Utilising survey data to inform public policy: Comparison of the cost-effectiveness of treatment of ten mental disorders

Andrews, Gavin; Issakidis, Cathy; Sanderson, Kristy; Corry, Justine; Lapsley, Helen

doi:10.1192/bjp.184.6.526

Cited by 460 publications

(384 citation statements)

References 32 publications

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“…Furthermore, those who do seek treatment are frequently confronted with long waiting periods and often are not provided with evidencebased treatments [9]. Thus, it is important to develop evidence-based and cost effective treatments that are easily accessible for patients and that take up as little time of therapists and researchers as possible [10•].…”

Section: Introductionmentioning

confidence: 99%

Self-help interventions for anxiety disorders: An overview

Cuijpers

Schuurmans²

2007

Curr Psychiatry Rep

118

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Anxiety disorders are highly prevalent and are associated with a marked impairment in quality of life and a huge economic cost to society. Unfortunately, a considerable number of people who struggle with anxiety do not seek or receive adequate treatment. Self-help interventions have been proposed to constitute a relatively cheap, effective, efficient, and low-threshold intervention for anxiety disorders. This paper offers a critical discussion of their advantages and disadvantages and the evidence for their effectiveness. We conclude that guided self-help can play a major role in mental health care for patients with anxiety disorders. However, several research questions need to be answered before broad-scale dissemination is possible. The Internet will continue to play a prominent role in the further development of this field of research and clinical practice.

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Section: Introductionmentioning

confidence: 99%

Self-help interventions for anxiety disorders: An overview

Cuijpers

Schuurmans²

2007

Curr Psychiatry Rep

118

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“…The effect sizes found for treatments for mental disorders do not differ very much from those in general medical disorders (Leucht et al 2012), but still it is estimated that current treatments cannot take away more than one-third of the disease burden of depression, and then only in optimal conditions (Andrews et al 2004). And then there is the problem that more than 40% of the patients do not or only partially respond to treatment and less than one-third of the patients are completely recovered after treatment (Hollon et al 2002).…”

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confidence: 99%

The future of psychotherapy research: stop the waste and focus on issues that matter

Cuijpers

2015

Epidemiol Psychiatr Sci

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“…However, most anxiety disorder sufferers do not seek professional help (Bijl, Ravelli, & van Zessen, 2002;Haaga, 2000). When they do, they are commonly put on long wait lists (Lovell & Richards, 2000), and the treatment that they eventually receive is often not evidence-based (Andrews, Issakidis, Sanderson, Corry, & Lapsley, 2004). It is, therefore, important to develop evidencebased help that patients can access easily and that requires little time from a therapist (Hirai & Clum, 2006).…”

mentioning

confidence: 99%

Computer‐Aided Psychotherapy for Anxiety Disorders: A Meta‐Analytic Review

Cuijpers

Marks

Straten

et al. 2009

Cognitive Behaviour Therapy

391

263

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Abstract. Computer-aided psychotherapy (CP) is said to (1) be as effective as face-to-face psychotherapy, while requiring less therapist time, for anxiety disorder sufferers, (2) speed access to care, and (3) save traveling time. CP may be delivered on stand-alone or Internet-linked computers, palmtop computers, phone-interactive voice response, DVDs, and cell phones. The authors performed a meta-analysis of 23 randomised controlled studies (RCTs) that compared CP with non-CP in anxiety disorders: phobias, n510; panic disorder/agoraphobia, n59; PTSD, n53; obsessivecompulsive disorder, n51. Overall mean effect size of CP compared with non-CP was 1.08 (95% confidence interval: 0.84-1.32). CP and face-to-face psychotherapy did not differ significantly from each other (13 comparisons, d520.06). Much caution is needed when interpreting the findings indicating that outcome was unrelated to type of disorder, type of comparison group, mode of CP delivery (Internet, stand-alone PC, palmtop), and recency of the CP system and that effect size decreased when more therapist time was replaced by the computer. Because CP as a whole was as effective as face-to-face psychotherapy, certain forms of CP deserve to be integrated into routine practice.

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Utilising survey data to inform public policy: Comparison of the cost-effectiveness of treatment of ten mental disorders

Abstract: The efficiency of treatment varied more than tenfold across disorders. Although coverage of some of the more efficient treatments should be extended, other factors justify continued use of less-efficient treatments for some disorders.

Cited by 460 publications

References 32 publications

Self-help interventions for anxiety disorders: An overview

Self-help interventions for anxiety disorders: An overview

The future of psychotherapy research: stop the waste and focus on issues that matter

Computer‐Aided Psychotherapy for Anxiety Disorders: A Meta‐Analytic Review

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