Cost of borderline personality disorder in Catalonia (Spain)

Salvador‐Carulla, Luis; Bendeck, Murielle; Ferrer, Marc; Andión, Óscar; Aragonès, Enric; Casas, Miquel

doi:10.1016/j.eurpsy.2014.07.001

Cited by 25 publications

(15 citation statements)

References 41 publications

(50 reference statements)

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“…Conversely, findings from the Collaborative Longitudinal Personality Study show no gender differences in borderline PD [25]. One explanation for borderline being the most frequent PD in our study is, that borderline PD is associated with greater use of mental health services [43]. Subjects with severe PDs have been found to seek psychiatric treatment for the symptoms of axis I disorders [17].…”

Section: Discussioncontrasting

confidence: 65%

Who is becoming personality disordered? A register-based follow-up study of 508 inpatient adolescents

et al. 2016

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Section: Discussioncontrasting

confidence: 65%

Who is becoming personality disordered? A register-based follow-up study of 508 inpatient adolescents

et al. 2016

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“…Most costs attributable to BPD are due to work‐related disability. International studies indicate that the majority of the high costs attributable to BPD are due to indirect costs, chiefly work‐related disability (Salvador‐Carulla et al., ; van Asselt, Dirksen, Arntz, & Severens, ), with even the lowest estimate indicating that 25% of the total societal cost of BPD is due to work disability (Wagner et al., ).…”

Section: Improving the Effectiveness Of Treatmentsmentioning

confidence: 99%

Borderline Personality Disorder in Young People: Are We There Yet?

Chanen

2015

J Clin Psychol

130

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Although borderline personality disorder (BPD) usually has its onset in young people, its diagnosis and treatment is often delayed. The past 2 decades have seen a rapid increase in evidence establishing that BPD can be diagnosed before 18 years of age and that BPD in young people is both continuous with BPD in adults and more notable for its similarities than for any differences. This knowledge has led to the first wave of controlled treatment trials, which have established that early intervention through appropriate BPD diagnosis and treatment leads to clinically meaningful improvements for patients. However, there is still much work to do in terms of treatment development and innovation and overcoming challenges to successful translation of evidence into practice. To advance early intervention for BPD, access to evidence-based treatments needs to improve, the variety of available treatments (including novel pharmacotherapies) needs to increase, treatments need to be matched to individual development and to the phase and stage of disorder, and workforce development strategies need to update knowledge, culture, and practice in relation to BPD in young people.

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“…The economic burden of personality disorders including BPD seems to be higher than other mental disorders, such as depression and generalized anxiety disorder, and comparable to the economic burden of schizophrenia . Previous studies have documented elevated health care costs and lost productivity costs among patients with personality disorders, including BPD , while only few studies so far concentrate on the societal cost of illness of BPD .…”

Section: Introductionmentioning

confidence: 99%

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

Hastrup

Jennum

Ibsen

et al. 2019

Acta Psychiatr Scand

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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.

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Cost of borderline personality disorder in Catalonia (Spain)

Cited by 25 publications

References 41 publications

Who is becoming personality disordered? A register-based follow-up study of 508 inpatient adolescents

Who is becoming personality disordered? A register-based follow-up study of 508 inpatient adolescents

Borderline Personality Disorder in Young People: Are We There Yet?

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

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