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Objective: To evaluate direct and indirect costs for schizophrenia, major depressive disorder (MDD) and bipolar disorder, and to compare their differences of cost composition, and to explore the drivers of the total costs. Methods: A total of 3 175 inpatients with schizophrenia, MDD, and bipolar disorder were recruited. Inpatient’s self-report total direct of medical costs outpatient and inpatient, out-of-pocket costs, and direct non-medical costs were regarded as direct costs. Productivity loss and other loss caused by damaging properties were defined as indirect costs. The perspectives of this study included individual and societal levels. Multivariate regression analysis was applied for detecting the factors influencing disease costs. Results: The total cost of schizophrenia was higher than those of MDD and bipolar disorder at individual and societal levels. The indirect costs of three mental disorders were higher than the direct costs, and the indirect cost ratio of bipolar disorder was higher than those of schizophrenia and MDD. Age, gender, working condition and marital status (P ＜0. 05) were the important drivers of total costs. Conclusion: The economic burden of the three mental disorders is relatively heavy. Schizophrenia has heaviest disease burden, and the productivity loss due to mental disorders is the driving force of the soaring disease cost. [ABSTRACT FROM AUTHOR]

Copyright of Chinese Mental Health Journal / Zhongguo Xinli Weisheng Zazhi is the property of Chinese Mental Health Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Chinese Mental Health Journal / Zhongguo Xinli Weisheng Zazhi is the property of Chinese Mental Health Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Chinese Mental Health Journal / Zhongguo Xinli Weisheng Zazhi is the property of Chinese Mental Health Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Chinese Mental Health Journal / Zhongguo Xinli Weisheng Zazhi is the property of Chinese Mental Health Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)