■尽管有证据支持心理干预对预防焦虑的有效性,对其成本效益知之甚少。这项研究的目的是对预防焦虑的心理干预措施的健康经济学评估进行系统回顾。
■PubMed,PsycInfo,WebofScience,Embase,Cochrane中央控制试验登记册,EconLit,国家卫生服务(NHS)经济评价数据库,NHS健康技术评估,和OpenGrey数据库于2022年12月23日进行了电子搜索。纳入的研究侧重于基于心理干预预防焦虑的随机对照试验的经济评估。提取研究数据,通过使用卫生经济标准共识和Cochrane偏倚风险工具评估选定研究的质量。
■所有纳入的研究(N=5)的经济评估被认为是高质量的。在两项研究中,与常规治疗组相比,干预措施显示出良好的成本-效果.在一项研究中,干预措施不具成本效益.另一项研究的结果对干预的成本效益产生了怀疑,并且无法确定其余研究中干预措施的成本效益。
■尽管研究结果表明了一些初步证据表明心理干预措施对预防焦虑的成本效益,它们受到纳入研究数量少的限制。需要对不同国家和人群的焦虑心理干预措施的成本效益进行更多研究。
UNASSIGNED: Although evidence supports the effectiveness of psychological interventions for prevention of anxiety, little is known about their cost-effectiveness. The aim of this study was to conduct a systematic
review of health-economic evaluations of psychological interventions for anxiety prevention.
UNASSIGNED: PubMed, PsycInfo, Web of Science, Embase, Cochrane Central Register of Controlled Trials, EconLit, National Health Service (NHS) Economic Evaluations Database, NHS Health Technology Assessment, and OpenGrey databases were searched electronically on December 23, 2022. Included studies focused on economic evaluations based on randomized controlled trials of psychological interventions to prevent anxiety. Study data were extracted, and the quality of the selected studies was assessed by using the Consensus on Health Economic Criteria and the Cochrane risk-of-bias tool.
UNASSIGNED: All included studies (N=5) had economic evaluations that were considered to be of good quality. In two studies, the interventions showed favorable cost-effectiveness compared with usual care groups. In one study, the intervention was not cost-effective. Findings from another study cast doubt on the cost-effectiveness of the intervention, and the cost-effectiveness of the intervention in the remaining study could not be established.
UNASSIGNED: Although the findings suggest some preliminary evidence of cost-effectiveness of psychological interventions for preventing anxiety, they were limited by the small number of included studies. Additional research on the cost-effectiveness of psychological interventions for anxiety in different countries and populations is required.