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Research Article

The clinical and cost-effectiveness of self-help treatments for anxiety and depressive disorders in primary care: a systematic review.

P Bower, D Richards and K Lovell
British Journal of General Practice 2001; 51 (471): 838-845.
P Bower
National Primary Care Research and Development Centre, Williamson Building, University of Manchester, M13 9PL. peter.bower@man.ac.uk
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D Richards
National Primary Care Research and Development Centre, Williamson Building, University of Manchester, M13 9PL. peter.bower@man.ac.uk
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K Lovell
National Primary Care Research and Development Centre, Williamson Building, University of Manchester, M13 9PL. peter.bower@man.ac.uk
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Abstract

Anxiety and depression are prevalent in primary care; however, current treatments differ in their availability, cost-effectiveness, and acceptability to patients. Self-help treatments (such as manual-based bibliotherapy) may be an appropriate intervention for some patients. The aim of this research was to determine the clinical and cost-effectiveness of self-help treatments for anxiety and depression in primary care by conducting a systematic review of randomised and non-randomised trials of self-help interventions for patients with anxiety and depression in primary care, from electronic database searches, correspondence with authors, and limited handsearching. Eight studies were identified, examining written interventions based mostly on behavioural principles. Although the majority of trials reported some significant advantages in outcome associated with self-help treatments, the number of included studies was limited and a number of methodological limitations were identified. There were no data concerning long-term clinical benefits or cost-effectiveness. In conclusion, self-help treatments may have the potential to improve the overall cost-effectiveness of mental health service provision. However, the available evidence is limited in quantity and quality and more rigorous trials are required to provide more reliable estimates of the clinical and cost-effectiveness of these treatments.

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British Journal of General Practice: 51 (471)
British Journal of General Practice
Vol. 51, Issue 471
October 2001
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The clinical and cost-effectiveness of self-help treatments for anxiety and depressive disorders in primary care: a systematic review.
P Bower, D Richards, K Lovell
British Journal of General Practice 2001; 51 (471): 838-845.

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The clinical and cost-effectiveness of self-help treatments for anxiety and depressive disorders in primary care: a systematic review.
P Bower, D Richards, K Lovell
British Journal of General Practice 2001; 51 (471): 838-845.
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