TY - JOUR
KW - Adolescent
KW - Adult
KW - Aged
KW - Cognitive Therapy/economics
KW - Cost-Benefit Analysis
KW - Depressive Disorder/economics/prevention & control
KW - Female
KW - Health Care Costs
KW - Humans
KW - Male
KW - Middle Aged
KW - Primary Health Care/economics
AU - F. Smit
AU - G. Willemse
AU - M. Koopmanschap
AU - S. Onrust
AU - P. Cuijpers
AU - A. Beekman
A1 - 
AB - BACKGROUND: Little is known about the cost-effectiveness of preventing mental disorders. AIMS: To study the cost-effectiveness of care as usual plus minimal contact psychotherapy relative to usual care alone in preventing depressive disorder. METHOD: 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). RESULTS: 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. CONCLUSIONS: 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.
BT - The British journal of psychiatry : the journal of mental science
C5 - Financing & Sustainability
CY - England
DO - 10.1192/bjp.188.4.330
JF - The British journal of psychiatry : the journal of mental science
N2 - BACKGROUND: Little is known about the cost-effectiveness of preventing mental disorders. AIMS: To study the cost-effectiveness of care as usual plus minimal contact psychotherapy relative to usual care alone in preventing depressive disorder. METHOD: 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). RESULTS: 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. CONCLUSIONS: 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.
PP - England
PY - 2006
SN - 0007-1250; 0007-1250
SP - 330
EP - 336
EP - 
T1 - Cost-effectiveness of preventing depression in primary care patients: Randomised trial
T2 - The British journal of psychiatry : the journal of mental science
TI - Cost-effectiveness of preventing depression in primary care patients: Randomised trial
U1 - Financing & Sustainability
U2 - 16582059
U3 - 10.1192/bjp.188.4.330
VL - 188
VO - 0007-1250; 0007-1250
Y1 - 2006
ER -