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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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
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author Crow, Scott J
Agras, W Stewart
Halmi, Katherine A
Fairburn, Christopher G
Mitchell, James E
Nyman, John A
author_facet Crow, Scott J
Agras, W Stewart
Halmi, Katherine A
Fairburn, Christopher G
Mitchell, James E
Nyman, John A
author_sort Crow, Scott J
collection PubMed
description 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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spelling pubmed-37968562013-10-16 A Cost Effectiveness Analysis of Stepped Care Treatment for Bulimia Nervosa Crow, Scott J Agras, W Stewart Halmi, Katherine A Fairburn, Christopher G Mitchell, James E Nyman, John A Int J Eat Disord Empirical Articles (Ce Activity) 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) Wiley Subscription Services, Inc., A Wiley Company 2013-05 2013-01-28 /pmc/articles/PMC3796856/ /pubmed/23354913 http://dx.doi.org/10.1002/eat.22087 Text en Copyright © 2013 Wiley Periodicals, Inc. http://creativecommons.org/licenses/by/2.5/ Re-use of this article is permitted in accordance with the Creative Commons Deed, Attribution 2.5, which does not permit commercial exploitation.
spellingShingle Empirical Articles (Ce Activity)
Crow, Scott J
Agras, W Stewart
Halmi, Katherine A
Fairburn, Christopher G
Mitchell, James E
Nyman, John A
A Cost Effectiveness Analysis of Stepped Care Treatment for Bulimia Nervosa
title A Cost Effectiveness Analysis of Stepped Care Treatment for Bulimia Nervosa
title_full A Cost Effectiveness Analysis of Stepped Care Treatment for Bulimia Nervosa
title_fullStr A Cost Effectiveness Analysis of Stepped Care Treatment for Bulimia Nervosa
title_full_unstemmed A Cost Effectiveness Analysis of Stepped Care Treatment for Bulimia Nervosa
title_short A Cost Effectiveness Analysis of Stepped Care Treatment for Bulimia Nervosa
title_sort cost effectiveness analysis of stepped care treatment for bulimia nervosa
topic Empirical Articles (Ce Activity)
url 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
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