BACKGROUND: Little is known about the cost-effectiveness of preventing mental disorders. AIMS: To study the cost-effectiveness of care as usual plus minimal contact psychotherapy relative to usual care alone in preventing depressive disorder. METHOD: An economic evaluation was conducted alongside a randomised clinical trial. Primary care patients with sub-threshold depression were assigned to minimal contact psychotherapy plus usual care (n=107) or to usual care alone (n=109). RESULTS:Primary care patients with sub-threshold depression benefited fromminimal contact psychotherapy as it reduced the risk of developing a full-blown depressive disorder from 18% to 12%. In addition, this intervention had a 70% probability of being more cost-effective than usual care alone. A sensitivity analysis indicated the robustness of these results. CONCLUSIONS: Over 1 year adjunctive minimal contact psychotherapy improved outcomes and generated lower costs. This intervention is therefore superior to usual care alone in terms of cost-effectiveness.
RCT Entities:
BACKGROUND: Little is known about the cost-effectiveness of preventing mental disorders. AIMS: To study the cost-effectiveness of care as usual plus minimal contact psychotherapy relative to usual care alone in preventing depressive disorder. METHOD: An economic evaluation was conducted alongside a randomised clinical trial. Primary care patients with sub-threshold depression were assigned to minimal contact psychotherapy plus usual care (n=107) or to usual care alone (n=109). RESULTS: Primary care patients with sub-threshold depression benefited from minimal contact psychotherapy as it reduced the risk of developing a full-blown depressive disorder from 18% to 12%. In addition, this intervention had a 70% probability of being more cost-effective than usual care alone. A sensitivity analysis indicated the robustness of these results. CONCLUSIONS: Over 1 year adjunctive minimal contact psychotherapy improved outcomes and generated lower costs. This intervention is therefore superior to usual care alone in terms of cost-effectiveness.
Authors: David Paunesku; Justin Ellis; Joshua Fogel; Sachiko A Kuwabara; Jackie Gollan; Tracy Gladstone; Mark Reinecke; Benjamin W Van Voorhees Journal: J Cogn Behav Psychother Date: 2008-09-01
Authors: Benjamin W Van Voorhees; Natalie Watson; John F P Bridges; Joshua Fogel; Jill Galas; Clarke Kramer; Marc Connery; Ann McGill; Monika Marko; Alonso Cardenas; Josephine Landsback; Karoline Dmochowska; Sachiko A Kuwabara; Justin Ellis; Micah Prochaska; Carl Bell Journal: Prim Care Companion J Clin Psychiatry Date: 2010
Authors: Christina M van der Feltz-Cornelis; Rob Hoedeman; Fransina J de Jong; Jolanda Ac Meeuwissen; Hanneke W Drewes; Niels C van der Laan; Herman J Adèr Journal: Neuropsychiatr Dis Treat Date: 2010-09-07 Impact factor: 2.570