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Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2016

Open Access 01-12-2016 | Research

The burden of disease in patients eligible for mentalization-based treatment (MBT): quality of life and costs

Authors: Elisabeth M. P. Laurenssen, Hester V. Eeren, Martijn J. Kikkert, Jaap Peen, Dieuwertje Westra, Jack J. M. Dekker, Jan J. V. Busschbach

Published in: Health and Quality of Life Outcomes | Issue 1/2016

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Abstract

Background

Mentalization-Based Treatment (MBT) is a promising, though expensive treatment for severely ill patients with Borderline Personality Disorder (BPD). A high burden of disease in terms of quality of life (QoL) and life years lost can be a reason to prioritize mental health interventions, and specifically for BPD patients. Moreover, when the societal costs of the illness are high, spending resources on high treatment costs would be more easily legitimized. Therefore, the purpose of this study was to calculate the burden of disease of BPD patients eligible for MBT.

Methods

The 403 patients included in this study were recruited from two mental health care institutes in the Netherlands. All patients were eligible for MBT. Burden of disease consisted of QoL, measured with the EuroQol EQ-5D-3L, and costs, calculated using the Trimbos and Institute for Medical Technology Assessment Questionnaire for Costs Associated with Psychiatric Illness.

Results

The mean QoL index score was .48. The mean total costs in the year prior to treatment were €16,879 per patient, of which 21 % consisted of productivity costs.

Conclusions

The burden of disease in BPD patients eligible for MBT is high, which makes it more likely that society is willing to invest in treatment for these patients. However, this finding should not be interpreted as a license to unlimitedly use resources to reimburse treatment for severe BPD patients, as these findings do not provide any information on the effectiveness of MBT or other available treatment programs for BPD. The effectiveness of available treatments should be evident by studies on the effectiveness of the treatment itself and by comparing the effectiveness of these treatments to treatment as usual and to other treatment options for BPD patients.

Trial registration

The data on this paper came from two trials: NTR2175 and NTR2292.
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Metadata
Title
The burden of disease in patients eligible for mentalization-based treatment (MBT): quality of life and costs
Authors
Elisabeth M. P. Laurenssen
Hester V. Eeren
Martijn J. Kikkert
Jaap Peen
Dieuwertje Westra
Jack J. M. Dekker
Jan J. V. Busschbach
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2016
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-016-0538-z

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