In:
British Journal of Psychiatry, Royal College of Psychiatrists, Vol. 192, No. 6 ( 2008-06), p. 450-457
Abstract:
Schema-focused therapy (SFT) and transference-focused psychotherapy (TFP)
for borderline personality disorder were recently compared in a randomised multicentre trial. Aims To assess the societal cost-effectiveness of SFT v. TFP in treating
borderline personality disorder. Method Costs were assessed by interview. Health-related quality of life was
measured using EQ-5D. Outcomes were costs per recovered patient (recovery assessed with the Borderline Personality Disorder Severity Index) and
costs per quality-adjusted life-year (QALY). Results Mean 4-year bootstrapped costs were $37826 for SFT and $46 795 for TFP
(95% uncertainty interval for difference −21 775 to 3546); QALYs were 2.15 for SFT and 2.27 for TFP (95% UI −0.51 to 0.28). The percentages of patients who recovered were 52% and 29% respectively. The SFT
intervention was less costly and more effective than TFP (dominant), for recovery; it saved $90457 for one QALY loss. Conclusions Despite the initial slight disadvantage in QALYs, there is a high
probability that compared with TFP, SFT is a cost-effective treatment for borderline personality disorder.
Type of Medium:
Online Resource
ISSN:
0007-1250
,
1472-1465
DOI:
10.1192/bjp.bp.106.033597
Language:
English
Publisher:
Royal College of Psychiatrists
Publication Date:
2008
detail.hit.zdb_id:
2021500-9