An observational study in Anxiety, Somatoform Disorders and Personality Disorders, sponsored by Nova Scotia Health Authority. Completed at 1 site in Canada. Open to participants aged 12 Years to 90 Years. Per ClinicalTrials.gov, last updated 2013-08-16.
Sponsored by Nova Scotia Health Authority · Observational
Objective: To evaluate whether or not cases treated with Intensive Short-term Dynamic Psychotherapy (ISTDP) facilitate healthcare cost reduction, whether any observed reduction is greater than that of a control group and whether any such gains would be maintained in follow up.
Design: A quasi-experimental design was employed in which pre and post healthcare cost and usage data were extracted for all ISTDP treated cases from 1999 to 2008 and compared to parallel measures of a control group of cases referred but never treated.
Importance: Psychiatric and psychological disorders result in excess health care service use and costs. Brief psychotherapy methods may be effective across a broad range of mental disorders and could therefore result in healthcare cost reduction.
Objective: To evaluate whether or not cases treated with Intensive Short-term Dynamic Psychotherapy (ISTDP) facilitate healthcare cost reduction, whether any observed reduction is greater than that of a control group and whether any such gains would be maintained in follow up.
Design: A quasi-experimental design was employed in which pre and post healthcare cost and usage data were extracted for all ISTDP treated cases from 1999 to 2008 and compared to parallel measures of a control group of cases referred but never treated.
Setting: Treatments were provided at an urban University based psychotherapy service.
Participants: All cases from the province of Nova Scotia treated within the research time frame were included. 890 patients were included with a very broad range of psychiatric disorders including anxiety, mood, somatoform, personality and psychotic disorders. 192 referred but never see cases served as non randomized controls.
Intervention(s): ISTDP is an emotionally focused form of brief psychotherapy which has supportive, cognitive, experiential and primarily psychodynamic elements. In this setting the average length of treatment was 7.3 sessions and cost an estimated $500 dollars per treatment course.
8,057 studies on the registry are indexed under Depression; 1,641 are open to participants now.
This study's enrollment of 1,082 is above the median of 160 across 1,084 observational studies indexed under Depression.
Browse Depression studies →Nova Scotia Health Authority is the lead sponsor of 255 studies on the registry; 76 are open to participants now.
Counted across the registry records on this site, refreshed daily.
All Major DSM IV categories included including mood, anxiety, personality, somatoform, dissociative, eating and psychotic disorders
Exclusion Criteria:
Patients provided Intensive Short term Dynamic Psychotherapy
Behavioral: ISTDP
Patients referred for ISTDP but never seen for any reason
An emotion focused brief psychotherapy format.
Also known as: Intensive Short-term Dynamic Psychotherapy
Total Doctor and Hospital Costs
Total Physician and Hospital billings per patient
Time frame: 1 year pre versus 3 years post
Hospital costs
Total Hospital costs per patient
Time frame: 1 year pre versus 3 years post
Hospital Days
Hospital days per patient
Time frame: 1 year per versus 3 years post
Doctor Visits
Doctor Costs per patient
Time frame: 1 year pre versus 3 years post
Doctor Costs
Doctor costs per patient
Time frame: 1 year pre versus 3 years post
This study is completed, as verified in Jul 2013. You cannot join it, but the record below documents what was studied.
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Nova Scotia Health Authority