Societal cost-of-illness in patients with borderline personality disorder one year before, during and after dialectical behavior therapy in routine outpatient care
Abstract
Societal cost-of-illness in a German sample of patients with borderline personality disorder (BPD) was calculated for 12 months prior to an outpatient Dialectical Behavior Therapy (DBT) program, during a year of DBT in routine outpatient care and during a follow-up year. We retrospectively assessed resource consumption and productivity loss by means of a structured interview. Direct costs were calculated as opportunity costs and indirect costs were calculated according to the Human Capital Approach. All costs were expressed in Euros for the year 2010. Total mean annual BPD-related societal cost-of-illness was €28026 (SD = €33081) during pre-treatment, €18758 (SD = €19450) during the DBT treatment year for the 47 DBT treatment completers, and €14750 (SD = €18592) during the follow-up year for the 33 patients who participated in the final assessment. Cost savings were mainly due to marked reductions in inpatient treatment costs, while indirect costs barely decreased. In conclusion, our findings provide evidence that the treatment of BPD patients with an outpatient DBT program is associated with substantial overall cost savings. Already during the DBT treatment year, these savings clearly exceed the additional treatment costs of DBT and are further extended during the follow-up year. Correspondingly, outpatient DBT has the potential to be a cost-effective treatment for BPD patients. Efforts promoting its implementation in routine care should be undertaken.
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- Authors
- Wagner, T., Fydrich, T., Stiglmayr, C., Marschall, P., Salize, H.-J., Renneberg, B., Fleßa, S., & Roepke, S.
- Affiliations
- Humboldt-Universität zu Berlin (DE)
- Universität Greifswald (DE)
- Heidelberg University (DE)
- Freie Universität Berlin (DE)
- Stiftung Charité (DE)
- Corresponding author
- Wagner, Till
- Roepke, Stefan
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2014-10
- Volume
- 61
- Pages
- 12-22
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2011624065
- Cited by
- 92
- References
- 71
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 3 · 2023: 12 · 2022: 9 · 2021: 10 · 2020: 8 · 2019: 8 · 2018: 12 · 2017: 8 · 2016: 9 · 2015: 6 · 2014: 1
- FWCI
- 9.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Department of Biotechnology, Ministry of Science and Technology, India
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- borderline personality disorder, dialectical behavior therapy, cost reduction, outpatient care, productivity loss, human capital approach, hospital costs, cost-effectiveness
- MeSH terms
- Adult, Ambulatory Care, Behavior Therapy, Borderline Personality Disorder, Cost-Benefit Analysis, Efficiency, Female, Germany, Humans, Male, Treatment Outcome, Health Care Costs, Cost of Illness, Young Adult
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