Economic evaluations and cost analyses in posttraumatic stress disorder: a systematic review
First systematic review on the economic aspects of PTSD: costs-of-illness studies and economic evaluations of therapeutic treatment.
Article Abstract
“Background: Posttraumatic stress disorder is associated with a high economic burden. Costs of treatment are known to be high, and cost-effectiveness has been analysed for several treatment options.
Objective: As no review on economic aspects of posttraumatic stress disorder exists, the aim of this study was to systematically review costs-of-illness studies and economic evaluations of therapeutic treatment for posttraumatic stress disorder, and to assess their quality.
Method: A systematic literature search was performed in March 2017 and was last updated in February 2020 in the databases PubMed, PsychInfo and NHS Economic Evaluation Database. Cost-of-illness studies and economic evaluations of treatment for posttraumatic stress disorder were selected. Extracted cost data were categorized as direct costs and indirect costs and inflated to 2015 US-$ purchasing power parities (PPP). Quality was assessed using an adapted cost-of-illness studies quality checklist, the Consensus on Health Economic Criteria list, and the questionnaire to assess relevance and credibility of modelling studies by the International Society for Pharmacoeconomics and Outcome Research.
Results: In total, 13 cost-of-illness studies and 18 economic evaluations were included in the review. Annual direct excess costs ranged from 512 US-$ PPP to 19,435 US-$ PPP and annual indirect excess costs were 5,021 US-$ PPP per person. Trauma-focused cognitive-behavioural therapy (+selective serotonin re-uptake inhibitor) was found to be cost-effective compared with treatment as usual and no treatment. Overall, included studies were of low and moderate quality. Studies used inappropriate economic study designs and lacked information on the economic perspective used.
Conclusions: Posttraumatic stress disorder is a major public health problem that causes high healthcare costs. While trauma-focused cognitive-behavioural therapy was found to be cost-effective, further investigations regarding pharmacotherapy and other treatments are necessary.”
—Description from publisher
Article Access
Open Access
von der Warth, R., Dams, J., Grochtdreis, T., & König, H.-H. (2020). Economic evaluations and cost analyses in posttraumatic stress disorder: a systematic review. European Journal of Psychotraumatology, 11(1), 1753940. https://doi.org/10.1080/20008198.2020.1753940
Date
May 29, 2020
Creator(s)
Rieka von der Warth, Judith Dams, Thomas Grochtdreis
Contributor(s)
Hans-Helmut König
Topics
PTSD
Extent
20 pages
Publisher
Taylor & Francis
Rights
© 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
APA Citation
von der Warth, R., Dams, J., Grochtdreis, T., & König, H.-H. (2020). Economic evaluations and cost analyses in posttraumatic stress disorder: a systematic review. European Journal of Psychotraumatology, 11(1), 1753940. https://doi.org/10.1080/20008198.2020.1753940
Audience
EMDR Therapists, Other Mental Health Professionals
Language
English
Content Type
Article, Meta-analyses/Systematic Reviews, Peer-Reviewed
Access Type
External Resource, Open Access