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Relapse in schizophrenia: costs, clinical outcomes and quality of life

By Stephen Almond, Martin Knapp, Clement Francois, Mondher Toumi and Traolach Brugha

Abstract

Background: Relapse is one of the most costly aspects of schizophrenia. Aims: To compare costs, clinical outcomes and quality of life for patients who experienced relapse in schizophrenia with a control group who did not relapse. Method: Patients were randomly selected from current psychiatric case-loads drawn from urban and suburban areas of Leicester. Differences in costs and outcomes by relapse status in the previous 6 months were examined using parametric and non-parametric tests, and multivariate analysis was used to examine factors associated with relapse and costs. Results: Costs for the patients who relapsed were over four times higher than those for the non-relapse group. There were few statistically significant differences in clinical and quality of life measures by relapse status. Multivariate analyses suggested some significant correlates of relapse and costs. Conclusions: The higher costs associated with relapse will be of interest to policy-makers who face difficultchoices concerning new but more expensive treatments for patients with schizophrenia

Topics: R Medicine (General), HV Social pathology. Social and public welfare. Criminology
Publisher: Royal College of Psychiatrists
Year: 2004
DOI identifier: 10.1192/bjp.184.4.346
OAI identifier: oai:eprints.lse.ac.uk:15081
Provided by: LSE Research Online
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