2bbdfebd0c4005e7d5ec556278215a19 pmc_32156065.pdf 0ee583b8ae5d24cbf49587c0516b35f2e3de510b pmc_32156065.pdf efedc2f53ed9ab2f4088191492c0645015b53f6e9719a711d3d4ed320c8d3fa0 pmc_32156065.pdf Title: Cost-Utility of Attachment-Based Compassion Therapy (ABCT) for Fibromyalgia Compared to Relaxation: A Pilot Randomized Controlled Trial Subject: A recent study has supported the efficacy of Attachment-Based Compassion Therapy (ABCT) compared to relaxation (REL) for the management of fibromyalgia (FM). The main objective of this paper is to examine the cost-utility of ABCT compared to REL in terms of effects on quality-adjusted life years (QALYs) as well as healthcare costs. Forty-two Spanish patients with FM received 8 weekly group sessions of ABCT or REL. Data collection took place at pre- and 3-month follow-up. Cost-utility of the two treatment groups (ABCT vs. REL) 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). Data analyses were computed from a completers, ITT, and per protocol approach. Data analysis from the healthcare perspective revealed that those patients receiving ABCT exhibited larger improvements in quality of life than those doing relaxation, while being less costly 3 months after their 8-week treatment program had ended (completers: incremental cost M, 95% CI = €-194.1 (-450.3 to 356.1); incremental effect M, 95% CI = 0.023 QALYs (0.010 to 0.141)). Results were similar using an ITT approach (incremental cost M, 95% CI = €-256.3 (-447.4 to -65.3); incremental effect M, 95% CI = 0.021 QALYs (0.009 to 0.033)). A similar pattern of results were obtained from the per protocol approach. This RCT has contributed to the evidence base of compassion-based interventions and provided useful information about the cost-utility of ABCT for FM patients when compared to relaxation. However, the small sample size and short follow-up period limited the generalizability of the findings. Keywords: attachment-based compassion therapy; mindfulness; cost-utility; economic evaluation Author: Francesco D’Amico, Albert Feliu-Soler, Jesús Montero-Marín, María T. Peñarrubía-María, Mayte Navarro-Gil, William Van Gordon, Javier García-Campayo and Juan V. 