title: Cost-Effectiveness of Short-Term Inpatient Psychotherapy Based on Transactional Analysis in Patients With Personality Disorder.
abstract: Short-term inpatient psychotherapy based on transactional analysis (STIP-TA) in patients with personality disorders (PD) has shown to be more effective than comparable other specialized psychotherapies (OP). The aim of this study was to assess whether the higher effectiveness of STIP-TA also results in a better cost-effectiveness. Patients treated with STIP-TA were matched with patients treated with OP by the propensity score. Healthcare costs and lost productivity costs were measured over 3 years and from the societal perspective. Cost-effectiveness was represented by costs per quality adjusted life years (QALYs). Uncertainty was assessed using bootstrapping. Mean 3-year costs were €59,834 for STIP-TA and €69,337 for OP, a difference of -€9,503, 95% CI [-32,561, 15,726]. QALYs were 2.29 for STIP-TA and 2.05 for OP, a difference of .24, 95% CI [.05, .44]. STIP-TA is a dominant treatment compared to OP: less costly and more effective. We conclude that STIP-TA is a cost-effective treatment in PD patients.
authors: Viersprong Institute for Studies on Personality Disorders (VISPD), Bergen op Zoom, The Netherlands.|Department of Psychiatry, Section Medical Psychology and Psychotherapy, Erasmus MC, Rotterdam, The Netherlands.
authors: Eva K
authors: EK
authors: Horn
authors: Viersprong Institute for Studies on Personality Disorders (VISPD), Bergen op Zoom, The Netherlands.|Department of Clinical Psychology, University of Amsterdam, Amsterdam, The Netherlands.
authors: Roel
authors: R
authors: Verheul
authors: GGZ WNB, Bergen op Zoom, The Netherlands.|Private Practice, Bergen op Zoom, The Netherlands.
authors: Moniek
authors: M
authors: Thunnissen
authors: Viersprong Institute for Studies on Personality Disorders (VISPD), Bergen op Zoom, The Netherlands.
authors: Jos
authors: J
authors: Delimon
authors: Institute for Medical Technology Assessment (iMTA), Erasmus University, Rotterdam, The Netherlands.
authors: Maartje
authors: M
authors: Goorden
authors: Institute for Medical Technology Assessment (iMTA), Erasmus University, Rotterdam, The Netherlands.
authors: Leona
authors: L
authors: Hakkaart-van Roijen
authors: PuntP, Amsterdam, The Netherlands.
authors: Mirjam
authors: M
authors: Soons
authors: Centre of Psychotherapy Pro Persona, Lunteren, The Netherlands.
authors: Anke M M A
authors: AM
authors: Meerman
authors: Zaans Medical Centre, Zaandam, The Netherlands.
authors: Uli M
authors: UM
authors: Ziegler
authors: Altrecht, Zeist, The Netherlands.
authors: Bert V
authors: BV
authors: Rossum
authors: Department of Medical Statistics and Bioinformatics, Leiden University Medical Centre, Leiden, The Netherlands.
authors: Theo
authors: T
authors: Stijnen
authors: Department of Clinical Psychology, University of Amsterdam, Amsterdam, The Netherlands.|The Center for Social and Humanities Research, King Abdulaziz University, Jeddah, Saudi Arabia.
authors: Paul M G
authors: PM
authors: Emmelkamp
authors: Viersprong Institute for Studies on Personality Disorders (VISPD), Bergen op Zoom, The Netherlands.|Department of Psychiatry, Section Medical Psychology and Psychotherapy, Erasmus MC, Rotterdam, The Netherlands.
authors: Jan J V
authors: JJ
authors: Busschbach
mesh_terms: D000041:Absenteeism; D000328:Adult; D003362:Cost-Benefit Analysis; D005260:Female; D017048:Health Care Costs; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D010554:Personality Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D000069597:Presenteeism / Q000191:economics; D057216:Propensity Score; D011613:Psychotherapy / Q000191:economics / Q000379:methods; D011614:Psychotherapy, Brief / Q000191:economics*; D011788:Quality of Life; D019057:Quality-Adjusted Life Years; D014152:Transactional Analysis / Q000191:economics* / Q000379:methods; D016896:Treatment Outcome