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dc.date.accessioned2021-04-24T19:26:01Z
dc.date.available2021-04-24T19:26:01Z
dc.date.created2020-11-06T11:58:54Z
dc.date.issued2020
dc.identifier.citationLangeland, Willie Jepsen, Ellen Kirstine Kjærulff Brand, Bethany L. Kleven, Linn Loewenstein, Richard J. Putnam, Frank W. Schielke, Hugo J. Myrick, Amie Lanius, Ruth Heir, Trond . The economic burden of dissociative disorders: A qualitative systematic review of empirical studies. Psychological Trauma. 2020, 12(7), 730-738
dc.identifier.urihttp://hdl.handle.net/10852/85558
dc.description.abstractObjective: Dissociative disorders (DDs) are associated with intensive, long-term treatment, suicidality, recurrent hospitalizations, and high rates of disability. However, little is known about the specifics of the economic burden associated with DDs. This worldwide, systematic review examines the results of studies in adults on direct and indirect costs associated with DDs. Method: We searched 6 databases and the reference lists of articles. We also approached researchers to identify unpublished studies. No language restrictions were imposed. Results: A total of 1,002 records met the search criteria, of which 29 papers were selected for full-text inspection. Ultimately, of these, we reviewed four empirical studies. We provide a narrative discussion of study findings. Our findings suggest that DDs are costly to society, and that there is a reduction in service utilization and associated costs over time with diagnosing of and specialized treatment for DDs. However, the overall quality of the economic evaluations was low; several types of DDs, comorbid conditions, and costs were not included; and men were underrepresented. Due to the heterogeneity among studies, we could not perform a meta-analysis. Conclusions: Due to the heterogeneity and low quality of the identified economic evaluations, no firm conclusions about the economic burden of DDs alone can be drawn. Higher quality research, including a detailed description of the study design, population, and primary outcome measures used, utilizing appropriate clinical alternatives and including major comorbidities, is urgently needed to more rigorously assess the economic impact of DDs.
dc.languageEN
dc.titleThe economic burden of dissociative disorders: A qualitative systematic review of empirical studies
dc.typeJournal article
dc.creator.authorLangeland, Willie
dc.creator.authorJepsen, Ellen Kirstine Kjærulff
dc.creator.authorBrand, Bethany L.
dc.creator.authorKleven, Linn
dc.creator.authorLoewenstein, Richard J.
dc.creator.authorPutnam, Frank W.
dc.creator.authorSchielke, Hugo J.
dc.creator.authorMyrick, Amie
dc.creator.authorLanius, Ruth
dc.creator.authorHeir, Trond
cristin.unitcode185,53,10,14
cristin.unitnameEnhet voksenpsykiatri
cristin.ispublishedtrue
cristin.fulltextpostprint
cristin.qualitycode1
dc.identifier.cristin1845581
dc.identifier.bibliographiccitationinfo:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Psychological Trauma&rft.volume=12&rft.spage=730&rft.date=2020
dc.identifier.jtitlePsychological Trauma
dc.identifier.volume12
dc.identifier.issue7
dc.identifier.startpage730
dc.identifier.endpage738
dc.identifier.doihttps://doi.org/10.1037/tra0000556
dc.identifier.urnURN:NBN:no-88234
dc.type.documentTidsskriftartikkel
dc.type.peerreviewedPeer reviewed
dc.source.issn1942-9681
dc.identifier.fulltextFulltext https://www.duo.uio.no/bitstream/handle/10852/85558/2/The%2Beconomic%2Bburden%2Bof%2Bdissociative%2Bdisorders%253B%2BA%2Bqualitative%2Bsystematic%2Breview%2Bof%2Bempirical.pdf
dc.type.versionAcceptedVersion


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