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Cited by 27Health Systems, Economic Evaluations, Quality of LifeChild and Adolescent Psychosocial and Emotional DevelopmentAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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An explorative cost-effectiveness analysis of school-based screening for child anxiety using a decision analytic model

Simon, Ellin, Dirksen, Carmen D., Bögels, Susan M.·2013·European Child & Adolescent Psychiatry
DOI 10.1007/s00787-013-0404-z
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Abstract

Anxiety in children is highly frequent and causes severe dysfunction. Various studies have used screening procedures to identify high-anxious children and offer them indicated prevention, but the cost-effectiveness of these screening procedures in combination with a preventive intervention has never been examined. This study compared four potential strategies in relation to the prevention of child anxiety: (1) a one-time school-based screening which offers a child-focused intervention, (2) the screening and offering of a parent-focused intervention, (3) the screening and differentially offering a child- or parent-focused intervention, depending on whether or not the parents are anxious themselves, and (4) or doing nothing. An economic evaluation from a societal perspective (i.e. including direct healthcare costs, direct non-healthcare costs, indirect costs, and out-of-pocket costs), using a decision-analytic model. The model was based on the real-world 2-year participation rates of screening and intervention, and real-world costs and effects of high- and median-anxious children (aged 8-12) from regular primary schools. Incremental cost-effectiveness ratios were calculated, and several secondary and one-way sensitivity analyses were performed. The strategy of doing nothing and the strategy of screening and differentially offering the child- or parent-focused intervention, depending on parental anxiety levels were both worthwhile, with the latter strategy costing relatively lit…

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  • Economic evidence of psychological interventions targeting high-risk populations for the prevention of anxiety disorders has consistently shown that youth-focused CBT, parent-focused CBT, or parent-focused psychoeducational interventions provide good value for money.

    “Economic evidence of psychological interventions targeting high-risk populations for the prevention of anxiety disorders has consistently shown that youth-focused CBT, parent-focused CBT, or parentfocused psychoeducational interventions provide good value for money.”

    From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [408]

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Metadata

Authors
Simon, E., Dirksen, C. D., & Bögels, S. M.
Corresponding author
Simon, Ellin
ORCID
Venue
European Child & Adolescent Psychiatry
Publisher
Springer Science and Business Media LLC
Published
2013-03-29
Volume
22
Issue
10
Pages
619-630
ISSN
  • 1018-8827 (ISSN-L)
  • 1435-165X
DOI
10.1007/s00787-013-0404-z
OpenAlex
W2002190014
Cited by
27
References
1
Citations by year
2025: 3 · 2024: 2 · 2023: 1 · 2022: 6 · 2021: 4 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 3 · 2015: 1 · 2014: 3
FWCI
5.48
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • European Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • DSpace (Open University in the Netherlands) (publishedVersion)
  • Research Publications (Maastricht University) (submittedVersion)
  • DSpace (Open University in the Netherlands) (submittedVersion)
Funders
ZonMw
Topics
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
childhood anxiety, school-based screening, cost-effectiveness, anxiety prevention, parent-focused intervention, child-focused interventions, parental anxiety, elementary school students, decision-analytic model, social costs
MeSH terms
Anxiety, Child, Cost-Benefit Analysis, Decision Support Techniques, Female, Humans, Male, Mass Screening, Parents, Research Design, Schools, Treatment Outcome, Health Care Costs

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