COST-EFFECTIVENESS OF SHORT-TERM INPATIENT PSYCHOTHERAPY BASED ON TRANSACTIONAL ANALYSIS IN PATIENTS WITH PERSONALITY DISORDER

Eva Horn, R Verheul, M Thunnissen, J Delimon, Maartje Goorden, Leona Hakkaart - van Roijen, M Soons, AMMA Meerman, UM Ziegler, BV Rossum, T Stijnen, PMG Emmelkamp, Jan van Busschbach

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Abstract

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 -(sic)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.
Original languageUndefined/Unknown
Pages (from-to)483-501
Number of pages19
JournalJournal of Personality Disorders
Volume30
Issue number4
DOIs
Publication statusPublished - 2016

Research programs

  • EMC NIHES-05-63-02 Quality
  • EMC NIHES-04-58-01

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