Pediatric Anxiety Disorders: A Cost of Illness Analysis.

Jeffrey E Pella, Eric P Slade, Paige J Pikulski, Golda S Ginsburg
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引用次数: 21

Abstract

Few studies provide information about the clinical correlates of economic costs in pediatric anxiety disorders. This study uses baseline data from a randomized trial involving 209 children and adolescents with clinical anxiety to examine clinical and demographic correlates of direct and indirect costs. Measured costs included the direct costs of mental health services and the indirect costs resulting from children's missed school and parents' missed work. Validated measures of anxiety and depression severity and of internalizing and externalizing behaviors were reported by youth, their parents, and independent evaluators. Seventy-two percent of youth (n = 150) had positive costs. Among these youth, the mean annual total cost was $6405 (sd = $11,674), of which $5890 represented direct cost and $4658 represented indirect cost. Higher average costs were correlated with greater child anxiety and depression severity (p < 0.001). Most pediatric anxiety disorders result in substantial individual and family costs, and costs may increase rapidly with elevated anxiety severity and depressed mood.

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儿童焦虑症:疾病成本分析。
很少有研究提供有关小儿焦虑症经济成本的临床相关性的信息。本研究使用了一项随机试验的基线数据,涉及209名患有临床焦虑症的儿童和青少年,以检查直接和间接成本的临床和人口统计学相关性。测量的成本包括心理健康服务的直接成本,以及儿童缺课和父母缺工造成的间接成本。青少年、他们的父母和独立评估者报告了焦虑和抑郁严重程度以及内化和外化行为的有效测量。72%的年轻人(n = 150)有正成本。在这些年轻人中,年平均总成本为6405美元(sd = 11,674美元),其中5890美元代表直接成本,4658美元代表间接成本。较高的平均费用与较高的儿童焦虑和抑郁严重程度相关(p
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期刊介绍: Research on Child and Adolescent Psychopathology brings together the latest innovative research that advances knowledge of psychopathology from infancy through adolescence. The journal publishes studies that have a strong theoretical framework and use a diversity of methods, with an emphasis on empirical studies of the major forms of psychopathology found in childhood disorders (e.g., disruptive behavior disorders, depression, anxiety, and autism spectrum disorder). Studies focus on the epidemiology, etiology, assessment, treatment, prognosis, and developmental course of these forms of psychopathology. Studies highlighting risk and protective factors; the ecology and correlates of children''s emotional, social, and behavior problems; and advances in prevention and treatment are featured. Research on Child and Adolescent Psychopathology is the official journal of the International Society for Research in Child and Adolescent Psychopathology (ISRCAP), a multidisciplinary scientific society.
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