A Cost Effectiveness Analysis of Stepped Care Treatment for Bulimia Nervosa

BACKGROUND: The cost effectiveness of various treatment strategies for bulimia nervosa (BN) is unknown. AIMS: To examine the cost effectiveness of stepped care treatment for BN. METHOD: Randomized trial conducted at four clinical centers with intensive measurement of direct medical costs and repeate...

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Detalles Bibliográficos
Autores principales: Crow, Scott J, Agras, W Stewart, Halmi, Katherine A, Fairburn, Christopher G, Mitchell, James E, Nyman, John A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wiley Subscription Services, Inc., A Wiley Company 2013
Materias:
Empirical Articles (Ce Activity)
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3796856/
https://www.ncbi.nlm.nih.gov/pubmed/23354913
http://dx.doi.org/10.1002/eat.22087
Descripción
Sumario:BACKGROUND: The cost effectiveness of various treatment strategies for bulimia nervosa (BN) is unknown. AIMS: To examine the cost effectiveness of stepped care treatment for BN. METHOD: Randomized trial conducted at four clinical centers with intensive measurement of direct medical costs and repeated measurement of subject quality of life and family/significant other time involvement. Two hundred ninety-three women who met DSM-IV criteria for BN received stepped care treatment or cognitive behavioral therapy. Cost effectiveness ratios were compared. RESULTS: The cost per abstinent subject was $12,146 for stepped care, and $20,317 for cognitive behavioral therapy. Quality of life ratings improved significantly with treatment, and family/significant other time burden diminished substantially. DISCUSSION: In this trial, stepped care for BN appeared cost effective in comparison to cognitive behavioral therapy. Treatment was associated with improved quality of life and diminished time costs of illness. © 2013 by Wiley Periodicals, Inc. (Int J Eat Disord 2013)

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