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Cognitive therapy is more cost effective than standard care alone for bipolar disorder

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 Q Is cognitive therapy more effective and more cost effective than standard care for people with bipolar disorder?

METHODS

Embedded ImageDesign:

Randomised controlled trial.

Embedded ImageAllocation:

Concealed.

Embedded ImageBlinding:

Double blind.

Embedded ImageFollow up period:

30 months.

Embedded ImageSetting:

Maudsley and Bethlehem NHS Trust, London, UK; data collected 1999–2000.

Embedded ImagePatients:

103 people aged 18–70 years with at least two episodes of bipolar disorder in the previous five years (DSM-IV). Exclusions: actively suicidal; or current substance abuse.

Embedded ImageIntervention:

Participants were randomised to relapse-prevention cognitive therapy or standard care. Health and social care service use at baseline and three monthly follow up visits was assessed using the Client Service Receipt Inventory. Information about mental health services, social workers, general practitioners, hospital services, support groups, and residential care accessed was collected. Medication use was recorded every six months. Multivariate analysis of covariance was used to calculate days with bipolar episodes. Total cost differences were calculated using a regression model …

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