Department of Psychiatry, University of Connecticut School of Medicine, 65 Kane Street, West Hartford, CT, 06119, USA.
The Johns Hopkins University School of Nursing, 525 North Wolfe Street, Baltimore, MD, 21205, USA.
J Abnorm Child Psychol. 2020 Apr;48(4):551-559. doi: 10.1007/s10802-020-00626-7.
Few studies provide information about the clinical correlates of economic costs in pediatric anxiety disorders. This study uses baseline data from a randomized trial involving 209 children and adolescents with clinical anxiety to examine clinical and demographic correlates of direct and indirect costs. Measured costs included the direct costs of mental health services and the indirect costs resulting from children's missed school and parents' missed work. Validated measures of anxiety and depression severity and of internalizing and externalizing behaviors were reported by youth, their parents, and independent evaluators. Seventy-two percent of youth (n = 150) had positive costs. Among these youth, the mean annual total cost was $6405 (sd = $11,674), of which $5890 represented direct cost and $4658 represented indirect cost. Higher average costs were correlated with greater child anxiety and depression severity (p < 0.001). Most pediatric anxiety disorders result in substantial individual and family costs, and costs may increase rapidly with elevated anxiety severity and depressed mood.
鲜有研究提供关于儿科焦虑障碍经济成本的临床相关性信息。本研究使用一项涉及 209 名有临床焦虑的儿童和青少年的随机试验的基线数据，来检验直接和间接成本的临床和人口统计学相关性。所测量的成本包括心理健康服务的直接成本以及因儿童缺课和父母缺勤而产生的间接成本。青少年、其父母和独立评估者报告了焦虑和抑郁严重程度以及内化和外化行为的有效衡量标准。72%的青少年（n=150）有阳性费用。在这些青少年中，年平均总成本为 6405 美元（标准差=11674 美元），其中 5890 美元为直接成本，4658 美元为间接成本。较高的平均成本与儿童焦虑和抑郁严重程度呈正相关（p<0.001）。大多数儿科焦虑障碍会导致个人和家庭的巨大成本，并且随着焦虑严重程度和情绪低落的增加，成本可能会迅速增加。
