创伤后不久提供治疗师指导的在线干预的成本效益和成本效益:随机对照试验的结果
Maria Bragesjö1, Filip K Arnberg2,3, Erik Andersson4
1Department of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, & Stockholm Health Care Services, Sweden.
Internet interventions
|November 24, 2025
概括
早期数字创伤疗法 (CIPE) 是具有成本效益的,可以减少PTSD症状和社会成本. 这种由治疗师指导的干预措施显示了持续的好处,并且对于响应者和下值病例来说具有高成本效益的可能性.
科学领域:
- 心理健康 心理健康
- 卫生经济学 卫生经济学
- 数字治疗学数字治疗学
背景情况:
- 创伤事件很常见,导致严重的心理痛苦和社会成本.
- 早期的心理干预可以减轻创伤的长期影响.
- 密集互联网提供长期暴露 (CIPE) 是一种用于早期创伤暴露的新型数字干预.
研究的目的:
- 评估治疗师指导的,通过互联网提供的创伤早期干预 (CIPE) 的成本效益和成本效益.
- 从社会角度评估CIPE的经济影响,包括直接和间接成本.
- 确定CIPE在各种支付意愿值下具有成本效益的概率.
主要方法:
- 一个随机对照试验 (N=102) 将CIPE与等候名单对照进行比较.
- 社会成本分析汇总了直接的医疗和间接成本 (病假,生产力损失).
- 使用应答者状态和下值症状状态进行成本效益分析;使用质量调整寿命年 (QALYs) 进行成本效益分析.
主要成果:
- 与对照组相比,CIPE显著减少了创伤后压力症状.
- 高概率 (95%) 的CIPE在939-1181欧元的支付意愿门上具有成本效益.
- 每个获得的QALY的成本为2929-3636欧元,在12个月的随访中持续的影响.
结论:
- 在创伤后不久进行的治疗师指导数字暴露疗法 (CIPE) 是一种具有成本效益的早期干预.
- CIPE表现出有利的经济形象,减少了症状和相关的社会成本.
- 这些发现支持在早期创伤护理中更广泛地实施数字干预的潜力.
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