Direkte Kosten sozialer Angststörung bei Jugendlichen und Kosteneffektivität der Psychotherapie

Judith Dams; Klaus Thomas Kronmüller; Eric Leibing; Regina Steil; Peter Henningsen; Falk Leichsenring; Hamid Peseschkian; Rita Rosner; Simone Salzer; Annette Stefini; Eva Vonderlin; Hans Helmut König

doi:10.1055/a-0733-4999

Direkte Kosten sozialer Angststörung bei Jugendlichen und Kosteneffektivität der Psychotherapie

Translated title of the contribution: Direct Costs of Social Phobia in Adolescents and Cost-Effectiveness of Psychotherapy

Judith Dams, Klaus Thomas Kronmüller, Eric Leibing, Regina Steil, Peter Henningsen, Falk Leichsenring, Hamid Peseschkian, Rita Rosner, Simone Salzer, Annette Stefini, Eva Vonderlin, Hans Helmut König

Department of Psychosomatic Medicine and Psychotherapy

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Objectives Social anxiety disorder is one of the most prevalent mental disorders and often manifests in youth or adolescence. Our aim was to determine direct costs of adolescents with social anxiety disorder and the cost-effectiveness of cognitive-behavioral therapy (CBT) and psychodynamic therapy (PDT) compared to waiting list (WL). Methods Baseline data (n=103) of a randomized controlled trial was used to determine direct costs. Cost-effectiveness of CBT and PDT compared to WL was analyzed using quality-adjusted life years (QALYs) based on the EQ-5D index as measure of health effects. Results Total six-month direct costs were 809€ (SE 508€). Especially costs of outpatient physician treatment (325€; SE 301€) and psychiatric hospital stays (377€; SE 258€) were high. The incremental cost-effectiveness ratio (ICER) of CBT compared to WL was 18,824€/QALY, with a probability of 63% for the ICER being below 50,000€/QALY. PDT did not prove to be cost-effective. Conclusions Direct costs were mainly caused by psychiatric hospital stays and outpatient physician treatments. CBT is likely to be cost-effective compared to WL, whereas PDT is unlikely to be cost-effective.

Translated title of the contribution	Direct Costs of Social Phobia in Adolescents and Cost-Effectiveness of Psychotherapy
Original language	German
Pages (from-to)	148-155
Number of pages	8
Journal	Psychiatrische Praxis
Volume	46
Issue number	3
DOIs	https://doi.org/10.1055/a-0733-4999
State	Published - 2019

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1055/a-0733-4999

Cite this

@article{642bbaddec5544e791ec2ed5643270ae,

title = "Direkte Kosten sozialer Angstst{\"o}rung bei Jugendlichen und Kosteneffektivit{\"a}t der Psychotherapie",

abstract = "Objectives Social anxiety disorder is one of the most prevalent mental disorders and often manifests in youth or adolescence. Our aim was to determine direct costs of adolescents with social anxiety disorder and the cost-effectiveness of cognitive-behavioral therapy (CBT) and psychodynamic therapy (PDT) compared to waiting list (WL). Methods Baseline data (n=103) of a randomized controlled trial was used to determine direct costs. Cost-effectiveness of CBT and PDT compared to WL was analyzed using quality-adjusted life years (QALYs) based on the EQ-5D index as measure of health effects. Results Total six-month direct costs were 809€ (SE 508€). Especially costs of outpatient physician treatment (325€; SE 301€) and psychiatric hospital stays (377€; SE 258€) were high. The incremental cost-effectiveness ratio (ICER) of CBT compared to WL was 18,824€/QALY, with a probability of 63\% for the ICER being below 50,000€/QALY. PDT did not prove to be cost-effective. Conclusions Direct costs were mainly caused by psychiatric hospital stays and outpatient physician treatments. CBT is likely to be cost-effective compared to WL, whereas PDT is unlikely to be cost-effective.",

keywords = "cost-effectiveness, cost-of-illness, health economic evaluation, social anxiety disorder for adolescents",

