TY  - JOUR
A1  - Dams, Judith
A1  - Rimane, Eline
A1  - Steil, Regina
A1  - Renneberg, Babette
A1  - Rosner, Rita
A1  - König, Hans-Helmut
T1  - Health-related quality of life and costs of posttraumatic stress disorder in adolescents and young adults in Germany
T2  - Frontiers in psychiatry
N2  - Background: Posttraumatic stress disorder (PTSD) is one of the psychopathological consequences of sexual and/or physical abuse. The economic burden is assumed to be high, whereas health-related quality of life and education is negatively affected. This study aims to determine health care costs, health-related quality of life, and educational interruption in adolescents and young adults with PTSD after sexual and/or physical abuse in Germany.
Methods: This analysis used data of 87 participants aged 14–21 years of a randomized controlled trial. Health care utilization, health-related quality of life (EQ-5D-5L), sick leave days, productivity, and delay or failure to achieve educational aims were assessed. Health care costs from a payer perspective were calculated using unit costs for the year 2014.
Results: Mean health care costs for a six-month period were 5,243€ (SE 868€). In particular, costs of inpatient stays in psychiatric hospitals, general hospitals and rehabilitation as well as child welfare institutions were high. In addition, health-related quality of life was lower due to anxiety/depression, resulting in a mean EQ-5D index and EQ-VAS score of 0.70 and 61.0, respectively. Furthermore, participants reported on average 27 sick leave days, a productivity loss of 61%, and a delay in education attainment as well as having been unable to achieve educational aims.
Conclusion: PTSD in adolescents and young adults is associated with a high economic burden. Health-related quality of life was substantially reduced. Furthermore, delay and productivity losses in education were observed.
Clinical Trial Registration: German Clinical Trials Register identifier: DRKS00004787; date of registration: 18th March 2013; https://www.drks.de.
KW  - cost-of-illness
KW  - posttraumatic stress disorder
KW  - quality of life
KW  - economic burden
KW  - adolescents
Y1  - 2020
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/55155
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-551555
SN  - 1664-0640
VL  - 11
IS  - art. 697
PB  - Frontiers Research Foundation
CY  - Lausanne
ER  -