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Gepubliceerd in: Research on Child and Adolescent Psychopathology 4/2020

20-02-2020

Pediatric Anxiety Disorders: A Cost of Illness Analysis

Auteurs: Jeffrey E. Pella, Eric P. Slade, Paige J. Pikulski, Golda S. Ginsburg

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 4/2020

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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.
Literatuur
go back to reference Achenbach, T. M., & Rescorla, L. (2001). Manual for the ASEBA school-age forms & profiles: An integrated system of multi-informant assessment. Burlington: Aseba. Achenbach, T. M., & Rescorla, L. (2001). Manual for the ASEBA school-age forms & profiles: An integrated system of multi-informant assessment. Burlington: Aseba.
go back to reference Achenbach, T. M., Dumenci, L., & Rescorla, L. A. (2003). DSM-oriented and empirically based approaches to constructing scales from the same item pools. Journal of Clinical Child and Adolescent Psychology, 32(3), 328–340. CrossRef Achenbach, T. M., Dumenci, L., & Rescorla, L. A. (2003). DSM-oriented and empirically based approaches to constructing scales from the same item pools. Journal of Clinical Child and Adolescent Psychology, 32(3), 328–340. CrossRef
go back to reference Ascher, B. H. Z., Farmer, E. M., Burns, B. J., & Angold, A. (1996). The child and adolescent services assessment (CASA) description and psychometrics. Journal of Emotional and Behavioral Disorders, 4(1), 12–20. CrossRef Ascher, B. H. Z., Farmer, E. M., Burns, B. J., & Angold, A. (1996). The child and adolescent services assessment (CASA) description and psychometrics. Journal of Emotional and Behavioral Disorders, 4(1), 12–20. CrossRef
go back to reference Bodden, D. H., Dirksen, C. D., & Bögels, S. M. (2008). Societal burden of clinically anxious youth referred for treatment: A cost-of-illness study. Journal of Abnormal Child Psychology, 36(4), 487–497. CrossRef Bodden, D. H., Dirksen, C. D., & Bögels, S. M. (2008). Societal burden of clinically anxious youth referred for treatment: A cost-of-illness study. Journal of Abnormal Child Psychology, 36(4), 487–497. CrossRef
go back to reference Bodner, T. E. (2008). What Improves with Increased Missing Data Imputations? Structural Equation Modeling, 15(4), 651–675. CrossRef Bodner, T. E. (2008). What Improves with Increased Missing Data Imputations? Structural Equation Modeling, 15(4), 651–675. CrossRef
go back to reference Chorpita, B. F., Yim, L., Moffitt, C., Umemoto, L. A., & Francis, S. E. (2000). Assessment of symptoms of DSM-IV anxiety and depression in children: A revised child anxiety and depression scale. Behaviour Research and Therapy, 38(8), 835–855. CrossRef Chorpita, B. F., Yim, L., Moffitt, C., Umemoto, L. A., & Francis, S. E. (2000). Assessment of symptoms of DSM-IV anxiety and depression in children: A revised child anxiety and depression scale. Behaviour Research and Therapy, 38(8), 835–855. CrossRef
go back to reference Chorpita, B. F., Moffitt, C. E., & Gray, J. (2005). Psychometric properties of the revised child anxiety and depression scale in a clinical sample. Behaviour Research and Therapy, 43(3), 309–322. CrossRef Chorpita, B. F., Moffitt, C. E., & Gray, J. (2005). Psychometric properties of the revised child anxiety and depression scale in a clinical sample. Behaviour Research and Therapy, 43(3), 309–322. CrossRef
go back to reference Foster, M. E., & Jones, D. E. (2005). The high costs of aggression: Public expenditures resulting from conduct disorder. American Journal of Public Health, 95(10), 1767–1772. CrossRef Foster, M. E., & Jones, D. E. (2005). The high costs of aggression: Public expenditures resulting from conduct disorder. American Journal of Public Health, 95(10), 1767–1772. CrossRef
go back to reference Gilleskie, D. B., & Mroz, T. A. (2004). A flexible approach for estimating the effects of covariates on health expenditures. Journal of Health Economics, 23(2), 391–418. CrossRef Gilleskie, D. B., & Mroz, T. A. (2004). A flexible approach for estimating the effects of covariates on health expenditures. Journal of Health Economics, 23(2), 391–418. CrossRef
go back to reference Ginsburg, G. S., Pella, J. E., Pikulski, P. J., Tein, J. Y., & Drake, K. L. (2019). School-based treatment for anxiety research study (STARS): a randomized controlled effectiveness trial. Journal of Abnormal Child Psychology, 1-11. Ginsburg, G. S., Pella, J. E., Pikulski, P. J., Tein, J. Y., & Drake, K. L. (2019). School-based treatment for anxiety research study (STARS): a randomized controlled effectiveness trial. Journal of Abnormal Child Psychology, 1-11.
go back to reference Guy, W. (1976). ECDEU assessment manual for psychopharmacology. US Department of Health, and Welfare, 534–537. Guy, W. (1976). ECDEU assessment manual for psychopharmacology. US Department of Health, and Welfare, 534–537.
go back to reference Howell, E., & McFeeters, J. (2008). Children's mental health care: Differences by race/ethnicity in urban/rural areas. Journal of Health Care for the Poor and Underserved, 19(1), 237–247. CrossRef Howell, E., & McFeeters, J. (2008). Children's mental health care: Differences by race/ethnicity in urban/rural areas. Journal of Health Care for the Poor and Underserved, 19(1), 237–247. CrossRef
