Cost-effectiveness of group psychotherapy for depression in Uganda

Siskind, Dan, Baingana, Florence and Kim, Jane (2008) Cost-effectiveness of group psychotherapy for depression in Uganda. The Journal of Mental Health Policy and Economics, 11 3: 127-133.


Author Siskind, Dan
Baingana, Florence
Kim, Jane
Title Cost-effectiveness of group psychotherapy for depression in Uganda
Journal name The Journal of Mental Health Policy and Economics   Check publisher's open access policy
ISSN 1091-4358
1099-176X
Publication date 2008-09
Year available 2008
Sub-type Article (original research)
Volume 11
Issue 3
Start page 127
End page 133
Total pages 7
Place of publication Milano, Italy
Publisher International Center of Mental Health Policy and Economics
Language eng
Subject 1701 Psychology
170113 Social and Community Psychology
170106 Health, Clinical and Counselling Psychology
Abstract Synthesizing published data on the epidemiology of depression, treatment efficacy, and costs from developing countries where available, we developed a Markov cohort model of depression to evaluate the cost-effectiveness of group interpersonal therapy (IPT) with and without booster sessions for recurrent depression episodes in the setting of Uganda. When compared to no intervention, group IPT without booster sessions decreased average number of depressive episodes by 6.2%, while booster sessions reduced number of episodes by 15.8%. Although group IPT alone was less costly than group IPT with booster sessions, the incremental cost-effectiveness ratio (ICER) was higher, and therefore, group IPT without booster sessions was dominated. The ICER associated with group IPT with booster sessions compared to no intervention was I$1,150 per QALY, below Uganda’s per-capita GDP, a commonly-cited benchmark for cost-effectiveness. The results were most sensitive to cost of the booster sessions and health state utility for depression.
Keyword Depression
Cost-effectiveness
Therapy
Group
Uganda
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Medicine Publications
 
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Created: Wed, 13 Jan 2010, 14:20:15 EST by Macushla Boyle on behalf of Faculty Of Health Sciences