辅助神经反的成本效益与创伤后应激障碍的心理治疗或药物治疗
Jeffrey D Voigt1, Aron Tendler2, Carl Marci3
1Medical Device Consultants of Ridgewood, Ridgewood, NJ 07450, USA.
Healthcare (Basel, Switzerland)
|October 16, 2025
概括
神经反加上其他疗法 (NF + OT) 是创伤后应激障碍 (PTSD) 的一个具有成本效益的治疗方法. 与单独使用标准疗法相比,NF + OT 显示出更好的结果和更低的成本.
科学领域:
- 心理健康 心理健康
- 卫生经济学 卫生经济学
- 神经科学是一个神经科学.
背景情况:
- 创伤后应激障碍 (PTSD) 是一个重要的心理健康问题.
- 神经反 (NF) 显示出作为PTSD辅助治疗的潜力.
- 对于PTSD的NF的成本效益以前没有被评估.
研究的目的:
- 评估神经反加其他疗法 (NF + OT) 与指导方针推的单独治疗PTSD的成本效益.
- 评估NF + OT对临床结果和医疗保健资源利用的影响.
主要方法:
- 马尔科夫模型是使用TreeAge软件开发的,用于在1-3年内将NF + OT与心理治疗和药物治疗进行比较.
- 用医疗保险费率和现有文献来估计成本.
- 通过降低CAPS-5分数来衡量有效性,并通过回归分析将其转换为质量调整后寿命年 (QALY).
主要成果:
- 在CAPS-5分数中,NF + OT带来了更大的改善,并且比其他疗法更便宜.
- 在基准情况下,NF + OT比心理治疗便宜2568美元 - 4140美元,比药物治疗便宜2282美元 - 7217美元.
- 与心理治疗相比,QALYs提高了0.04,与药物治疗相比提高了0.24;在模拟中,NF + OT占心理治疗的12%,而药物治疗占时间的26.5%.
结论:
- NF + OT为PTSD提供了一个具有成本效益的治疗选择.
- 这些发现表明,NF + OT应被视为标准PTSD治疗方案的有价值的补充.
- 对长期结果和更广泛的实施进行进一步的研究是有必要的.
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