A pilot study of reduction in healthcare costs following the application of intensive short-term dynamic psychotherapy for psychogenic nonepileptic seizures

• Verfasst von: Russell, Leo [VerfasserIn]
• Verfasst von: Pohlmann-Eden, Bernd [VerfasserIn]
• Titel: A pilot study of reduction in healthcare costs following the application of intensive short-term dynamic psychotherapy for psychogenic nonepileptic seizures
• Verf.angabe: Leo A. Russell, Allan A. Abbass, Steven J. Allder, Steve Kisely, Bernd Pohlmann-Eden, Joel M. Town
• E-Jahr: 2016
• Jahr: October 2016
• Umfang: 3 S.
• Fussnoten: Gesehen am 04.12.2019 ; Available online 16 August 2016
• Titel Quelle: Enthalten in: Epilepsy & behavior
• Ort Quelle: New York, NY [u.a.] : Elsevier, 2000
• Jahr Quelle: 2016
• Band/Heft Quelle: 63(2016), Seite 17-19
• ISSN Quelle: 1525-5069
• DOI: doi:10.1016/j.yebeh.2016.07.017
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Clinical outcomes
• Sach-SW: Economic evaluation
• Sach-SW: Intensive short-term dynamic psychotherapy
• Sach-SW: Long-term effects
• Sach-SW: Psychogenic nonepileptic seizures
• K10plus-PPN: 1684198100

Abstract

Purpose - The purpose of this study was to examine preliminary evidence of intensive short-term dynamic psychotherapy (ISTDP) as a treatment option for psychogenic nonepileptic seizures (PNES) in terms of impact on healthcare costs, emotional wellbeing, and somatic symptoms. - Method - Drawn from a sample of patients treated in a tertiary psychiatric service over a nine-year period, this naturalistic pilot study compared within-group changes from pretreatment with each year up to three years posttreatment, in physician visits, physician costs, hospital admissions, and overall hospital costs. - Results - Twenty-eight patients with PNES received ISTDP with average treatment duration of 3.6 sessions. Healthcare costs significantly reduced in follow-up compared with those in baseline, with patient costs falling below the healthy population means, and reductions in healthcare costs compared with those in baseline by 88% in year one, 90% in year two, and 81% in year three. This was accompanied by significant reductions in symptoms and interpersonal problems. - Conclusion - These preliminary findings indicate the potential for short-term and long-term healthcare savings and improvements in emotional wellbeing, for patients with PNES from the application of ISTDP. Further research evaluating the impact of ISTDP on seizure reduction and comparing this approach with control conditions is warranted.