TY - JOUR PY - 2012// TI - The Cost of Generalized Anxiety Disorder in Primary Care Settings: Results of the ANCORA Study JO - Community mental health journal A1 - Rovira, Joan A1 - Albarracin, Guillermina A1 - Salvador, Luis A1 - Rejas, Javier A1 - Sánchez-Iriso, Eduardo A1 - Cabasés, Juan M. SP - 372 EP - 383 VL - 48 IS - 3 N2 - To assess the cost of illness of generalized anxiety disorder (GAD) in a primary healthcare setting in Spain. A cross-sectional, retrospective study was conducted. The sample comprised patients diagnosed with GAD according to ICD-10 criteria and a control group. Healthcare/non-healthcare resource utilization was recorded retrospectively for the 12 months prior to the study visit. Costs were estimated from a societal perspective. Two models have been produced to study the variables that influence the cost of the illness both, without and with controls. The study enrolled 456 patients [76.8 % women, 49.2 (17.0) years] with GAD and 74 controls without GAD [42.5 % women, 47.9 (16.7) years]. 67.8 % of subjects were on combination therapy (antidepressant + anxiolytic); 6 % were using 2 or more drugs to treat anxiety; and 23.4 % were on monotherapy. Total annual average costs were higher in the GAD group (euro7,739 vs. euro2,609), with mean costs attributable to GAD of euro5,139 (healthcare costs: euro1,329, indirect costs: 75 % of total cost, approximately). Age and health status measured by Hamilton Anxiety Rating Scale and clinical global impression were related to costs. The improvements in quality of life measured by EQ-5D index are associated to lower cost. GAD treated in Spanish primary healthcare settings generated considerable healthcare costs and, particularly, loss-of-productivity costs.

Language: en

LA - en SN - 0010-3853 UR - http://dx.doi.org/10.1007/s10597-012-9503-4 ID - ref1 ER -