{"id":"https://openalex.org/W2262372232","doi":null,"title":"The Cost Effectiveness of Maintenance Cognitive Behavioral Therapy of Major Depression in the Netherlands","display_name":"The Cost Effectiveness of Maintenance Cognitive Behavioral Therapy of Major Depression in the Netherlands","publication_year":2007,"publication_date":"2007-06-17","ids":{"openalex":"https://openalex.org/W2262372232","mag":"2262372232"},"language":"en","primary_location":{"id":"mag:2262372232","doi":null,"is_oa":true,"landing_page_url":"https://papers.ssrn.com/sol3/papers.cfm?abstract_id=994744","pdf_url":null,"source":{"id":"https://openalex.org/S4210172589","display_name":"SSRN Electronic Journal","issn_l":"1556-5068","issn":["1556-5068"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1318003438","host_organization_name":"RELX Group (Netherlands)","host_organization_lineage":["https://openalex.org/I1318003438"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"SSRN Electronic Journal","raw_type":null},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://papers.ssrn.com/sol3/papers.cfm?abstract_id=994744","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5029793565","display_name":"Pieter H M van Baal","orcid":"https://orcid.org/0000-0001-9913-2393","observed_orcids":["https://orcid.org/0000-0001-9913-2393"]},"institutions":[{"id":"https://openalex.org/I4210104433","display_name":"National Institute for Public Health and the Environment","ror":"https://ror.org/01cesdt21","country_code":"NL","type":"facility","lineage":["https://openalex.org/I4210104433"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Pieter van Baal","raw_affiliation_strings":["Government of the Netherlands - National Institute for Public Health & the Environment"],"raw_orcid":"https://orcid.org/0000-0001-9913-2393","affiliations":[{"raw_affiliation_string":"Government of the Netherlands - National Institute for Public Health & the Environment","institution_ids":["https://openalex.org/I4210104433"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103609501","display_name":"Matthijs van den Berg","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210104433","display_name":"National Institute for Public Health and the Environment","ror":"https://ror.org/01cesdt21","country_code":"NL","type":"facility","lineage":["https://openalex.org/I4210104433"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Matthijs van den Berg","raw_affiliation_strings":["National Institute for Public Health & the Environment"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Institute for Public Health & the Environment","institution_ids":["https://openalex.org/I4210104433"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113676547","display_name":"Sylvia M. C. Vijgen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210104433","display_name":"National Institute for Public Health and the Environment","ror":"https://ror.org/01cesdt21","country_code":"NL","type":"facility","lineage":["https://openalex.org/I4210104433"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Sylvia Vijgen","raw_affiliation_strings":["National Institute for Public Health & the Environment"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Institute for Public Health & the Environment","institution_ids":["https://openalex.org/I4210104433"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5007119101","display_name":"Theo Vos","orcid":"https://orcid.org/0000-0002-5690-5365","observed_orcids":["https://orcid.org/0000-0002-5690-5365"]},"institutions":[{"id":"https://openalex.org/I165143802","display_name":"The University of Queensland","ror":"https://ror.org/00rqy9422","country_code":"AU","type":"education","lineage":["https://openalex.org/I165143802"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Theo Vos","raw_affiliation_strings":["University of Queensland"],"raw_orcid":"https://orcid.org/0000-0002-5690-5365","affiliations":[{"raw_affiliation_string":"University of Queensland","institution_ids":["https://openalex.org/I165143802"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.9355000257492065,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.9355000257492065,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.032600000500679016,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10853","display_name":"Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes","score":0.007499999832361937,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/major-depressive-disorder","display_name":"major