Trial reportJournal of personality disorders2006
The cost-effectiveness of cognitive behavior therapy for borderline personality disorder: results from the BOSCOT trial.
Trial report in Journal of personality disorders, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 7 syntheses or guidelines pooled it, 75 citations in OpenAlex.
- The economic burden of Borderline Personality Disorder: direct and indirect costs, and evidence from evaluations of interventions.Frontiers in psychiatry · 2026Pooled it
- Psychosocial interventions for self-harm in adults.The Cochrane database of systematic reviews · 2021Pooled it
- Psychological therapies for people with borderline personality disorder.The Cochrane database of systematic reviews · 2020Pooled it
- Pooled it
- A systematic review of economic evaluations of treatments for borderline personality disorder.PloS one · 2014Pooled it
- The estimation of utility weights in cost-utility analysis for mental disorders: a systematic review.PharmacoEconomics · 2013Pooled it
- Psychological therapies for people with borderline personality disorder.The Cochrane database of systematic reviews · 2012Pooled it
- MEDIACONNEX: a multicenter randomised trial based on short message service to reduce suicide attempt recurrence in adolescents.BMC psychiatry · 2016Trial
- Trial
- Trial
- Influence of therapist competence and quantity of cognitive behavioural therapy on suicidal behaviour and inpatient hospitalisation in a randomised controlled trial in borderline personality disorder: further analyses of treatment effects in the BOSCOT study.Psychology and psychotherapy · 2013Trial
- Cost-effectiveness of guided self-help treatment for recurrent binge eating.Journal of consulting and clinical psychology · 2010Trial
- The effectiveness of cognitive behavior therapy for borderline personality disorder: results from the borderline personality disorder study of cognitive therapy (BOSCOT) trial.Journal of personality disorders · 2006Trial
- The cost-effectiveness of cognitive behavior therapy for borderline personality disorder: results from the BOSCOT trial.Journal of personality disorders · 2006Trial
- The Cost-Effectiveness of the Improving Access to Psychological Therapies (IAPT) Programme in Severe Mental Illness: A Decision Analytical Model Using Routine Data.Community mental health journal · 2019Article
- What Influences Treatment Satisfaction in Patients with Personality Disorders? A Naturalistic Investigation in a Hospitalization Setting.Mental illness · 2016Article
- The association of bipolar spectrum disorders and borderline personality disorder.The Psychiatric quarterly · 2012Review
- Effectiveness of different psychotherapy approaches in the treatment of borderline personality disorder.Current psychiatry reports · 2010Review
- Recent advances in psychosocial treatments for borderline personality disorder.F1000 medicine reports · 2009Article
- Advances in psychotherapy of personality disorders: a research update.Current psychiatry reports · 2007Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
Borderline personality disorder places a significant burden on healthcare providers and other agencies. This study evaluated the cost-effectiveness of cognitive behavior therapy plus treatment as usual compared to treatment as usual alone for patients with borderline personality disorder. The economic analysis was conducted alongside a multi-center, randomized controlled trial. The costs of primary and secondary healthcare utilization, alongside the wider economic costs, were estimated from medical records and patient self-report. The primary outcome measure used was the quality-adjusted life year (QALY), assessed using EuroQol. On average, total costs per patient in the cognitive behavior therapy group were lower than patients receiving usual care alone (-689 pounds sterling), although this group also reported a lower quality of life (-0.11 QALYs). These differences were small and did not approach conventional levels of statistical significance. The use of cognitive therapy for borderline personality disorder does not appear to demonstrate any significant cost-effective advantage based on the results of this study.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.