A cost–utility analysis of mindfulness-based cognitive therapy versus cognitive behavioral therapy for major depressive disorder relapse prevention in primary care

•CBT and MBCT compared using a lifetime Markov cost–utility model.•CBT yields modest QALY gains at higher cost, ICER well below $50,000/QALY.•MBCT remains competitive, favored in lower WTP or resource-limited settings.•Secenario analyses confirm results robust across discount rates and horizons.•Fin...

Full description

Saved in:
Bibliographic Details
Published in:Psychiatry research 2026-04, Vol.358, p.116996, Article 116996
Main Authors: Abu-Ashour, Waseem, Audas, Rick, Gamble, John-Michael, Hawboldt, John, Sale, Joanna E.M.
Format: Article
Language:English
Subjects:
Adult
CBT
Cognitive Behavioral Therapy - economics
Cognitive Behavioral Therapy - methods
Cost-Benefit Analysis
Female
Humans
Major depressive disorder
Major Depressive Disorder - economics
Major Depressive Disorder - prevention & control
Major Depressive Disorder - therapy
Male
Markov Chains
Markov model
MBCT
Middle Aged
Mindfulness - economics
Mindfulness - methods
Primary care
Primary Health Care - economics
Psychotherapy
Quality-Adjusted Life Years
Relapse
Secondary Prevention - economics
Secondary Prevention - methods
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!