Psychosocial Function and Economic Costs of Obsessive-Compulsive Disorder

Eric Hollander, Dan J. Stein, Jee H. Kwon, Clayton Rowland, Cheryl M. Wong, James Broatch, Carol Himelein

Research output: Contribution to journalArticle

54 Citations (Scopus)

Abstract

The study presented was conducted to analyze the effects of obsessive-compulsive symptoms on patients' quality of life and the costs incurred by patients and society for the treatment of obsessive-compulsive disorder (OCD). To accomplish this, a detailed 410-item questionnaire of psychosocial function and economic cost was sent to every fourth member of the Obsessive Compulsive Foundation. Of the 2,670 members who received the survey, 701 (26.9%) returned it. Outcome measures included symptomatology, course of illness, impact of illness on psychosocial and other functioning, effects of diagnosis and treatment, and economic consequences. The demographics of this group were similar to those in smaller treatment-seeking clinical samples, but not necessarily to OCD sufferers within the US population as a whole. More than half of the patients reported moderate to severe interference in family relationships, socializing, and ability to study or work, secondary to OCD symptoms. A 10.2-year gap was observed between the onset of symptoms and the first attempt to seek professional help, and a 17.2-year gap was observed between the onset of symptoms and receipt of effective treatment. Specific treatments, such as serotonin reuptake inhibitors and behavior therapy, showed greater symptom improvement, and significantly reduced the total annual fees incurred by OCD patients when compared with nonspecific treatments. Our study results indicate that OCD has a profound effect on psychosocial functioning and quality of life. Large direct costs for OCD and even larger indirect costs due to lost wages and underemployment were found. Greater awareness of OCD among practitioners may result in earlier diagnosis and more appropriate and cost-effective treatments.

Original languageEnglish (US)
Pages (from-to)48-58
Number of pages11
JournalCNS Spectrums
Volume3
Issue numberS1
DOIs
StatePublished - 1998
Externally publishedYes

Fingerprint

Obsessive-Compulsive Disorder
Economics
Costs and Cost Analysis
Therapeutics
Quality of Life
Aptitude
Fees and Charges
Family Relations
Behavior Therapy
Salaries and Fringe Benefits
Serotonin Uptake Inhibitors
Health Care Costs
Early Diagnosis
Demography
Outcome Assessment (Health Care)
Population

ASJC Scopus subject areas

  • Clinical Neurology
  • Psychiatry and Mental health

Cite this

Hollander, E., Stein, D. J., Kwon, J. H., Rowland, C., Wong, C. M., Broatch, J., & Himelein, C. (1998). Psychosocial Function and Economic Costs of Obsessive-Compulsive Disorder. CNS Spectrums, 3(S1), 48-58. https://doi.org/10.1017/S1092852900007239

Psychosocial Function and Economic Costs of Obsessive-Compulsive Disorder. / Hollander, Eric; Stein, Dan J.; Kwon, Jee H.; Rowland, Clayton; Wong, Cheryl M.; Broatch, James; Himelein, Carol.

In: CNS Spectrums, Vol. 3, No. S1, 1998, p. 48-58.

Research output: Contribution to journalArticle

Hollander, E, Stein, DJ, Kwon, JH, Rowland, C, Wong, CM, Broatch, J & Himelein, C 1998, 'Psychosocial Function and Economic Costs of Obsessive-Compulsive Disorder', CNS Spectrums, vol. 3, no. S1, pp. 48-58. https://doi.org/10.1017/S1092852900007239
Hollander, Eric ; Stein, Dan J. ; Kwon, Jee H. ; Rowland, Clayton ; Wong, Cheryl M. ; Broatch, James ; Himelein, Carol. / Psychosocial Function and Economic Costs of Obsessive-Compulsive Disorder. In: CNS Spectrums. 1998 ; Vol. 3, No. S1. pp. 48-58.
@article{bbb0d290e1834c48be22e036f7935606,
title = "Psychosocial Function and Economic Costs of Obsessive-Compulsive Disorder",
abstract = "The study presented was conducted to analyze the effects of obsessive-compulsive symptoms on patients' quality of life and the costs incurred by patients and society for the treatment of obsessive-compulsive disorder (OCD). To accomplish this, a detailed 410-item questionnaire of psychosocial function and economic cost was sent to every fourth member of the Obsessive Compulsive Foundation. Of the 2,670 members who received the survey, 701 (26.9{\%}) returned it. Outcome measures included symptomatology, course of illness, impact of illness on psychosocial and other functioning, effects of diagnosis and treatment, and economic consequences. The demographics of this group were similar to those in smaller treatment-seeking clinical samples, but not necessarily to OCD sufferers within the US population as a whole. More than half of the patients reported moderate to severe interference in family relationships, socializing, and ability to study or work, secondary to OCD symptoms. A 10.2-year gap was observed between the onset of symptoms and the first attempt to seek professional help, and a 17.2-year gap was observed between the onset of symptoms and receipt of effective treatment. Specific treatments, such as serotonin reuptake inhibitors and behavior therapy, showed greater symptom improvement, and significantly reduced the total annual fees incurred by OCD patients when compared with nonspecific treatments. Our study results indicate that OCD has a profound effect on psychosocial functioning and quality of life. Large direct costs for OCD and even larger indirect costs due to lost wages and underemployment were found. Greater awareness of OCD among practitioners may result in earlier diagnosis and more appropriate and cost-effective treatments.",
author = "Eric Hollander and Stein, {Dan J.} and Kwon, {Jee H.} and Clayton Rowland and Wong, {Cheryl M.} and James Broatch and Carol Himelein",
year = "1998",
doi = "10.1017/S1092852900007239",
language = "English (US)",
volume = "3",
pages = "48--58",
journal = "CNS Spectrums",
issn = "1092-8529",
publisher = "MBL Communications",
number = "S1",

