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J Anxiety Disord. 2012 Mar;26(2):287-96. doi: 10.1016/j.janxdis.2011.12.008. Epub 2011 Dec 27.

Cost-effectiveness of child-focused and parent-focused interventions in a child anxiety prevention program.

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  • 1Maastricht University, Universiteitssingel 40, 6200 MD Maastricht, The Netherlands.


In this study, the cost-effectiveness of three indicated anxiety prevention strategies was examined from a societal perspective. Children (aged 8-12) were recruited via primary schools, selecting children scoring as high-anxious on an anxiety screening questionnaire. Participating children and their parents were randomized to a child--a parent-focused, or non-intervention group. All groups completed a diagnostic interview and standardized cost-diaries at pretest, and 1- and 2-year follow-up. Incremental cost-effectiveness ratios per 'ADIS improved' child (based on diagnostic information) were calculated and cost-effectiveness acceptability curves and frontiers were plotted. The base-case and most secondary analyses showed it would be cost-effective to offer high-anxious children an intervention, and the parent-focused intervention to be the optimal strategy at lower monetary threshold values than the child-focused intervention and when parents were anxious. The child-focused intervention was dominant when analyses were performed from a healthcare perspective, for boys, and for children of grades 7-8 of primary school.

Copyright © 2012 Elsevier Ltd. All rights reserved.

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