Burden of Disease of Borderline Personality Disorder: A Comprehensive Evaluation of Quality of Life and Societal Cost of Illness.

IF 2.5 3区 心理学 Q2 PSYCHOLOGY, CLINICAL
Carlijn J M Wibbelink, Arnoud Arntz, Jan H Kamphuis, Iuno Z Groot, Roland Sinnaeve, Silvia M A A Evers
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Abstract

Information on the burden of disease, including quality of life (QoL) and societal costs, of borderline personality disorder (BPD) is crucial, as healthcare policymakers consider the burden of disease when setting priorities for treatment reimbursement. We conducted a comprehensive evaluation of the burden of disease of BPD by estimating annual costs from a societal perspective using a bottom-up approach and distinguishing between costs primarily related to psychological and somatic problems. QoL was determined using a generic QoL measure (EQ-5D five-level version [EQ-5D-5L]) as well as a measure specifically designed for individuals with psychological problems (Mental Health Quality of Life seven-dimensional questionnaire [MHQoL-7D]). Additionally, societal costs and QoL were compared with a comparison group. Data from 204 Dutch treatment-seeking outpatients diagnosed with BPD and 86 individuals without severe psychological problems were analyzed. The results indicated a severely impaired QoL (EQ-5D-5L: 0.51, MHQoL-7D: 0.24) combined with substantial societal costs (average total €35,038 per year) for BPD outpatients, markedly different from the comparison group. Societal costs of BPD were primarily attributable to psychological problems, with costs in other sectors as the main cost driver. The BPD group incurred higher costs for most patient and family cost items and cost items in other sectors, whereas differences in healthcare costs were limited to outpatient psychiatric treatment, consultations with general practitioners, emergency care, and social work. The high economic burden, along with the low QoL, suggests that increased treatment reimbursement for BPD would benefit both patients and society at large. Trial Registration: The BOOTS study was registered in the Overview of Medical Research in the Netherlands (NL-OMON21337), formerly known as the Netherlands Trial Register.

边缘型人格障碍的疾病负担:生活质量和疾病社会成本的综合评估。
关于边缘型人格障碍(BPD)的疾病负担,包括生活质量(QoL)和社会成本的信息是至关重要的,因为医疗保健决策者在确定治疗报销的优先事项时要考虑疾病负担。我们采用自下而上的方法,从社会角度估计BPD的年度成本,并区分主要与心理和躯体问题相关的成本,对BPD的疾病负担进行了全面评估。生活质量采用通用的生活质量量表(EQ-5D五级版[EQ-5D- 5l])和专门为有心理问题的个体设计的测量量表(心理健康生活质量七维问卷[MHQoL-7D])来确定。此外,将社会成本和生活质量与对照组进行比较。研究分析了204名被诊断为BPD的荷兰门诊患者和86名没有严重心理问题的个体的数据。结果显示,BPD门诊患者的生活质量严重受损(EQ-5D-5L: 0.51, MHQoL-7D: 0.24),社会成本(平均每年总计35,038欧元)显著不同于对照组。BPD的社会成本主要可归因于心理问题,其他部门的成本是主要的成本驱动因素。BPD组在大多数患者和家庭成本项目以及其他部门的成本项目上的成本较高,而医疗保健成本的差异仅限于门诊精神病治疗、全科医生咨询、紧急护理和社会工作。高经济负担和低生活质量表明,增加BPD的治疗报销将使患者和整个社会受益。试验注册:BOOTS研究在荷兰医学研究概述(NL-OMON21337)中注册,以前称为荷兰试验注册。
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来源期刊
Journal of Clinical Psychology
Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-
CiteScore
5.40
自引率
3.30%
发文量
177
期刊介绍: Founded in 1945, the Journal of Clinical Psychology is a peer-reviewed forum devoted to research, assessment, and practice. Published eight times a year, the Journal includes research studies; articles on contemporary professional issues, single case research; brief reports (including dissertations in brief); notes from the field; and news and notes. In addition to papers on psychopathology, psychodiagnostics, and the psychotherapeutic process, the journal welcomes articles focusing on psychotherapy effectiveness research, psychological assessment and treatment matching, clinical outcomes, clinical health psychology, and behavioral medicine.
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