go back to reference Lee, S. W., Lohmeier, J. H., Niileksela, C., & Oeth, J. (2009). Rural schools' mental health needs: Educators' perceptions of mental health needs and services in rural schools. Journal of Rural Mental Health, 33(1), 26. CrossRef Lee, S. W., Lohmeier, J. H., Niileksela, C., & Oeth, J. (2009). Rural schools' mental health needs: Educators' perceptions of mental health needs and services in rural schools. Journal of Rural Mental Health, 33(1), 26. CrossRef
go back to reference Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., et al. (2010). Lifetime prevalence of mental disorders in US adolescents: Results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 49(10), 980–989. CrossRef Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., et al. (2010). Lifetime prevalence of mental disorders in US adolescents: Results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 49(10), 980–989. CrossRef
go back to reference Merikangas, K. R., He, J. P., Burstein, M., Swendsen, J., Avenevoli, S., Case, B., et al. (2011). Service utilization for lifetime mental disorders in US adolescents: Results of the National Comorbidity Survey–Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 50(1), 32–45. CrossRef Merikangas, K. R., He, J. P., Burstein, M., Swendsen, J., Avenevoli, S., Case, B., et al. (2011). Service utilization for lifetime mental disorders in US adolescents: Results of the National Comorbidity Survey–Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 50(1), 32–45. CrossRef
go back to reference Rosenheck, R., Leslie, D., Sint, K., Lin, H., Robinson, D. G., Schooler, N. R., ... & Correll, C. U. (2016). Cost-effectiveness of comprehensive, integrated care for first episode psychosis in the NIMH RAISE early treatment program. Schizophrenia Bulletin, 42(4), 896–906. Rosenheck, R., Leslie, D., Sint, K., Lin, H., Robinson, D. G., Schooler, N. R., ... & Correll, C. U. (2016). Cost-effectiveness of comprehensive, integrated care for first episode psychosis in the NIMH RAISE early treatment program. Schizophrenia Bulletin, 42(4), 896–906.
go back to reference Rubin, D. B. (1987). Multiple imputation for nonresponse in surveys. New York: Wiley. CrossRef Rubin, D. B. (1987). Multiple imputation for nonresponse in surveys. New York: Wiley. CrossRef
go back to reference Silverman, W. K., & Albano, A. M. (1996). The anxiety disorders interview schedule for children for DSMIV (child and parent versions). San Antonio: Psychological Corporation. Silverman, W. K., & Albano, A. M. (1996). The anxiety disorders interview schedule for children for DSMIV (child and parent versions). San Antonio: Psychological Corporation.
go back to reference Silverman, W. K., Saavedra, L. M., & Pina, A. A. (2001). Test-retest reliability of anxiety symptoms and diagnoses with the anxiety disorders interview schedule for DSM-IV: Child and parent versions. Journal of the American Academy of Child & Adolescent Psychiatry, 40(8), 937–944. CrossRef Silverman, W. K., Saavedra, L. M., & Pina, A. A. (2001). Test-retest reliability of anxiety symptoms and diagnoses with the anxiety disorders interview schedule for DSM-IV: Child and parent versions. Journal of the American Academy of Child & Adolescent Psychiatry, 40(8), 937–944. CrossRef
go back to reference Swan, A. J., & Kendall, P. C. (2016). Fear and missing out: Youth anxiety and functional outcomes. Clinical Psychology: Science and Practice, 23(4), 417–435. Swan, A. J., & Kendall, P. C. (2016). Fear and missing out: Youth anxiety and functional outcomes. Clinical Psychology: Science and Practice, 23(4), 417–435.
go back to reference Swensen, A. R., Birnbaum, H. G., Secnik, K., Marynchenko, M., Greenberg, P., & Claxton, A. M. I. (2003). Attention-deficit/hyperactivity disorder: Increased costs for patients and their families. Journal of the American Academy of Child & Adolescent Psychiatry, 42(12), 1415–1423. CrossRef Swensen, A. R., Birnbaum, H. G., Secnik, K., Marynchenko, M., Greenberg, P., & Claxton, A. M. I. (2003). Attention-deficit/hyperactivity disorder: Increased costs for patients and their families. Journal of the American Academy of Child & Adolescent Psychiatry, 42(12), 1415–1423. CrossRef
go back to reference Taouali, W., Benvenuti, G., Wallisch, P., Chavane, F. F., & Perrinet, L. U. (2015). Testing the Odds of Inherent versus Observed Over-dispersion in Neural Spike Counts. J Neurophysiol: jn, 194. Taouali, W., Benvenuti, G., Wallisch, P., Chavane, F. F., & Perrinet, L. U. (2015). Testing the Odds of Inherent versus Observed Over-dispersion in Neural Spike Counts. J Neurophysiol: jn, 194.
go back to reference van Steensel, F. J., Dirksen, C. D., & Bögels, S. M. (2013). A cost of illness study of children with high-functioning autism spectrum disorders and comorbid anxiety disorders as compared to clinically anxious and typically developing children. Journal of Autism and Developmental Disorders, 43(12), 2878–2890. CrossRef van Steensel, F. J., Dirksen, C. D., & Bögels, S. M. (2013). A cost of illness study of children with high-functioning autism spectrum disorders and comorbid anxiety disorders as compared to clinically anxious and typically developing children. Journal of Autism and Developmental Disorders, 43(12), 2878–2890. CrossRef
Metagegevens
Titel
Pediatric Anxiety Disorders: A Cost of Illness Analysis
Auteurs
Jeffrey E. Pella
Eric P. Slade
Paige J. Pikulski
Golda S. Ginsburg
Publicatiedatum
20-02-2020
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 4/2020
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-020-00626-7