Excess costs of post-traumatic stress disorder related to child maltreatment in Germany
Abstract Background Childhood maltreatment (CM) significantly increases the risk of developing post-traumatic stress disorder (PTSD) for which the prevalence in Europe is higher than initially assumed. While the high economic burden of PTSD is well-documented, little is known about the health care c...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2025-01-01
|
| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933825000069/type/journal_article |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823856505865109504 |
|---|---|
| author | Thomas Grochtdreis Hans-Helmut König Falk Leichsenring Manfred E. Beutel Lila Feix Harald Gündel Andrea Hermann Melissa Hitzler Christine Knaevelsrud Iris-Tatjana Kolassa Johannes Kruse Helen Niemeyer Fatima Nöske Simone Salzer Karoline Sophie Sauer Patrick Schuster Christiane Steinert Kerstin Weidner Jörn von Wietersheim Jürgen Hoyer Judith Dams |
| author_facet | Thomas Grochtdreis Hans-Helmut König Falk Leichsenring Manfred E. Beutel Lila Feix Harald Gündel Andrea Hermann Melissa Hitzler Christine Knaevelsrud Iris-Tatjana Kolassa Johannes Kruse Helen Niemeyer Fatima Nöske Simone Salzer Karoline Sophie Sauer Patrick Schuster Christiane Steinert Kerstin Weidner Jörn von Wietersheim Jürgen Hoyer Judith Dams |
| author_sort | Thomas Grochtdreis |
| collection | DOAJ |
| description | Abstract
Background
Childhood maltreatment (CM) significantly increases the risk of developing post-traumatic stress disorder (PTSD) for which the prevalence in Europe is higher than initially assumed. While the high economic burden of PTSD is well-documented, little is known about the health care cost differences between individuals with PTSD-CM and those without PTSD in Germany. This study aimed to determine the excess health care and absenteeism costs associated with PTSD-CM in Germany.
Methods
Baseline data from a multi-center randomized controlled trial on individuals with PTSD-CM (n = 361) were combined with data from individuals without PTSD (n = 4760). Entropy balancing was used to balance the data sets with regard to sociodemographic characteristics. Six-month excess health care costs from a societal perspective were calculated for 2022, using two-part models with logit specification for the first part and a generalized linear model for the second part.
Results
The total six-month excess costs associated with PTSD-CM were €8864 (95% CI: €6855 to €10,873) per person. Of this, the excess health care costs accounted for €4647 (95% CI €3296 to €5997) and the excess costs of absenteeism for €4217 (95% CI: €3121 to €5314). Individuals with mild to moderate PTSD symptoms incurred total excess costs of €6038 (95% CI: €3879 to €8197), while those with severe to extreme symptoms faced €11,433 (95% CI: €8220 to €14,646).
Conclusions
Excess health care and absenteeism costs associated with PTSD-CM were substantial, with absenteeism accounting for roughly half of the total excess costs.