depressive disorder","score":0.9940000176429749},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.8479999899864197},{"id":"https://openalex.org/keywords/depression-recurrence-prevention","display_name":"depression recurrence prevention","score":0.781000018119812},{"id":"https://openalex.org/keywords/relapse","display_name":"relapse","score":0.5920000076293945},{"id":"https://openalex.org/keywords/antidepressants","display_name":"antidepressants","score":0.6679999828338623},{"id":"https://openalex.org/keywords/usual-care","display_name":"usual care","score":0.7739999890327454},{"id":"https://openalex.org/keywords/general-practitioners","display_name":"general practitioners","score":0.6240000128746033},{"id":"https://openalex.org/keywords/markov-model","display_name":"Markov model","score":0.8259999752044678},{"id":"https://openalex.org/keywords/disability-adjusted-life-years","display_name":"disability-adjusted life years","score":0.7599999904632568},{"id":"https://openalex.org/keywords/netherlands","display_name":"Netherlands","score":0.5440000295639038},{"id":"https://openalex.org/keywords/chronic-disease-management","display_name":"chronic disease management","score":0.44200000166893005}],"concepts":[{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.7662267088890076},{"id":"https://openalex.org/C2778097690","wikidata":"https://www.wikidata.org/wiki/Q5413797","display_name":"Euros","level":2,"score":0.6983286142349243},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.5470108389854431},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4719335734844208},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.44464483857154846},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3829931914806366},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.3807861804962158},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.36377865076065063},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3252699375152588},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.09132888913154602},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C139719470","wikidata":"https://www.wikidata.org/wiki/Q39680","display_name":"Macroeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C15708023","wikidata":"https://www.wikidata.org/wiki/Q80083","display_name":"Humanities","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"mag:2262372232","doi":null,"is_oa":true,"landing_page_url":"https://papers.ssrn.com/sol3/papers.cfm?abstract_id=994744","pdf_url":null,"source":{"id":"https://openalex.org/S4210172589","display_name":"SSRN Electronic Journal","issn_l":"1556-5068","issn":["1556-5068"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1318003438","host_organization_name":"RELX Group (Netherlands)","host_organization_lineage":["https://openalex.org/I1318003438"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"SSRN Electronic Journal","raw_type":null}],"best_oa_location":{"id":"mag:2262372232","doi":null,"is_oa":true,"landing_page_url":"https://papers.ssrn.com/sol3/papers.cfm?abstract_id=994744","pdf_url":null,"source":{"id":"https://openalex.org/S4210172589","display_name":"SSRN Electronic Journal","issn_l":"1556-5068","issn":["1556-5068"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1318003438","host_organization_name":"RELX Group (Netherlands)","host_organization_lineage":["https://openalex.org/I1318003438"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"SSRN Electronic Journal","raw_type":null},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7127655028","https://openalex.org/W4390698763","https://openalex.org/W3004940452","https://openalex.org/W2135823835","https://openalex.org/W7098649790","https://openalex.org/W1491536114","https://openalex.org/W1980297044","https://openalex.org/W7015089290","https://openalex.org/W2334678980","https://openalex.org/W2896015993"],"abstract_inverted_index":{"Background":[0],"In":[1,57,340],"the":[2,4,25,33,60,70,73,79,86,102,117,131,139,167,180,198,208,218,230,285,289,341,344,395,413,439],"Netherlands,":[3],"twelvemonth":[5],"prevalence":[6],"of":[7,16,21,28,36,62,72,81,89,126,135,145,192,211,235,264,288,305,318,325,335,361,372,406,415,420,436],"major