Lifetime costs of perinatal anxiety and depression
Lifetime costs of perinatal anxiety and depression
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DOI：
10.1016/j.jad.2015.12.005
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发表时间：
2016-03-01
影响因子：
6.6
通讯作者：
Parsonage, Michael
中科院分区：
文献类型：
--
作者：
Bauer, Annette;Knapp, Martin;Parsonage, Michael
背景：焦虑和抑郁在怀孕期间和产后一年的妇女中很常见。对妇女本身及其子女的影响可能相当大，并持续多年。本研究的重点是经济后果，旨在估计总成本和健康相关的生活质量损失的母亲和他们的children.Method的一生：一个路径或决策建模的方法，从以前的研究数据的基础上。进行了系统和务实的文献综述，以确定证据的影响围产期焦虑和抑郁症的母亲和他们的childhood.Results：目前的价值围产期抑郁症（焦虑）的总终身成本为75,728（34,811）每名妇女的条件。如果患病率估计适用围产期焦虑和抑郁症合并的各自的成本约为8500每名妇女分娩，在英国，总成本为66亿英镑。大部分费用与对儿童的不利影响有关，近五分之一由公共部门承担。局限性：该方法是探索性的，基于各种各样的文献和遇到重要的数据gaps.Conclusions：研究结果表明，需要分配更多的资源，以支持妇女围产期精神疾病。需要更多的研究来了解可以减少对母亲和后代的长期负面影响的干预措施类型。(C)2015爱思唯尔B. V.保留所有权利。
Background: Anxiety and depression are common among women during pregnancy and the year after birth. The consequences, both for the women themselves and for their children, can be considerable and last for many years. This study focuses on the economic consequences, aiming to estimate the total costs and health-related quality of life losses over the lifetime of mothers and their children.Method: A pathway or decision modelling approach was employed, based on data from previous studies. Systematic and pragmatic literature reviews were conducted to identify evidence of impacts of perinatal anxiety and depression on mothers and their children.Results: The present value of total lifetime costs of perinatal depression (anxiety) was 75,728 ( 34,811) per woman with condition. If prevalence estimates were applied the respective cost of perinatal anxiety and depression combined was about 8500 per woman giving birth; for the United Kingdom, the aggregated costs were 6.6 billion. The majority of the costs related to adverse impacts on children and almost a fifth were borne by the public sector. Limitations: The method was exploratory in nature, based on a diverse range of literature and encountered important data gaps.Conclusions: Findings suggest the need to allocate more resources to support women with perinatal mental illness. More research is required to understand the type of interventions that can reduce longterm negative effects for both mothers and offspring. (C) 2015 Elsevier B.V. All rights reserved.