Cost-Effectiveness of Psychological and Pharmacological Interventions for Generalized Anxiety Disorder and Panic Disorder

Heuzenroeder, Louise; Donnelly, Marie; Haby, Michelle M.; Mihalopoulos, Cathrine; Rossell, Ruth; Carter, Rob; Andrews, Gavin; Vos, Theo

doi:10.1080/j.1440-1614.2004.01423.x

Cited by 142 publications

(81 citation statements)

References 32 publications

(44 reference statements)

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“…Psychological intervention can contribute in some way for the reduction of benzodiazepine use. Several studies assume that psychological intervention is very effective, as pharmacological treatment at short-term, however it is more effective with long-term treatment (17,34). In fact, the results of this study indicate that participants who have psychological intervention consume more benzodiazepines than those do not have psychological intervention, which will be understandable.…”

Section: Discussionsupporting

confidence: 53%

“…A intervenção psicológica pode contribuir de alguma forma para a diminuição do consumo de benzodiazepinas. Vários estudos indicam que a intervenção psicológica será pelo menos tão eficaz como o tratamento farmacológico a curto prazo, apresentando efeitos mais eficazes a longo prazo (17,34). Na verdade, os resultados deste estudo indicam que os participantes que beneficiam de acompanhamento psicológico consomem mais benzodiazepinas do que aqueles que não o fazem, o que será compreensível.…”

Section: Discussionunclassified

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The benzodiazepines use and psychological intervention in a Porto health center

Regalado

Rocha

Duarte

et al. 2017

BBR

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161 Biomedical and Biopharmaceutical Research J o r n a l d e I n v e s t i g a ç ã o B i o m é d i c a e B i o f a r m a c ê u t i c a The benzodiazepines use and psychological intervention in a Porto health center AbstractThe misuse of benzodiazepines is a well know public health problem. For this reason, it is more and more relevant to monitor misuse and try to implement solutions. We aim to understand the use of benzodiazepines in a health center population in the city of Porto, as well the connections with present, past and future psychological intervention. We have built a questionnaire to assess usage of both benzodiazepines and psychological services. Our sample population included individuals older than 18 years who picked up our questionnaire in health center waiting rooms. A total of 352 participants, 258 females and 92 males, answered the questionnaire.Results points to an excessive use of benzodiazepines, especially in older persons, divorced or widowed, and females. We found a significant association between the current interest in receiving psychological intervention and the use of benzodiazepines. In the same way, the participants who have received psychological intervention use benzodiazepines less in comparison to the participants who are still receiving psychological intervention. In conclusion, there is an abuse of benzodiazepines in this health center, and few access to psychological intervention that may have good results reducing benzodiazepines abuse. Keywords: psychological intervention; benzodiazepines; primary health careResumo O uso inadequado de benzodiazepinas é um problema de saúde pública bem conhecido e, por isso, é particularmente relevante a sua monitorização e a implementação de soluções adequadas. Pretendemos conhecer a realidade dos utentes de um Centro de Saúde na Cidade do Porto relativamente ao consumo de benzodiazepinas, bem como a sua relação com o acompanhamento psicológico passado, atual ou futuro por parte dos mesmos. Foi construído um inquérito por questionário. Foi aplicado a indivíduos com mais de 18 anos nas salas de espera do Centro de Saúde. Responderam ao questionário 352 participantes, dos quais 258 mulheres e 92 homens. Os resultados obtidos apontam para um consumo excessivo de benzodiazepinas com predominância nas pessoas com mais idade, divorciadas ou viúvas, e do sexo feminino. Verificou-se uma associação significativa entre o interesse atual em ter acompanhamento psicológico e o consumo de benzodiazepinas. Os utentes que beneficiaram de acompanhamento psicológico consomem menos benzodiazepinas, quando comparados com os que ainda estão em acompanhamento. Em conclusão, pode salientar-se que existe um consumo desproporcionado de benzodiazepinas nos cuidados de saúde primários, havendo um acesso reduzido à intervenção psicológica que pode apresentar bons resultados ao nível da redução da utilização destes fármacos.Palavras-chave: acompanhamento psicológico; benzodiazepinas; cuidados de saúde primários

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Section: Discussionsupporting

confidence: 53%

Section: Discussionunclassified

The benzodiazepines use and psychological intervention in a Porto health center

Regalado

Rocha

Duarte

et al. 2017

BBR

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“…For all 4 disorders, optimal care resulted in a 1.5 to 2-fold increase in cost-effectiveness. A second paper looked at the impact of an optimal care package for PD and GAD on direct treatment costs for the population over a 1-year period (43). CBT by a public psychologist proved to be the most cost-effective intervention for anxiety.…”

Section: Abbreviations Used In This Articlementioning

confidence: 99%

“…Six health economic studies of CBT for anxiety disorders were identified (10,11,14,33,43,45). A total of 232 primary care patients with PD were randomized to a combined CBT and pharmacology condition or to TAU (33).…”

Section: Abbreviations Used In This Articlementioning

confidence: 99%

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

Myhr

Payne

2006

Can J Psychiatry

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T he total cost of mental illness in Canada has been estimated at $14.4 billion (1998 dollars), which includes both direct and indirect costs (1). Mental illness accounts for more than 50% of physician billing and uses more hospital bed-days than cancer (2). Medications are considered first-line, mainstay treatment for mental health disorders and contribute most to rising care costs (3). There is growing interest, therefore, in nonpharmacologic interventions with strong empirical support, such as CBT.

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“…However, when state-of-theart CBT is available to patients, we believe this intervention can be offered alone and achieve results that rival combination treatment in many cases and offer the potential for greater durability of treatment and lower cost. 40,48 Nonetheless, we do recommend consideration of combination treatment when non-response is encountered in one or the other treatment modalities. There is also evidence suggesting that patients who fail to respond to CBT for PD can achieve benefits from subsequent pharmacotherapy, and as we observed, there are a number of small studies indicating that nonresponders to medication treatment of PD can do well in CBT.…”

Section: Dependence On Relativesmentioning

confidence: 99%

Terapia cognitivo-comportamental no transtorno de pânico

Manfro

Heldt

Cordioli

et al. 2008

Rev. Bras. Psiquiatr.

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Introduction Panic disorder (PD) is characterized by the presence of sudden anxiety attacks, followed by physical and affective symptoms, fear of having a new attack and avoidance of events or situations in which panic attacks have occurred.1 The course of PD tends to be chronic in the majority of patients, 2,3 and PD is associated with a reduced quality of life and impaired psychosocial functioning.

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Cost-Effectiveness of Psychological and Pharmacological Interventions for Generalized Anxiety Disorder and Panic Disorder

Cited by 142 publications

References 32 publications

The benzodiazepines use and psychological intervention in a Porto health center

The benzodiazepines use and psychological intervention in a Porto health center

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

Terapia cognitivo-comportamental no transtorno de pânico

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