Determinanten direkter Kosten bei persistierender Positivsymptomatik psychotischer Erkrankungen

  • Alexander Konnopka (Shared first author)
  • Nina Stuhldreher (Shared first author)
  • Stefan Klingberg
  • Andreas Wittorf
  • Andreas Bechdolf
  • Bernhard W Müller
  • Gudrun Sartory
  • Michael Wagner
  • Georg Wiedemann
  • Wolfgang Wölwer
  • Sven Heinrich
  • Hans-Helmut König

Abstract

OBJECTIVE: To analyze direct costs and cost determinants in psychotic patients with persistent positive symptoms (PPS).

METHODS: A total of 330 patients with PPS were recruited via 6 university clinics and interviewed about service utilization in the previous 3 months. After monetary valuation, costs were analyzed via generalized linear mixed models with gamma distribution and log-link function to identify determinants of direct costs.

RESULTS: The mean costs were 7,065 € and resulted predominantly from psychiatric hospital care (63 %), assisted living (17 %) and complementary services (8 %). We found statistically significant associations between direct costs and an increasing score of the negative subscale of the Positive and Negative Syndrome Scale (+ 2,484 € per point, p < 0.001) and experiencing less than one social contact per week (- 2,272 €, p = 0.003).

CONCLUSION: PPS incurred substantial direct costs which primarily resulted from hospital treatment, and were strongly associated with symptom severity.

Bibliographical data

Translated title of the contributionDeterminants of direct cost in schizophrenia patients with persistent positive symptoms
Original languageGerman
ISSN0303-4259
DOIs
Publication statusPublished - 01.05.2014
PubMed 24089318