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Comparative Study
. 1995 Sep 8;58(1):13-21.
doi: 10.1016/0165-1781(95)02681-l.

Comparing the cost effectiveness of psychiatric treatments: bulimia nervosa

L M Koran  1 , W S Agras, E M Rossiter, B Arnow, J A Schneider, C F Telch, S Raeburn, B Bruce, M Perl, H C Kraemer
Affiliations
Comparative Study

Comparing the cost effectiveness of psychiatric treatments: bulimia nervosa

L M Koran et al. Psychiatry Res. .

Abstract

We conducted an exploratory post hoc study that compared the cost effectiveness of five treatments for bulimia nervosa: 15 weeks of cognitive behavioral therapy (CB) followed by three monthly sessions, 16 weeks (Med16) and 24 weeks (Med24) of desipramine (< or = 300 mg/day), and CB combined with desipramine for those durations (Combo16 and Combo24). We illustrate how a treatment's cost effectiveness varies according to when evaluation is done and how effectiveness and cost are defined. At 32 weeks, Med16 appears the most cost-effective treatment, and Combo16 appears the least. At 1 year, Med24 appears the most cost-effective treatment, and Combo16 appears the least. Using this post hoc analysis as an example, we discuss the pitfalls and limitations of cost-effectiveness analysis of psychiatric treatments.

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