The high cost of treating a psychiatric disorder as a medical/surgical illness

Cohen, Lewis M.; Shapiro, Eric; Manson, JoAnn E.; Kondi, Edward S.

doi:10.1016/s0033-3182(85)72853-8

Cited by 29 publications

(7 citation statements)

References 5 publications

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“…Effect‐size values were calculated from the outcome statistics reported in each study (e.g., significance levels, means and standard deviations, X 2 tests, t ‐tests, F ‐tests) using the DSTAT computer software package (Johnson, 1989) according to the within‐study meta‐analysis formula d = ( M 1 – M 2 )/Sp, where d is the estimated effect size, M 1 and M 2 (typically the control group) are the post‐test means of the groups being compared, and Sp is the pooled within‐group standard deviation of the posttest (Cohen, 1977). Thus, an effect size of 1.00 would indicate that the M 1 group achieved an effect one standard deviation above that obtained by the M, group.…”

Section: Methodsmentioning

confidence: 99%

The impact of psychological interventions on medical cost offset: A meta-analytic review.

Chiles

Lambert

Hatch

1999

Clinical Psychology: Science and Practice

216

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The impact of psychological interventions on the use of medical services was evaluated by examining the outcome of 91 studies published between 1967 and 1997 using meta‐analytic techniques and percentage estimates. Psychological treatments included various forms of psychotherapy, behavioral medicine, and psychiatric consultation. Patients included those undergoing medical procedures such as surgery, patients with a history of ovemtilization, and patients being treated only for psychological disorders including substance abuse. Results provided evidence for a medical cost‐offset effect, specifically in the domain of behavioral medicine. Average savings resulting from implementing psychological interventions was estimated to be about 20%. About one third of the articles demonstrated that dollar savings continued to be substantial even when the cost of providing the psychological intervention was subtracted from the savings. The role of moderating variables such as patient age and type of problem was analyzed and discussed.

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Section: Methodsmentioning

confidence: 99%

The impact of psychological interventions on medical cost offset: A meta-analytic review.

Chiles

Lambert

Hatch

1999

Clinical Psychology: Science and Practice

216

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“…Because medical patients' mental health can impact the treatment and recovery process, medical hospitals and clinics are likely to see greater length of stay for patients who also have psychological problems (Cohen, Shapiro, Manson, & Kondi, 1985;Fulop, Strain, Fahs, Hammer, & Lyons, 1989;Levenson, Hamer, & Rossiter, 1990;Saravay & Lavin, 1994;Saravay, Steinberg, Weinschel, Pollack, & Alovis, 1991). Specifically, review articles (Candilis & Pollack, 1997;Simon & Katzelnick, 1997) indicate that depression and anxiety are associated with increased use of general medical services.…”

mentioning

confidence: 99%

The impact of psychological interventions on medical cost offset: a meta-analytic review

Chiles¹

1999

Clinical Psychology: Science and Practice

132

136

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The impact of psychological interventions on the use of medical services was evaluated by examining the outcome of 91 studies published between 1967 and 1997 using meta-analytic techniques and percentage estimates. Psychological treatments included various forms of psychotherapy, behavioral medicine, and psychiatric consultation. Patients included those undeqping medical procedures such as surgery, patients with a history of overutilization, and patients being treated only for psychological disorderr including substance abuse. Results provided evidence for a medical costoffset effect, specifically in the domain of behavioral medicine. Average savings resulting from implementing psychological interventions was estimated t o be about 20%. About one third of the articles demonstrated that dollar savings continued t o be substantial even when the cost of providing the psychological intervention was subtracted from the savings. The role of moderating vari8bles such as patient age and type of problem was analyzed and discussed. Key words: m e d i a l cost offset, meta-analysis. psychotherapy outcome, overutilization of medical services, behavioral medicine. [C/in Psycho/ Sci Prac 6: 204-220, f9991

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“…The economic and health impacts of a factitious disorder are apparent [8][9][10]. However, detection can be very difficult in a case such as this.…”

Section: Discussionmentioning

confidence: 99%

A Case of Factitious Aplastic Anemia

Bright

Eisendrath

Damon

2001

Int J Psychiatry Med

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This case underscores the importance of the early recognition by the primary care physician of the possibility of a factitious etiology of hematologic abnormalities such as aplastic anemia due to the ingestion of bone marrow ablative medications. The index of suspicion is increased when the patient is a young health care provider, usually female, with atypical pancytopenia and an unusual disease course and response to treatment.

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The high cost of treating a psychiatric disorder as a medical/surgical illness

Cited by 29 publications

References 5 publications

The impact of psychological interventions on medical cost offset: A meta-analytic review.

The impact of psychological interventions on medical cost offset: A meta-analytic review.

The impact of psychological interventions on medical cost offset: a meta-analytic review

A Case of Factitious Aplastic Anemia

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