Back to Search
Start Over
Mindfulness-based cognitive therapy for patients with medically unexplained symptoms: A cost-effectiveness study
- Source :
- Journal of Psychosomatic Research, 74, 3, pp. 197-205, Journal of Psychosomatic Research, 74, 197-205
- Publication Year :
- 2013
-
Abstract
- Item does not contain fulltext OBJECTIVE: Our aim was to assess cost-effectiveness of mindfulness-based cognitive therapy (MBCT) compared with enhanced usual care (EUC) in treating patients with persistent medically unexplained symptoms(MUS). METHODS: A full economic evaluation with a one year time horizon was performed from a societal perspective. Costs were assessed by prospective cost diaries. Health-related Quality of Life was measured using SF-6D. Outcomes were costs per Quality-Adjusted Life Year (QALY). Bootstrap simulations were performed to obtain mean costs, QALY scores and incremental cost-effectiveness ratios (ICERs). RESULTS: MBCT participants (n=55) had lower hospital costs and higher mental health care costs than patients who received EUC (n=41). Mean bootstrapped costs for MBCT were euro6269, and euro5617 for EUC (95% uncertainty interval for difference: -euro1576; euro2955). QALYs were 0.674 for MBCT and 0.663 for EUC. MBCT was on average more effective and more costly than EUC, resulting in an ICER of euro56,637 per QALY gained. At a willingness to pay of euro80,000 per QALY, the probability that MBCT is cost-effective is 57%. CONCLUSION: Total costs were not statistically significantly different between MBCT and EUC. However, MBCT seemed to cause a shift in the use of health care resources as mental health care costs were higher and hospital care costs lower in the MBCT condition. Due to the higher drop-out in the EUC condition the cost-effectiveness of MBCT might have been underestimated. The shift in health care use might lead to more effective care for patients with persistent MUS. The longer-term impact of MBCT for patients with persistent MUS needs to be further studied.
- Subjects :
- Adult
Male
medicine.medical_specialty
Cost effectiveness
Cost-Benefit Analysis
medicine.medical_treatment
DCN PAC - Perception action and control
Mental health [NCEBP 9]
Somatoform disorders
Quality of Care [ONCOL 4]
Quality of life (healthcare)
Medically unexplained symptoms
Surveys and Questionnaires
Health care
Humans
Medicine
health care economics and organizations
Mindfulness-based cognitive therapy
Psychiatric Status Rating Scales
Cognitive Behavioral Therapy
business.industry
Cost-effectiveness analysis
Effective primary care and public health [NCEBP 7]
Middle Aged
Exercise Therapy
Quality-adjusted life year
Psychiatry and Mental health
Clinical Psychology
Meditation
Treatment Outcome
Evaluation of complex medical interventions [NCEBP 2]
Economic evaluation
Physical therapy
Cognitive therapy
Female
Cost-effectiveness
Quality-Adjusted Life Years
business
Mindfulness
Follow-Up Studies
Subjects
Details
- ISSN :
- 00223999
- Volume :
- 74
- Database :
- OpenAIRE
- Journal :
- Journal of Psychosomatic Research
- Accession number :
- edsair.doi.dedup.....d7e8015faca4cef49c960fa778f7f156