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Cost-effectiveness of relapse-prevention cognitive therapy for bipolar disorder: 30-month study
Dominic H Lam1, Paul McCrone, Kim Wright
1Psychology Department, Institute of Psychiatry, DeCrespigny Park, London SE5 8AF. D.Lam@iop.kcl.ac.uk
Background:
We have reported the advantageous clinical outcome of adding cognitive therapy to medication in the prevention of relapse of bipolar disorder.
Aims:
This 30-month study compares the cost-effectiveness of cognitive therapy with standard care.
Method:
We randomly allocated 103 individuals with bipolar 1 disorder to standard treatment and cognitive therapy plus standard treatment. Service use and costs were measured at 3-month intervals and cost-effectiveness was assessed using the net-benefit approach.
Results:
The group receiving cognitive therapy had significantly better clinical outcomes. The extra costs were offset by reduced service use elsewhere. The probability of cognitive therapy being cost-effective was high and robust to different therapy prices.
Conclusions:
Combination of cognitive therapy and mood stabilizers was superior to mood stabilizers alone in terms of clinical outcome and cost-effectiveness for those with frequent relapses of bipolar disorder.
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