- Author
-
M. Blankers
D. Koppers
E.M.P. Laurenssen
J. Peen
M.L. Smits
P. Luyten
J. Busschbach
J.H. Kamphuis
M. Kikkert
J.J.M. Dekker - Date
- 6-2021
- Title
- Mentalization-Based Treatment Versus Specialist Treatment as Usual for Borderline Personality Disorder: Economic Evaluation Alongside a Randomized Controlled Trial With 36-Month Follow-Up
- Journal
- Journal of Personality Disorders
- Volume | Issue number
- 35 | 3
- Pages (from-to)
- 373-392
- Number of pages
- 20
- Document type
- Article
- Faculty
- Faculty of Social and Behavioural Sciences (FMG)
- Institute
- Psychology Research Institute (PsyRes)
- Abstract
-
The authors present an economic evaluation performed alongside a randomized controlled trial of mentalization-based treatment in a day hospital setting (MBT-DH) versus specialist treatment as usual (S-TAU) for borderline personality disorder (BPD) with a 36-month follow-up period. Ninety-five patients from two Dutch treatment institutes were randomly assigned. Societal costs were compared with the proportion of BPD remissions and quality-adjusted life years (QALYs) measured using the five-dimensional EuroQol instrument. The incremental societal costs for one additional QALY could not be calculated. The costs for one additional BPD remission with MBT-DH are approximately €29,000. There was a 58% likelihood that MBT-DH leads to more remitted patients at additional costs compared with S-TAU, and a 35% likelihood that MBT-DH leads to more remissions at lower costs. MBT-DH is not cost-effective compared with S-TAU with QALYs as the outcome, and slightly more cost-effective than S-TAU at 36 months with BPD symptoms as the outcome.
- URL
- go to publisher's site
- Language
- English
- Persistent Identifier
- https://hdl.handle.net/11245.1/af3065d8-2e2f-421c-a056-c83614fdbd3b
- Downloads
-
pedi_2019_33_454(Final published version)
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