对双相情感障碍中辅助心理社会疗法的成本效益分析
Mary Lou Chatterton1,2, Yong Yi Lee1,3,4, Long Khanh-Dao Le1
1School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
BJPsych open
|July 21, 2025
概括
护理人员和简短的精神教育是澳大利亚双极性障碍最具成本效益的辅助疗法. 这些干预措施提供了价值和金钱的价值,支持他们像成年人和家庭一样融入治疗.
科学领域:
- 卫生经济学 卫生经济学
- 精神病学是一个精神病学.
- 公共卫生政策 公共卫生政策
背景情况:
- 对于双相情感障碍管理中的辅助心理社会疗法存在有限的经济评估.
- 了解成本效益对澳大利亚医疗保健资源分配的信息至关重要.
研究的目的:
- 估计双相情感障碍成年人的各种面对面的社会心理治疗的成本效益.
- 为了比较心理教育,简短的心理教育,照顾者心理教育,CBT和家庭治疗作为通常治疗 (TAU) 的辅助.
- 为澳大利亚政府提供有关这些干预措施经济价值的观点.
主要方法:
- 开发了一个经济模型以估计澳元 (A$) 的成本和结果 (获得QALY,避免DALY).
- 与TAU (药物治疗) 添加的精神教育,简短的精神教育,照顾者精神教育,CBT和家庭治疗进行了比较.
- 利用网络元分析来评估复发风险,并进行敏感性分析来评估结果的稳定性.
主要成果:
- 照顾者心理教育在较低的支付意愿 (WTP) 门时最具成本效益.
- 简短的精神教育在更广泛的WTP门中成为首选的治疗方法,特别是在灵敏度分析中.
- 在基准病例和敏感性分析中,精神教育和CBT被发现占主导地位 (成本更高,效率更低).
结论:
- 护理者和简短的精神教育代表了澳大利亚双相情感障碍的最具成本效益的辅助心理社会疗法.
- 研究结果支持将这些疗法整合到患有双相情感障碍的成年人和他们的家人的日常护理中.
- 经济证据可以指导有关双相情感障碍心理社会干预的政策决策.
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