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Psychiatric consultation in somatization disorder. A randomized controlled study.

G R Smith, R A Monson, D C Ray

The New England Journal of Medicine

|May 29, 1986

Summary

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Psychiatric consultation significantly reduced healthcare costs for patients with somatization disorder. This intervention lowered expenditures by over 50% without negatively impacting patient health outcomes or satisfaction.

Area of Science:

Psychiatry
Health Economics

Background:

Patients with somatization disorder incur healthcare costs up to nine times higher than average.
Managing somatization disorder presents significant economic challenges.

Purpose of the Study:

To evaluate if psychiatric consultation reduces medical expenditures for somatization disorder patients.
To assess the impact of psychiatric consultation on healthcare costs without altering patient outcomes.

Main Methods:

A randomized controlled trial was conducted over 18 months with 38 patients.
Patients were assigned to either a treatment group (psychiatric consultation) or a control group.
The control group received the intervention after nine months (crossover design).

Main Results:

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Quarterly healthcare charges decreased by 53% in the treatment group post-consultation (P < 0.05).
The control group initially showed no change, but costs dropped 49% after receiving the intervention.
Expenditure reductions were primarily driven by decreased hospitalizations.

Conclusions:

Psychiatric consultation is an effective strategy for reducing healthcare expenditures in somatization disorder.
The intervention lowered costs without adverse effects on patient health status or satisfaction.
Integrating psychiatric consultation can lead to substantial healthcare savings for this patient population.