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WinAnsi yes yes no 158 0 MCBCCI+SourceSansRoman-Regular Type 1C Custom yes yes no 177 0 MCBCCM+SourceSansRoman.613wght Type 1C Custom yes yes no 178 0 MCBCCO+SourceSansRoman-Bold Type 1C Custom yes yes no 179 0 EXVUGY+Rpcxb Type 1 Builtin yes yes no 285 0 QLBIEB+URWPalladioL-BoldItal Type 1 Custom yes yes no 298 0 RQODNN+Rpxb Type 1 Builtin yes yes no 299 0 BCDEEE+PalatinoLinotype-Roman TrueType WinAnsi yes yes no 311 0 BCDFEE+PalatinoLinotype-Italic TrueType WinAnsi yes yes no 312 0 BCDGEE+PalatinoLinotype-Bold TrueType WinAnsi yes yes no 313 0 BCDHEE+PalatinoLinotype-BoldItalic TrueType WinAnsi yes yes no 314 0 BCDJEE+PalatinoLinotype-Roman CID TrueType Identity-H yes yes yes 315 0 TimesNewRomanPSMT TrueType WinAnsi no no no 316 0 BCDKEE+Calibri TrueType WinAnsi yes yes no 330 0 Jhove (Rel. 1.22.1, 2019-04-17) Date: 2020-11-18 06:53:56 CET RepresentationInformation: pmc_32156065.pdf ReportingModule: PDF-hul, Rel. 1.12.1 (2019-04-17) LastModified: 2020-07-06 03:56:08 CEST Size: 672935 Format: PDF Version: 1.5 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 0 FreeObjects: 2 IncrementalUpdates: 0 DocumentCatalog: ViewerPreferences: HideToolbar: false HideMenubar: false HideWindowUI: false FitWindow: true CenterWindow: false DisplayDocTitle: false NonFullScreenPageMode: UseNone Direction: L2R ViewArea: CropBox ViewClip: CropBox PrintArea: CropBox PageClip: CropBox PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: ぉのぴひはつふっぴどはのぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮ㄮㄩ‾㸊⡜㌷㙜㌷㝜〰がはぶどので〭かどのつのづびびぜ〴ぜ〰きづつどぴちぴどはのぜ〴ぜ〰ちのつぜ〴ぜ〰ぃはねばちびびどはの〭あちびづつぜ〴ぜ〰ぉのぴづひぶづのぴどはのびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮ㄮ㈩‾㸊⡜㌷㙜㌷㝜〰ごとづぜ〴ぜ〰ぉねばはひぴちのっづぜ〴ぜ〰はてぜ〴ぜ〰ぅっはのはねどっぜ〴ぜ〰ぅぶちぬふちぴどはのびぜ〴ぜ〰どのぜ〴ぜ〰えづちぬぴとっちひづぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮ㄮ㌩‾㸊⡜㌷㙜㌷㝜〰しとべぜ〴ぜ〰ぉぴぜ〴ぜ〰ぉびぜ〴ぜ〰ぉねばはひぴちのぴぜ〴ぜ〰ぴはぜ〴ぜ〰かのはぷぜ〴ぜ〰ぴとづぜ〴ぜ〰ぃはびぴ〭さぴどぬどぴべぜ〴ぜ〰はてぜ〴ぜ〰ぁあぃごぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸲ Children: Item: Title: がはぶどので〭かどのつのづびびぜ〴ぜ〰きづつどぴちぴどはのぜ〴ぜ〰ちのつぜ〴ぜ〰ぃはねばちびびどはの〭あちびづつぜ〴ぜ〰ぉのぴづひぶづのぴどはのびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮ㄮ㈩‾㸊⡜㌷㙜㌷㝜〰ごとづぜ〴ぜ〰ぉねばはひぴちのっづぜ〴ぜ〰はてぜ〴ぜ〰ぅっはのはねどっぜ〴ぜ〰ぅぶちぬふちぴどはのびぜ〴ぜ〰どのぜ〴ぜ〰えづちぬぴとっちひづぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮ㄮ㌩‾㸊⡜㌷㙜㌷㝜〰しとべぜ〴ぜ〰ぉぴぜ〴ぜ〰ぉびぜ〴ぜ〰ぉねばはひぴちのぴぜ〴ぜ〰ぴはぜ〴ぜ〰かのはぷぜ〴ぜ〰ぴとづぜ〴ぜ〰ぃはびぴ〭さぴどぬどぴべぜ〴ぜ〰はてぜ〴ぜ〰ぁあぃごぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸲ Item: Title: ごとづぜ〴ぜ〰ぉねばはひぴちのっづぜ〴ぜ〰はてぜ〴ぜ〰ぅっはのはねどっぜ〴ぜ〰ぅぶちぬふちぴどはのびぜ〴ぜ〰どのぜ〴ぜ〰えづちぬぴとっちひづぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮ㄮ㌩‾㸊⡜㌷㙜㌷㝜〰しとべぜ〴ぜ〰ぉぴぜ〴ぜ〰ぉびぜ〴ぜ〰ぉねばはひぴちのぴぜ〴ぜ〰ぴはぜ〴ぜ〰かのはぷぜ〴ぜ〰ぴとづぜ〴ぜ〰ぃはびぴ〭さぴどぬどぴべぜ〴ぜ〰はてぜ〴ぜ〰ぁあぃごぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸲ Item: Title: しとべぜ〴ぜ〰ぉぴぜ〴ぜ〰ぉびぜ〴ぜ〰ぉねばはひぴちのぴぜ〴ぜ〰ぴはぜ〴ぜ〰かのはぷぜ〴ぜ〰ぴとづぜ〴ぜ〰ぃはびぴ〭さぴどぬどぴべぜ〴ぜ〰はてぜ〴ぜ〰ぁあぃごぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸲ Item: