|
| | |
|
Am J Psychiatry 1997; 154:147-155
Copyright © 1997 by American Psychiatric Association
The economic impact of psychotherapy: a review
GO Gabbard, SG Lazar, J Hornberger and D Spiegel
Menninger Clinic, Topeka, KS 66606, USA. gabbargo@menninger.edu
OBJECTIVE: The authors reviewed data involving the impact of providing
psychotherapy for psychiatric disorders on costs of care. METHOD: In a
search of the MEDLINE database limited to peer-reviewed papers published
from 1984 through 1994, 686 articles were identified. Forty- one articles,
covering 35 studies, were found in which the intervention tested was
psychotherapeutic and the study included measures of outcome that had some
implications for cost. The exclusion criteria for reviewing these studies
included absence of a comparison group, a focus on medical disorders
instead of psychiatric illnesses, and outcomes that did not include cost
data or measures from which costs could be inferred. On this basis, 18 of
the 35 studies were selected for analysis. The studies were categorized
according to whether or not subjects were randomly assigned to study
groups. Two reviewers independently read each study to identify the
following characteristics: inclusion criteria, exclusion criteria, types of
interventions, main outcome variables, sample size, and statistical tests
for significant differences between treatments. Outcomes had to include
actual cost accounting or data on medical care utilization or work
functioning. RESULTS: The findings of eight (80%) of the 10 clinical trials
with random assignment and all eight (100%) of the studies without random
assignment suggested that psychotherapy reduces total costs. CONCLUSIONS:
Psychotherapy appears to have a beneficial impact on a variety of costs
when used in the treatment of the most severe psychiatric disorders,
including schizophrenia, bipolar affective disorder, and borderline
personality disorder. Much of that impact accrues from reductions in
inpatient treatment and decreases in work impairment.
This article has been cited by other articles:
|
|
|
|
 
J. SCOTT, S. PALMER, E. PAYKEL, J. TEASDALE, and H. HAYHURST
Use of cognitive therapy for relapse prevention in chronic depression: Cost-effectiveness study
The British Journal of Psychiatry,
March 1, 2003;
182(3):
221 - 227.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. DAVIES and P. CAMPLING
Therapeutic community treatment of personality disorder: service use and mortality over 3 years' follow-up
The British Journal of Psychiatry,
January 1, 2003;
182
(44):
s24 - s27.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. S. Calhoun, H. B. Bosworth, S. C. Grambow, T. K. Dudley, and J. C. Beckham
Medical Service Utilization by Veterans Seeking Help for Posttraumatic Stress Disorder
Am J Psychiatry,
December 1, 2002;
159(12):
2081 - 2086.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. O. Gabbard and J. Kay
The Fate of Integrated Treatment: Whatever Happened to the Biopsychosocial Psychiatrist?
Am J Psychiatry,
December 1, 2001;
158(12):
1956 - 1963.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
T.M. Luhrmann and R. Michels
Of Two Minds
N. Engl. J. Med.,
March 22, 2001;
344(12):
937 - 938.
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. O. GABBARD
Empirical Evidence and Psychotherapy: A Growing Scientific Base
Am J Psychiatry,
January 1, 2001;
158(1):
1 - 3.
[Full Text]
|
|
|
|
|
|
|
J. O. Beahrs and T. G. Gutheil
Informed Consent in Psychotherapy
Am J Psychiatry,
January 1, 2001;
158(1):
4 - 10.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
E. GUTHRIE
Psychotherapy for patients with complex disorders and chronic symptoms: The need for a new research paradigm
The British Journal of Psychiatry,
August 1, 2000;
177(2):
131 - 137.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. W. BATEMAN and P. FONAGY
Effectiveness of psychotherapeutic treatment of personality disorder
The British Journal of Psychiatry,
August 1, 2000;
177(2):
138 - 143.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. O. Gabbard
Psychotherapy of Personality Disorders
J Psychother Pract Res.,
January 1, 2000;
9(1):
1 - 6.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
E. Guthrie, J. Moorey, F. Margison, H. Barker, S. Palmer, G. McGrath, B. Tomenson, and F. Creed
Cost-effectiveness of Brief Psychodynamic-Interpersonal Therapy in High Utilizers of Psychiatric Services
Arch Gen Psychiatry,
June 1, 1999;
56(6):
519 - 526.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
H. S. DINAKAR and R. N. SOBEL
Managed Care and Psychotherapy for Schizophrenia
Am J Psychiatry,
February 1, 1999;
156(2):
336c - 337.
[Full Text]
|
|
|
|
|
|
|
K. B. Wells
Treatment Research at the Crossroads: The Scientific Interface of Clinical Trials and Effectiveness Research
Am J Psychiatry,
January 1, 1999;
156(1):
5 - 10.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
B. J O'Brien
Review: psychotherapy reduces a variety of costs when used to treat patients with the most severe psychiatric disorders
Evid. Based Ment. Health,
February 1, 1998;
1(1):
32 - 32.
[Full Text]
|
|
|
|
|
|
|
N. Clemens and G. O. Gabbard
When Psychiatry Is Not Psychiatry
Arch Gen Psychiatry,
February 1, 1998;
55(2):
182 - 183.
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. O. Gabbard
Introduction: A New Look at Evidence About Reduced Cost of Medical Utilization Following Mental Health Treatment
J Psychother Pract Res.,
January 1, 1998;
7(1):
65 - 67.
[Full Text]
|
|
|
Get information about faster international access.
Privacy Policy
Copyright © 1997
American Psychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
