PL EN


Preferences help
enabled [disable] Abstract
Number of results
2014 | 16 | 4 | 57–64
Article title

Cost-effectiveness analysis of psychotherapy in treatment of essential hypertension in primary care

Title variants
Languages of publication
EN
Abstracts
EN
Aim of the study. To estimate expediency of psychotherapy in patients with essential hypertension from a clinical and economic perspective. Place and duration of study. Clinical material was collected from September 2011 to February 2012 in Polyclinic no. 12, Almaty and the Central City’s Polyclinic, Kaskelen. Method. 75 patients with identified psychosomatic disorders (37 male, 38 female) suffering from hypertension of a first or second degree (from 140/90 to 179/109mmHg) were randomised into two groups (mean age 48.5±3.69 and 47.5±4.2 years). All patients received therapy within the same scheme, but group 1 was additionally treated with psychotherapy. Results. Qualitative improvements were shown on all scales of the “Mini-mult” test for group 1. The control examination of mean blood pressure (BP) at week 14 found a statistically significant difference in final systolic blood pressure (SBP) between the two groups (134.27±3.7 vs. 137.33±3.9, p=0.032), but no such difference in final diastolic blood pressure (DBP) (82.93±5.1 vs. 83.81±4.3, p=0.198). The average cost of the 24-week treatment per person was 47.81USD for group 1 (standard treatment with psychotherapy) and 48.62USD for group 2 (standard treatment). The cost of SBP reduction was 1.98 vs. 2.53USD per 1mmHg for group 1 and 2 respectively and for DBP reduction it was 3.19 vs. 3.73USD per 1mmHg for group 1 and 2 respectively. Blood pressure (BP) reduction was faster in group 1 (7.05 vs. 7.97 weeks). Conclusions. Conservative treatment of hypertension combined with comprehensive psychotherapy leads to better results compared with a conventional conservative treatment scheme, from psychological, clinical and economic points of view, bur results can be different in another country. More trials in different countries with greater numbers of patients are necessary.
Discipline
Publisher

Year
Volume
16
Issue
4
Pages
57–64
Physical description
Dates
published
2014
Contributors
References
  • 1. World Health Organization Regional Office for Europe. WHO Regional Database [updated April2014]. Available at: http:// data.euro.who.int/hfadb/
  • 2. Agency of Statistics of the Republic of Kazakhstan. Health of Republic of Kazakhstan Population and Activities of Health Care Organizations in 2011. Astana: ASRK; 2011.
  • 3. Barmagambetova AT. Prevalence of hypertension in Kazakhstan and abroad. KazNMU Bull. 2013; 1: 184–186.
  • 4. Stergiou GS1, Karotsis AK, Symeonidis A, Vassilopoulou VA. Aggressive blood pressure control in general practice (ABC- GP) study: can the new targets be reached? J Hum Hyper- tens. 2003; 17: 767–773.
  • 5. Mourad JJ1, Waeber B, Zannad F, Laville M, Duru G, Andréjak M; investigators of the STRATHE trial. Comparison of different therapeutic strategies in hypertension: a low-dose combination of perindopril/indapamide versus a sequen- tial monotherapy or a stepped-care approach. J Hypertens. 2004; 22: 2379–2386.
  • 6. Alexander F, French TM, Pollock GH. Psychosomatic Specificity. Chicago: University of Chicago Press; 1968.
  • 7. American Heart Association. AHA Statistical Update: Heart Disease and Stroke Statistics – 2007 Update. Circulation AHA2013; 115: e69-e171.
  • 8. Chobanian AV, Bakris GL, Black HR, et al. The Seventh Report of the Joint National Committee on Prevention, Detec- tion, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA2003; 289: 2560–2572.
  • 9. Tukaev RD. Psychotherapy: Structures and Mechanisms. Medical Information Agency; 2003.
  • 10. Linden W, Lenz JW, Con AH. Individualized stress management for primary hypertension: a randomized trial. Arch In- tern Med. 2001; 161: 1071–1080.
  • 11. Dickinson HO, Combell F, Bega FR, Nicolson DJ, Cook JV, Ford GA, Mason JM. Relaxation therapies for the management of primary hypertension in adults: a Cochrane review. J Hum Hypertens. 2008; 22: 807–808.
Document Type
article
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.psjd-1509-2046-2014-16-4-57
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.