@article{uneatlantico8853, month = {Septiembre}, journal = {Behavior Therapy}, year = {2023}, title = {Effect of reliable recovery on health care costs and productivity losses in emotional disorders}, author = {Sara Barrio-Mart{\'i}nez and Paloma Ruiz-Rodr{\'i}guez and Leonardo Adri{\'a}n Medrano and Amador Priede and Roger Mu{\~n}oz-Navarro and Juan Antonio Moriana and Mar{\'i}a Carpallo-Gonz{\'a}lez and Maider Prieto-Vila and Antonio Cano-Vindel and C{\'e}sar Gonz{\'a}lez-Blanch}, url = {http://repositorio.uneatlantico.es/id/eprint/8853/}, abstract = {Despite the high economic costs associated with emotional disorders, relatively few studies have examined the variation in costs according to whether or not the patient has achieved a reliable recovery or not. The aim of this study was to explore differences in health care costs and productivity losses between primary care patients from a previous RCT{--}PsicAP{--} with emotional symptoms who achieved a reliable recovery versus and those who did not after transdiagnostic cognitive-behavioural therapy (TD-CBT) plus treatment as usual (TAU) or TAU alone. Sociodemographic and cost data were obtained for 134 participants treated at five primary care centres in Madrid for the 12-month post-treatment period. Reliable recovery rates were higher in the patients who received TD-CBT+TAU versus TAU alone (66\% versus 34\%; chi-square= 13.78; df=1; p{\ensuremath{<}} .001). Patients who did not achieve reliable recovery incurred in more costs, especially associated with GP consultations (t=3.01; df=132; p=.003), use of emergency departments (t= 2.20; df= 132; p=.030), total health care costs (t=2.01; df=132; p=.040), and sick leaves (t=1.97; df=132; p=.048). These findings underscore the societal importance of achieving a reliable recovery in patients with emotional disorders, and further support the value of adding TD-CBT to TAU in the primary care setting.} }