title: [Costs of Mental Health Care in Patients with Posttraumatic Stress Disorder Related to Sexual Abuse One Year Before and After Inpatient DBT-PTSD].
abstract: ObjectiveIn Germany, patients with posttraumatic stress disorder (PTSD) related to childhood sexual abuse (CSA) often receive inpatient treatment. However, data on utilization and costs of mental health care as well as on the impact of trauma-focused treatment are missing.MethodsWithin the context of a randomized controlled trial mental health service utilization was assessed in female patients with PTSD related to CSA. Data on psychiatric-psychotherapeutic inpatient and outpatient treatment and psychotropic medication was obtained for the year before and after inpatient DBT-PTSD.ResultsThe mean total costs of utilization of psychiatric-psychotherapeutic care and use of psychotropics were € 18.100 per patient in the year before and € 7.233 in the year after DBT-PTSD. The significant cost decrease was due to large reductions in inpatient treatment days (on average 57 days before and 14 days after DBT-PTSD), while outpatient treatment and psychotropic medication remained unchanged.ConclusionPTSD related to CSA is associated with high utilization and costs of mental health care. The results suggest that DBT-PTSD might contribute to reducing the mental health care costs.
authors.affiliation: Institut für Psychiatrische und Psychosomatische Psychotherapie, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim/Universität Heidelberg.
authors.forename: Kathlen
authors.initials: K
authors.lastname: Priebe
authors.affiliation: Psychotherapie und Somatopsychologie, Humboldt-Universität zu Berlin.
authors.forename: Mascha
authors.initials: M
authors.lastname: Roth
authors.affiliation: Klinische Psychologie und Psychotherapie, Westfälische Wilhelms-Universität Münster.
authors.forename: Antje
authors.initials: A
authors.lastname: Krüger
authors.affiliation: Institut für Psychiatrische und Psychosomatische Psychotherapie, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim/Universität Heidelberg.
authors.forename: Kristina
authors.initials: K
authors.lastname: Glöckner-Fink
authors.affiliation: Klinische und Biologische Psychologie und Psychotherapie, Universität Mannheim.
authors.forename: Anne
authors.initials: A
authors.lastname: Dyer
authors.affiliation: Klinische Psychologie und Psychotherapie, Goethe-Universität Frankfurt am Main.
authors.forename: Regina
authors.initials: R
authors.lastname: Steil
authors.affiliation: Psychiatrie und Psychotherapie, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim/Universität Heidelberg.
authors.forename: Hans-Joachim
authors.initials: HJ
authors.lastname: Salize
authors.affiliation: Institut für Psychiatrische und Psychosomatische Psychotherapie, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim/Universität Heidelberg.
authors.forename: Nikolaus
authors.initials: N
authors.lastname: Kleindienst
authors.affiliation: Institut für Psychiatrische und Psychosomatische Psychotherapie, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim/Universität Heidelberg.
authors.forename: Martin
authors.initials: M
authors.lastname: Bohus
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000191:economics*; D002648:Child; D002650:Child Abuse, Sexual / Q000191:economics* / Q000523:psychology / Q000628:therapy*; D003131:Combined Modality Therapy; D015897:Comorbidity; D003865:Major Depressive Disorder / Q000191:economics / Q000523:psychology / Q000628:therapy; D001068:Feeding and Eating Disorders / Q000191:economics / Q000523:psychology / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D005858:Germany; D017048:Health Care Costs / Q000706:statistics & numerical data; D006801:Humans; D008605:Mental Health Services / Q000191:economics*; D008875:Middle Aged; D010343:Patient Admission / Q000191:economics*; D010351:Patient Discharge / Q000191:economics*; D011619:Psychotropic Drugs / Q000191:economics* / Q000627:therapeutic use*; D013313:Stress Disorders, Post-Traumatic / Q000191:economics* / Q000523:psychology / Q000628:therapy*; D019966:Substance-Related Disorders / Q000191:economics / Q000523:psychology / Q000628:therapy; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D011619:Psychotropic Drugs