Health economic studies on mental illness and families' expressed emotion

进行了一项医疗费用分析研究。研究对象为复发风险较高的精神分裂症患者，因其家庭成员的高表达情绪（EE）状态。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。以30例精神分裂症患者为研究对象，将其9个月的医疗费用与既往队列研究中未接受任何家庭心理教育的52例高情感表达家庭患者的医疗费用进行比较。心理教育组与对照组门诊费用差异无统计学意义。心理教育组住院费用平均为27万日元，对照组住院费用平均为47万日元。心理教育组总医疗费用平均值为50万，对照组为71万，差异有统计学意义。结果表明，精神分裂症患者住院费用的降低主要是由于心理教育组住院费用的降低。在两组之间进行了成本效益分析。简单的心理教育加教育研讨会和随访支持比强化心理教育组更具成本效益。进行了成本效用分析。对情绪障碍进行了一项医疗成本分析研究。研究对象为32例情绪障碍患者，采用Camberwell家庭访谈法对其家庭情感表达进行评估。根据9个月的队列研究，5例高情感表达患者复发风险为80%，27例低情感表达患者复发风险为22.2%。高情感表达组的医疗费用高于低情感表达组。提示家庭心理教育可以降低情绪障碍的医疗费用，而情绪障碍主要是由家庭心理教育的预防复发效果引起的。进行了一项卫生经济学研究。对痴呆症和家庭卫生经济学研究的回顾表明，在这一领域需要进行更多的卫生经济学研究。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