Cost-Utility of Attachment-Based Compassion Therapy (ABCT) and Mindfulness-Based Stress Reduction (MBSR) in the Management of Depressive, Anxious, and Adjustment Disorders in Mental Health Settings : Economic Evaluation Alongside a Randomized Controlled Trial
D'Amico, Francesco (London School of Economics and Political Science)
Montero-Marín, Jesús (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Cardeñosa, Eugenia (CUAP Pura Fernández)
Navarro-Gil, Mayte (Universidad de Zaragoza)
Pérez-Aranda, Adrián (Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut)
López-del-Hoyo, Yolanda (Universidad de Zaragoza)
Collado-Navarro, Carlos (Universidad de Zaragoza)
Garcia-Campayo, Javier (Universidad de Zaragoza)
Luciano, Juan V (Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut)
Navarrete Hidalgo, Jaime (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)

Data:	2024
Descripció:	11 pàg.
Resum:	Objectives: The main objective of this paper was to examine the cost-utility of attachment-based compassion therapy (ABCT) compared to Mindfulness-Based Stress Reduction (MBSR) and treatment-as-usual (TAU) on patients with depressive and/or anxious disorder, or adjustment disorder with depressive and/or anxious symptomatology in terms of effects on quality-adjusted life years (QALYs) as well as healthcare costs from a public healthcare system perspective. Method: A 6-month randomized controlled trial was conducted. Ninety Spanish patients with mental disorders (depressive, anxious, or adjustment disorders) received 8 weekly group sessions of TAU + ABCT, TAU + MBSR, or TAU alone. Data collection took place at pre- and 6-month follow-up. Cost-utility of the two treatment groups (ABCT vs MBSR vs TAU) was compared by examining treatment outcomes in terms of QALYs (obtained with the EQ-5D-3L) and healthcare costs (data about service use obtained with the Client Service Receipt Inventory). Results: Both MBSR and ABCT were more efficient than TAU alone, although the results did not reach statistical significance. Compared to ABCT, MBSR produced an increase both in terms of costs (€53. 69, 95% CI [− 571. 27 to 513. 14]) and effects (0. 004 QALYs, 95% CI [− 0. 031 to 0. 049]); ICUR = €13,422. 50/QALY). Both interventions significantly reduced the number of visits to general practice compared to TAU. Conclusions: This study has contributed to the evidence base of mindfulness- and compassion-based programs and provided promising information about the cost-utility of MBSR for patients with emotional disorders. However, the small sample size and short follow-up period limit the generalizability of the findings. Preregistration: Clinicaltrials. gov; NCT03425487.
Nota:	Altres ajuts: acords transformatius de la UAB; Open Access Funding provided by Universitat Autonoma de Barcelona; JM-M is supported by a Miguel Servet contract from the Instituto de Salud Carlos III (ISCIII; CP21/00080). JG-C is grateful to the RICAPPS (Research Network on chronic diseases, primary care, and health promotion; RD21/0016/0005) funded by ISCIII and with FEDER funds and JVL to the CIBER of Epidemiology and Public Health (CIBERESP CB22/02/00052; ISCIII). The other authors have no conflict of interest.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Attachment-based compassion therapy ; Cost-utility ; Economic evaluation ; Mindfulness-Based Stress Reduction
Publicat a:	Mindfulness, Vol. 15 Núm. 3 (2024) , p. 559-569, ISSN 1868-8535

DOI: 10.1007/s12671-024-02319-4

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