TY - JOUR KW - Analysis of Variance KW - Cost of Illness KW - Family Practice/economics KW - Follow-Up Studies KW - Health Care Costs/statistics & numerical data KW - Humans KW - London KW - Mental Disorders/complications/economics KW - Personality Disorders/complications/economics KW - Primary Health Care/economics KW - Prospective Studies KW - State Medicine/economics AU - A. Rendu AU - P. Moran AU - A. Patel AU - M. Knapp AU - A. Mann A1 - AB - BACKGROUND: The economic impact of personality disorders on UK health services is unknown. AIMS: To test the hypothesis that people with personality disorders have higher mean health and non-health costs compared with those without personality disorders. METHOD: Prospective cohort study design. A total of 303 general practice attenders were followed-up I year after they had been assessed for the presence of personality disorders. Costs were estimated in pound sterling at 1999 price levels. RESULTS: The mean total cost for patients with personality disorders was pound sterling 3094 (s.d.=5324) compared with pound sterling 1633 (s.d.=3779) for those without personality disorders. Personality disorders were not independently associated with increased costs. Multivariate analyses identified the presence of a significant interaction between personality disorders and common mental disorders and increased total costs (coefficient=499, 95% CI 180.1-626.2, P=0.002). CONCLUSIONS: Personality disorders are not independently associated with increased costs. An interaction between personality disorders and common mental disorders significantly predicts increased total costs. BT - The British journal of psychiatry : the journal of mental science C5 - Financing & Sustainability CY - England JF - The British journal of psychiatry : the journal of mental science N2 - BACKGROUND: The economic impact of personality disorders on UK health services is unknown. AIMS: To test the hypothesis that people with personality disorders have higher mean health and non-health costs compared with those without personality disorders. METHOD: Prospective cohort study design. A total of 303 general practice attenders were followed-up I year after they had been assessed for the presence of personality disorders. Costs were estimated in pound sterling at 1999 price levels. RESULTS: The mean total cost for patients with personality disorders was pound sterling 3094 (s.d.=5324) compared with pound sterling 1633 (s.d.=3779) for those without personality disorders. Personality disorders were not independently associated with increased costs. Multivariate analyses identified the presence of a significant interaction between personality disorders and common mental disorders and increased total costs (coefficient=499, 95% CI 180.1-626.2, P=0.002). CONCLUSIONS: Personality disorders are not independently associated with increased costs. An interaction between personality disorders and common mental disorders significantly predicts increased total costs. PP - England PY - 2002 SN - 0007-1250; 0007-1250 SP - 62 EP - 66 EP - T1 - Economic impact of personality disorders in UK primary care attenders T2 - The British journal of psychiatry : the journal of mental science TI - Economic impact of personality disorders in UK primary care attenders U1 - Financing & Sustainability U2 - 12091265 VL - 181 VO - 0007-1250; 0007-1250 Y1 - 2002 ER -