134639 20260217205512.0 doi 10.1007/s12671-024-02319-4 sideral 138177 ART-2024-138177 eng D’Amico, Francesco Cost-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 2024 Access copy available to the general public Unrestricted Objectives: 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 info:eu-repo/grantAgreement/ES/ISCIII/CIBERESP/CB22-02-00052 info:eu-repo/grantAgreement/ES/ISCIII/CP21-00080 info:eu-repo/grantAgreement/ES/ISCIII-RICAPPS/RD21-0016-0005 info:eu-repo/semantics/openAccess by https://creativecommons.org/licenses/by/4.0/deed.es 3.5 2024 PSYCHOLOGY, CLINICAL 30 / 185 = 0.162 2024 Q1 T1 PSYCHIATRY 71 / 288 = 0.247 2024 Q1 T1 1.82 2024 Applied Psychology 2024 Q1 Developmental and Educational Psychology 2024 Q1 Social Psychology 2024 Q1 Health (social science) 2024 Q1 Experimental and Cognitive Psychology 2024 Q1 6.9 2024 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Navarrete, Jaime Montero-Marín, Jesús Cardeñosa-Valera, Eugenia Navarro-Gil, Mayte Universidad de Zaragoza (orcid)0000-0003-4842-0453 Pérez-Aranda, Adrián López-del-Hoyo, Yolanda Universidad de Zaragoza (orcid)0000-0002-1690-4130 Collado-Navarro, Carlos García-Campayo, Javier Universidad de Zaragoza (orcid)0000-0002-3797-4218 Luciano, Juan V. 4009 730 Universidad de Zaragoza Dpto. Psicología y Sociología Área Psicología Básica 1007 745 Universidad de Zaragoza Dpto. Medicina, Psiqu. y Derm. Area Psiquiatría 4009 735 Universidad de Zaragoza Dpto. Psicología y Sociología Área Psicolog.Evolut.Educac 15, 3 (2024), 11 pp. Mindfulness Mindfulness 1868-8527 844432 http://zaguan.unizar.es/record/134639/files/texto_completo.pdf Versión publicada 2315452 http://zaguan.unizar.es/record/134639/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:134639 articulos driver 2026-02-17-20:25:36 ARTICLE