}

TY - JOUR

T1 - Psychosocial Function and Economic Costs of Obsessive-Compulsive Disorder

AU - Hollander, Eric

AU - Stein, Dan J.

AU - Kwon, Jee H.

AU - Rowland, Clayton

AU - Wong, Cheryl M.

AU - Broatch, James

AU - Himelein, Carol

PY - 1998

Y1 - 1998

N2 - The study presented was conducted to analyze the effects of obsessive-compulsive symptoms on patients' quality of life and the costs incurred by patients and society for the treatment of obsessive-compulsive disorder (OCD). To accomplish this, a detailed 410-item questionnaire of psychosocial function and economic cost was sent to every fourth member of the Obsessive Compulsive Foundation. Of the 2,670 members who received the survey, 701 (26.9%) returned it. Outcome measures included symptomatology, course of illness, impact of illness on psychosocial and other functioning, effects of diagnosis and treatment, and economic consequences. The demographics of this group were similar to those in smaller treatment-seeking clinical samples, but not necessarily to OCD sufferers within the US population as a whole. More than half of the patients reported moderate to severe interference in family relationships, socializing, and ability to study or work, secondary to OCD symptoms. A 10.2-year gap was observed between the onset of symptoms and the first attempt to seek professional help, and a 17.2-year gap was observed between the onset of symptoms and receipt of effective treatment. Specific treatments, such as serotonin reuptake inhibitors and behavior therapy, showed greater symptom improvement, and significantly reduced the total annual fees incurred by OCD patients when compared with nonspecific treatments. Our study results indicate that OCD has a profound effect on psychosocial functioning and quality of life. Large direct costs for OCD and even larger indirect costs due to lost wages and underemployment were found. Greater awareness of OCD among practitioners may result in earlier diagnosis and more appropriate and cost-effective treatments.

AB - The study presented was conducted to analyze the effects of obsessive-compulsive symptoms on patients' quality of life and the costs incurred by patients and society for the treatment of obsessive-compulsive disorder (OCD). To accomplish this, a detailed 410-item questionnaire of psychosocial function and economic cost was sent to every fourth member of the Obsessive Compulsive Foundation. Of the 2,670 members who received the survey, 701 (26.9%) returned it. Outcome measures included symptomatology, course of illness, impact of illness on psychosocial and other functioning, effects of diagnosis and treatment, and economic consequences. The demographics of this group were similar to those in smaller treatment-seeking clinical samples, but not necessarily to OCD sufferers within the US population as a whole. More than half of the patients reported moderate to severe interference in family relationships, socializing, and ability to study or work, secondary to OCD symptoms. A 10.2-year gap was observed between the onset of symptoms and the first attempt to seek professional help, and a 17.2-year gap was observed between the onset of symptoms and receipt of effective treatment. Specific treatments, such as serotonin reuptake inhibitors and behavior therapy, showed greater symptom improvement, and significantly reduced the total annual fees incurred by OCD patients when compared with nonspecific treatments. Our study results indicate that OCD has a profound effect on psychosocial functioning and quality of life. Large direct costs for OCD and even larger indirect costs due to lost wages and underemployment were found. Greater awareness of OCD among practitioners may result in earlier diagnosis and more appropriate and cost-effective treatments.

UR - http://www.scopus.com/inward/record.url?scp=84988816037&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84988816037&partnerID=8YFLogxK

U2 - 10.1017/S1092852900007239

DO - 10.1017/S1092852900007239

M3 - Article

AN - SCOPUS:84988816037

VL - 3

SP - 48

EP - 58

JO - CNS Spectrums

JF - CNS Spectrums

SN - 1092-8529

IS - S1

ER -