Universität zu Köln

Konnopka, Alexander, Stuhldreher, Nina, Klingberg, Stefan ORCID: 0000-0001-8081-7181, Wittorf, Andreas, Bechdolf, Andreas, Mueller, Bernhard W., Sartory, Gudrun, Wagner, Michael ORCID: 0000-0003-2589-6440, Wiedemann, Georg, Woelwer, Wolfgang, Heinrich, Sven and Koenig, Hans-Helmut (2014). Determinanten direkter Kosten bei persistierender Positivsymptomatik psychotischer Erkrankungen. Psychiatr. Prax., 41 (4). S. 215 - 221. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-0876

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Abstract

Zusammenfassung Anliegen: Analyse der direkten Krankheitskosten bei persistierender Positivsymptomatik psychotischer Erkrankungen. Methode: Analyse von 3-Monats-Kosten bei 330 Patienten auf Grundlage von Befragungsdaten. Ergebnisse: Die durchschnittlichen direkten Kosten betrugen 7065Euro (63% psychiatrisch stationar, 17% Wohnbetreuung, 8% komplementare Angebote) und waren mit der negativen Subskala der PANSS (+2484Euro/Punkt, p<0,001) und dem Erfahren von weniger als einem Sozialkontakt pro Woche (-2272Euro, p=0,003) assoziiert. Schlussfolgerungen: Persistierende Positivsymptomatik ist mit hohen direkten Kosten verbunden. 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 7,065Euro 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 (+2,484Euro per point, p<0.001) and experiencing less than one social contact per week (-2,272Euro, p=0.003). Conclusion: PPS incurred substantial direct costs which primarily resulted from hospital treatment, and were strongly associated with symptom severity.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Konnopka, Alexander UNSPECIFIED UNSPECIFIED UNSPECIFIED Stuhldreher, Nina UNSPECIFIED UNSPECIFIED UNSPECIFIED Klingberg, Stefan UNSPECIFIED orcid.org/0000-0001-8081-7181 UNSPECIFIED Wittorf, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Bechdolf, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Bernhard W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Sartory, Gudrun UNSPECIFIED UNSPECIFIED UNSPECIFIED Wagner, Michael UNSPECIFIED orcid.org/0000-0003-2589-6440 UNSPECIFIED Wiedemann, Georg UNSPECIFIED UNSPECIFIED UNSPECIFIED Woelwer, Wolfgang UNSPECIFIED UNSPECIFIED UNSPECIFIED Heinrich, Sven UNSPECIFIED UNSPECIFIED UNSPECIFIED Koenig, Hans-Helmut UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-438964
DOI:	10.1055/s-0033-1349463
Journal or Publication Title:	Psychiatr. Prax.
Volume:	41
Number:	4
Page Range:	S. 215 - 221
Date:	2014
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1439-0876
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language POSITIVE SYMPTOMS; SCHIZOPHRENIA; COST; CARE; MULTICENTER; DISORDERS; GERMANY; THERAPY Multiple languages Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/43896