%T Effect of reliable recovery on health care costs and productivity losses in emotional disorders
%L uneatlantico8853
%A Sara Barrio-Martínez
%A Paloma Ruiz-Rodríguez
%A Leonardo Adrián Medrano
%A Amador Priede
%A Roger Muñoz-Navarro
%A Juan Antonio Moriana
%A María Carpallo-González
%A Maider Prieto-Vila
%A Antonio Cano-Vindel
%A César González-Blanch
%X 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< .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.
%D 2023
%R doi:10.1016/j.beth.2023.08.012
%J Behavior Therapy