A cost effectiveness analysis of stepped care treatment for bulimia nervosa

Scott J. Crow, W. Stewart Agras, Katherine A. Halmi., Christopher G. Fairburn, James E. Mitchell, John A. Nyman

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Background: The cost effectiveness of various treatment strategies for bulimia nervosa (BN) is unknown. Aims: To examine the cost effectiveness of stepped care treatment for BN. Method: Randomized trial conducted at four clinical centers with intensive measurement of direct medical costs and repeated measurement of subject quality of life and family/significant other time involvement. Two hundred ninety-three women who met DSM-IV criteria for BN received stepped care treatment or cognitive behavioral therapy. Cost effectiveness ratios were compared. Results: The cost per abstinent subject was 12,146 for stepped care, and 20,317 for cognitive behavioral therapy. Quality of life ratings improved significantly with treatment, and family/significant other time burden diminished substantially. Discussion: In this trial, stepped care for BN appeared cost effective in comparison to cognitive behavioral therapy. Treatment was associated with improved quality of life and diminished time costs of illness. © 2013 by Wiley Periodicals, Inc. (Int J Eat Disord 2013)

Original languageEnglish (US)
Pages (from-to)302-307
Number of pages6
JournalInternational Journal of Eating Disorders
Volume46
Issue number4
DOIs
StatePublished - May 1 2013

Fingerprint

Bulimia Nervosa
Cost-Benefit Analysis
Cognitive Therapy
Quality of Life
Costs and Cost Analysis
Therapeutics
Cost of Illness
Diagnostic and Statistical Manual of Mental Disorders

Keywords

  • bulimia nervosa
  • cognitive behavioral therapy
  • cost effectiveness

Cite this

Crow, S. J., Agras, W. S., Halmi., K. A., Fairburn, C. G., Mitchell, J. E., & Nyman, J. A. (2013). A cost effectiveness analysis of stepped care treatment for bulimia nervosa. International Journal of Eating Disorders, 46(4), 302-307. https://doi.org/10.1002/eat.22087

A cost effectiveness analysis of stepped care treatment for bulimia nervosa. / Crow, Scott J.; Agras, W. Stewart; Halmi., Katherine A.; Fairburn, Christopher G.; Mitchell, James E.; Nyman, John A.

In: International Journal of Eating Disorders, Vol. 46, No. 4, 01.05.2013, p. 302-307.

Research output: Contribution to journalArticle

Crow, SJ, Agras, WS, Halmi., KA, Fairburn, CG, Mitchell, JE & Nyman, JA 2013, 'A cost effectiveness analysis of stepped care treatment for bulimia nervosa', International Journal of Eating Disorders, vol. 46, no. 4, pp. 302-307. https://doi.org/10.1002/eat.22087
Crow, Scott J. ; Agras, W. Stewart ; Halmi., Katherine A. ; Fairburn, Christopher G. ; Mitchell, James E. ; Nyman, John A. / A cost effectiveness analysis of stepped care treatment for bulimia nervosa. In: International Journal of Eating Disorders. 2013 ; Vol. 46, No. 4. pp. 302-307.
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