|
| format | Article |
| id | doaj-art-7cc28a1379fd4ab3b524fe342e5b98e9 |
| institution | Kabale University |
| issn | 0924-9338 1778-3585 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj-art-7cc28a1379fd4ab3b524fe342e5b98e92025-02-12T07:44:38ZengCambridge University PressEuropean Psychiatry0924-93381778-35852025-01-016810.1192/j.eurpsy.2025.6Excess costs of post-traumatic stress disorder related to child maltreatment in GermanyThomas Grochtdreis0https://orcid.org/0000-0002-0176-7989Hans-Helmut König1https://orcid.org/0000-0001-5711-6862Falk Leichsenring2Manfred E. Beutel3Lila Feix4Harald Gündel5Andrea Hermann6https://orcid.org/0000-0003-3186-7777Melissa Hitzler7Christine Knaevelsrud8Iris-Tatjana Kolassa9Johannes Kruse10Helen Niemeyer11https://orcid.org/0000-0002-7616-1885Fatima Nöske12https://orcid.org/0009-0005-7231-3457Simone Salzer13Karoline Sophie Sauer14https://orcid.org/0000-0003-0401-5026Patrick Schuster15https://orcid.org/0000-0002-7916-3587Christiane Steinert16Kerstin Weidner17https://orcid.org/0009-0007-9140-4068Jörn von Wietersheim18https://orcid.org/0009-0001-6167-272XJürgen Hoyer19https://orcid.org/0000-0002-1697-6732Judith Dams20https://orcid.org/0000-0002-6922-434XDepartment of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of Psychotherapy and Psychosomatics, Justus Liebig University Giessen, Giessen, Germany Department of Psychosomatics and Psychotherapy, University of Rostock, Rostock, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, Mainz, GermanyDepartment of Psychosomatics and Psychotherapy, University of Rostock, Rostock, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, University Ulm Medical Center, Ulm, GermanyCenter for Mind, Brain and Behavior, Justus Liebig University Gießen and Philipps University Marburg, Gießen and Marburg, Germany Department of Psychotherapy and Systems Neuroscience, Justus Liebig University Giessen, Giessen, GermanyDepartment of Clinical and Biological Psychology, Institute of Psychology and Education, Ulm University, Ulm, GermanyDivision of Clinical Psychological Intervention, Department of Education and Psychology, Freie Universität Berlin, Berlin, GermanyDepartment of Clinical and Biological Psychology, Institute of Psychology and Education, Ulm University, Ulm, GermanyDepartment of Psychotherapy and Psychosomatics, Justus Liebig University Giessen, Giessen, Germany Department of Psychotherapy and Psychosomatics, Philipps University Marburg, Marburg, GermanyDivision of Clinical Psychological Intervention, Department of Education and Psychology, Freie Universität Berlin, Berlin, GermanyDepartment of Psychotherapy and Psychosomatics, Justus Liebig University Giessen, Giessen, GermanyInternational Psychoanalytic University Berlin, Berlin, GermanyDepartment of Clinical Psychology, Psychotherapy, and Experimental Psychopathology, Johannes Gutenberg-University Mainz, Mainz, GermanyDepartment of Psychotherapy and Psychosomatics, Justus Liebig University Giessen, Giessen, GermanyInternational Psychoanalytic University Berlin, Berlin, GermanyDepartment of Psychotherapy and Psychosomatic Medicine, Faculty of Medicine Carl Gustav Carus Technische Universität Dresden, Dresden, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, University Ulm Medical Center, Ulm, GermanyInstitute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, GermanyDepartment of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyAbstract Background Childhood maltreatment (CM) significantly increases the risk of developing post-traumatic stress disorder (PTSD) for which the prevalence in Europe is higher than initially assumed. While the high economic burden of PTSD is well-documented, little is known about the health care cost differences between individuals with PTSD-CM and those without PTSD in Germany. This study aimed to determine the excess health care and absenteeism costs associated with PTSD-CM in Germany. Methods Baseline data from a multi-center randomized controlled trial on individuals with PTSD-CM (n = 361) were combined with data from individuals without PTSD (n = 4760). Entropy balancing was used to balance the data sets with regard to sociodemographic characteristics. Six-month excess health care costs from a societal perspective were calculated for 2022, using two-part models with logit specification for