4.6 Article

Measuring the benefits of treatment for psychosis: validity and responsiveness of the EQ-5D

Journal

BRITISH JOURNAL OF PSYCHIATRY
Volume 195, Issue 2, Pages 170-177

Publisher

CAMBRIDGE UNIV PRESS
DOI: 10.1192/bjp.bp.108.057380

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Funding

  1. Medical Research Council (MRC)
  2. MRC [G0300925] Funding Source: UKRI
  3. National Institutes of Health Research (NIHR) [PHCS/C4/4/002] Funding Source: National Institutes of Health Research (NIHR)
  4. Medical Research Council [G0300925] Funding Source: researchfish
  5. National Institute for Health Research [PHCS/C4/4/002] Funding Source: researchfish

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Background The UK National institute for Health and Clinical Excellence (NICE) has recommended that cost-effectiveness analysis includes the EQ-5D, however, this is often not implemented in the area of mental health. Aims To assess the appropriateness of using the EQ-5D to measure improvements in mental health. Method Seventy-seven participants with psychosis were rated according to the EQ-5D and seven measures of mental health at both pre- and post-intervention. To assess construct validity we compared the (pre-intervention) mean EQ-5D scores for those with milder and more severe scores, according to each of the seven measures. To assess responsiveness we estimated the mean EQ-SD change score for those who improved (post-intervention), according to each of the measures. Results The mean EQ-5D score was more favourable for both those with milder scores (mean difference: 0.044 to 0.301) and for those who improved post-intervention (mean change: 0.029 to 0.117). Conclusions This suggests the EQ-5D should be considered for use in future cost-effectiveness studies in the area of mental health.

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