Health economic studies on mental illness and families' expressed emotion

进行了医疗成本分析研究。受试者是精神分裂症患者，他们有很高的复发风险，因为他们的家庭成员的情绪表达水平很高(EE)。强化心理教育组家庭接受教育研讨会和强化家庭会议，普通心理教育组家庭接受教育研讨会和后续支持。研究对象为30例精神分裂症患者，将其9个月的医疗费用与队列研究中52例未接受任何形式的家庭心理教育的高EE家系患者进行比较。心理教育组与对照组的门诊费用差异无统计学意义。心理教育组平均住院费用为27万日元，对照组为47万日元。心理教育组总医疗费用平均值为50万元，对照组为71万元，差异有统计学意义。这一结果表明…精神分裂症患者的医疗费用可以降低更多，主要是因为心理教育组的住院费用降低了。两组间进行了成本-效果分析。简单的心理教育加上教育研讨会和后续支持比强化心理教育组更具成本效益。对32例心境障碍患者进行了成本效用分析，并用坎伯威尔家庭访谈法对其家属的EE进行了评估。根据9个月的队列研究，5例高EE患者的复发风险为80%，27例低EE患者的复发风险为22.2%。高EE组的医疗费用高于低EE组。这表明，家庭心理教育可以降低情绪障碍的医疗成本，而情绪障碍主要是由家庭心理教育的复发预防作用引起的。对痴呆症和家庭的健康经济学研究的综述表明，在这一领域需要更多的健康经济学研究。较少

A medical cost analysis study was conducted. Subjects were schizophrenic patients who were at high risk of relapse, because of high expressed emotion (EE status of their family membeis. Families of intensive psychoeducation group received education seminar and intensive family sessions, and families of ordinary psychoeducation group received education seminar and following supports. Subjects were 30 schizophrenic patients, and their medical cost fir 9 months was compared with those of 52 patients with high EE families in previous cohort study, who did not receive any kind of family psychoeducation. There was no statistically significant difference in outpatient cost between psychoeducation group and the control group. Mean of inpatient cost of psychoeducation group was 270,000 Japanese yen, and 470,000 yean in the control group. The mean of total medical cost in the psychoeducation group was 500,000, and 710,000 in the control group, with statistical difference. This results suggest th … More at medical cost for schizophrenic patients could be reduced, mainly because of decrease of hospital cost in psychoeducation group. A cost-effectiveness analysis was conducted between the groups. A simple psychoeducation with education seminar and follow up support was more cost-effective than the intensive psychoeducation group. A cost-utility analysis was conducted.A medical cost analysis study was conducted about mood disorders.'Subjects were 32 patients with mood disorders, and their families' EE was evaluated using Camberwell Family Interview. According to 9-month cohort study, relapse risk was 80% in 5 high EE patients, and 22.2% in 27 low EE patients. Medical cost in high EE group was more expensive than in low EE group. This suggests that family psychoeducation could reduce medical cost of mood disorders, which were mainly induced by relapse prevention effect of family psychoeducation.A health economics study was conducted. A review of studies of health economics of dementia and family suggests that more health economic studies were needed in this field. Less