个体心理治疗与团体心理治疗对遭受性虐待女孩的成本效益分析
Cost-Effectiveness of Individual versus Group Psychotherapy for Sexually Abused Girls.
作者信息
McCrone Paul, Weeramanthri Tara, Knapp Martin, Rushton Alan, Trowell Judith, Miles Gillian, Kolvin Israel
机构信息
Centre for the Economics of Mental Health, Box P024, Health Services Research Department, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, UK. E-mail:
Camberwell Child and Adolescent Service, South London and Maudsley NHS Trust.
出版信息
Child Adolesc Ment Health. 2005 Feb;10(1):26-31. doi: 10.1111/j.1475-3588.2005.00113.x.
BACKGROUND
Children who have been sexually abused may suffer from emotional and behavioural difficulties. Recent research found that individual and group psychotherapy have similar outcomes. In this study we compare the costs and cost-effectiveness of the two therapies and support for carers.
METHODS
Subjects were recruited to two clinics in London and randomly allocated to the two treatments. The different components of each intervention were identified and costed.
RESULTS
Total mean costs of individual therapy were found to be £1246 greater than for group therapy. Costs as they would apply in routine practice were relatively unchanged. Group therapy was thus more cost-effective than individual therapy.
DISCUSSION
Carefully considering the impact of different therapies could allow more treatment to be offered from available staff resources and budgets. However, this is a single small study and further work is required to strengthen the evidence-base before change in practice is readily undertaken.
背景
遭受性虐待的儿童可能会出现情绪和行为问题。最近的研究发现，个体心理治疗和团体心理治疗的效果相似。在本研究中，我们比较了这两种治疗方法以及对照顾者支持的成本和成本效益。
方法
研究对象招募自伦敦的两家诊所，并随机分配接受两种治疗。确定并计算了每种干预措施的不同组成部分的成本。
结果
发现个体治疗的总平均成本比团体治疗高1246英镑。在常规实践中的成本相对不变。因此，团体治疗比个体治疗更具成本效益。
讨论
仔细考虑不同治疗方法的影响可以利用现有的工作人员资源和预算提供更多治疗。然而，这是一项单一的小型研究，在实际改变之前，需要进一步开展工作以加强证据基础。
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