":[8,99,401],"depression":[9,45,63,100,216,402],"is":[10,30,38,46,116,411],"estimated":[11,254],"at":[12,69,78,270,274,321,364,389],"737,000":[13],"(i.e.":[14],"5.4%":[15],"those":[17],"above":[18],"12":[19],"years":[20,320,363],"age).":[22],"For":[23],"depression,":[24],"two-year":[26],"risk":[27,35,421],"recurrence":[29,37],"40%,":[31],"and":[32,122,124,133,155,161,174,190,272,350],"lifetime":[34],"even":[39],"70-80%,":[40],"which":[41,141,159],"explains":[42],"why":[43],"currently":[44],"considered":[47],"as":[48],"a":[49,105,110,233,262,299,316,351,359,369,390,416,434],"chronic":[50],"disease":[51],"rather":[52],"than":[53],"an":[54,240,322,331],"episodic":[55],"disease.":[56],"this":[58,226],"respect,":[59],"treatment":[61,71],"should":[64,427,455],"not":[65],"only":[66],"be":[67,387,429,457],"aimed":[68],"specific":[74],"episode,":[75],"but":[76],"also":[77],"prevention":[80],"recurrences.":[82],"Objective":[83],"To":[84],"estimate":[85],"cost":[87,132,243,324,393],"effectiveness":[88,175,244],"maintenance":[90],"cognitive":[91],"behavioral":[92],"therapy":[93],"(MCBT)":[94],"for":[95,232,423],"people":[96,213],"diagnosed":[97,214,399],"with":[98,215,400,431],"in":[101,143,158,170,187,248,284,330,368,438],"Netherlands":[103],"over":[104,220,261,315,358],"5":[106,362],"year":[107],"period":[108,263,317,360,419],"from":[109,179,182,239,298],"health":[111,345,384],"care":[112,137,194,260,307],"perspective.":[113],"The":[114,379],"setting":[115],"Dutch":[118,199,460],"general":[119],"practitioner":[120],"(GP),":[121],"costs":[123,366],"effects":[125,134,273],"MCBT":[127,257,303,404],"are":[128,164,347,441],"compared":[129],"to":[130,197,258,281,403,453],"usual":[136,193,259,306],"by":[138,217,228,255],"GP":[140,219,342,396],"consists":[142],"80%":[144],"antidepressants.":[146],"Methods":[147],"A":[148],"Markov":[149],"model":[150,222,231,440,449],"was":[151,279],"developed":[152],"distinguishing":[153],"depressed":[154],"undepressed":[156],"states":[157],"recovery":[160],"relapse":[162],"probabilities":[163,173],"dependent":[165],"on":[166,207,310,353,443,459],"time":[168],"spent":[169],"state.":[171],"Transition":[172],"estimates":[176],"were":[177,195,253,268],"taken":[178],"study":[181,381],"Vos":[183],"et":[184],"al.":[185],"conducted":[186],"Australia.":[188],"Costs":[189,267],"definition":[191],"adapted":[196],"situation.":[200],"Since":[201],"we":[202,224],"had":[203],"no":[204],"empirical":[205],"data":[206],"initial":[209],"distribution":[210,227],"all":[212,221],"states,":[223],"generated":[225],"running":[229],"cohort":[234],"persons":[236,398],"just":[237,296],"recovered":[238,297],"episode.":[241],"Incremental":[242],"ratios":[245],"(ICER)":[246],"expressed":[247],"euros":[249],"per":[250,337,375],"DALY":[251,314,338,357,376],"averted":[252],"comparing":[256],"five":[265,319],"years.":[266],"discounted":[269],"4%":[271],"1.5%.":[275],"Probabilistic":[276],"sensitivity":[277],"analysis":[278],"performed":[280],"reflect":[282],"uncertainty":[283],"input":[286],"parameters":[287,437],"model.":[290],"Results":[291],"If":[292],"someone":[293],"who":[294],"has":[295],"depressive":[300],"episode":[301],"receives":[302],"instead":[304,405],"he/she":[308],"averts":[309],"average":[311,332,354],"about":[312,326],"0.10":[313],"additional":[323],"\u0080":[327,373],"500":[328],"resulting":[329,367],"cost-effectiveness":[333],"ratio":[334],"\u00805,000":[336],"averted.":[339,377],"population,":[343],"gains":[346,355,385],"somewhat":[348],"lower":[349],"patient":[352],"0.05":[356],"higher":[365],"mean":[370],"ICER":[371],"15,000":[374],"Conclusions":[378],"modelling":[380],"showed":[382],"that":[383],"can":[386],"achieved":[388],"relatively":[391],"low":[392],"if":[394],"refers":[397],"prescribing":[407],"anti-depressive":[408],"medication.":[409],"This":[410,425],"mainly":[412],"result":[414],"longer":[417],"sustained":[418],"reduction":[422],"recurrence.":[424],"conclusion":[426],"however":[428],"interpreted":[430],"caution,":[432],"since":[433],"lot":[435],"based":[442,458],"international":[444],"studies":[445],"while":[446],"some":[447],"important":[448],"parameters,":[450],"like":[451],"adherence":[452],"treatments,":[454],"preferably":[456],"data.":[461]},"counts_by_year":[],"updated_date":"2026-09-22T06:50:58.402377","created_date":"2016-06-24T00:00:00"}
