Is bouldering-psychotherapy a cost-effective way to treat depression when compared to group cognitive behavioral therapy – results from a randomized controlled trial

Schwarzkopf, Larissa; Dorscht, Lisa; Kraus, Ludwig; Luttenberger, Katharina

doi:10.1186/s12913-021-07153-1

Cited by 5 publications

(4 citation statements)

References 64 publications

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“…Reneman et al 23 found that the proportion caused by this disease accounted for 85% of the total cost. Schwarzkopf et al 24 found that, in the scenario of depression, the proportion of productivity loss in the total cost could be as high as 81%. Two studies found that productivity loss caused by rheumatoid arthritis accounted for 76% and 54% of the total costs, respectively 25 26.…”

Section: Resultsmentioning

confidence: 99%

Incorporating productivity loss in health economic evaluations: a review of guidelines and practices worldwide for research agenda in China

et al. 2022

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IntroductionProductivity loss may contribute to a large proportion of costs of health conditions in an economic evaluation from a societal perspective, but there is currently a lack of methodological consensus on how productivity loss should be measured and valued. Despite the research progress surrounding this issue in other countries, it has been rarely discussed in China.MethodsWe reviewed the official guidelines on economic evaluations in different countries and regions and screened the literature to summarise the extent to which productivity loss was incorporated in economic evaluations and the underlying methodological challenges.ResultsA total of 48 guidelines from 46 countries/regions were included. Although 32 (67%) guidelines recommend excluding productivity loss in the base case analysis, 23 (48%) guidelines recommend including productivity loss in the base case or additional analyses. Through a review of systematic reviews and the economic evaluation studies included in these reviews, we found that the average probability of incorporating productivity loss in an economic evaluation was 10.2%. Among the economic evaluations (n=478) that explicitly considered productivity loss, most (n=455) considered losses from paid work, while only a few studies (n=23) considered unpaid work losses. Recognising the existing methodological challenges and the specific context of China, we proposed a practical research agenda and a disease list for progress on this topic, including the development of the disease list comprehensively consisting of health conditions where the productivity loss should be incorporated into economic evaluations.ConclusionAn increasing number of guidelines recommend the inclusion of productivity loss in the base case or additional analyses of economic evaluation. We optimistically expect that more Chinese researchers notice the importance of incorporating productivity loss in economic evaluations and anticipate guidelines that may be suitable for Chinese practitioners and decision-makers that facilitate the advancement of research on productivity loss measurement and valuation.

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Section: Resultsmentioning

confidence: 99%

Incorporating productivity loss in health economic evaluations: a review of guidelines and practices worldwide for research agenda in China

et al. 2022

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“…BPT (and probably CBT) seem suitable for a wide range of participants and could be chosen in a second step. Although being altogether at least as effective as only CBT and cost‐effective (Schwarzkopf et al, 2021), outpatient group BPT could be a good strategy.…”

Section: Discussionmentioning

confidence: 99%

“…These two intervention groups were compared with a home‐based exercise programme (EP). BPT was found to be superior to the EP (Karg et al, 2020) and CBT (Luttenberger et al, 2021) and was cost‐efficient (Schwarzkopf et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Treating depression in an outpatient setting: Predictors of patient response to bouldering psychotherapy, cognitive behavioural therapy or exercise alone

Luttenberger,

Donath,

Graessel

et al. 2023

Clin Psychology and Psychoth

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BackgroundBouldering psychotherapy (BPT) for depression has proven effective, but nothing is known about its potential predictors of response. This study should identify predictors of response to BPT, cognitive behavioural therapy (CBT) and an active control (home‐based exercise programme; EP) using a literature‐based model.MethodsIn a multicentre randomised controlled trial, 233 outpatients were assigned to BPT, CBT or EP. Response (reduction of at least 46% on the Montgomery–Åsberg Depression Rating Scale [MADRS]) and remission (≤7 MADRS points) were defined as suggested by the literature. Predictors of response were identified twofold: (1) univariate analyses followed by logistic regression analyses in each group with all predictors yielding a univariate p‐value <.20 and (2) a backward regression analysis with all potential predictors. Only variables that emerged as predictors in both types of analyses were interpreted.ResultsThere was a significantly greater proportion of responders (p = .035) in the BPT than in the EP. The chance of response in the BPT was higher for patients with a higher health‐related quality of life. In the EP, response was higher for patients with lower interpersonal sensitivity, suffering from their first episode and living with a partner.ConclusionsResponse rates in BPT are similar to or even higher than in other outpatient psychotherapy group therapies. BPT and CBT are suitable for a wide range of patients, but patients with higher functionality could start with psychoeducation and exercise.

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“…Thus, TC is a promising method for treating depression. If someone has a systematic plan to practice it for a long time, their disease condition will improve [ 45 , 46 , 47 ]. The patient will feel better and can greatly enhance their social skills, self-management skills and self-efficacy.…”

Section: The Effects Of Tcmentioning

confidence: 99%

The Origin, Application and Mechanism of Therapeutic Climbing: A Narrative Review

Liu

Gong

et al. 2022

IJERPH

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As an innovative exercise therapy, therapeutic climbing (TC) has attracted more attention than ever before in recent years. In this review of the related studies on TC, the authors explore its origin and development; summarize its therapeutic effect in treating depression, low back pain and other diseases; and further analyze its underlying mechanism. According to the literature, TC was primarily applied in the field of orthopedics and then was gradually used in neurology, psychiatry and psychology. It provides a new means for the treatment of depression, lower back pain, multiple sclerosis and other diseases. There are two potential mechanisms: physiological and psychological. In the future, exercise effects, adverse effects and exercise prescriptions of TC should be explored with large samples and high-quality randomized controlled trials.

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Is bouldering-psychotherapy a cost-effective way to treat depression when compared to group cognitive behavioral therapy – results from a randomized controlled trial

Cited by 5 publications

References 64 publications

Incorporating productivity loss in health economic evaluations: a review of guidelines and practices worldwide for research agenda in China

Incorporating productivity loss in health economic evaluations: a review of guidelines and practices worldwide for research agenda in China

Treating depression in an outpatient setting: Predictors of patient response to bouldering psychotherapy, cognitive behavioural therapy or exercise alone

The Origin, Application and Mechanism of Therapeutic Climbing: A Narrative Review

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