Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2008 Jun;192(6):450-7.
doi: 10.1192/bjp.bp.106.033597.

Out-patient Psychotherapy for Borderline Personality Disorder: Cost-Effectiveness of Schema-Focused Therapy v. Transference-Focused Psychotherapy

Affiliations
Randomized Controlled Trial

Out-patient Psychotherapy for Borderline Personality Disorder: Cost-Effectiveness of Schema-Focused Therapy v. Transference-Focused Psychotherapy

Antoinette D I van Asselt et al. Br J Psychiatry. .

Abstract

Background: Schema-focused therapy (SFT) and transference-focused psychotherapy (TFP) for borderline personality disorder were recently compared in a randomised multicentre trial.

Aims: To assess the societal cost-effectiveness of SFT v. TFP in treating borderline personality disorder.

Method: Costs were assessed by interview. Health-related quality of life was measured using EQ-5D. Outcomes were costs per recovered patient (recovery assessed with the Borderline Personality Disorder Severity Index) and costs per quality-adjusted life-year (QALY).

Results: Mean 4-year bootstrapped costs were euro37 826 for SFT and euro46 795 for TFP (95% uncertainty interval for difference -21 775 to 3546); QALYs were 2.15 for SFT and 2.27 for TFP (95% UI -0.51 to 0.28). The percentages of patients who recovered were 52% and 29% respectively. The SFT intervention was less costly and more effective than TFP (dominant), for recovery; it saved euro90 457 for one QALY loss.

Conclusions: Despite the initial slight disadvantage in QALYs, there is a high probability that compared with TFP, SFT is a cost-effective treatment for borderline personality disorder.

Similar articles

See all similar articles

Cited by 24 articles

See all "Cited by" articles

Publication types

LinkOut - more resources

Feedback