author = "Judith Dams and Kronm{\"u}ller, \{Klaus Thomas\} and Eric Leibing and Regina Steil and Peter Henningsen and Falk Leichsenring and Hamid Peseschkian and Rita Rosner and Simone Salzer and Annette Stefini and Eva Vonderlin and K{\"o}nig, \{Hans Helmut\}",

note = "Publisher Copyright: {\textcopyright} Georg Thieme Verlag KG Stuttgart. New York.",

year = "2019",

doi = "10.1055/a-0733-4999",

language = "Deutsch",

volume = "46",

pages = "148--155",

journal = "Psychiatrische Praxis",

issn = "0303-4259",

publisher = "Georg Thieme Verlag",

number = "3",

}

TY - JOUR

T1 - Direkte Kosten sozialer Angststörung bei Jugendlichen und Kosteneffektivität der Psychotherapie

AU - Dams, Judith

AU - Kronmüller, Klaus Thomas

AU - Leibing, Eric

AU - Steil, Regina

AU - Henningsen, Peter

AU - Leichsenring, Falk

AU - Peseschkian, Hamid

AU - Rosner, Rita

AU - Salzer, Simone

AU - Stefini, Annette

AU - Vonderlin, Eva

AU - König, Hans Helmut

N1 - Publisher Copyright: © Georg Thieme Verlag KG Stuttgart. New York.

PY - 2019

Y1 - 2019

N2 - Objectives Social anxiety disorder is one of the most prevalent mental disorders and often manifests in youth or adolescence. Our aim was to determine direct costs of adolescents with social anxiety disorder and the cost-effectiveness of cognitive-behavioral therapy (CBT) and psychodynamic therapy (PDT) compared to waiting list (WL). Methods Baseline data (n=103) of a randomized controlled trial was used to determine direct costs. Cost-effectiveness of CBT and PDT compared to WL was analyzed using quality-adjusted life years (QALYs) based on the EQ-5D index as measure of health effects. Results Total six-month direct costs were 809€ (SE 508€). Especially costs of outpatient physician treatment (325€; SE 301€) and psychiatric hospital stays (377€; SE 258€) were high. The incremental cost-effectiveness ratio (ICER) of CBT compared to WL was 18,824€/QALY, with a probability of 63% for the ICER being below 50,000€/QALY. PDT did not prove to be cost-effective. Conclusions Direct costs were mainly caused by psychiatric hospital stays and outpatient physician treatments. CBT is likely to be cost-effective compared to WL, whereas PDT is unlikely to be cost-effective.

AB - Objectives Social anxiety disorder is one of the most prevalent mental disorders and often manifests in youth or adolescence. Our aim was to determine direct costs of adolescents with social anxiety disorder and the cost-effectiveness of cognitive-behavioral therapy (CBT) and psychodynamic therapy (PDT) compared to waiting list (WL). Methods Baseline data (n=103) of a randomized controlled trial was used to determine direct costs. Cost-effectiveness of CBT and PDT compared to WL was analyzed using quality-adjusted life years (QALYs) based on the EQ-5D index as measure of health effects. Results Total six-month direct costs were 809€ (SE 508€). Especially costs of outpatient physician treatment (325€; SE 301€) and psychiatric hospital stays (377€; SE 258€) were high. The incremental cost-effectiveness ratio (ICER) of CBT compared to WL was 18,824€/QALY, with a probability of 63% for the ICER being below 50,000€/QALY. PDT did not prove to be cost-effective. Conclusions Direct costs were mainly caused by psychiatric hospital stays and outpatient physician treatments. CBT is likely to be cost-effective compared to WL, whereas PDT is unlikely to be cost-effective.

KW - cost-effectiveness

KW - cost-of-illness

KW - health economic evaluation

KW - social anxiety disorder for adolescents

UR - https://www.scopus.com/pages/publications/85063863861

U2 - 10.1055/a-0733-4999

DO - 10.1055/a-0733-4999

M3 - Artikel

C2 - 30380584

AN - SCOPUS:85063863861

SN - 0303-4259

VL - 46

SP - 148

EP - 155

JO - Psychiatrische Praxis

JF - Psychiatrische Praxis

IS - 3

ER -

Direkte Kosten sozialer Angststörung bei Jugendlichen und Kosteneffektivität der Psychotherapie

Abstract

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this