the first part and a generalized linear model for the second part. Results The total six-month excess costs associated with PTSD-CM were €8864 (95% CI: €6855 to €10,873) per person. Of this, the excess health care costs accounted for €4647 (95% CI €3296 to €5997) and the excess costs of absenteeism for €4217 (95% CI: €3121 to €5314). Individuals with mild to moderate PTSD symptoms incurred total excess costs of €6038 (95% CI: €3879 to €8197), while those with severe to extreme symptoms faced €11,433 (95% CI: €8220 to €14,646). Conclusions Excess health care and absenteeism costs associated with PTSD-CM were substantial, with absenteeism accounting for roughly half of the total excess costs. https://www.cambridge.org/core/product/identifier/S0924933825000069/type/journal_articlechild abusecost of illnessGermanyHealth care usehealth services researchpost-traumatic stress disorder |
| spellingShingle | Thomas Grochtdreis Hans-Helmut König Falk Leichsenring Manfred E. Beutel Lila Feix Harald Gündel Andrea Hermann Melissa Hitzler Christine Knaevelsrud Iris-Tatjana Kolassa Johannes Kruse Helen Niemeyer Fatima Nöske Simone Salzer Karoline Sophie Sauer Patrick Schuster Christiane Steinert Kerstin Weidner Jörn von Wietersheim Jürgen Hoyer Judith Dams Excess costs of post-traumatic stress disorder related to child maltreatment in Germany European Psychiatry child abuse cost of illness Germany Health care use health services research post-traumatic stress disorder |
| title | Excess costs of post-traumatic stress disorder related to child maltreatment in Germany |
| title_full | Excess costs of post-traumatic stress disorder related to child maltreatment in Germany |
| title_fullStr | Excess costs of post-traumatic stress disorder related to child maltreatment in Germany |
| title_full_unstemmed | Excess costs of post-traumatic stress disorder related to child maltreatment in Germany |
| title_short | Excess costs of post-traumatic stress disorder related to child maltreatment in Germany |
| title_sort | excess costs of post traumatic stress disorder related to child maltreatment in germany |
| topic | child abuse cost of illness Germany Health care use health services research post-traumatic stress disorder |
| url | https://www.cambridge.org/core/product/identifier/S0924933825000069/type/journal_article |
| work_keys_str_mv | AT thomasgrochtdreis excesscostsofposttraumaticstressdisorderrelatedtochildmaltreatmentingermany AT hanshelmutkonig excesscostsofposttraumaticstressdisorderrelatedtochildmaltreatmentingermany AT falkleichsenring excesscostsofposttraumaticstressdisorderrelatedtochildmaltreatmentingermany AT manfredebeutel excesscostsofposttraumaticstressdisorderrelatedtochildmaltreatmentingermany AT lilafeix excesscostsofposttraumaticstressdisorderrelatedtochildmaltreatmentingermany AT haraldgundel excesscostsofposttraumaticstressdisorderrelatedtochildmaltreatmentingermany AT andreahermann excesscostsofposttraumaticstressdisorderrelatedtochildmaltreatmentingermany AT melissahitzler excesscostsofposttraumaticstressdisorderrelatedtochildmaltreatmentingermany AT christineknaevelsrud excesscostsofposttraumaticstressdisorderrelatedtochildmaltreatmentingermany AT iristatjanakolassa excesscostsofposttraumaticstressdisorderrelatedtochildmaltreatmentingermany AT johanneskruse excesscostsofposttraumaticstressdisorderrelatedtochildmaltreatmentingermany AT helenniemeyer excesscostsofposttraumaticstressdisorderrelatedtochildmaltreatmentingermany AT fatimanoske excesscostsofposttraumaticstressdisorderrelatedtochildmaltreatmentingermany AT simonesalzer excesscostsofposttraumaticstressdisorderrelatedtochildmaltreatmentingermany AT karolinesophiesauer excesscostsofposttraumaticstressdisorderrelatedtochildmaltreatmentingermany AT patrickschuster excesscostsofposttraumaticstressdisorderrelatedtochildmaltreatmentingermany AT christianesteinert excesscostsofposttraumaticstressdisorderrelatedtochildmaltreatmentingermany AT kerstinweidner excesscostsofposttraumaticstressdisorderrelatedtochildmaltreatmentingermany AT jornvonwietersheim excesscostsofposttraumaticstressdisorderrelatedtochildmaltreatmentingermany AT jurgenhoyer excesscostsofposttraumaticstressdisorderrelatedtochildmaltreatmentingermany AT judithdams excesscostsofposttraumaticstressdisorderrelatedtochildmaltreatmentingermany |