Out of pocket expenses in obsessive compulsive disorder

J Ment Health. 2022 Oct;31(5):607-612. doi: 10.1080/09638237.2020.1755028. Epub 2020 May 1.


Background: Despite anecdotal evidence that the out of pocket costs of OCD can be substantial in some cases, there is no evidence on how many people they affect, or the magnitude of these costs.

Aims: This paper explores the type and quantity of out of pocket expenses reported by a large sample of adults with OCD.

Methods: Data on out of pocket expenses were collected from participants taking part in the OCTET multi-centre randomised controlled trial. Participants were aged 18+, meeting DSM-IV criteria for OCD, and scoring 16+ on the Yale Brown Obsessive Compulsive Scale. Individual-level resource use data including a description and estimated cost of out of pocket expenses were measured using an adapted version of the Adult Service Use Schedule (AD-SUS): a questionnaire used to collect data on resource use.

Results: Forty-five percent (208/465) reported out of pocket expenses due to their OCD. The mean cost of out of pocket expenses was £19.19 per week (SD £27.56 SD), range £0.06-£224.00.

Conclusions: Future economic evaluations involving participants with OCD should include out of pocket expenses, but careful consideration of alternative approaches to the collection and costing of this data is needed.

Keywords: Obsessive compulsive disorder; costs; economic evaluations; out of pocket expenses.

MeSH terms

  • Adult
  • Cost-Benefit Analysis
  • Health Expenditures*
  • Humans
  • Multicenter Studies as Topic
  • Obsessive-Compulsive Disorder*
  • Randomized Controlled Trials as Topic
  • Surveys and Questionnaires