Mavranezouli, et al. (2020) assessed the cost-effectiveness of a range of interventions for adults with PTSD in this thorough analysis: “EMDR was found to be the most cost-effective intervention for adults with PTSD.”
Background
Post-traumatic stress disorder (PTSD) is a severe and disabling condition that may lead to functional impairment and reduced productivity. Psychological interventions have been shown to be effective in its management. The objective of this study was to assess the cost-effectiveness of a range of interventions for adults with PTSD.
Methods
A decision-analytic model was constructed to compare costs and quality-adjusted life-years (QALYs) of 10 interventions and no treatment for adults with PTSD, from the perspective of the National Health Service and personal social services in England. Effectiveness data were derived from a systematic review and network meta-analysis. Other model input parameters were based on published sources, supplemented by expert opinion.
Results
Eye movement desensitisation and reprocessing (EMDR) appeared to be the most cost-effective intervention for adults with PTSD (with a probability of 0.34 amongst the 11 evaluated options at a cost-effectiveness threshold of £20,000/QALY), followed by combined somatic/cognitive therapies, self-help with support, psychoeducation, selective serotonin reuptake inhibitors (SSRIs), trauma-focused cognitive behavioural therapy (TF-CBT), self-help without support, non-TF-CBT and combined TF-CBT/SSRIs. Counselling appeared to be less cost-effective than no treatment. TF-CBT had the largest evidence base.
Conclusions
A number of interventions appear to be cost-effective for the management of PTSD in adults. EMDR appears to be the most cost-effective amongst them. TF-CBT has the largest evidence base. There remains a need for well-conducted studies that examine the long-term clinical and cost-effectiveness of a range of treatments for adults with PTSD.
Mavranezouli, I., Megnin-Viggars, O., Grey, N., Bhutani, G., Leach, J. Daly, C., Dias, S., Welton, N. J., Katona, C., El-Leithy, S., Greenberg, N., Stockton, S., & Pilling, S. (2020). Cost-effectiveness of psychological treatments for post-traumatic stress disorder in adults. PLoS ONE 15(4): e0232245. Open access: https://doi.org/10.1371/journal.pone.0232245
Back to Focal Point Blog Homepage
Additional Resources
If you are a therapist interested in the EMDR training:
- Learn more about EMDR at the EMDRIA Library
- Learn more about EMDR Training
- Search for an EMDR Training Provider
- Check out our EMDR Training FAQ
If you are EMDR trained:
- Check out EMDRIA’s Let’s Talk EMDR Podcast
- Check out the EMDRIA Focal Point Blog
- Learn more about EMDRIA membership
- Search for Continuing Education opportunities
If you are an EMDRIA Member:
Date
July 28, 2020
Topics
PTSD
