Pediatric Anxiety Disorders: A Cost of Illness Analysis
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| Title: | Pediatric Anxiety Disorders: A Cost of Illness Analysis |
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| Language: | English |
| Authors: | Pella, Jeffery E. (ORCID |
| Source: | Grantee Submission. 2020 48. |
| Peer Reviewed: | Y |
| Page Count: | 9 |
| Publication Date: | 2020 |
| Sponsoring Agency: | Institute of Education Sciences (ED) |
| Contract Number: | R324A120405 |
| Document Type: | Journal Articles Reports - Research |
| Education Level: | Elementary Education Junior High Schools Middle Schools Secondary Education High Schools |
| Descriptors: | Anxiety Disorders, Correlation, Children, Adolescents, Costs, Mental Health, Health Services, Depression (Psychology), Severity (of Disability), Behavior Problems, Family (Sociological Unit), Attendance, Family Work Relationship, Elementary School Students, Middle School Students, High School Students, Psychiatric Hospitals, Employee Absenteeism, Parent Child Relationship |
| Geographic Terms: | Connecticut, Maryland |
| DOI: | 10.1007/s10802-020-00626-7 |
| Abstract: | Few studies provide information about the clinical correlates of economic costs in pediatric anxiety disorders. This study uses baseline data from a randomized trial involving 209 children and adolescents with clinical anxiety to examine clinical and demographic correlates of direct and indirect costs. Measured costs included the direct costs of mental health services and the indirect costs resulting from children's missed school and parents' missed work. Validated measures of anxiety and depression severity and of internalizing and externalizing behaviors were reported by youth, their parents, and independent evaluators. Seventy-two percent of youth (n=150) had positive costs. Among these youth, the mean annual total cost was $6405 ("sd"-=$11,674), of which $5890 represented direct cost and $4658 represented indirect cost. Higher average costs were correlated with greater child anxiety and depression severity (p<0.001). Most pediatric anxiety disorders result in substantial individual and family costs, and costs may increase rapidly with elevated anxiety severity and depressed mood. |
| Abstractor: | As Provided |
| IES Funded: | Yes |
| Entry Date: | 2020 |
| Accession Number: | ED604275 |
| Database: | ERIC |
| Abstract: | Few studies provide information about the clinical correlates of economic costs in pediatric anxiety disorders. This study uses baseline data from a randomized trial involving 209 children and adolescents with clinical anxiety to examine clinical and demographic correlates of direct and indirect costs. Measured costs included the direct costs of mental health services and the indirect costs resulting from children's missed school and parents' missed work. Validated measures of anxiety and depression severity and of internalizing and externalizing behaviors were reported by youth, their parents, and independent evaluators. Seventy-two percent of youth (n=150) had positive costs. Among these youth, the mean annual total cost was $6405 ("sd"-=$11,674), of which $5890 represented direct cost and $4658 represented indirect cost. Higher average costs were correlated with greater child anxiety and depression severity (p<0.001). Most pediatric anxiety disorders result in substantial individual and family costs, and costs may increase rapidly with elevated anxiety severity and depressed mood. |
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| DOI: | 10.1007/s10802-020-00626-7 |
