Cost-effectiveness of preventing depression in primary care patients Randomised trial

H.F.E. Smit; G. Willemse; M.A. Koopmanschap; S.A. Onrust; P. Cuijpers; A.T.F. Beekman

doi:10.1192/bjp.188.4.330

Cost-effectiveness of preventing depression in primary care patients Randomised trial

H.F.E. Smit, G. Willemse, M.A. Koopmanschap, S.A. Onrust, P. Cuijpers, A.T.F. Beekman

Clinical Psychology

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Abstract

Background Littleisknown aboutthe
cost-effectiveness of preventingmental
disorders.
Aims To study the cost-effectiveness of
care asusualplusminimal contact
psychotherapyrelative to usual care alone
inpreventingdepressive disorder.
Method An economic evaluationwas
conducted alongside a randomised clinical
trial.Primarycare patientswith subthreshold
depressionwere assignedto
minimal contactpsychotherapyplususual
care (n¼107) or to usual care alone
(n¼109).
Results Primarycarepatientswithsubthreshold
depression benefited from
minimal contactpsychotherapy asit
reducedthe riskofdevelopinga full-blown
depressive disorder from18% to12%.In
addition, this interventionhad a 70%
probabilityof beingmore cost-effective
thanusual care alone.Asensitivityanalysis
indicatedthe robustness of these results.
Conclusions Over1year adjunctive
minimal contactpsychotherapyimproved
outcomes and generatedlower costs.This
interventionis therefore superior to usual
care aloneinterms of cost-effectiveness.

Original language	English
Pages (from-to)	330-336
Journal	British Journal of Psychiatry
Volume	188
DOIs	https://doi.org/10.1192/bjp.188.4.330
Publication status	Published - 2006

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http://bjp.rcpsych.org/cgi/reprint/188/4/330

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title = "Cost-effectiveness of preventing depression in primary care patients Randomised trial",

abstract = "Background Littleisknown aboutthecost-effectiveness of preventingmentaldisorders.Aims To study the cost-effectiveness ofcare asusualplusminimal contactpsychotherapyrelative to usual care aloneinpreventingdepressive disorder.Method An economic evaluationwasconducted alongside a randomised clinicaltrial.Primarycare patientswith subthresholddepressionwere assignedtominimal contactpsychotherapyplususualcare (n¼107) or to usual care alone(n¼109).Results Primarycarepatientswithsubthresholddepression benefited fromminimal contactpsychotherapy asitreducedthe riskofdevelopinga full-blowndepressive disorder from18% to12%.Inaddition, this interventionhad a 70%probabilityof beingmore cost-effectivethanusual care alone.Asensitivityanalysisindicatedthe robustness of these results.Conclusions Over1year adjunctiveminimal contactpsychotherapyimprovedoutcomes and generatedlower costs.Thisinterventionis therefore superior to usualcare aloneinterms of cost-effectiveness.",

author = "H.F.E. Smit and G. Willemse and M.A. Koopmanschap and S.A. Onrust and P. Cuijpers and A.T.F. Beekman",

year = "2006",

doi = "10.1192/bjp.188.4.330",

language = "English",

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pages = "330--336",

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TY - JOUR

T1 - Cost-effectiveness of preventing depression in primary care patients Randomised trial

AU - Smit, H.F.E.

AU - Willemse, G.

AU - Koopmanschap, M.A.

AU - Onrust, S.A.

AU - Cuijpers, P.

AU - Beekman, A.T.F.

PY - 2006

Y1 - 2006

N2 - Background Littleisknown aboutthecost-effectiveness of preventingmentaldisorders.Aims To study the cost-effectiveness ofcare asusualplusminimal contactpsychotherapyrelative to usual care aloneinpreventingdepressive disorder.Method An economic evaluationwasconducted alongside a randomised clinicaltrial.Primarycare patientswith subthresholddepressionwere assignedtominimal contactpsychotherapyplususualcare (n¼107) or to usual care alone(n¼109).Results Primarycarepatientswithsubthresholddepression benefited fromminimal contactpsychotherapy asitreducedthe riskofdevelopinga full-blowndepressive disorder from18% to12%.Inaddition, this interventionhad a 70%probabilityof beingmore cost-effectivethanusual care alone.Asensitivityanalysisindicatedthe robustness of these results.Conclusions Over1year adjunctiveminimal contactpsychotherapyimprovedoutcomes and generatedlower costs.Thisinterventionis therefore superior to usualcare aloneinterms of cost-effectiveness.

AB - Background Littleisknown aboutthecost-effectiveness of preventingmentaldisorders.Aims To study the cost-effectiveness ofcare asusualplusminimal contactpsychotherapyrelative to usual care aloneinpreventingdepressive disorder.Method An economic evaluationwasconducted alongside a randomised clinicaltrial.Primarycare patientswith subthresholddepressionwere assignedtominimal contactpsychotherapyplususualcare (n¼107) or to usual care alone(n¼109).Results Primarycarepatientswithsubthresholddepression benefited fromminimal contactpsychotherapy asitreducedthe riskofdevelopinga full-blowndepressive disorder from18% to12%.Inaddition, this interventionhad a 70%probabilityof beingmore cost-effectivethanusual care alone.Asensitivityanalysisindicatedthe robustness of these results.Conclusions Over1year adjunctiveminimal contactpsychotherapyimprovedoutcomes and generatedlower costs.Thisinterventionis therefore superior to usualcare aloneinterms of cost-effectiveness.

U2 - 10.1192/bjp.188.4.330

DO - 10.1192/bjp.188.4.330

M3 - Article

SN - 0007-1250

VL - 188

SP - 330

EP - 336

JO - British Journal of Psychiatry

JF - British Journal of Psychiatry

ER -

Cost-effectiveness of preventing depression in primary care patients Randomised trial

Abstract

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