Review: Economic evidence of preventive interventions for anxiety disorders in children and adolescents – a systematic review
| Autor: | Kurki Marjo, Sourander Andre, Kuvaja-Köllner Virpi, Luntamo Terhi, Vartiainen Anna-Kaisa, Rantsi Mervi, Kankaanpää Eila, Rissanen Elisa |
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| Rok vydání: | 2021 |
| Předmět: |
Schools
Adolescent Cognitive Behavioral Therapy Cost effectiveness business.industry Cost-Benefit Analysis Scopus Psychological intervention Anxiety Anxiety Disorders Checklist Psychiatry and Mental health Intervention (counseling) Pediatrics Perinatology and Child Health Economic evaluation Parent training medicine Humans medicine.symptom business Clinical psychology |
| Zdroj: | Child and Adolescent Mental Health. 27:378-388 |
| ISSN: | 1475-3588 1475-357X |
| DOI: | 10.1111/camh.12505 |
| Popis: | BACKGROUND Anxiety disorders are common in children and youth. Also, in prevention, be it universal, selective or indicated, economic evaluation supports decision-making in the allocation of scarce resources. This review identified and summarised the existing evidence of economic evaluations for the prevention of anxiety disorders in children and adolescents. METHODS A systematic search was conducted on the EBSCO, Scopus, Web of Science, ProQuest, Cochrane and PubMed databases. We included studies that focused on children and adolescents under 18 years of age, aimed to prevent anxiety disorders and presented an incremental analysis of costs and effectiveness. A registered checklist was used that assessed the quality of the included articles. RESULTS The search yielded 1697 articles. Five articles were included in this review. Three were RCT-based, and two were model-based studies. Out of five included interventions, one was a universal school-based intervention, two selective interventions and two indicated interventions. Universal school-based prevention of anxiety was not cost-effective compared with usual teaching. Selective parent training and indicative child- and parent-focused CBT prevention were likely cost-effective compared with usual care or doing nothing. CONCLUSION Parent education and cognitive behaviour therapy interventions can be cautiously interpreted as being a cost-effective way of preventing anxiety in children and adolescents. However, the evidence is weakly related to cost-effectiveness as there are only a few studies, with relatively small sample sizes and short follow-ups. |
| Databáze: | OpenAIRE |
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