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  1. Effectiveness and cost of the inpatient treatment of posttraumatic stress disorder : Comparison of three models of treatment.

    Article - En anglais


    This study compared the outcomes and costs of three models of Department of Veterans Affairs (VA) inpatient treatment for posttraumatic stress disorder (PTSD) : 1) long-stay specialized inpatient PTSD units, 2) short-stay specialized evaluation and brief-treatment PTSD units, and 3) nonspecialized general psychiatric units.


    Data were drawn from 785 Vietnam veterans undergoing treatment at 10 programs across the country.

    The veterans were followed up at 4-month intervals for 1 year after discharge.

    Successful data collection averaged 66.1% across the three follow-up intervals.


    All models demonstrated improvement at the time of discharge, but during follow-up symptoms and social functioning rebounded toward admission levels, especially among participants who had been treated in long-stay PTSD units.

    Veterans in the short-stay PTSD units and in the general psychiatric units showed significantly more improvement during follow-up than veterans in the long-stay PTSD units.

    Greatest satisfaction with their programs was reported by veterans in the short-stay PTSD units.

    Finally, the long-stay PTSD units proved to be 82.4% and 53.5% more expensive over 1 year than the short-stay PTSD units and general psychiatric units, respectively. (...)

    Mots-clés Pascal : Posttraumatisme syndrome, Stress, Trouble anxieux, Etude comparative, Traitement, Hospitalisation, Long terme, Court terme, Efficacité traitement, Analyse coût, Economie santé, Ancien combattant, Etats Unis, Amérique du Nord, Amérique, Homme

    Mots-clés Pascal anglais : Posttraumatic syndrome, Stress, Anxiety disorder, Comparative study, Treatment, Hospitalization, Long term, Short term, Treatment efficiency, Cost analysis, Health economy, Veteran, United States, North America, America, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0385823

    Code Inist : 002B18I09. Création : 12/09/1997.