The economic burden of anxiety disorders in the 1990s
The economic burden of anxiety disorders in the 1990s
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DOI：
10.4088/jcp.v60n0702
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发表时间：
1999-07-01
影响因子：
5.3
通讯作者：
Fyer, AJ
中科院分区：
文献类型：
--
作者：
Greenberg, PE;Sisitsky, T;Fyer, AJ
背景资料：我们评估焦虑症的年度经济负担在美国从社会的perspectives.Method：使用全国comorbidity研究的数据，我们采用多元回归技术来计算与焦虑症相关的费用，调整后的人口特征和存在的共病精神疾病。根据额外的数据，部分来自一个大型管理式医疗机构，我们。结果：我们估计，焦虑症的社会成本的人力资本模型为约42.3十亿美元，在1990年在美国，或1542美元每患者。这包括230亿元（或总成本的54%）的非精神科医疗成本、133亿元（31%）的精神科治疗成本、41亿元（10%）的间接工作场所成本、12亿元（3%）的死亡成本，以及8亿元（2%）的处方药成本。在每名焦虑的员工256美元的工作场所成本中，88%可归因于工作时的生产力损失，而不是缺勤。创伤后应激障碍和恐慌症是使用服务率最高的焦虑症。除了简单的恐惧症，所有的焦虑症分析与损害工作场所performance.Conclusion：焦虑症对社会造成了巨大的成本，其中大部分可能是可以避免的更广泛的认识，认识，并适当的早期干预。
Background: We assess the annual economic burden of anxiety disorders in the United States from a societal perspective.Method: Using data from the National Comorbidity Study, we applied multivariate regression techniques to calculate the costs associated with anxiety disorders, after adjusting for demographic characteristics and the presence of comorbid psychiatric conditions. Based on additional data, in part from a large managed care organization, we. estimated a human capital model of the societal cost of anxiety disorders.Results: We estimated the annual cost of anxiety disorders to be approximately $42.3 billion in 1990 in the United States, or $1542 per sufferer. This comprises $23.0 billion (or 54% of the total cost) in nonpsychiatric medical treatment costs, $13.3 billion (31%) in psychiatric treatment costs, $4.1 billion (10%) in indirect workplace costs, $1.2 billion (3%) in mortality costs, and $0.8 billion (2%) in prescription pharmaceutical costs. Of the $256 in workplace costs per anxious worker, 88% is attributable to lost productivity while at work as opposed to absenteeism. Posttraumatic stress disorder and panic disorder are the anxiety disorders found to have the highest rates of service use. Other than simple phobia, all anxiety disorders analyzed are associated with impairment in workplace performance.Conclusion: Anxiety disorders impose a substantial cost on society, much of which may be avoidable with more widespread awareness, recognition, and appropriate early intervention.