title: [Analysis of the cost and the effectiveness of a psychotherapy for panic disorder with agoraphobia (PDA) versus a treatment combining pharmacotherapy and psychotherapy].
abstract: Pharmacotherapy and cognitive-behavioral therapy (CBT) are efficient treatments for Panic disorder with agoraphobia (PDA) yet they remain expensive. This study aims to compare the cost/effectiveness ratio of a CBT for PDA versus a combined treatment of CBT and pharmacotherapy. Eighty-four people followed a CBT either alone or combined with medication. They have been evaluated before treatment, immediately after, as well as one and two years later. The therapy efficacy is calculated at each assessment according to a "Global Functioning Index". Direct and indirect costs are calculated with the "Health Cost Interview". Results suggest that both treatments are equally effective. However, CBT alone is less expensive than CBT with pharmacotherapy. Thus, it offers a better cost-effectiveness ratio that even increases in the long term.
authors.affiliation: Université du Québec à Montréal et chercheur au Centre de recherche Fernand- Seguin.
authors.forename: André
authors.initials: A
authors.lastname: Marchand
authors.forename: Vanessa
authors.initials: V
authors.lastname: Germain
authors.forename: Daniel
authors.initials: D
authors.lastname: Reinharz
authors.forename: Nicole
authors.initials: N
authors.lastname: Mainguy
authors.forename: Pierre
authors.initials: P
authors.lastname: Landry
mesh_terms: D000328:Adult; D000379:Agoraphobia / Q000150:complications / Q000188:drug therapy / Q000191:economics* / Q000628:therapy*; D001521:Behavior Therapy / Q000191:economics*; D015928:Cognitive Behavioral Therapy / Q000191:economics*; D003131:Combined Modality Therapy; D003365:Costs and Cost Analysis; D005260:Female; D006801:Humans; D008297:Male; D016584:Panic Disorder / Q000150:complications / Q000188:drug therapy / Q000191:economics* / Q000628:therapy*; D011613:Psychotherapy / Q000191:economics*