Knerer G, Byford S, Johnson T, Seivewright H, Tyrer P
Department of Mental Health Sciences, Royal Free and University College School of Medicine, London, UK.
Acta Psychiatr Scand. 2005 Sep;112(3):224-32. doi: 10.1111/j.1600-0447.2005.00552.x.
To examine the relationship between clinical, demographic and socio-economic characteristics and the long-term costs of a cohort of neurotic patients.
Analysis of the costs of a cohort of 210 people entered in the Nottingham study of neurotic disorders, a randomized controlled evaluation of five treatments for neurotic disorders. Service use data were collected at 5 and 12 years after study entry. Multiple regression analyses were conducted.
The total cost per patient over the 12-year follow-up period was calculated to be $11,940 (SD $15,520) ( pound7450, SD pound9690). Higher costs were significantly associated with the presence of general neurotic syndrome, an initial diagnosis of dysthymia and a recurrent episode of illness.
The total costs of care for a range of neurotic disorders are broadly comparable with other estimates of costs reported in the literature for similar populations. Those responsible for higher costs in the longer-term have comorbid anxiety, depressive and personality disorders.
研究一组神经症患者的临床、人口统计学和社会经济特征与长期成本之间的关系。
对诺丁汉神经症研究中纳入的210人队列的成本进行分析，该研究是对五种神经症治疗方法的随机对照评估。在研究入组后5年和12年收集服务使用数据。进行多元回归分析。
在12年的随访期内，每位患者的总成本计算为11,940美元（标准差15,520美元）（7450英镑，标准差9690英镑）。较高的成本与一般神经症综合征的存在、恶劣心境的初始诊断和疾病复发显著相关。
一系列神经症的护理总成本与文献中报道的类似人群的其他成本估计大致相当。长期成本较高的患者患有共病焦虑、抑郁和人格障碍。
