The cost-effectieveness of cognitive behavior therapy for borderline personality disorder: results from the BOSCOT trial

Palmer, S., Davidson, K., Tyrer, P., Gumley, A. , Tata, P., Norrie, J., Murray, H. and Seivewright, H. (2006) The cost-effectieveness of cognitive behavior therapy for borderline personality disorder: results from the BOSCOT trial. Journal of Personality Disorders, 20(5), pp. 466-481. (doi:10.1521/pedi.2006.20.5.466)

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Abstract

Borderline personality disorder places a significant burden on healthcare providers and other agencies. This study evaluated the cost-effectiveness of cognitive behavior therapy plus treatment as usual compared to treatment as usual alone for patients with borderline personality disorder. The economic analysis was conducted alongside a multi-center, randomized controlled trial. The costs of primary and secondary healthcare utilization, alongside the wider economic costs, were estimated from medical records and patient self-report. The primary outcome measure used was the quality-adjusted life year (QALY), assessed using EuroQol. On average, total costs per patient in the cognitive behavior therapy group were lower than patients receiving usual care alone (−£689), although this group also reported a lower quality of life (−0.11 QALYs). These differences were small and did not approach conventional levels of statistical significance. The use of cognitive therapy for borderline personality disorder does not appear to demonstrate any significant cost-effective advantage based on the results of this study.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Davidson, Professor Kate and Norrie, Prof John and Murray, Mrs Heather and Gumley, Professor Andrew
Authors: Palmer, S., Davidson, K., Tyrer, P., Gumley, A., Tata, P., Norrie, J., Murray, H., and Seivewright, H.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Robertson Centre
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Clinical Specialities
Journal Name:Journal of Personality Disorders
ISSN:0885-579X

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