000134639 001__ 134639 000134639 005__ 20250923084427.0 000134639 0247_ $$2doi$$a10.1007/s12671-024-02319-4 000134639 0248_ $$2sideral$$a138177 000134639 037__ $$aART-2024-138177 000134639 041__ $$aeng 000134639 100__ $$aD’Amico, Francesco 000134639 245__ $$aCost-Utility of Attachment-Based Compassion Therapy (ABCT) and Mindfulness-Based Stress Reduction (MBSR) in the Management of Depressive, Anxious, and Adjustment Disorders in Mental Health Settings: Economic Evaluation Alongside a Randomized Controlled Trial 000134639 260__ $$c2024 000134639 5060_ $$aAccess copy available to the general public$$fUnrestricted 000134639 5203_ $$aObjectives: The main objective of this paper was to examine the cost-utility of attachment-based compassion therapy (ABCT) compared to Mindfulness-Based Stress Reduction (MBSR) and treatment-as-usual (TAU) on patients with depressive and/or anxious disorder, or adjustment disorder with depressive and/or anxious symptomatology in terms of effects on quality-adjusted life years (QALYs) as well as healthcare costs from a public healthcare system perspective. Method: A 6-month randomized controlled trial was conducted. Ninety Spanish patients with mental disorders (depressive, anxious, or adjustment disorders) received 8 weekly group sessions of TAU + ABCT, TAU + MBSR, or TAU alone. Data collection took place at pre- and 6-month follow-up. Cost-utility of the two treatment groups (ABCT vs MBSR vs TAU) was compared by examining treatment outcomes in terms of QALYs (obtained with the EQ-5D-3L) and healthcare costs (data about service use obtained with the Client Service Receipt Inventory). Results: Both MBSR and ABCT were more efficient than TAU alone, although the results did not reach statistical significance. Compared to ABCT, MBSR produced an increase both in terms of costs (€53.69, 95% CI [− 571.27 to 513.14]) and effects (0.004 QALYs, 95% CI [− 0.031 to 0.049]); ICUR = €13,422.50/QALY). Both interventions significantly reduced the number of visits to general practice compared to TAU. Conclusions: This study has contributed to the evidence base of mindfulness- and compassion-based programs and provided promising information about the cost-utility of MBSR for patients with emotional disorders. However, the small sample size and short follow-up period limit the generalizability of the findings. Preregistration Clinicaltrials.gov; NCT03425487 000134639 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/CIBERESP/CB22-02-00052$$9info:eu-repo/grantAgreement/ES/ISCIII/CP21-00080$$9info:eu-repo/grantAgreement/ES/ISCIII-RICAPPS/RD21-0016-0005 000134639 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000134639 590__ $$a3.5$$b2024 000134639 592__ $$a1.82$$b2024 000134639 591__ $$aPSYCHOLOGY, CLINICAL$$b30 / 185 = 0.162$$c2024$$dQ1$$eT1 000134639 591__ $$aPSYCHIATRY$$b71 / 288 = 0.247$$c2024$$dQ1$$eT1 000134639 593__ $$aApplied Psychology$$c2024$$dQ1 000134639 593__ $$aExperimental and Cognitive Psychology$$c2024$$dQ1 000134639 593__ $$aSocial Psychology$$c2024$$dQ1 000134639 593__ $$aHealth (social science)$$c2024$$dQ1 000134639 593__ $$aDevelopmental and Educational Psychology$$c2024$$dQ1 000134639 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000134639 700__ $$aNavarrete, Jaime 000134639 700__ $$aMontero-Marín, Jesús 000134639 700__ $$aCardeñosa-Valera, Eugenia 000134639 700__ $$0(orcid)0000-0003-4842-0453$$aNavarro-Gil, Mayte$$uUniversidad de Zaragoza 000134639 700__ $$aPérez-Aranda, Adrián 000134639 700__ $$0(orcid)0000-0002-1690-4130$$aLópez-del-Hoyo, Yolanda$$uUniversidad de Zaragoza 000134639 700__ $$aCollado-Navarro, Carlos 000134639 700__ $$0(orcid)0000-0002-3797-4218$$aGarcía-Campayo, Javier$$uUniversidad de Zaragoza 000134639 700__ $$aLuciano, Juan V. 000134639 7102_ $$14009$$2730$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicología Básica 000134639 7102_ $$11007$$2745$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Psiquiatría 000134639 7102_ $$14009$$2735$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicolog.Evolut.Educac 000134639 773__ $$g15, 3 (2024), 11 pp.$$pMindfulness$$tMindfulness$$x1868-8527 000134639 8564_ $$s844432$$uhttps://zaguan.unizar.es/record/134639/files/texto_completo.pdf$$yVersión publicada 000134639 8564_ $$s2315452$$uhttps://zaguan.unizar.es/record/134639/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000134639 909CO $$ooai:zaguan.unizar.es:134639$$particulos$$pdriver 000134639 951__ $$a2025-09-22-14:40:33 000134639 980__ $$aARTICLE