Effect of Reliable Recovery on Health Care Costs and Productivity Losses in Emotional Disorders.

Autor: Barrio-Martínez S; Complutense University of Madrid and Valdecilla Biomedical Research Institute. Electronic address: sbarrio@idival.org., Ruiz-Rodríguez P; Embarcaciones Primary Care Centre, Health Service of Madrid., Medrano LA; Pontificia Universidad Católica Madre y Maestra., Priede A; Valdecilla Biomedical Research Institute and Mental Health Centre, Hospital de Laredo., Muñoz-Navarro R; University of Valencia., Moriana JA; Universidad de Córdoba and Maimónides Institute for Research in Biomedicine of Cordoba., Carpallo-González M; University of Valencia., Prieto-Vila M; Complutense University of Madrid., Cano-Vindel A; Complutense University of Madrid., González-Blanch C; Mental Health Centre, Marqués de Valdecilla University Hospital and Universidad Europea del Atlántico.
Jazyk: angličtina
Zdroj: Behavior therapy [Behav Ther] 2024 May; Vol. 55 (3), pp. 585-594. Date of Electronic Publication: 2023 Sep 10.
DOI: 10.1016/j.beth.2023.08.012
Abstrakt: Despite the high economic costs associated with emotional disorders, relatively few studies have examined the variation in costs according to whether the patient has achieved a reliable recovery. The aim of this study was to explore differences in health care costs and productivity losses between primary care patients from a previous randomized controlled trial (RCT)-PsicAP-with emotional symptoms who achieved a reliable recovery and those who did not after transdiagnostic cognitive-behavioral therapy (TD-CBT) plus treatment as usual (TAU) or TAU alone. Sociodemographic and cost data were obtained for 134 participants treated at five primary care centers in Madrid for the 12-month posttreatment period. Reliable recovery rates were higher in the patients who received TD-CBT + TAU versus TAU alone (66% vs. 34%, respectively; chi-square = 13.78, df = 1, p < .001). Patients who did not achieve reliable recovery incurred more costs, especially associated with general practitioner consultations (t = 3.01, df = 132, p = .003), use of emergency departments (t = 2.20, df = 132, p = .030), total health care costs (t = 2.01, df = 132, p = .040), and sick leaves (t = 1.97, df = 132, p = .048). These findings underscore the societal importance of achieving a reliable recovery in patients with emotional disorders, and further support the value of adding TD-CBT to TAU in the primary care setting.
(Copyright © 2023 Association for Behavioral and Cognitive Therapies. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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