Societal costs of Borderline Personality Disorders: a matched‐controlled nationwide study of patients and spouses

Abstract

Objective Information on societal cost of patients with Borderline Personality Disorder (BPD) and spouses is limited. The aim was to investigate factual societal costs before and after initial BPD diagnosis. Method A register‐based cohort study of 2756 patients with incident BPD (ICD F60.3) with spouses and 11 024 matched controls, during 2002–2016. Results Total direct healthcare costs and lost productivity costs amounted €40 441 for patients with BPD, which was more than 16 times higher than the matched controls. Somatic and psychiatric health care costs and costs of lost productivity were increased during 5 years before initial diagnosis of BPD. Before and after initial diagnosis, health care costs and lost productivity were increased among spouses of patients with BPD. Conclusion Patients with BPD differed substantially from the general population with respect to all included costs. The study documented a significant burden on their spouses. Besides the early onset of BPD, which implies that patients are affected before they finish school and enter labor market, the neurocognitive impairment and fundamental symptoms of BPD, e.g. unstable, intense relationships, impulsivity, and lack of stable sense of self together with psychiatric and somatic comorbidity are part of explanation of the excess costs of BPD.

A Day in the Life of Borderline Personality Disorder: A Preliminary Analysis of Within-Day Emotion Generation and Regulation

“…Given that affective instability is inherently a longitudinal, within-person process, it is necessary to analyze the relations among emotions at the within-person level. Further, the fact that BPD is relatively rare (Torgersen, 2009) and yet extremely costly (Hastrup et al, 2019) indicates that studies that test within-person processes among those with BPD are valuable to enhance our understanding of the maintenance of the disorder. Finally, because all three studies2 above relied on the same sample of 43 women from Germany with BPD indicates that independent samples of women and men with BPD are necessary to test the replicability and generalizability of these within-person processes.…”

Therapeutic Relationship in eHealth—A Pilot Study of Similarities and Differences between the Online Program Priovi and Therapists Treating Borderline Personality Disorder

“…Borderline Personality Disorder (BPD) is a prevalent [ 1 ] and complex mental illness associated with high utilization of mental health services [ 2 , 3 ] and serious impairments in psychosocial and occupational functioning [ 4 , 5 , 6 ], leading to high societal costs [ 7 ]. BPD can be effectively treated with specific psychotherapeutic methods.…”

Die Borderline-Persönlichkeitsstörung in den psychosozialen, psychotherapeutischen und psychiatrischen Versorgungssystemen von Deutschland

“…Dagegen fand die Arbeitsgruppe um Palmer et al (2006) für Großbritannien bei den direkten Kosten etwa 16.779 . Eine Arbeitsgruppe aus Dänemark ermittelte 40.411 pro Patient_in (Hastrup et al 2019). Davon beliefen sich 60 % der Gesamtkosten auf indirekte Kosten.…”