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Cost-effectiveness of computerised cognitive–behavioural therapy for anxiety and depression in primary care: randomised controlled trial

McCrone, Paul, Knapp, Martin, Proudfoot, Judith, Ryden, Clash, Cavanagh, Kate, Shapiro, David A., Ilson, Sophie, Gray, Jeffrey A., Goldberg, David, Mann, Anthony, Marks, Isaac, Everitt, Brian and Tylee, Andre (2004) Cost-effectiveness of computerised cognitive–behavioural therapy for anxiety and depression in primary care: randomised controlled trial. British Journal of Psychiatry, 185 (1). pp. 55-62. ISSN 0007-1250

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Abstract

Background: Cognitive–behavioural therapy (CBT) is effective for treating anxiety and depression in primary care, but there is a shortage of therapists. Computer-delivered treatment may be a viable alternative. Aims: To assess the cost-effectiveness of computer-delivered CBT. Method: A sample of people with depression or anxiety were randomised to usual care (n=128) or computer-delivered CBT (n=146). Costs were available for 123 and 138 participants, respectively. Costs and depression scores were combined using the net benefit approach. Results: Service costs were £40 (90% CI – £28 to £ 148) higher over 8 months for computer-delivered CBT. Lost-employment costs were £407 (90% CI £196 to £586) less for this group. Valuing a 1-unit improvement on the Beck Depression Inventory at £40, there is an 81% chance that computer-delivered CBT is cost-effective, and it revealed a highly competitive cost per quality-adjusted life year. Conclusions: Computer-delivered CBT has a high probability of being cost-effective, even if a modest value is placed on unit improvements in depression.

Item Type: Article
Official URL: http://bjp.rcpsych.org
Additional Information: © 2004 Royal College of Psychiatrists
Library of Congress subject classification: B Philosophy. Psychology. Religion > BF Psychology
Sets: Departments > Social Policy
Research centres and groups > Personal Social Services Research Unit (PSSRU)
Research centres and groups > LSE Health
Research centres and groups > NIHR School for Social Care Research
Rights: http://www.lse.ac.uk/library/usingTheLibrary/academicSupport/OA/depositYourResearch.aspx
Date Deposited: 05 Sep 2008 14:33
URL: http://eprints.lse.ac.uk/15086/

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