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Effectiveness and Cost Offset Analysis of Group CBT for Hypochondriasis Delivered in a Psychiatric Setting: An Open Trial

机译:在精神科环境中进行的针对软骨症的小组CBT的有效性和成本抵消分析:公开试验

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Hypochondriasis is highly prevalent in medical settings, has detrimental effects for affected individuals, and is associated with high societal costs. Although cognitive behavior therapy (CBT) has been shown to be effective in the treatment of hypochondriasis, it is not widely available because of a lack of properly trained therapists. Therefore, it is essential to evaluate therapy forms that require less therapist time. The authors investigated the effect and economic impact of group CBT delivered in a psychiatric setting among 24 people with hypochondriasis. A within-group design with prolonged baseline was used, and all participants received 10 weeks of group-based treatment. The primary outcome measures were the Health Anxiety Inventory and the Illness Attitude Scales. Results indicate significant improvement on both measures at posttreatment and 6-month follow-up (Cohen's d = 1.03-1.72). Medical and nonmedical costs were substantially lowered. The authors conclude that group-based CBT delivered in a psychiatric setting is an effective and potentially highly cost-effective treatment for hypochondriasis.View full textDownload full textKeywordscognitive behavior therapy, group format, hypochondriasis, cost offset analysisRelated var addthis_config = { ui_cobrand: "Taylor & Francis Online", services_compact: "citeulike,netvibes,twitter,technorati,delicious,linkedin,facebook,stumbleupon,digg,google,more", pubid: "ra-4dff56cd6bb1830b" }; Add to shortlist Link Permalink http://dx.doi.org/10.1080/16506073.2010.496460
机译:软骨病在医疗环境中非常普遍,对受影响的个体具有有害影响,并伴有较高的社会成本。尽管认知行为疗法(CBT)已被证明可有效治疗软骨病,但由于缺乏训练有素的治疗师,其尚未广泛使用。因此,评估需要较少治疗师时间的治疗形式至关重要。作者研究了在精神病患者中向24名软骨症患者提供CBT的效果和经济影响。采用基线延长的组内设计,所有参与者均接受了10周的基于组的治疗。主要结局指标为健康焦虑量表和疾病态度量表。结果表明在后处理和6个月的随访(Cohen d = 1.03-1.72)的两项措施的显着改善。医疗和非医疗成本大大降低。作者得出的结论是,在精神科环境中进行的基于小组的CBT是一种有效的且可能具有很高成本效益的治疗软骨病的方法。 &Francis Online”,services_compact:“ citeulike,netvibes,twitter,technorati,delicious,linkedin,facebook,stumbleupon,digg,google,更多”,发布号:“ ra-4dff56cd6bb1830b”};添加到候选列表链接永久链接http://dx.doi.org/10.1080/16506073.2010.496460

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