The authors reviewed data involving the impact of providing psychotherapy for psychiatric disorders on costs of care.
In a search of the MEDLINE database limited to peer-reviewed papers published from 1984 through 1994,686 articles were identified.
Forty-one articles, covering 35 studies, were found in which the intervention tested was psychotherapeutic and the study included measures of outcome that had some implications for cost.
The exclusion criteria for reviewing these studies included absence ofa comparison group, a focus on medical disorders instead of psychiatric illnesses, and outcomes that did not include cost data or measures from which costs could be inferred.
On this basis, 18 of the 35 studies were selected for analysis.
The studies were categorized according to whether or not subjects were randomly assigned to study groups.
Two reviewers independently read each study to identify the following characteristics : inclusion criteria, exclusion criteria, types of interventions, main outcome variables, sample size, and statistical tests for significant differences between treatments.
Outcomes had to include actual cost accounting or data on medical care utilization or work functioning.
The findings of eight (80%) of the 10 clinical trials with random assignment and all eight (100%) of the studies without random assignment suggested that psychotherapy reduces total costs. (...)
Mots-clés Pascal : Trouble psychiatrique, Psychothérapie, Traitement, Analyse coût, Economie santé, Article synthèse, Homme, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Mental disorder, Psychotherapy, Treatment, Cost analysis, Health economy, Review, Human, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0162143
Code Inist : 002B18H05B. Création : 21/05/1997.