PMID- 26305396 OWN - NLM STAT- MEDLINE DCOM- 20170510 LR - 20181202 IS - 1943-2763 (Electronic) IS - 0885-579X (Linking) VI - 30 IP - 4 DP - 2016 Aug TI - Cost-Effectiveness of Short-Term Inpatient Psychotherapy Based on Transactional Analysis in Patients With Personality Disorder. PG - 483-501 LID - 10.1521/pedi_2015_29_210 [doi] AB - Short-term inpatient psychotherapy based on transactional analysis (STIP-TA) in patients with personality disorders (PD) has shown to be more effective than comparable other specialized psychotherapies (OP). The aim of this study was to assess whether the higher effectiveness of STIP-TA also results in a better cost-effectiveness. Patients treated with STIP-TA were matched with patients treated with OP by the propensity score. Healthcare costs and lost productivity costs were measured over 3 years and from the societal perspective. Cost-effectiveness was represented by costs per quality adjusted life years (QALYs). Uncertainty was assessed using bootstrapping. Mean 3-year costs were euro59,834 for STIP-TA and euro69,337 for OP, a difference of -euro9,503, 95% CI [-32,561, 15,726]. QALYs were 2.29 for STIP-TA and 2.05 for OP, a difference of .24, 95% CI [.05, .44]. STIP-TA is a dominant treatment compared to OP: less costly and more effective. We conclude that STIP-TA is a cost-effective treatment in PD patients. FAU - Horn, Eva K AU - Horn EK AD - Viersprong Institute for Studies on Personality Disorders (VISPD), Bergen op Zoom, The Netherlands. AD - Department of Psychiatry, Section Medical Psychology and Psychotherapy, Erasmus MC, Rotterdam, The Netherlands. FAU - Verheul, Roel AU - Verheul R AD - Viersprong Institute for Studies on Personality Disorders (VISPD), Bergen op Zoom, The Netherlands. AD - Department of Clinical Psychology, University of Amsterdam, Amsterdam, The Netherlands. FAU - Thunnissen, Moniek AU - Thunnissen M AD - GGZ WNB, Bergen op Zoom, The Netherlands. AD - Private Practice, Bergen op Zoom, The Netherlands. FAU - Delimon, Jos AU - Delimon J AD - Viersprong Institute for Studies on Personality Disorders (VISPD), Bergen op Zoom, The Netherlands. FAU - Goorden, Maartje AU - Goorden M AD - Institute for Medical Technology Assessment (iMTA), Erasmus University, Rotterdam, The Netherlands. FAU - Hakkaart-van Roijen, Leona AU - Hakkaart-van Roijen L AD - Institute for Medical Technology Assessment (iMTA), Erasmus University, Rotterdam, The Netherlands. FAU - Soons, Mirjam AU - Soons M AD - PuntP, Amsterdam, The Netherlands. FAU - Meerman, Anke M M A AU - Meerman AM AD - Centre of Psychotherapy Pro Persona, Lunteren, The Netherlands. FAU - Ziegler, Uli M AU - Ziegler UM AD - Zaans Medical Centre, Zaandam, The Netherlands. FAU - Rossum, Bert V AU - Rossum BV AD - Altrecht, Zeist, The Netherlands. FAU - Stijnen, Theo AU - Stijnen T AD - Department of Medical Statistics and Bioinformatics, Leiden University Medical Centre, Leiden, The Netherlands. FAU - Emmelkamp, Paul M G AU - Emmelkamp PM AD - Department of Clinical Psychology, University of Amsterdam, Amsterdam, The Netherlands. AD - The Center for Social and Humanities Research, King Abdulaziz University, Jeddah, Saudi Arabia. FAU - Busschbach, Jan J V AU - Busschbach JJ AD - Viersprong Institute for Studies on Personality Disorders (VISPD), Bergen op Zoom, The Netherlands. AD - Department of Psychiatry, Section Medical Psychology and Psychotherapy, Erasmus MC, Rotterdam, The Netherlands. LA - eng PT - Comparative Study PT - Journal Article DEP - 20150825 PL - United States TA - J Pers Disord JT - Journal of personality disorders JID - 8710838 SB - IM MH - Absenteeism MH - Adult MH - Cost-Benefit Analysis MH - Female MH - Health Care Costs MH - Humans MH - Inpatients/*psychology MH - Male MH - Middle Aged MH - Personality Disorders/diagnosis/psychology/*therapy MH - Presenteeism/economics MH - Propensity Score MH - Psychotherapy/economics/methods MH - Psychotherapy, Brief/*economics MH - *Quality of Life MH - Quality-Adjusted Life Years MH - Transactional Analysis/*economics/methods MH - Treatment Outcome EDAT- 2015/08/26 06:00 MHDA- 2017/05/11 06:00 CRDT- 2015/08/26 06:00 PHST- 2015/08/26 06:00 [entrez] PHST- 2015/08/26 06:00 [pubmed] PHST- 2017/05/11 06:00 [medline] AID - 10.1521/pedi_2015_29_210 [doi] PST - ppublish SO - J Pers Disord. 2016 Aug;30(4):483-501. doi: 10.1521/pedi_2015_29_210. Epub 2015 Aug 25.