基于正念认知疗法的基于试验的经济评估,与双相情感障碍的通常治疗相比
Ben Wijnen1, Maud Jansen2, Annelieke van Velthoven3
1Centre of Economic Evaluations & Machine Learning, Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands.
International journal of methods in psychiatric research
|September 13, 2023
概括
基于正念的认知治疗加上通常的治疗 (MBCT + TAU) 是双相情感障碍 (BD) 的成本效益. 这种方法提供了较好的结果和较低的社会成本,与单独的治疗相比.
科学领域:
- 心理健康经济学 心理健康经济学
- 精神病治疗评估 精神病治疗评估
- 医疗保健服务研究 医疗服务研究
背景情况:
- 双极性障碍 (BD) 带来了重大的经济和临床挑战.
- 现有的治疗方法,如常规治疗 (TAU),在有效管理BD方面存在局限性.
- 基于正念的认知疗法 (MBCT) 显示了改善BD管理的潜力.
研究的目的:
- 评估MBCT+TAU与TAU单独用于患有BD的成年人的成本效益和成本效益.
- 确定将MBCT纳入双相情感障碍的标准护理中的经济价值.
- 为BD治疗中的临床决策提供经济证据.
主要方法:
- 从社会角度进行的15个月的经济评估.
- 结果以每个质量调整寿命年 (QALYs) 的成本和每位受访者的成本来衡量.
- 使用"抑郁症症状学临床医生评分量表"进行疗效评估.
主要成果:
- 与单独的TAU相比,MBCT + TAU的总社会成本 (€615的差异) 和医疗保健成本较低.
- 在MBCT + TAU的QALY中观察到一个小的收益,以及成本的降低 (基线调整后的-836欧元).
- 增量成本效益比率占主导地位,MBCT + TAU的成本效益概率为65%.
结论:
- 与单独使用TAU相比,MBCT + TAU是治疗双相情感障碍的成本有效策略.
- 整合MBCT到TAU导致改善健康结果和降低整体成本.
- 这些发现支持采用MBCT + TAU来增强双相情感障碍治疗经济性.
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