COMPARING THE COST-EFFECTIVENESS OF PSYCHIATRIC TREATMENTS - BULIMIA-NERVOSA

被引：24

作者：

KORAN, LM

AGRAS, WS

ROSSITER, EM

ARNOW, B

SCHNEIDER, JA

TELCH, CF

RAEBURN, S

BRUCE, B

PERL, M

KRAEMER, HC

机构：

[1] Department of Psychiatry and Behavioral Sciences, Stanford University Medical Center, Stanford, CA 94305, 401 Quarry Road

来源：

PSYCHIATRY RESEARCH | 1995年 / 58卷 / 01期

关键词：

COST-BENEFIT ANALYSIS; EATING DISORDER; DESIPRAMINE; COGNITIVE-BEHAVIORAL THERAPY;

D O I：

10.1016/0165-1781(95)02681-L

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

We conducted an exploratory post hoc study that compared the cost effectiveness of five treatments for bulimia nervosa: 15 weeks of cognitive behavioral therapy (CB) followed by three monthly sessions, 16 weeks (Med(16)) and 24 weeks (Med(24)) of desipramine (less than or equal to 300 mg/day), and CB combined with dysproteinemia for those durations (Combo(16) and Combo(24)). We illustrate how a treatment's cost effectiveness varies according to when evaluation is done and how effectiveness and cost are defined. At 32 weeks, Med(16) appears the most cost-effective treatment, and Combo(16) appears the least. At 1 year, Med(24) appears the most cost-effective treatment, and Combo(16) appears the least. Using this post hoc analysis as an example, we discuss the pitfalls and limitations of cost-effectiveness analysis of psychiatric treatments.

引用

页码：13 / 21

页数：9

共 22 条

[1]

ABBOTT DW, 1993, PSYCHOPHARMACOL BULL, V29, P115

[2]

AGRAS WS, 1994, J CLIN PSYCHIAT, V55, P179

[3]

AGRAS WS, 1992, AM J PSYCHIAT, V149, P82

[4]

FRANK E, 1990, ARCH GEN PSYCHIAT, V47, P1093

[5]

GARNER DM, 1993, AM J PSYCHIAT, V150, P37

[6] COST-EFFECTIVENESS IN THE TREATMENT OF PATIENTS WITH SCHIZOPHRENIA [J].

GOLDBERG, D .

ACTA PSYCHIATRICA SCANDINAVICA, 1994, 89 :89-92

[7] ASSESSING THE COMPARATIVE COST-EFFECTIVENESS OF ALCOHOLISM TREATMENTS - A COMMENT ON HOLDER, LONGABAUGH, MILLER AND RUBONIS [J].

HOWARD, MO .

JOURNAL OF STUDIES ON ALCOHOL, 1993, 54 (06) :667-675

[8]

KRAEMER HC, 1987, MANY SUBJECTS STATIS

[9]

KRUPNICK JL, 1992, AM J PSYCHIAT, V149, P1295

[10]

MELTZER HY, 1993, AM J PSYCHIAT, V150, P1630

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