Cost Effectiveness of Psychological and Pharmacological Interventions for Social Anxiety Disorder
2015
This article, published in PLoS One, presents a decision tree model followed by a two-state Markov model that evaluates 28 psychological and pharmacological interventions for social anxiety disorder. The pharmacological interventions include seven selective serotonin/serotonin-noradrenergic reuptake inhibitors, two monoamine oxidase inhibitors (including phenelzine), one anticonvulsant, one noradrenergic and specific serotonergic antidepressant. The psychological interventions include self-help without therapist support (book- and computer-based), self-help with therapist support (book- and computer-based), exposure in vivo, mindfulness training, two types of group cognitive behavioral therapy, interpersonal psychotherapy, psychodynamic psychotherapy, supportive therapy, and four types of individually delivered cognitive behavioral therapy.
Results indicate that individual cognitive therapy is the most cost-effective intervention for adults with social anxiety disorder, followed by generic individual cognitive behavioral therapy, phenelzine and book-based self-help without support. Other drugs, group-based psychological interventions and other individually delivered psychological interventions are less cost-effective.
Based on these findings the authors conclude that various forms of individually delivered CBT appear to be the most cost-effective options for the treatment of adults with social anxiety disorder.
Cost Effectiveness of Psychological and Pharmacological Interventions for Social Anxiety Disorder
Source:
Mavranezouli I, Mayo-Wilson E, Dias S, Kew K et al. The Cost Effectiveness of Psychological and Pharmacological Interventions for Social Anxiety Disorder: A Model-Based Economic Analysis. PLOS One 2015; 10 (10): e0140704. http://doi.org/10.1371/journal.pone.0140704