Excess costs of social anxiety disorder in Germany

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Excess costs of social anxiety disorder in Germany. / Dams, Judith; König, Hans-Helmut; Bleibler, Florian; Hoyer, Jürgen; Wiltink, Jörg; Beutel, Manfred E; Salzer, Simone; Herpertz, Stephan; Willutzki, Ulrike; Strauß, Bernhard; Leibing, Eric; Leichsenring, Falk; Konnopka, Alexander.

In: J AFFECT DISORDERS, Vol. 213, 15.04.2017, p. 23-29.

Research output: SCORING: Contribution to journalSCORING: Journal articleResearchpeer-review

Harvard

Dams, J, König, H-H, Bleibler, F, Hoyer, J, Wiltink, J, Beutel, ME, Salzer, S, Herpertz, S, Willutzki, U, Strauß, B, Leibing, E, Leichsenring, F & Konnopka, A 2017, 'Excess costs of social anxiety disorder in Germany', J AFFECT DISORDERS, vol. 213, pp. 23-29. https://doi.org/10.1016/j.jad.2017.01.041

APA

Dams, J., König, H-H., Bleibler, F., Hoyer, J., Wiltink, J., Beutel, M. E., Salzer, S., Herpertz, S., Willutzki, U., Strauß, B., Leibing, E., Leichsenring, F., & Konnopka, A. (2017). Excess costs of social anxiety disorder in Germany. J AFFECT DISORDERS, 213, 23-29. https://doi.org/10.1016/j.jad.2017.01.041

Vancouver

Bibtex

@article{378d2beaeabf42c5be57698cf471840c,
title = "Excess costs of social anxiety disorder in Germany",
abstract = "BACKGROUND: Social anxiety disorder is one of the most frequent mental disorders. It is often associated with mental comorbidities and causes a high economic burden. The aim of our analysis was to estimate the excess costs of patients with social anxiety disorder compared to persons without anxiety disorder in Germany.METHODS: Excess costs of social anxiety disorder were determined by comparing two data sets. Patient data came from the SOPHO-NET study A1 (n=495), whereas data of persons without anxiety disorder originated from a representative phone survey (n=3213) of the general German population. Missing data were handled by {"}Multiple Imputation by Chained Equations{"}. Both data sets were matched using {"}Entropy Balancing{"}. Excess costs were calculated from a societal perspective for the year 2014 using general linear regression with a gamma distribution and log-link function. Analyses considered direct costs (in- and outpatient treatment, rehabilitation, and professional and informal care) and indirect costs due to absenteeism from work.RESULTS: Total six-month excess costs amounted to 451€ (95% CI: 199€-703€). Excess costs were mainly caused by indirect excess costs due to absenteeism from work of 317€ (95% CI: 172€-461€), whereas direct excess costs amounted to 134€ (95% CI: 110€-159€).LIMITATIONS: Costs for medication, unemployment and disability pension was not evaluated.CONCLUSIONS: Social anxiety disorder was associated with statistically significant excess costs, in particular due to indirect costs. As patients in general are often unaware of their disorder or its severity, awareness should be strengthened. Prevention and early treatment might reduce long-term indirect costs.",
keywords = "Journal Article",
author = "Judith Dams and Hans-Helmut K{\"o}nig and Florian Bleibler and J{\"u}rgen Hoyer and J{\"o}rg Wiltink and Beutel, {Manfred E} and Simone Salzer and Stephan Herpertz and Ulrike Willutzki and Bernhard Strau{\ss} and Eric Leibing and Falk Leichsenring and Alexander Konnopka",
note = "Copyright {\textcopyright} 2017 Elsevier B.V. All rights reserved.",
year = "2017",
month = apr,
day = "15",
doi = "10.1016/j.jad.2017.01.041",
language = "English",
volume = "213",
pages = "23--29",
journal = "J AFFECT DISORDERS",
issn = "0165-0327",
publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - Excess costs of social anxiety disorder in Germany

AU - Dams, Judith

AU - König, Hans-Helmut

AU - Bleibler, Florian

AU - Hoyer, Jürgen

AU - Wiltink, Jörg

AU - Beutel, Manfred E

AU - Salzer, Simone

AU - Herpertz, Stephan

AU - Willutzki, Ulrike

AU - Strauß, Bernhard

AU - Leibing, Eric

AU - Leichsenring, Falk

AU - Konnopka, Alexander

N1 - Copyright © 2017 Elsevier B.V. All rights reserved.

