Need assessment and quality of life in outpatients with schizophrenia: a 5‐year follow‐up study

Foldemo, Anniqa; Bogren, Lennart

doi:10.1046/j.1471-6712.2002.00107.x

Cited by 21 publications

(26 citation statements)

References 21 publications

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“…Finally, there some differences between patients’ and relatives’ reports in individual domains of the CAN-R and the type of unmet needs, with relatives usually placing more emphasis on social and informational needs than the patients themselves. This was in line with most of the previous research on the subject, which has indicated that relatives generally report greater number of needs, and/or their perceptions regarding areas of need differ from those of patients[9,36,38,39]. Differing views of needs among patients and relatives could be a consequence of the additional component of caregiver-burden that relatives have to face, since certain studies have found that a higher level of caregiver-burden is usually associated with higher levels of expressed needs and differences in the types of needs reported by relatives[9,40].…”

Section: Discussionsupporting

confidence: 91%

Health-care needs of remitted patients with bipolar disorder: A comparison with schizophrenia

Neogi¹,

Chakrabarti²,

Grover³

2016

WJP

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AIMTo investigate health-care needs and their correlates among patients with remitted bipolar disorder (BD) compared to patients with remitted schizophrenia.METHODSOutpatients with BD (n = 150) and schizophrenia (n = 75) meeting clearly defined remission criteria were included in the study along with their relatives. Diagnostic ascertainment was carried out using the Mini International Neuropsychiatric Interview. Demographic and clinical details were recorded using structured formats. Residual symptoms were assessed using standardized scales. Health-care needs were assessed on two separate scales. The principal instrument employed to assess health-care needs was the Camberwell Assessment of Need-Research version (CAN-R). To further evaluate health-care needs we felt that an additional instrument, which was more relevant for Indian patients and treatment-settings and designed to cover those areas of needs not specifically covered by the CAN-R was required. This instrument with a structure and scoring pattern similar to the CAN-R was used for additional evaluation of needs. Patients’ level of functioning was assessed using the Global Assessment of Functioning Scale and their quality of life (QOL) using the World Health Organization Quality Of Life-BREF version in Hindi.RESULTSAn average of 6-7 needs was reported by patients with BD as well as their relatives. Commonly reported needs were in the areas of economic and welfare needs, informational needs, social needs and the need for treatment. According to the CAN-R, both patients and relatives reported that more than 60% of the total needs were being met. However, over 90% of the needs covered by the additional evaluation were unmet according to patients and relatives. Needs in the areas of economic and welfare-benefits, information, company, daytime activities and physical health-care were largely unmet according to patients and relatives. Total, met and unmet needs were significantly higher for schizophrenia, but the most common types of needs were quite similar to BD. Relatives reported more needs than patients with certain differences in the types of needs reported. Level of patients’ functioning was the principal correlate of greater total and unmet needs in both groups. Significant associations were also obtained with residual symptoms and QOL.CONCLUSIONThe presence of unmet needs in remitted patients with BD was an additional marker of the enduring psychosocial impairment characteristic of the remitted phase of BD.

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Section: Discussionsupporting

confidence: 91%

Health-care needs of remitted patients with bipolar disorder: A comparison with schizophrenia

Neogi¹,

Chakrabarti²,

Grover³

2016

WJP

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“…More than one-third of the patients expressed a need concerning mental health, accommodation, and work / occupation. Furthermore, the intensity of the provided services was highest in these areas, which has been reported in earlier studies [10,33,39] .…”

Section: Discussionsupporting

confidence: 79%

Outcomes in Schizophrenia Outpatients Treated with Amisulpride or Olanzapine

Hofer

Rettenbacher²,

Edlinger³

et al. 2007

Pharmacopsychiatry

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“…Patients in psychiatric care want a more active role in treatment (38) and service planning (39). Foldemo and Brogren (40) found in a study that there was a difference between how the key staff and the outpatient with schizophrenia rated the needs. This confirmed how important it is that there should be patient and staff co‐operation in the planning of care .…”

Section: Discussionmentioning

confidence: 99%

Psychiatric care staff's and care associates’ perceptions of the concept of quality of care: a qualitative study

Schröder

Ahlström

2004

Scandinavian Caring Sciences

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Quality of care is a multidimensional concept and has been given different meanings in the literature. The aim in the present study was to describe how the psychiatric care staff and care associates perceived the concept of quality of care in the case of psychiatric care. Ten staff and 10 associates were interviewed. Qualitative method with a phenomenographic approach was used for the analysis. Four descriptive categories emerged: The patient's dignity is respected, The patient's participation in the care, The patient's recovery, and The patient's care environment plays an important role. Quality of care was perceived as a positive concept and as being of great importance for the patient's health and conditions of living. The results were of importance with regard to the forthcoming development of an instrument to measure the quality of psychiatric care.

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Need assessment and quality of life in outpatients with schizophrenia: a 5‐year follow‐up study

Cited by 21 publications

References 21 publications

Health-care needs of remitted patients with bipolar disorder: A comparison with schizophrenia

Health-care needs of remitted patients with bipolar disorder: A comparison with schizophrenia

Outcomes in Schizophrenia Outpatients Treated with Amisulpride or Olanzapine

Psychiatric care staff's and care associates’ perceptions of the concept of quality of care: a qualitative study

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