Economic evidence of preventive interventions for anxiety disorders in children and adolescents – a systematic review
Introduction 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. Objectives This review identified and summarised the existing evidence of economic eval...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822017618/type/journal_article |
| _version_ | 1797616949552742400 |
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| author | A.-K. Vartiainen V. Kuvaja-Köllner M. Rantsi E. Rissanen T. Luntamo M. Kurki A. Sourander E. Kankaanpää |
| author_facet | A.-K. Vartiainen V. Kuvaja-Köllner M. Rantsi E. Rissanen T. Luntamo M. Kurki A. Sourander E. Kankaanpää |
| author_sort | A.-K. Vartiainen |
| collection | DOAJ |
| description |
Introduction
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.
Objectives
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 1,697 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 to usual teaching. Selective parent training and indicative child- and parent-focused CBT prevention were likely cost-effective compared to usual care or doing nothing.
Conclusions
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 weak related to cost-effectiveness as there are only a few studies, with relatively small sample sizes and short follow-ups.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:48:27Z |
| format | Article |
| id | doaj.art-a01b23034179446fb9926381fd4f7418 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:48:27Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-a01b23034179446fb9926381fd4f74182023-11-17T05:07:08ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S684S68410.1192/j.eurpsy.2022.1761Economic evidence of preventive interventions for anxiety disorders in children and adolescents – a systematic reviewA.-K. Vartiainen0V. Kuvaja-Köllner1M. Rantsi2E. Rissanen3T. Luntamo4M. Kurki5A. Sourander6E. Kankaanpää7University of Eastern Finland, Department Of Health And Social Management, Kuopio, FinlandUniversity of Eastern Finland, Department Of Health And Social Management, Kuopio, FinlandUniversity of Eastern Finland, Department Of Health And Social Management, Kuopio, FinlandUniversity of Eastern Finland, Department Of Health And Social Management, Kuopio, FinlandUniversity of Turku, Research Center For Child Psychiatry, Turku, FinlandUniversity of Turku, Research Center For Child Psychiatry, Turku, FinlandUniversity of Turku, Research Center For Child Psychiatry, Turku, FinlandUniversity of Eastern Finland, Department Of Health And Social Management, Kuopio, Finland Introduction 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. Objectives 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 1,697 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 to usual teaching. Selective parent training and indicative child- and parent-focused CBT prevention were likely cost-effective compared to usual care or doing nothing. Conclusions 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 weak related to cost-effectiveness as there are only a few studies, with relatively small sample sizes and short follow-ups. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822017618/type/journal_articlepreventionAnxietyeconomic evaluationchildren and adolescents |
| spellingShingle | A.-K. Vartiainen V. Kuvaja-Köllner M. Rantsi E. Rissanen T. Luntamo M. Kurki A. Sourander E. Kankaanpää Economic evidence of preventive interventions for anxiety disorders in children and adolescents – a systematic review European Psychiatry prevention Anxiety economic evaluation children and adolescents |
| title | Economic evidence of preventive interventions for anxiety disorders in children and adolescents – a systematic review |
| title_full | Economic evidence of preventive interventions for anxiety disorders in children and adolescents – a systematic review |
| title_fullStr | Economic evidence of preventive interventions for anxiety disorders in children and adolescents – a systematic review |
| title_full_unstemmed | Economic evidence of preventive interventions for anxiety disorders in children and adolescents – a systematic review |
| title_short | Economic evidence of preventive interventions for anxiety disorders in children and adolescents – a systematic review |
| title_sort | economic evidence of preventive interventions for anxiety disorders in children and adolescents a systematic review |
| topic | prevention Anxiety economic evaluation children and adolescents |
| url | https://www.cambridge.org/core/product/identifier/S0924933822017618/type/journal_article |
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