PY - 2017/4/15

Y1 - 2017/4/15

N2 - BACKGROUND: Social anxiety disorder is one of the most frequent mental disorders. It is often associated with mental comorbidities and causes a high economic burden. The aim of our analysis was to estimate the excess costs of patients with social anxiety disorder compared to persons without anxiety disorder in Germany.METHODS: Excess costs of social anxiety disorder were determined by comparing two data sets. Patient data came from the SOPHO-NET study A1 (n=495), whereas data of persons without anxiety disorder originated from a representative phone survey (n=3213) of the general German population. Missing data were handled by "Multiple Imputation by Chained Equations". Both data sets were matched using "Entropy Balancing". Excess costs were calculated from a societal perspective for the year 2014 using general linear regression with a gamma distribution and log-link function. Analyses considered direct costs (in- and outpatient treatment, rehabilitation, and professional and informal care) and indirect costs due to absenteeism from work.RESULTS: Total six-month excess costs amounted to 451€ (95% CI: 199€-703€). Excess costs were mainly caused by indirect excess costs due to absenteeism from work of 317€ (95% CI: 172€-461€), whereas direct excess costs amounted to 134€ (95% CI: 110€-159€).LIMITATIONS: Costs for medication, unemployment and disability pension was not evaluated.CONCLUSIONS: Social anxiety disorder was associated with statistically significant excess costs, in particular due to indirect costs. As patients in general are often unaware of their disorder or its severity, awareness should be strengthened. Prevention and early treatment might reduce long-term indirect costs.

AB - BACKGROUND: Social anxiety disorder is one of the most frequent mental disorders. It is often associated with mental comorbidities and causes a high economic burden. The aim of our analysis was to estimate the excess costs of patients with social anxiety disorder compared to persons without anxiety disorder in Germany.METHODS: Excess costs of social anxiety disorder were determined by comparing two data sets. Patient data came from the SOPHO-NET study A1 (n=495), whereas data of persons without anxiety disorder originated from a representative phone survey (n=3213) of the general German population. Missing data were handled by "Multiple Imputation by Chained Equations". Both data sets were matched using "Entropy Balancing". Excess costs were calculated from a societal perspective for the year 2014 using general linear regression with a gamma distribution and log-link function. Analyses considered direct costs (in- and outpatient treatment, rehabilitation, and professional and informal care) and indirect costs due to absenteeism from work.RESULTS: Total six-month excess costs amounted to 451€ (95% CI: 199€-703€). Excess costs were mainly caused by indirect excess costs due to absenteeism from work of 317€ (95% CI: 172€-461€), whereas direct excess costs amounted to 134€ (95% CI: 110€-159€).LIMITATIONS: Costs for medication, unemployment and disability pension was not evaluated.CONCLUSIONS: Social anxiety disorder was associated with statistically significant excess costs, in particular due to indirect costs. As patients in general are often unaware of their disorder or its severity, awareness should be strengthened. Prevention and early treatment might reduce long-term indirect costs.

KW - Journal Article

U2 - 10.1016/j.jad.2017.01.041

DO - 10.1016/j.jad.2017.01.041

M3 - SCORING: Journal article

C2 - 28188993

VL - 213

SP - 23

EP - 29

JO - J AFFECT DISORDERS

JF - J AFFECT DISORDERS

SN - 0165-0327

ER -