Zusammenfassung
Anliegen: Analyse der direkten Krankheitskosten bei persistierender Positivsymptomatik psychotischer
Erkrankungen.
Methode: Analyse von 3-Monats-Kosten bei 330 Patienten auf Grundlage von Befragungsdaten.
Ergebnisse: Die durchschnittlichen direkten Kosten betrugen 7065 € (63 % psychiatrisch stationär,
17 % Wohnbetreuung, 8 % komplementäre Angebote) und waren mit der negativen Subskala
der PANSS (+ 2484 €/Punkt, p < 0,001) und dem Erfahren von weniger als einem Sozialkontakt
pro Woche (– 2272 €, p = 0,003) assoziiert.
Schlussfolgerungen: Persistierende Positivsymptomatik ist mit hohen direkten Kosten verbunden.
Abstract
Objective: To analyze direct costs and cost determinants in psychotic patients with persistent
positive symptoms (PPS).
Methods: A total of 330 patients with PPS were recruited via 6 university clinics and interviewed
about service utilization in the previous 3 months. After monetary valuation, costs
were analyzed via generalized linear mixed models with gamma distribution and log-link
function to identify determinants of direct costs.
Results: The mean costs were 7,065 € and resulted predominantly from psychiatric hospital
care (63 %), assisted living (17 %) and complementary services (8 %). We found statistically
significant associations between direct costs and an increasing score of the negative
subscale of the Positive and Negative Syndrome Scale (+ 2,484 € per point, p < 0.001)
and experiencing less than one social contact per week (– 2,272 €, p = 0.003).
Conclusion: PPS incurred substantial direct costs which primarily resulted from hospital treatment,
and were strongly associated with symptom severity.
Schlüsselwörter
Positivsymptome - Schizophrenie - Kosten - Krankheitskosten
Keywords
positive symptoms - schizophrenia - cost - cost-of-illness
