Träning för mental hälsa
Förutom att träning leder till bättre hälsa är det förmodligen den billigaste behandlingen vi har även om vi skulle betala gymkort till alla "patienter".
BMJ Open. 2017 Nov 26;7(11):e016211. doi: 10.1136/bmjopen-2017-016211.
Cost-effectiveness of a preferred intensity exercise programme for young people with depression compared with treatment as usual: an economic evaluation alongside a clinical trial in the UK.
Turner D1, Carter T2, Sach T1, Guo B3, Callaghan P2.
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Abstract
OBJECTIVES:
To assess the cost-effectiveness of preferred intensity exercise programme for young people with depression compared with a treatment as usual control group.
DESIGN:
A 'within trial' cost-effectiveness and cost-utility analysis conducted alongside a randomised controlled trial. The perspective of the analysis was the UK National Health Service and social services.
SETTING:
The intervention was provided in a community leisure centre setting.
PARTICIPANTS:
86 young people aged 14-17 years attending Tier 2 and Tier 3 CAMHS (Child and Adolescent Mental Health Services) outpatient services presenting with depression.
INTERVENTIONS:
The intervention comprised 12 separate sessions of circuit training over a 6-week period. Sessions were supervised by a qualified exercise therapist. Participants also received treatment as usual. The comparator group received treatment as usual.
RESULTS:
We found improvements in the Children's Depression Inventory-2 (CDI-2) and estimated cost-effectiveness at £61 per point improvement in CDI-2 for the exercise group compared with control. We found no evidence that the exercise intervention led to differences in quality-adjusted life years (QALY). QALYs were estimated using the EQ-5D-5L (5-level version of EuroQol-5 dimension).
CONCLUSIONS:
There is evidence that exercise can be an effective intervention for adolescents with depression and the current study shows that preferred intensity exercise could also represent a cost-effective intervention in terms of the CDI-2.
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