Priebe Kathlen, Roth Mascha, Krüger Antje, Glöckner-Fink Kristina, Dyer Anne, Steil Regina, Salize Hans-Joachim, Kleindienst Nikolaus, Bohus Martin
Institut für Psychiatrische und Psychosomatische Psychotherapie, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim/Universität Heidelberg.
Psychotherapie und Somatopsychologie, Humboldt-Universität zu Berlin.
Psychiatr Prax. 2017 Mar;44(2):75-84. doi: 10.1055/s-0042-106068. Epub 2016 Jul 11.
In 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. Within 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. The 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. PTSD 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.
在德国，与童年期性虐待（CSA）相关的创伤后应激障碍（PTSD）患者通常接受住院治疗。然而，关于精神卫生保健的利用情况和成本以及以创伤为重点的治疗的影响的数据却缺失。在一项随机对照试验的背景下，对与CSA相关的PTSD女性患者的精神卫生服务利用情况进行了评估。获取了住院辩证行为疗法治疗创伤后应激障碍（DBT-PTSD）前后一年的精神科-心理治疗住院和门诊治疗以及精神药物的数据。精神科-心理治疗护理利用和精神药物使用的平均总成本在DBT-PTSD前一年为每位患者18100欧元，在DBT-PTSD后一年为7233欧元。成本显著下降是由于住院治疗天数大幅减少（DBT-PTSD前平均为57天，后为14天），而门诊治疗和精神药物保持不变。与CSA相关的PTSD与精神卫生保健的高利用率和高成本相关。结果表明，DBT-PTSD可能有助于降低精神卫生保健成本。
