Menopausal Women With Diabetes and Comorbid Anxiety: Integrated Management Involving Cognitive Behavioral Therapy, Diabetes Education, and Pharmacotherapy.

One secondary outcome emerged as borderline significant (Wald = 3.876, P = 0.049, Exp( B ) = 1.750), indicating that participants were 75% more likely to show clinical improvement under integrated management.

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Third, anxiety improvements did not reach statistical significance, possibly due to variability in baseline severity or adherence to CBT protocols.

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