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Economic impact of personality disorders in UK primary care attenders

By Alison Rendu, Paul Moran, Anita Patel, Martin Knapp and Anthony Mann


Background: The economic impact of personality disorders on UK health services is unknown. Aims: To test the hypothesis that people with personality disorders have higher mean health and non-health costs compared with those without personality disorders. Method: Prospective cohort study design. A total of 303 general practice attenders were followed-up I year after they had been assessed for the presence of personality disorders. Costs were estimated in £ sterling at 1999 price levels. Results: The mean total cost for patients with personality disorders was £3094 (s.d.=5324) compared with £1633 (s.d.=3779) for those without personality disorders. Personality disorders were not independently associated with increased costs. Multivariate analyses identified the presence of a significant interaction between personality disorders and common mental disorders and increased total costs (coefficient=499, 95% CI 180.1-626.2, P=0.002). Conclusions: Personality disorders are not independently associated with increased costs. An interaction between personality disorders and common mental disorders significantly predicts increased total costs

Topics: HC Economic History and Conditions, HV Social pathology. Social and public welfare. Criminology, RA Public aspects of medicine
Publisher: Royal College of Psychiatrists
Year: 2002
DOI identifier: 10.1192/bjp.181.1.62
OAI identifier:
Provided by: LSE Research Online
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