Effects of Psychiatric Intervention on Concentrate Usage

To investigate possible psychosocial causes for increased Factor VIII requirements, concentrate usage was assessed from records submitted monthly by a 16 year old boy with a Factor VIII level of < 1%. This patient was using almost 5 times more concentrate per year than our average home therapy patient. Group, family and individual psychotherapy, as well as relaxation techniques were utilized with the psychiatrist unaware of the amount of concentrate used. Concentrate usage during the 15 month period immediately preceding therapy was 23,051 ± 3,441.44 Units/month for a total of 344,900 units. For the 15 month period following initiation of therapy, usage was 14,942 ± 3,204.81 units/month for a total of 221,595 units. This represented a 36% decrease in concentrate usage and a saving of approximately $12,000 while the total cost of psychiatric therapy was $1,115. This case study illustrates that psychological factors may affect concentrate usage. The results also suggest that psychological dependencies and stress induced needs that develop in some patients on home therapy can be effectively treated by psychosocial intervention.

Object Details

• Location: Deutsche Nationalbibliothek Frankfurt am Main
• Extent: Online-Ressource
• Language: Englisch

References and Relationships

• Bibliographic citation: Effects of Psychiatric Intervention on Concentrate Usage ; volume:38 ; number:05 ; year:1977 ; Konferenz: XIIth Congress of The World Federation of Hemophilia; 1977-06-22; Philadelphia ; Thrombosis and haemostasis ; 38, Heft 05 (1977)

Contributors, Places and Time

• Contributor: Ackerman, L.L. ; Eyster, M.E. ; Charney, D. ; Haverstick, J.

Further information

• DOI: 10.1055/s-0039-1682555
• URN: urn:nbn:de:101:1-2412190846120.367127669271
• Rights: Open Access unbekannt; Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Last update: 15.08.2025, 7:35 AM CEST