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- Title
A cost effectiveness analysis of stepped care treatment for bulimia nervosa.
- Authors
Crow, Scott J.; Agras, W. Stewart; Halmi., Katherine A.; Fairburn, Christopher G.; Mitchell, James E.; Nyman, John A.
- Abstract
Background: The cost effectiveness of various treatment strategies for bulimia nervosa (BN) is unknown. Aims: To examine the cost effectiveness of stepped care treatment for BN. Method: Randomized trial conducted at four clinical centers with intensive measurement of direct medical costs and repeated measurement of subject quality of life and family/significant other time involvement. Two hundred ninety-three women who met DSM-IV criteria for BN received stepped care treatment or cognitive behavioral therapy. Cost effectiveness ratios were compared. Results: The cost per abstinent subject was $12,146 for stepped care, and $20,317 for cognitive behavioral therapy. Quality of life ratings improved significantly with treatment, and family/significant other time burden diminished substantially. Discussion: In this trial, stepped care for BN appeared cost effective in comparison to cognitive behavioral therapy. Treatment was associated with improved quality of life and diminished time costs of illness. © 2013 by Wiley Periodicals, Inc. (Int J Eat Disord 2013)
- Subjects
BULIMIA treatment; BULIMIA; COGNITIVE therapy; COST effectiveness; INTERVIEWING; RESEARCH methodology; CLASSIFICATION of mental disorders; QUALITY of life; QUESTIONNAIRES; RESEARCH funding; STATISTICAL sampling; SCALES (Weighing instruments); BODY mass index; RANDOMIZED controlled trials; DIARY (Literary form)
- Publication
International Journal of Eating Disorders, 2013, Vol 46, Issue 4, p302
- ISSN
0276-3478
- Publication type
Article
- DOI
10.1002/eat.22087