Evidence map›Paper›PMID 39838461›Full record

Trial reportEuropean psychiatry : the journal of the Association of European Psychiatrists2025

Excess costs of post-traumatic stress disorder related to child maltreatment in Germany.

Thomas Grochtdreis, Hans-Helmut König, Falk Leichsenring, Manfred E Beutel, Lila Feix, Harald Gündel, Andrea Hermann, Melissa Hitzler, Christine Knaevelsrud, Iris-Tatjana Kolassa and 11 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in European psychiatry : the journal of the Association of European Psychiatrists, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Thomas GrochtdreisDepartment of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-0176-7989
Hans-Helmut KönigDepartment of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0001-5711-6862
Falk LeichsenringDepartment of Psychotherapy and Psychosomatics, Justus Liebig University Giessen, Giessen, Germany.
Manfred E BeutelDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, Mainz, Germany.
Lila FeixDepartment of Psychosomatics and Psychotherapy, University of Rostock, Rostock, Germany.
Harald GündelDepartment of Psychosomatic Medicine and Psychotherapy, University Ulm Medical Center, Ulm, Germany.
Andrea HermannCenter for Mind, Brain and Behavior, Justus Liebig University Gießen and Philipps University Marburg, Gießen and Marburg, Germany.ORCID 0000-0003-3186-7777
Melissa HitzlerDepartment of Clinical and Biological Psychology, Institute of Psychology and Education, Ulm University, Ulm, Germany.
Christine KnaevelsrudDivision of Clinical Psychological Intervention, Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany.
Iris-Tatjana KolassaDepartment of Clinical and Biological Psychology, Institute of Psychology and Education, Ulm University, Ulm, Germany.
Johannes KruseDepartment of Psychotherapy and Psychosomatics, Justus Liebig University Giessen, Giessen, Germany.
Helen NiemeyerDivision of Clinical Psychological Intervention, Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany.ORCID 0000-0002-7616-1885
Fatima NöskeDepartment of Psychotherapy and Psychosomatics, Justus Liebig University Giessen, Giessen, Germany.ORCID 0009-0005-7231-3457
Simone SalzerInternational Psychoanalytic University Berlin, Berlin, Germany.
Karoline Sophie SauerDepartment of Clinical Psychology, Psychotherapy, and Experimental Psychopathology, Johannes Gutenberg-University Mainz, Mainz, Germany.ORCID 0000-0003-0401-5026
Patrick SchusterDepartment of Psychotherapy and Psychosomatics, Justus Liebig University Giessen, Giessen, Germany.ORCID 0000-0002-7916-3587
Christiane SteinertInternational Psychoanalytic University Berlin, Berlin, Germany.
Kerstin WeidnerDepartment of Psychotherapy and Psychosomatic Medicine, Faculty of Medicine Carl Gustav Carus Technische Universität Dresden, Dresden, Germany.ORCID 0009-0007-9140-4068
Jörn von WietersheimDepartment of Psychosomatic Medicine and Psychotherapy, University Ulm Medical Center, Ulm, Germany.ORCID 0009-0001-6167-272X
Jürgen HoyerInstitute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany.ORCID 0000-0002-1697-6732
Judith DamsDepartment of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-6922-434X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildhood maltreatment (CM) significantly increases the risk of developing post-traumatic stress disorder (PTSD) for which the prevalence in Europe is higher than initially assumed. While the high economic burden of PTSD is well-documented, little is known about the health care cost differences between individuals with PTSD-CM and those without PTSD in Germany. This study aimed to determine the excess health care and absenteeism costs associated with PTSD-CM in Germany.

methodsBaseline data from a multi-center randomized controlled trial on individuals with PTSD-CM (n = 361) were combined with data from individuals without PTSD (n = 4760). Entropy balancing was used to balance the data sets with regard to sociodemographic characteristics. Six-month excess health care costs from a societal perspective were calculated for 2022, using two-part models with logit specification for the first part and a generalized linear model for the second part.

resultsThe total six-month excess costs associated with PTSD-CM were €8864 (95% CI: €6855 to €10,873) per person. Of this, the excess health care costs accounted for €4647 (95% CI €3296 to €5997) and the excess costs of absenteeism for €4217 (95% CI: €3121 to €5314). Individuals with mild to moderate PTSD symptoms incurred total excess costs of €6038 (95% CI: €3879 to €8197), while those with severe to extreme symptoms faced €11,433 (95% CI: €8220 to €14,646).

conclusionsExcess health care and absenteeism costs associated with PTSD-CM were substantial, with absenteeism accounting for roughly half of the total excess costs.

Indexed as

AbsenteeismAdult Survivors of Child AbuseChild AbuseCost of IllnessHealth Care CostsStress Disorders, Post-TraumaticAdultChildFemaleGermanyHumansMaleMiddle Agedchild abusecost of illnessGermanyHealth care usehealth services researchpost-traumatic stress disorder

Identifiers

PMID39838461
PMCPMC11822998

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.