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首页> 外文期刊>Journal of public health >Cost-effectiveness of cognitive-behavioral group therapy for dysfunctional fear of progression in chronic arthritis patients.
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Cost-effectiveness of cognitive-behavioral group therapy for dysfunctional fear of progression in chronic arthritis patients.

机译：认知行为小组疗法对慢性关节炎患者功能障碍性恐惧发展的成本效益。

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摘要

Anxiety disorders are widespread in patients with chronic diseases such as rheumatoid arthritis (RA). This paper targets the cost-effectiveness analysis of a cognitive-behavioral group therapy (CBT) in comparison to a client-centered, supportive-experiential group therapy (SET) in arthritis patients with dysfunctional fear of progression.From the societal perspective, direct costs were compared with the reduction of fear of progression over time. Means, their 95% confidence intervals (95% CI), the incremental cost-effectiveness graphic and the acceptability curve were obtained using 1000 non-parametric bootstrap replications.A total of 174 RA patients were included in the economic evaluation. The estimated means (95% CI) of direct costs and reduction of fear of progression were, respectively, ?7945.34 (5075.59; 11335.08) and 0.25 (-0.48; 0.99) for patients in the SET and 5619.25 ? (3950.67; 7708.52) and 0.94 (0.29; 1.62) for patients in the CBT. As the majority of the cost-effect pairs after bootstrap analysis were located in the southeast quadrant of the cost-effectiveness plane, the CBT can be considered a dominant intervention.The main result of our study is the higher cost-effectiveness of CBT in comparison to SET in RA patients with dysfunctional fear of progression.
机译：焦虑症广泛存在于患有类风湿关节炎（RA）等慢性疾病的患者中。本文针对患有功能障碍恐惧症的关节炎患者，以以行为者为中心的支持性体验式小组疗法（SET）与以患者为中心的支持性体验式小组疗法（SET）进行比较，以成本效益分析为目标。与减少随着时间推移而发展的恐惧进行比较。均值，95％置信区间（95％CI），增量成本效益图和可接受性曲线是使用1000个非参数自举程序复制获得的。经济评估包括174名RA患者。 SET和SET中患者的直接费用和对进展的恐惧减少的估计均值（95％CI）分别为？7945.34（5075.59; 11335.08）和0.25（-0.48; 0.99）。 CBT患者（3950.67; 7708.52）和0.94（0.29; 1.62）。由于引导分析后的大多数成本效应对都位于成本效益平面的东南象限，因此可以将CBT视为主要干预措施。我们研究的主要结果是，相比之下，CBT的成本效益更高。对患有功能障碍恐惧性进展的RA患者进行SET治疗。

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