Haga Egil, Aas Eline, Grøholt Berit, Tørmoen Anita J, Mehlum Lars
1National Centre for Suicide Research and Prevention, University of Oslo, Sognsvannsveien 21, Bygg 12, 0372 Oslo, Norway.
2Department of Health and Health Economics, University of Oslo, Oslo, Norway.
Child Adolesc Psychiatry Ment Health. 2018 Apr 30;12:22. doi: 10.1186/s13034-018-0227-2. eCollection 2018.
Studies have shown that dialectical behaviour therapy (DBT) is effective in reducing self-harm in adults and adolescents.
To evaluate the cost-effectiveness of DBT for adolescents (DBT-A) compared to enhanced usual care (EUC).
In a randomised study, 77 adolescents with repeated self-harm were allocated to 19 weeks of outpatient treatment, either DBT-A ( = 39) or EUC ( = 38). Cost-effective analyses, including estimation of incremental cost-effectiveness ratios, were conducted with self-harm and global functioning (CGAS) as health outcomes.
Using self-harm as effect outcome measure, the probability of DBT being cost-effective compared to EUC increased with increasing willingness to pay up to a ceiling of 99.5% (threshold of € 1400), while with CGAS as effect outcome measure, this ceiling was 94.9% (threshold of € 1600).
Given the data, DBT-A had a high probability of being a cost-effective treatment.
研究表明，辩证行为疗法（DBT）在减少成人和青少年的自我伤害方面有效。
评估与强化常规护理（EUC）相比，青少年辩证行为疗法（DBT-A）的成本效益。
在一项随机研究中，77名有反复自我伤害行为的青少年被分配接受为期19周的门诊治疗，要么接受DBT-A（n = 39），要么接受EUC（n = 38）。以自我伤害和整体功能（CGAS）作为健康结果进行成本效益分析，包括估计增量成本效益比。
以自我伤害作为效果指标，与EUC相比，DBT具有成本效益的概率随着支付意愿的增加而增加，最高可达99.5%（阈值为1400欧元），而以CGAS作为效果指标时，这一上限为94.9%（阈值为1600欧元）。
根据这些数据，DBT-A很有可能是一种具有成本效益的治疗方法。
