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

Research output: Contribution to Journal › Article › Academic › peer-review

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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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SDG 3 Good Health and Well-being

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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 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.",

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",

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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 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.

AB - 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.

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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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