超越冥想 (TM) 治疗创伤后应激障碍 (PTSD) 的成本效益
Erik J Groessl1,2, Thomas R Rutledge1,3
1VA San Diego Healthcare System, San Diego, CA, United States of America.
PloS one
|February 6, 2025
概括
超越冥想 (TM) 是对患有创伤后应激障碍 (PTSD) 的退伍军人的一种具有成本效益的治疗方法. 这项分析发现,与其他疗法相比,TM改善了健康结果,并降低了总医疗费用.
科学领域:
- 心理健康研究 心理健康研究
- 卫生经济学 卫生经济学
- 临床心理学 临床心理学
背景情况:
- 创伤后应激障碍 (PTSD) 显著影响退伍军人的福祉.
- 超越冥想 (TM) 已经显示出作为一种非创伤焦点的PTSD治疗的希望.
- 评估治疗的成本效益对于资源分配至关重要.
研究的目的:
- 评估超越冥想 (TM) 对治疗患有PTSD的退伍军人的成本效益.
- 将TM与长期暴露 (PE) 和健康教育 (HE) 控制组进行比较.
主要方法:
- 一项随机对照试验,涉及203名患有PTSD的退伍军人.
- 参与者被分配到TM,PE或HE组,12个会议超过12周.
- 马尔科夫模型分析了使用试验数据,医疗保健成本和健康实用价值在5年时间的成本效益.
主要成果:
- 超越冥想 (TM) 是主要的策略,比PE和HE更具成本效益.
- 每12次TM的费用为1504美元,而PE的费用为2822美元,HE的费用为492美元.
- 不响应者的更高医疗费用抵消了干预成本差异,而TM显示出了强的结果.
结论:
- 超越冥想 (TM) 是对退伍军人PTSD的一种经济有效的干预措施.
- 与PE和HE相比,TM表现出优异的结果和降低的总成本.
- 建议进行进一步的试验,并广泛采用TM治疗PTSD.
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