逃避性人格障碍的社会成本
Carl-Aksel Sveen1,2, Geir Pedersen3,4, Theresa Wilberg5,2
1Vestre Viken Hospital Trust, Drammen, Norway.
逃避性人格障碍 (AvPD) 的社会成本是相当大的,平均每名患者19378欧元. 生产力损失是主要的驱动因素,强调需要有效的AvPD治疗来改善功能和减少经济负担.
科学领域:
- 精神病学是一个精神病学.
- 卫生经济学 卫生经济学
- 心理健康服务研究 心理健康服务研究
背景情况:
- 逃避性人格障碍 (AvPD) 对社会构成重大经济负担.
- 估计这些成本对于资源分配和治疗开发至关重要.
研究的目的:
- 估计与回避性人格障碍 (AvPD) 相关的总社会成本.
- 确定主要的成本驱动因素,并将成本与其他精神病和体质疾病进行比较.
主要方法:
- 分析了挪威AvPD患者 (2017-2020) 的截面数据.
- 采用了自下而上的方法,采用结构化访谈和公共单位成本.
- 人力资本方法计算了生产力损失;通过SCID-5-PD证实了诊断.
主要成果:
- 每名患者的平均社会成本为19,378欧元 (N=410).
- 生产力损失占总成本的69%,医疗服务占31%.
- 费用与其他人格障碍和严重精神疾病相美.
结论:
- 对于AvPD的社会成本很高,类似于边界PD和精神分裂症.
- 改善人格功能和劳动力参与的干预措施是有必要的,以减轻这些成本.
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