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Economic evidence of preventive interventions for anxiety disorders in children and adolescents – a systematic review

Published online by Cambridge University Press:  01 September 2022

A.-K. Vartiainen ,
V. Kuvaja-Köllner ,
M. Rantsi ,
E. Rissanen ,
T. Luntamo ,
M. Kurki ,
A. Sourander  and
E. Kankaanpää
A.-K. Vartiainen*
Affiliation:
University of Eastern Finland, Department Of Health And Social Management, Kuopio, Finland
V. Kuvaja-Köllner
Affiliation:
University of Eastern Finland, Department Of Health And Social Management, Kuopio, Finland
M. Rantsi
Affiliation:
University of Eastern Finland, Department Of Health And Social Management, Kuopio, Finland
E. Rissanen
Affiliation:
University of Eastern Finland, Department Of Health And Social Management, Kuopio, Finland
T. Luntamo
Affiliation:
University of Turku, Research Center For Child Psychiatry, Turku, Finland
M. Kurki
Affiliation:
University of Turku, Research Center For Child Psychiatry, Turku, Finland
A. Sourander
Affiliation:
University of Turku, Research Center For Child Psychiatry, Turku, Finland
E. Kankaanpää
Affiliation:
University of Eastern Finland, Department Of Health And Social Management, Kuopio, Finland
*
*Corresponding author.

Abstract

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Introduction

Anxiety disorders are common in children and youth. Also, in prevention, be it universal, selective or indicated, economic evaluation supports decision-making in the allocation of scarce resources.

Objectives

This review identified and summarised the existing evidence of economic evaluations for the prevention of anxiety disorders in children and adolescents.

Methods

A systematic search was conducted on the EBSCO, Scopus, Web of Science, ProQuest, Cochrane and PubMed databases. We included studies that focused on children and adolescents under 18 years of age, aimed to prevent anxiety disorders, and presented an incremental analysis of costs and effectiveness. A registered checklist was used that assessed the quality of the included articles.

Results

The search yielded 1,697 articles. Five articles were included in this review. Three were RCT-based and two were model-based studies. Out of five included interventions, one was a universal school-based intervention, two selective interventions and two indicated interventions. Universal school-based prevention of anxiety was not cost-effective compared to usual teaching. Selective parent training and indicative child- and parent-focused CBT prevention were likely cost-effective compared to usual care or doing nothing.

Conclusions

Parent education and cognitive behaviour therapy interventions can be cautiously interpreted as being a cost-effective way of preventing anxiety in children and adolescents. However, the evidence is weak related to cost-effectiveness as there are only a few studies, with relatively small sample sizes and short follow-ups.

Disclosure

No significant relationships.

Keywords

preventionAnxietyeconomic evaluationchildren and adolescents
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S684
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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