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Cost-effectiveness of preventing depression in primary care patients: randomised trial

Smit, Filip ; Willemse, Godelief ; Koopmanschap, Marc ; Onrust, Simone ; Cuijpers, Pim ; Beekman, Aartjan

The British journal of psychiatry : the journal of mental science, April 2006, Vol.188, pp.330-6 [Peer Reviewed Journal]

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  • Title:
    Cost-effectiveness of preventing depression in primary care patients: randomised trial
  • Author: Smit, Filip ; Willemse, Godelief ; Koopmanschap, Marc ; Onrust, Simone ; Cuijpers, Pim ; Beekman, Aartjan
  • Description: Little is known about the cost-effectiveness of preventing mental disorders. To study the cost-effectiveness of care as usual plus minimal contact psychotherapy relative to usual care alone in preventing depressive disorder. An economic evaluation was conducted alongside a randomised clinical trial. Primary care patients with sub-threshold depression were assigned to minimal contact psychotherapy plus usual care (n=107) or to usual care alone (n=109). Primary care patients with sub-threshold depression benefited from minimal contact psychotherapy as it reduced the risk of developing a full-blown depressive disorder from 18% to 12%. In addition, this intervention had a 70% probability of being more cost-effective than usual care alone. A sensitivity analysis indicated the robustness of these results. Over 1 year adjunctive minimal contact psychotherapy improved outcomes and generated lower costs. This intervention is therefore superior to usual care alone in terms of cost-effectiveness.
  • Is Part Of: The British journal of psychiatry : the journal of mental science, April 2006, Vol.188, pp.330-6
  • Identifier: ISSN: 0007-1250 ; PMID: 16582059 Version:1
  • Subjects: Cognitive Behavioral Therapy -- Economics ; Depressive Disorder -- Prevention & Control
  • Language: English
  • Source: MEDLINE/PubMed (U.S. National Library of Medicine)

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