Journal Article

Cost-Effectiveness of Short-Term Inpatient Psychotherapy Based on Transactional Analysis in Patients With Personality Disorder

Busschbach, Jan J. V., Horn, Eva K., Delimon, Jos, Hakkaart-van Roijen, Leona, Rossum, Bert V., Ziegler, Uli M., Goorden, Maartje, Soons, Mirjam, Stijnen, Theo, Meerman, Anke M. M. A., Emmelkamp, Paul M. G., Verheul, Roel, Thunnissen, Moniek

2016

Overview

Short-term inpatient psychotherapy based on transactional analysis (STIP-TA) in patients with personality disorders (PD) has shown to be more effective than comparable other specialized psychotherapies (OP). The aim of this study was to assess whether the higher effectiveness of STIP-TA also results in a better cost-effectiveness. Patients treated with STIP-TA were matched with patients treated with OP by the propensity score. Healthcare costs and lost productivity costs were measured over 3 years and from the societal perspective. Cost-effectiveness was represented by costs per quality adjusted life years (QALYs). Uncertainty was assessed using bootstrapping. Mean 3-year costs were €59,834 for STIP-TA and €69,337 for OP, a difference of -€9,503, 95% CI [-32,561, 15,726]. QALYs were 2.29 for STIP-TA and 2.05 for OP, a difference of .24, 95% CI [.05, .44]. STIP-TA is a dominant treatment compared to OP: less costly and more effective. We conclude that STIP-TA is a cost-effective treatment in PD patients.

• Publisher: Guilford Press
• Subject: Absenteeism / Adult / Bootstrap method / Bootstrapping / Cost analysis / Cost benefit analysis / Costs / Departments / Disorders / Effectiveness / Evidence / Female / Group Membership / Health Care Costs / Health care expenditures / Health services / Humans / Inpatient care / Inpatients - psychology / Male / Medical treatment / Mental Health / Middle Aged / Modeling (Psychology) / Patients / Personality / Personality disorders / Personality Disorders - diagnosis / Personality Disorders - psychology / Personality Disorders - therapy / Personality Problems / Presenteeism - economics / Productivity / Propensity / Propensity Score / Psychotherapy / Psychotherapy - economics / Psychotherapy - methods / Psychotherapy, Brief - economics / Quality adjusted life years / Quality of Life / Resistance (Psychology) / Short term / Transactional analysis / Transactional Analysis - economics / Transactional Analysis - methods / Treatment Outcome / Uncertainty