{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T13:13:20Z","timestamp":1793106800595,"version":"4.5.0"},"reference-count":96,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2022,8,25]],"date-time":"2022-08-25T00:00:00Z","timestamp":1661385600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/M014290\/1"],"award-info":[{"award-number":["MR\/M014290\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,2,13]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Common mental disorders (CMDs) constitute a major public health and economic burden on low- and middle-income countries (LMICs). Systematic reviews of economic evaluations of psychological treatments for CMDs are limited. This systematic review examines methods, reports findings and appraises the quality of economic evaluations of psychological treatments for CMDs in LMICs. We searched a range of bibliographic databases (including PubMed, EconLit, APA-PsycINFO and Cochrane library) and the African Journals Online (AJoL) and Google Scholar platforms. We used a pre-populated template to extract data and the Drummond &amp; Jefferson checklist for quality appraisal. We present results as a narrative synthesis. The review included 26 studies, mostly from Asia (12) and Africa (9). The majority were cost-effectiveness analyses (12), some were cost-utility analyses (5), with one cost\u2013benefit analysis or combinations of economic evaluations (8). Most interventions were considered either cost-effective or potentially cost-effective (22), with 3 interventions being not cost-effective. Limitations were noted regarding appropriateness of conclusions drawn on cost-effectiveness, the use of cost-effectiveness thresholds and application of \u2018societal\u2019 incremental cost-effectiveness ratios to reflect value for money (VfM) of treatments. Non-specialist health workers (NSHWs) delivered most of the treatments (16) for low-cost delivery at scale, and costs should reflect the true opportunity cost of NSHWs\u2019 time to support the development of a sustainable cadre of health care providers. There is a 4-fold increase in economic evaluations of CMD psychological treatments in the last decade over the previous one. Yet, findings from this review highlight the need for better application of economic evaluation methodology to support resource allocation towards the World Health Organization recommended first-line treatments of CMDs. We suggest impact inventories to capture societal economic gains and propose a VfM assessment framework to guide researchers in evaluating cost-effectiveness.<\/jats:p>","DOI":"10.1093\/heapol\/czac069","type":"journal-article","created":{"date-parts":[[2022,8,25]],"date-time":"2022-08-25T13:44:55Z","timestamp":1661435095000},"page":"239-260","source":"Crossref","is-referenced-by-count":13,"title":["Economic evaluation of psychological treatments for common mental disorders in low- and middle-income countries: a systematic review"],"prefix":"10.1093","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5321-5289","authenticated-orcid":false,"given":"Vimbayi","family":"Mutyambizi-Mafunda","sequence":"first","affiliation":[{"name":"Health Economics Unit, School of Public Health and Family Medicine, Health Sciences Faculty , University of Cape Town, Anzio Road, Observatory, Cape Town 7925, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0235-6716","authenticated-orcid":false,"given":"Bronwyn","family":"Myers","sequence":"additional","affiliation":[{"name":"Curtin enAble Institute, Faculty of Health Sciences, Curtin University, Kent Street , Bentley, Perth, WA 6102, Australia"},{"name":"Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council , Francie van Zyl Drive, Tygerberg, Cape Town 7505, South Africa"},{"name":"Division of Addiction Psychiatry, Department of Psychiatry and Mental Health, 1st Floor, Neuroscience Institute, Groote Schuur Hospital , University of Cape Town, Observatory, Cape Town 7925, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Sorsdahl","sequence":"additional","affiliation":[{"name":"Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town , 46 Sawkins Road, Rondebosch, Cape Town 7700, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"Chanakira","sequence":"additional","affiliation":[{"name":"School of Health and Related Research, University of Sheffield, Regent Court, 30 Regent Street , Sheffield, S1 4DA, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Crick","family":"Lund","sequence":"additional","affiliation":[{"name":"Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town , 46 Sawkins Road, Rondebosch, Cape Town 7700, South Africa"},{"name":"Centre for Global Mental Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King\u2019s Global Health Institute , King\u2019s College London, De Crespigny Park, London, SE5 8AF, 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