A pilot study of reduction in healthcare costs following the application of intensive short-term dynamic psychotherapy for psychogenic nonepileptic seizures

Russell, Leo A., Abbass, Allan A., Allder, Steven J., Kisely, Steve, Pohlmann-Eden, Bernd and Town, Joel M. (2016) A pilot study of reduction in healthcare costs following the application of intensive short-term dynamic psychotherapy for psychogenic nonepileptic seizures. Epilepsy and Behavior, 63 17-19. doi:10.1016/j.yebeh.2016.07.017


Author Russell, Leo A.
Abbass, Allan A.
Allder, Steven J.
Kisely, Steve
Pohlmann-Eden, Bernd
Town, Joel M.
Title A pilot study of reduction in healthcare costs following the application of intensive short-term dynamic psychotherapy for psychogenic nonepileptic seizures
Journal name Epilepsy and Behavior   Check publisher's open access policy
ISSN 1525-5069
1525-5050
Publication date 2016-10-01
Year available 2016
Sub-type Article (original research)
DOI 10.1016/j.yebeh.2016.07.017
Open Access Status Not yet assessed
Volume 63
Start page 17
End page 19
Total pages 3
Place of publication Maryland Heights, MO United States
Publisher Academic Press Inc.
Language eng
Subject 2808 Neurology
2728 Clinical Neurology
2802 Behavioral Neuroscience
Abstract Purpose: The purpose of this study was to examine preliminary evidence of intensive short-term dynamic psychotherapy (ISTDP) as a treatment option for psychogenic nonepileptic seizures (PNES) in terms of impact on healthcare costs, emotional wellbeing, and somatic symptoms.
Formatted abstract
Purpose

The purpose of this study was to examine preliminary evidence of intensive short-term dynamic psychotherapy (ISTDP) as a treatment option for psychogenic nonepileptic seizures (PNES) in terms of impact on healthcare costs, emotional wellbeing, and somatic symptoms.

Method

Drawn from a sample of patients treated in a tertiary psychiatric service over a nine-year period, this naturalistic pilot study compared within-group changes from pretreatment with each year up to three years posttreatment, in physician visits, physician costs, hospital admissions, and overall hospital costs.

Results

Twenty-eight patients with PNES received ISTDP with average treatment duration of 3.6 sessions. Healthcare costs significantly reduced in follow-up compared with those in baseline, with patient costs falling below the healthy population means, and reductions in healthcare costs compared with those in baseline by 88% in year one, 90% in year two, and 81% in year three. This was accompanied by significant reductions in symptoms and interpersonal problems.

Conclusion

These preliminary findings indicate the potential for short-term and long-term healthcare savings and improvements in emotional wellbeing, for patients with PNES from the application of ISTDP. Further research evaluating the impact of ISTDP on seizure reduction and comparing this approach with control conditions is warranted.
Keyword Psychogenic nonepileptic seizures
Intensive short-term dynamic psychotherapy
Clinical outcomes
Economic evaluation
Long-term effects
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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