Whalen, E. M., Phillips, F. J.: Setting, patient, and doctor effects on drug response in neurotic patients: II. Differential improvement. Psychopharmacologia (Berl.) 18, 209–226 (1970b)

    Google Scholar 

  • Hollingshead, A. B.: Two factor index of social position. New Haven, Conn.: Mimeographed report 1957

  • Overall, J. E., Hollister, L. E., Prusmack, J. J., Shelton, J., Pokorny, A.: Controlled comparison of SK & F 14336 and chlorpromazine in newly admitted schizophrenics. J. clin. Pharmacol. 9, 328–338 (1969)

    Google Scholar 

  • Rickels, K.: Drug use in outpatient treatment. Amer. J. Psychiat. 124 (Suppl.)., 20–31 (1968)

    Google Scholar 

  • Rickels, K., Downing, R. W.: Minor tranquilizers in anxiety: Some prognostic indicators. In: Relaxation therapy for psychosomatic disorders. P. Kielholz, ed., pp. 11–34. Basel, Switzerland: Ciba-Geigy Limited 1971

    Google Scholar 

  • Rickels, K., Downing, R. W.: Verbal ability (intelligence) and improvement in drug therapy of neurotic patients. J. New Drugs 5, 303–307 (1965)

    Google Scholar 

  • Rickels, K., Downing, R. W., Howard, K.: Predictors of chlordiazepoxide response in anxiety. Clin. Pharmacol. Ther. 12, 263–273 (1971)

    Google Scholar 

  • Rickels, K. Howard, K.: The physician questionnaire: A useful tool in psychiatric drug research. Psychopharmaclogia (Berl.) 17, 338–344 (1970)

    Google Scholar 

  • Rickels, K., Lipman, R., Raab, E.: Previous medication, duration of illness and placebo response. J. nerv. ment. Dis. 142, 548–554 (1966)

    Google Scholar 

  • Uhlenhuth, E. H., Covi, L., Rickels, K., Lipman, R. S., Park, L. C.: Predicting the relief of anxiety with meprobamate. Arch. gen. Psychiat. 26, 85–91 (1972)

    Google Scholar 

  • Uhlenhuth, E. H., Duncan, D. B., Park, L. C.: Some nonpharmacologic modifiers of the response to imipramine in depressed psychoneurotic outpatients: A confirmatory study. In: Psychotropic Drug Response: Advances in Prediction. P. R. A., May and J. R. Wittenborn, eds., pp. 155–197. Springfield, Ill.: C. C. Thomas 1969

    Google Scholar 

  • Wheatley, D.: Effects of doctors' and patients' attitudes and other factors on response to drugs. In: Non-specific factors in drug therapy. K. Rickels, ed., pp. 73–79. Springfield, Ill.: C. C. Thomas 1968

    Google Scholar 

  • Wittenborn, J. R.: Factors which qualify the response to iproniazid and imipramine. In: Prediction of response to pharmacotherapy. J. R. Wittenborn and P. R. A. May, eds., pp. 125–146. Springfield, Ill.: C. C. Thomas 1966

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Mr. Dreesmann is a graduate student in psychology, University of Braunschweig, Germany.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Downing, R.W., Rickels, K. & Dreesmann, H. Orthogonal factors vs. interdependent variables as predictors of drug treatment response in anxious outpatients. Psychopharmacologia 32, 93–111 (1973). https://doi.org/10.1007/BF00428681

Download citation

  • Received:

  • Revised:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00428681

Key words

Navigation