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首页> 外文期刊>The British journal of psychiatry : >Cost-effectiveness of preventing depression in primary care patients
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Cost-effectiveness of preventing depression in primary care patients

机译：预防初级保健患者抑郁的成本效益

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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 Primarycare 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.
机译：背景预防精神障碍的成本效益知之甚少。目的研究相对于单纯的常规护理而言，常规照护加上最小限度接触心理治疗的成本效益，以预防抑郁症。方法与随机临床试验一起进行经济评估。患有亚阈值以下抑郁症的初级保健患者被分配到最小接触心理治疗加常规护理（n = 107）或仅接受常规护理（n = 109）。结果患有亚阈值以下抑郁症的Primarycare患者受益于最小程度的接触心理治疗，因为它将患完全性抑郁症的风险从18％降低至12％。此外，这种干预措施比单独的常规护理更具成本效益的可能性为70％。敏感性分析表明了这些结果的稳健性。结论超过1年的辅助最小接触心理治疗改善了结局并降低了成本。因此，就成本效益而言，这种干预优于单独的常规护理。

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