Cost-Effectiveness of Cognitive-Behavioural Therapy for Mental Disorders: Implications for Public Health Care Funding Policy in Canada

Myhr, Gail; Payne, Krista A.

doi:10.1177/070674370605101006

Cited by 67 publications

(52 citation statements)

References 45 publications

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“…43 If a patient cannot access a treatment, the theoretical cost to the patient of that treatment is irrelevant. However, if access could be improved, the publicly funded system would offer significant advantages over the copayment strategy that might have negatively influenced CBT results in STAR*D.…”

Section: Patient Choice Equipoise-stratified Randomizationmentioning

confidence: 99%

The Sequenced Treatment Alternatives to Relieve Depression (STAR*D) Trial: A Review

2010

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T he STAR*D trial is one of several NIMH-sponsored effectiveness trials of mental health pharmacotherapy and psychotherapy that attempt to examine typical patients in a real-world setting. STAR*D differs from standard RCTs in 6 key ways. The first 3 pertain to study generalizability; that is, broad inclusion criteria with few exclusion criteria, the integration of patient choice, and open-label treatment. The latter 3 pertain to improving treatment strategies; that is, the use of measurement-based care, the use of remission as the primary outcome, and a sequenced treatment approach, including substitution, augmentation, and combination strategies. Rationale for the Effectiveness Study Commonly, RCTs in the unipolar major depression literature recruit patients who are carefully selected to have minimal psychiatric, medical, or substance comorbidities. 1,2 Further, as a result of growing placebo response rates in these trials,

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Section: Patient Choice Equipoise-stratified Randomizationmentioning

confidence: 99%

The Sequenced Treatment Alternatives to Relieve Depression (STAR*D) Trial: A Review

2010

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“…Examples of such outcomes have been previously described using a classification framework informed by stakeholders of Ontario's health and safety system (Table 1) and may be informative for future research in this area. There are narrative reviews [42,43] concluding that cognitive-behavioural therapy and interpersonal therapy reduce work disability and are costeffective.…”

Section: Discussionmentioning

confidence: 99%

Systematic Review of Intervention Practices for Depression in the Workplace

et al. 2011

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Design Systematic Review. Objective To determine which intervention approaches to manage depression in the workplace have been successful and yielded value for employers in developed economies. Data Sources We searched MEDLINE, EMBASE, CINAHL, Central, PsycINFO, and Business Source Premier up to June 2010 using search terms in four broad areas: work setting, depression, intervention, and work outcomes. Study Selection Two independent reviewers selected potential articles that met the following criteria: working age individuals with mild or moderate depression; interventions or programs that were workplace-based or could be implemented and/or facilitated by the employer; inclusion of a comparator group in the analysis; outcomes of prevention, management, and recurrences of work disability or sickness absence, and work functioning. Methods Two reviewers independently reviewed each article for quality and extracted data using standardised forms. Following guidelines from the GRADE Working Group, the quality of evidence addressing each outcome was graded as high, moderate, low, or very low on the basis of six criteria: study design, risk of bias, consistency, generalisability, data precision, and economic benefit. Using this information and following Cochrane Collaboration guidelines, the findings for each intervention were summarised and key messages were developed. Results We identified ten randomised trials and two non-randomised studies from various countries and jurisdictions that evaluated a wide range of intervention practices. The evidence was graded as Access to Data Andrea Furlan had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.Electronic supplementary material The online version of this article

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“…3 Empirical support for Cognitive Behaviour Therapy (CBT) as an intervention is growing. 5 CBT versus pharmacotherapy has many advantages, including reduced patient dropouts, reduced relapses, reduced side effects, and an improvement in patient satisfaction. Treatment with psychiatric medication as compared to CBT requires Effectiveness of a nurse facilitated cognitive group intervention among mild to moderately-depressed-women in KwaZulu-Natal, South Africa continuous administration and compliance to be effective.…”

Section: Introductionmentioning

confidence: 99%

“…Treatment with psychiatric medication as compared to CBT requires Effectiveness of a nurse facilitated cognitive group intervention among mild to moderately-depressed-women in KwaZulu-Natal, South Africa continuous administration and compliance to be effective. 5 CBT provides a "time-limited", "empirically-grounded", "evidenced based treatment-intervention" for use by depressed patients. 6 It is effective in treating acute depression, has prophylactic effects and is accessible and adaptable to different population groups and settings.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of a nurse facilitated cognitive group intervention among mild to moderately-depressed-women in KwaZulu-Natal, South Africa

Chetty

Hoque

2013

Afr. J. Psych

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Objective: The purpose of the study was to determine the effectiveness of a nurse-facilitated-cognitive-group (NFCG) intervention as an adjunct to antidepressant medication, in mild to moderately, depressed women. Method: This was a quasi-experimental, nonequivalent, control group design study. A sample of 30 consenting participants was selected from an urban, community psychiatric clinic, and the participants were randomly allocated to the control and the intervention groups. The effectiveness of the intervention was measured using the Beck Depression Inventory (BDI). Results: After six weeks of implementation of the NFCG intervention, there was a decrease in the BDI scores of the intervention group, and an increase in the BDI scores in the control group (CG) -but the difference in scores was not significant (Student's t-test=1.076, p=0.291). After 12 weeks of the group intervention, the BDI scores for the intervention group, showed a considerable reduction in their levels of depression, whilst the participants of the control group had a further increase in their scores. There was a statistically significant difference between the groups, with respect to the BDI scores (p<0.001). The Friedman test indicated that the mean BDI scores, were statistically significant (p<0.001) within the intervention group, meaning that the BDI scores improved, at the end of the intervention for all the participants. Analysis of the BDI scores, using the Friedman test, showed that there was no improvement in the control group (p=0.597). Conclusion: The NFCG intervention, as an adjunct to antidepressant medication, contributed to a reduction in depressive symptoms.

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Cost-Effectiveness of Cognitive-Behavioural Therapy for Mental Disorders: Implications for Public Health Care Funding Policy in Canada

Cited by 67 publications

References 45 publications

The Sequenced Treatment Alternatives to Relieve Depression (STAR*D) Trial: A Review

The Sequenced Treatment Alternatives to Relieve Depression (STAR*D) Trial: A Review

Systematic Review of Intervention Practices for Depression in the Workplace

Effectiveness of a nurse facilitated cognitive group intervention among mild to moderately-depressed-women in KwaZulu-Natal, South Africa

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