The British Journal of Psychiatry (2006) 188: 323-329. doi: 10.1192/bjp.188.4.323
© 2006 The Royal College of Psychiatrists
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Cost-utility of brief psychological treatment for depression and anxiety

LEONA HAKKAART-VAN ROIJEN, PhD

Institute for Medical Technology Assessment, Erasmus Medical Centre, Rotterdam

ANNEMIEKE VAN STRATEN, PhD

Department of Health Policy and Management, Erasmus Medical Centre, Rotterdam and Trimbos Institute, Utrecht

MAIWENN AL, PhD and FRANS RUTTEN, PhD

Institute for Medical Technology Assessment, Erasmus Medical Centre, Rotterdam

MARIANNE DONKER, PhD

Department of Health Policy and Management, Erasmus Medical Centre, Rotterdam, The Netherlands

Correspondence: Dr Leona Hakkaart-van Roijen, Institute for Medical Technology Assessment, PO Box 1738, 3000 DR Rotterdam, The Netherlands. Tel: +31 10 4088567; fax: +31 10 4089081; e-mail: l.hakkaart-vanroijen{at}erasmusmc.nl

Declaration of interest None. Funding detailed in Acknowledgements.

Background The cost-utility of brief therapy compared with cognitive–behavioural therapy (CBT) and care as usualin the treatment of depression and anxiety has not yet been determined.

Aims To assess the cost-utility of brief therapy compared with CBT and care as usual.

Method A pragmatic randomised controlled trial involving 702 patients was conducted at 7 Dutch mental healthcare centres (MHCs). Patients were interviewed at baseline and then every 3 months over a period of 1.5 years, during which time data were collected on directcosts, indirect costs and quality of life.

Results The mean direct costs of treatment at the MHCs were significantly lower for brief therapy than for CBTand care as usual.However, after factoring in other healthcare costs and indirect costs, no significant differences between the treatment groups could be detected.We found no significant differences in quality-adjusted life-years between the groups.

Conclusions Cost-utility did not differ significantly between the three treatment groups.


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