Financial Toll of Untreated Perinatal Mood and Anxiety Disorders Among 2017 Births in the United States.

Publisher: American Public Health Association Country of Publication: United States NLM ID: 1254074 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1541-0048 (Electronic) Linking ISSN: 00900036 NLM ISO Abbreviation: Am J Public Health Subsets: MEDLINE

Publication: Washington, DC : American Public Health Association
Original Publication: New York [etc.]

Anxiety Disorders*/complications ; Anxiety Disorders*/economics ; Anxiety Disorders*/epidemiology ; Cost of Illness* ; Mood Disorders*/complications ; Mood Disorders*/economics ; Mood Disorders*/epidemiology ; Pregnancy Complications*/economics ; Pregnancy Complications*/epidemiology; Child, Preschool ; Female ; Humans ; Infant ; Infant, Newborn ; Postpartum Period ; Pregnancy ; Pregnancy Outcome ; United States

Objectives. To estimate the economic burden of untreated perinatal mood and anxiety disorders (PMADs) among 2017 births in the United States. Methods. We developed a mathematical model based on a cost-of-illness approach to estimate the impacts of exposure to untreated PMADs on mothers and children. Our model estimated the costs incurred by mothers and their babies born in 2017, projected from conception through the first 5 years of the birth cohort's lives. We determined model inputs from secondary data sources and a literature review. Results. We estimated PMADs to cost $14 billion for the 2017 birth cohort from conception to 5 years postpartum. The average cost per affected mother-child dyad was about $31 800. Mothers incurred 65% of the costs; children incurred 35%. The largest costs were attributable to reduced economic productivity among affected mothers, more preterm births, and increases in other maternal health expenditures. Conclusions. The US economic burden of PMADs is high. Efforts to lower the prevalence of untreated PMADs could lead to substantial economic savings for employers, insurers, the government, and society.

Comment in: Am J Public Health. 2020 Jun;110(6):765-767. doi: 10.2105/AJPH.2020.305663. (PMID: 32374686)

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Date Created: 20200417 Date Completed: 20200818 Latest Revision: 20240729

20240729

PMC7204436

10.2105/AJPH.2020.305619

32298167