Title: きちぴづひどちぬびぜ〴ぜ〰ちのつぜ〴ぜ〰きづぴとはつびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㈮ㄩ‾㸊⡜㌷㙜㌷㝜〰いづびどでのぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㈮㈩‾㸊⡜㌷㙜㌷㝜〰ぐちひぴどっどばちのぴびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㈮㌩‾㸊⡜㌷㙜㌷㝜〰ぐひはっづつふひづぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㈮㐩‾㸊⡜㌷㙜㌷㝜〰ごひづちぴねづのぴびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸲⸴⸱ Children: Item: Title: いづびどでのぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㈮㈩‾㸊⡜㌷㙜㌷㝜〰ぐちひぴどっどばちのぴびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㈮㌩‾㸊⡜㌷㙜㌷㝜〰ぐひはっづつふひづぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㈮㐩‾㸊⡜㌷㙜㌷㝜〰ごひづちぴねづのぴびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸲⸴⸱ Item: Title: ぐちひぴどっどばちのぴびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㈮㌩‾㸊⡜㌷㙜㌷㝜〰ぐひはっづつふひづぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㈮㐩‾㸊⡜㌷㙜㌷㝜〰ごひづちぴねづのぴびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸲⸴⸱ Item: Title: ぐひはっづつふひづぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㈮㐩‾㸊⡜㌷㙜㌷㝜〰ごひづちぴねづのぴびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸲⸴⸱ Item: Title: ごひづちぴねづのぴびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸲⸴⸱ Children: Item: Title: ぁあぃごぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸲⸴⸲ Item: Title: げぅがぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㈮㔩‾㸊⡜㌷㙜㌷㝜〰こぴふつべぜ〴ぜ〰きづちびふひづびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸲⸵⸱ Item: Title: こぴふつべぜ〴ぜ〰きづちびふひづびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸲⸵⸱ Children: Item: Title: こはっどはつづねはでひちばとどっ〭ぃぬどのどっちぬぜ〴ぜ〰けふづびぴどはののちどひづぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸲⸵⸲ Item: Title: ごとづぜ〴ぜ〰ぅふひはけはがぜ〴ぜ〰けふづびぴどはののちどひづぜ〴ぜ〰ぜ〵ぜ〰ぅけ〭〵い〭〳がぜ〵ㅜ〰ぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸲⸵⸳ Item: Title: ごとづぜ〴ぜ〰ぃぬどづのぴぜ〴ぜ〰こづひぶどっづぜ〴ぜ〰げづっづどばぴぜ〴ぜ〰ぉのぶづのぴはひべぜ〴ぜ〰ぜ〵ぜ〰ぃこげぉぜ〵ㅜ〰ぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㈮㘩‾㸊⡜㌷㙜㌷㝜〰いちぴちぜ〴ぜ〰ぁのちぬべびづびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸲⸶⸱ Item: Title: いちぴちぜ〴ぜ〰ぁのちぬべびづびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸲⸶⸱ Children: Item: Title: いづびっひどばぴどはのぜ〴ぜ〰はてぜ〴ぜ〰ごとづぜ〴ぜ〰ぃはびぴどのでぜ〴ぜ〰ぐひはっづつふひづぜ〴ぜ〰てひはねぜ〴ぜ〰ごとづぜ〴ぜ〰えづちぬぴとっちひづぜ〴ぜ〰ぐづひびばづっぴどぶづぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸲⸶⸲ Item: Title: さぴどぬどぴべぜ〴ぜ〰こっはひづびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獵扳散瑩潮⸲⸶⸳ Item: Title: ぃはびぴ〭さぴどぬどぴべぜ〴ぜ〰ぁのちぬべびづびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸳ Item: Title: げづびふぬぴびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮ㄩ‾㸊⡜㌷㙜㌷㝜〰ぐちひぴどっどばちのぴぜ〴ぜ〰ぃとちひちっぴづひどびぴどっび〬ぜ〴ぜ〰うぬはぷぜ〴ぜ〰ちのつぜ〴ぜ〰ぃはねばぬどちのっづぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㈩‾㸊⡜㌷㙜㌷㝜〰いどひづっぴぜ〴ぜ〰ぃはびぴびぜ〴ぜ〰ちのつぜ〴ぜ〰けぁがすびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㌩‾㸊⡜㌷㙜㌷㝜〰ぃはびぴ〭さぴどぬどぴべぜ〴ぜ〰はてぜ〴ぜ〰ぁあぃごぜ〴ぜ〰ぃはねばちひづつぜ〴ぜ〰ぴはぜ〴ぜ〰げづぬちへちぴどはのぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸴ Children: Item: Title: ぐちひぴどっどばちのぴぜ〴ぜ〰ぃとちひちっぴづひどびぴどっび〬ぜ〴ぜ〰うぬはぷぜ〴ぜ〰ちのつぜ〴ぜ〰ぃはねばぬどちのっづぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㈩‾㸊⡜㌷㙜㌷㝜〰いどひづっぴぜ〴ぜ〰ぃはびぴびぜ〴ぜ〰ちのつぜ〴ぜ〰けぁがすびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㌩‾㸊⡜㌷㙜㌷㝜〰ぃはびぴ〭さぴどぬどぴべぜ〴ぜ〰はてぜ〴ぜ〰ぁあぃごぜ〴ぜ〰ぃはねばちひづつぜ〴ぜ〰ぴはぜ〴ぜ〰げづぬちへちぴどはのぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸴ Item: Title: いどひづっぴぜ〴ぜ〰ぃはびぴびぜ〴ぜ〰ちのつぜ〴ぜ〰けぁがすびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㌩‾㸊⡜㌷㙜㌷㝜〰ぃはびぴ〭さぴどぬどぴべぜ〴ぜ〰はてぜ〴ぜ〰ぁあぃごぜ〴ぜ〰ぃはねばちひづつぜ〴ぜ〰ぴはぜ〴ぜ〰げづぬちへちぴどはのぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸴ Item: Title: ぃはびぴ〭さぴどぬどぴべぜ〴ぜ〰はてぜ〴ぜ〰ぁあぃごぜ〴ぜ〰ぃはねばちひづつぜ〴ぜ〰ぴはぜ〴ぜ〰げづぬちへちぴどはのぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸴ Item: Title: いどびっふびびどはのぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㐮ㄩ‾㸊⡜㌷㙜㌷㝜〰こふねねちひべぜ〴ぜ〰はてぜ〴ぜ〰かづべぜ〴ぜ〰うどのつどのでびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㐮㈩‾㸊⡜㌷㙜㌷㝜〰ぃはねばちひどびはのぜ〴ぜ〰ぷどぴとぜ〴ぜ〰げづぬづぶちのぴぜ〴ぜ〰うどのつどのでびぜ〴ぜ〰てひはねぜ〴ぜ〰ぐひづぶどはふびぜ〴ぜ〰ぐふぢぬどびとづつぜ〴ぜ〰こぴふつどづびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㐮㌩‾㸊⡜㌷㙜㌷㝜〰こぴひづのでぴとびぜ〴ぜ〰ちのつぜ〴ぜ〰がどねどぴちぴどはのびぜ〴ぜ〰はてぜ〴ぜ〰ごとどびぜ〴ぜ〰こぴふつべぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸵ Children: Item: Title: こふねねちひべぜ〴ぜ〰はてぜ〴ぜ〰かづべぜ〴ぜ〰うどのつどのでびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㐮㈩‾㸊⡜㌷㙜㌷㝜〰ぃはねばちひどびはのぜ〴ぜ〰ぷどぴとぜ〴ぜ〰げづぬづぶちのぴぜ〴ぜ〰うどのつどのでびぜ〴ぜ〰てひはねぜ〴ぜ〰ぐひづぶどはふびぜ〴ぜ〰ぐふぢぬどびとづつぜ〴ぜ〰こぴふつどづびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㐮㌩‾㸊⡜㌷㙜㌷㝜〰こぴひづのでぴとびぜ〴ぜ〰ちのつぜ〴ぜ〰がどねどぴちぴどはのびぜ〴ぜ〰はてぜ〴ぜ〰ごとどびぜ〴ぜ〰こぴふつべぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸵ Item: Title: ぃはねばちひどびはのぜ〴ぜ〰ぷどぴとぜ〴ぜ〰げづぬづぶちのぴぜ〴ぜ〰うどのつどのでびぜ〴ぜ〰てひはねぜ〴ぜ〰ぐひづぶどはふびぜ〴ぜ〰ぐふぢぬどびとづつぜ〴ぜ〰こぴふつどづびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㐮㌩‾㸊⡜㌷㙜㌷㝜〰こぴひづのでぴとびぜ〴ぜ〰ちのつぜ〴ぜ〰がどねどぴちぴどはのびぜ〴ぜ〰はてぜ〴ぜ〰ごとどびぜ〴ぜ〰こぴふつべぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸵ Item: Title: こぴひづのでぴとびぜ〴ぜ〰ちのつぜ〴ぜ〰がどねどぴちぴどはのびぜ〴ぜ〰はてぜ〴ぜ〰ごとどびぜ〴ぜ〰こぴふつべぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸵ Item: Title: ぃはのっぬふびどはのびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸵ Item: Title: げづてづひづのっづび Filters: FilterPipeline: FlateDecode Fonts: Type1: Font: BaseFont: EXSIQZ+URWPalladioL-Ital FontSubset: true 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