PMID: 15231556Jul 3, 2004Paper

Cost-effectiveness of computerised cognitive-behavioural therapy for anxiety and depression in primary care: randomised controlled trial

The British Journal of Psychiatry : the Journal of Mental Science
Paul McCroneAndre Tylee

Abstract

Cognitive-behavioural therapy (CBT) is effective for treating anxiety and depression in primary care, but there is a shortage of therapists. Computer-delivered treatment may be a viable alternative. To assess the cost-effectiveness of computer-delivered CBT. A sample of people with depression or anxiety were randomised to usual care (n=128) or computer-delivered CBT (n=146). Costs were available for 123 and 138 participants, respectively. Costs and depression scores were combined using the net benefit approach. Service costs were 40 British pounds (90% CI - 28 British pounds to 148 British pounds) higher over 8 months for computer-delivered CBT. Lost-employment costs were 407 British pounds (90% CI 196 British pounds to 586 British pounds) less for this group. Valuing a 1-unit improvement on the Beck Depression Inventory at 40 British pounds, there is an 81% chance that computer-delivered CBT is cost-effective, and it revealed a highly competitive cost per quality-adjusted life year. Computer-delivered CBT has a high probability of being cost-effective, even if a modest value is placed on unit improvements in depression.

Associated Clinical Trials

References

Jun 16, 1990·Lancet·M Beck
Jan 1, 1986·Psychotherapy and Psychosomatics·I Marks
Mar 1, 1995·The American Journal of Psychiatry·G SimonW Barlow
Sep 1, 1996·Nursing Research·C T Beck
Dec 1, 1996·Journal of Personality Assessment·A T BeckW Ranieri
Nov 1, 1996·Acta Psychiatrica Scandinavica·M C Angermeyer, H Matschinger
Jul 22, 1998·Archives of General Psychiatry·J R LaveM S Kamlet
Sep 25, 1999·Health Affairs·R C KesslerP Wang
Mar 23, 2000·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·S CrystalR Kumar
Apr 23, 2002·The Journal of Mental Health Policy and Economics·Patrizia BertoFortunato Rizzo
Jul 3, 2004·The British Journal of Psychiatry : the Journal of Mental Science·Judith ProudfootJeffrey A Gray
Jan 1, 2001·International Journal of Psychiatry in Clinical Practice·A Tylee

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Citations

Aug 5, 2010·Current Psychiatry Reports·Kathleen M Carroll, Bruce J Rounsaville
Sep 28, 2010·Current Psychiatry Reports·Joyce A Spurgeon, Jesse H Wright
Apr 15, 2009·Behavioural and Cognitive Psychotherapy·Paul AbelesJudy Proudfoot
Mar 24, 2009·Cognitive Behaviour Therapy·Paul McCroneMichael McDonough
Aug 18, 2010·Cyberpsychology, Behavior and Social Networking·C BotellaM Alcañiz
Feb 5, 2013·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Klemen Naveršnik, Aleš Mrhar
Mar 1, 2013·BMC Medical Informatics and Decision Making·Raymond L OwnbyJoshua Caballero
Oct 2, 2013·BMC Health Services Research·Leona Hakkaart-van RoijenRobbert Huijsman
Dec 21, 2010·Journal of Medical Internet Research·Lisanne WarmerdamPim Cuijpers
Dec 21, 2010·Journal of Medical Internet Research·Jennifer NicholasMeg Smith
Oct 30, 2012·Journal of Medical Internet Research·Bregje A J van SpijkerAd J F M Kerkhof
Oct 13, 2006·Journal of Medical Internet Research·Lee M RitterbandPim Cuijpers
Jul 17, 2007·Primary Care Companion to the Journal of Clinical Psychiatry
Jun 6, 2014·Journal of Medical Internet Research·Vijaya ManicavasagarGordon Parker
Dec 21, 2013·The British Journal of Psychiatry : the Journal of Mental Science·Linda HorrellUNKNOWN CLASSIC trial group
Apr 18, 2013·Administration and Policy in Mental Health·Lauren C SantucciDavid H Barlow
Oct 1, 2014·Journal of Women's Health·Deborah R KimC Neill Epperson
Mar 8, 2013·Journal of Crohn's & Colitis·Andrew M McCombieRichard B Gearry
Jul 2, 2009·The British Journal of Psychiatry : the Journal of Mental Science·L E de GraafM J H Huibers
Apr 2, 2010·The British Journal of Psychiatry : the Journal of Mental Science·Gavin Andrews
Apr 2, 2010·The British Journal of Psychiatry : the Journal of Mental Science·S A H GerhardsS M A A Evers
Oct 5, 2010·The British Journal of Psychiatry : the Journal of Mental Science·Sandra HollinghurstDavid Kessler
Sep 29, 2011·The British Journal of Psychiatry : the Journal of Mental Science·David EkersAdele Hayes
Jun 1, 2007·Expert Review of Pharmacoeconomics & Outcomes Research·Björn PalmqvistGerhard Andersson
Dec 6, 2006·Expert Review of Neurotherapeutics·Gerhard Andersson
Jan 23, 2016·Clinical Psychopharmacology and Neuroscience : the Official Scientific Journal of the Korean College of Neuropsychopharmacology·Young Sup WooRoger S McIntyre
Oct 8, 2013·Journal of Substance Abuse Treatment·Katherine E WatkinsErin de la Cruz

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