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

  • Filip Smit (a1), Godelief Willemse (a2), Marc Koopmanschap (a3), Simone Onrust (a2), Pim Cuijpers (a4) and Aartjan Beekman (a5)...
Abstract
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.

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Copyright
Corresponding author
Filip Smit, Department of Prevention and Early Intervention, Trimbos Institute, PO Box 725, 2500 AS Utrecht, The Netherlands. Tel: +31 30 295 9254; fax: +31 30 297 1111; e-mail: fsmit@trimbos.nl
Footnotes
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Declaration of interest

None. Funding detailed in Acknowledgements.

Footnotes
References
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Cost-effectiveness of preventing depression in primary care patients: Randomised trial

  • Filip Smit (a1), Godelief Willemse (a2), Marc Koopmanschap (a3), Simone Onrust (a2), Pim Cuijpers (a4) and Aartjan Beekman (a5)...
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