Cost-effectiveness of internet-based cognitive behavior therapy for irritable bowel syndrome: results from a randomized controlled trial
Open accessAbstract
BACKGROUND: Irritable Bowel Syndrome (IBS) is highly prevalent and is associated with a substantial economic burden. Cognitive behavior therapy (CBT) has been shown to be effective in treating IBS. The aim of this study was to evaluate the cost-effectiveness of a new treatment alternative, internet-delivered CBT based on exposure and mindfulness exercises. METHODS: Participants (N = 85) with IBS were recruited through self-referral and were assessed via a telephone interview and self-report measures on the internet. Participants were randomized to internet-delivered CBT or to a discussion forum. Economic data was assessed at pre-, post- and at 3-month and 1 year follow-up. RESULTS: Significant cost reductions were found for the treatment group at $16,806 per successfully treated case. The cost reductions were mainly driven by reduced work loss in the treatment group. Results were sustained at 3-month and 1 year follow-up. CONCLUSIONS: Internet-delivered CBT appears to generate health gains in IBS treatment and is associated with cost-savings from a societal perspective.
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ICBT for IBS was associated with considerable long-term societal cost-savings.
“and that the treatment was associated with considerable long-term societal cost-savings [17]”
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- Authors
- Andersson, E., Ljótsson, B., Smit, F., Paxling, B., Hedman, E., Lindefors, N., Andersson, G., & Rück, C.
- Affiliations
- Karolinska Institutet (SE)
- Trimbos Institute (NL)
- Linköping University (SE)
- Corresponding author
- Andersson, Erik
- Venue
- BMC Public Health
- Published
- 2011-04-07
- Volume
- 11
- Issue
- 1
- Pages
- 215-215
- ISSN
- 1471-2458 (ISSN-L)
- PMC
- PMC3083356
- OpenAlex
- W2119927336
- Cited by
- 77
- References
- 37
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1 · 2023: 1 · 2022: 4 · 2021: 5 · 2020: 2 · 2019: 4 · 2018: 7 · 2017: 4 · 2016: 5 · 2015: 10 · 2014: 10 · 2013: 7 · 2012: 10
- FWCI
- 9.85
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Public Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion, other-oa)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (acceptedVersion, other-oa)
- VU Research Portal (submittedVersion, other-oa)
- DiVA (Linkoping University) (submittedVersion, other-oa)
- Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- irritable bowel syndrome, internet-based cognitive behavioral therapy, cost-effectiveness, mindfulness, exposure therapy, economic burden, work loss, forum
- MeSH terms
- Adult, Cost-Benefit Analysis, Employment, Female, Follow-Up Studies, Humans, Male, Middle Aged, Cognitive Behavioral Therapy, Treatment Outcome, Cost of Illness, Internet, Irritable Bowel Syndrome, Young Adult
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