61136
document
Incremental cost-effectiveness of pharmacotherapy and two brief cognitive-behavioral therapies compared with usual care for panic disorder and noncardiac chest pain . The aim of this study was to assess the incremental cost-effectiveness ratios ( ICERs ) of two brief cognitive-behavioral therapy ( CBT ) -based interventions and a pharmacological treatment , compared with usual care , initiated in the emergency department ( ED ) for individuals with panic disorder ( PD ) with a chief complaint of noncardiac chest pain . A total of 69 patients were followed up to 6 months . The primary outcome variables were direct and indirect costs of treatment and PD severity . Panic management ( PM ) had an ICER of $ 124.05 , per the Anxiety Disorders Interview Schedule for Diagnostic and Statistical Manual of Mental Disorders , Fourth Edition , severity score change ( 95 % confidence interval [ CI ] , $ 54.63- $ 314.57 ) , compared with pharmacotherapy ( paroxetine ) , with an ICER of $ 213.90 ( 95 % CI , $ 133.51- $ 394.94 ) , and brief CBT , with an ICER of $ 309.31 ( 95 % CI , $ 151.27- $ 548.28 ) . The pharmacological and CBT interventions were associated with a greater clinical improvement compared with usual care at posttest . PM presented a superior ICER , suggesting that it may be a promising treatment option to implement in EDs .
61137
Intervention_Pharmacological
pharmacotherapy
61138
Intervention_Psychological
cognitive-behavioral therapies
61139
Intervention_Psychological
cognitive-behavioral therapy ( CBT ) -based interventions
61140
Intervention_Control
pharmacological treatment
61141
Intervention_Psychological
usual care
61142
Outcome_Other
cost-effectiveness
61143
Outcome_Mental
panic disorder
61144
Outcome_Other
cost-effectiveness ratios
61145
Outcome_Mental
panic disorder
61146
Outcome_Other
direct and indirect costs of treatment and PD severity
61147
Outcome_Other
ICER
61148
Outcome_Other
ICER
61149
Outcome_Other
ICER
61150
Outcome_Mental
clinical improvement
61151
Outcome_Other
ICER
61152
Participant_Condition
panic disorder and noncardiac chest pain .
61153
Participant_Condition
panic disorder ( PD ) with a chief complaint of noncardiac chest pain
61154
Participant_Sample-size
69 patients