Kondapura Manjunatha B, Manjunatha Narayana, Nagaraj Anil Kumar Mysore, Praharaj Samir Kumar, Kumar Channaveeraachari Naveen, Math Suresh Bada, Rao Girish N
Dept. of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Dept. of Psychiatry, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Indian J Psychol Med. 2023 Sep;45(5):519-525. doi: 10.1177/02537176221108867. Epub 2022 Aug 11.
The cost of illness (COI) for common mental disorders (CMDs) that include depression, anxiety, and somatoform disorder is less studied in India. Hence, we studied the COI and disability of CMDs and their relationship in patients with depression, anxiety, and somatoform disorders.
In this cross-sectional study, we recruited 220 patients (110 with depression, 58 with anxiety disorders, and 52 with somatoform disorders) and evaluated disability using the Sheehan Disability Scale (SDS). The schedule for the cost of illness (S-COI) was used for evaluating COI for the last year.
The annual COI of CMDs from the patient perspective was ₹21,620 (interquartile range [IQR], ₹47,761; ≈US$290). The median annual direct COI was ₹4,907 (IQR ₹7,502), and indirect COI was ₹12,900 (IQR ₹37744). The direct COI was 18%, whereas the indirect COI was 82%. The direct and indirect COI in the three groups were similar. In all three groups with ongoing treatment, the mean scores indicated a mild level of disability. Total and indirect COI, but not the direct COI, correlated positively with the severity of illness and disability.
All the CMDs with ongoing treatment are associated with a mild level of disability and are a significant financial burden, with higher indirect costs.
在印度,对包括抑郁症、焦虑症和躯体形式障碍在内的常见精神障碍的疾病成本研究较少。因此,我们研究了抑郁症、焦虑症和躯体形式障碍患者中常见精神障碍的疾病成本和残疾情况及其关系。
在这项横断面研究中,我们招募了220名患者(110名抑郁症患者、58名焦虑症患者和52名躯体形式障碍患者),并使用希恩残疾量表(SDS)评估残疾情况。使用疾病成本调查表(S-COI)评估过去一年的疾病成本。
从患者角度来看,常见精神障碍的年度疾病成本为21,620卢比(四分位间距[IQR]为47,761卢比;约合290美元)。年度直接疾病成本中位数为4,907卢比(IQR为7,502卢比),间接疾病成本为12,900卢比(IQR为37,744卢比)。直接疾病成本占18%,而间接疾病成本占82%。三组中的直接和间接疾病成本相似。在所有三组正在接受治疗的患者中,平均得分表明残疾程度较轻。总疾病成本和间接疾病成本与疾病严重程度和残疾程度呈正相关,但直接疾病成本并非如此。
所有正在接受治疗的常见精神障碍都与轻度残疾相关,并且是一项重大的经济负担,间接成本更高。