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Treatment costs for depression with pain and cardiovascular comorbidities

Pan, Yi-Ju, Knapp, Martin, Yeh, Ling-Ling, Chen, Yu-Pei and McCrone, Paul (2013) Treatment costs for depression with pain and cardiovascular comorbidities. Journal of Psychiatric Research, 47 (3). pp. 329-336. ISSN 0022-3956

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Abstract

Objective: As depressive disorders are highly heterogeneous, and as patients exhibit wide differences in clinical characteristics and comorbidities, we aim to examine whether and how demographic and clinical correlates affect healthcare costs for patients with depression in a real-world setting. Method: A national cohort of adult patients (n = 216,557) who received treatment for depression was identified from the National Health Insurance Research Database in Taiwan. Factors associated with service use and healthcare costs over a 12-month period were explored, with a particular focus on past treatment history, comorbid physical illnesses, painful physical symptoms, and choice of initial antidepressants. Results: Depression severity, past treatment history, comorbid mental/physical illnesses, painful physical symptoms, and choice of initial antidepressants were found to be associated with healthcare costs in the following year, although the nature of the associations differed across cost categories. The presence of comorbid cardiovascular disease or certain painful physical symptoms at baseline was associated not only with higher non-psychiatric but also with higher psychiatric costs; moreover, patients with these comorbidities were shown to have increased use of psychiatric emergency and inpatient services. Conclusion: Healthcare costs for depression are affected by a number of clinical characteristics and comorbidities of patients. The importance of comorbid pain and cardiovascular conditions warrants further research.

Item Type: Article
Official URL: http://www.journals.elsevier.com/journal-of-psychi...
Additional Information: © 2012 Elsevier Ltd.
Library of Congress subject classification: R Medicine > RA Public aspects of medicine
Sets: Departments > Social Policy
Research centres and groups > Personal Social Services Research Unit (PSSRU)
Research centres and groups > LSE Health
Research centres and groups > NIHR School for Social Care Research
Rights: http://www.lse.ac.uk/library/usingTheLibrary/academicSupport/OA/depositYourResearch.aspx
Funders: Far Eastern Memorial Hospital, Taiwan
Projects: FEMH-97-C-022
Date Deposited: 20 Feb 2013 10:55
URL: http://eprints.lse.ac.uk/48757/

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