Need for information in a representative sample of outpatients with schizophrenia disorders

Andrade, Mário César Rezende; Slade, Mike; Bandeira, Marina; Evans‐Lacko, Sara; Martin, Denise; Andreoli, Sérgio Baxter

doi:10.1177/0020764018776350

Cited by 24 publications

(4 citation statements)

References 19 publications

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“…In the present study, there was no significant relationship between patients' needs (including met and unmet needs) and patients' age. This was consistent with other similar studies that did not report an association between age and the needs of patients with severe psychiatric disorders ( 27 , 30 ).…”

Section: Discussionsupporting

confidence: 93%

“…In a study by Ashour et al to explore the relationship between sex and the needs of patients with schizophrenia, although the total number of needs of women was reported to be higher than men, this relationship was not statistically significant ( 27 ). In another study, there was a significant relationship between the level of education and the needs of patients with schizophrenia; thus, the higher the level of education, the lower the number of unmet needs ( 30 ).…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Met and Unmet Needs in Patients with Severe Psychiatric Disorders and its Relation to the Quality of Life: A Cross-Sectional Study

Mohebbi,

Alavi,

Jalali Nadoushan

et al. 2024

MJIRI

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Background Paying attention to the needs of patients with psychiatric disorders has recently come into focus. Failure to meet the needs of patients can affect their quality of life. This study aimed to determine the main areas of the needs of patients with severe psychiatric disorders and evaluate their relationship with the quality of life. Methods In this cross-sectional study, 174 patients with severe mental illness who were referred to Iran Psychiatric Hospital for hospitalization or outpatient treatment were enrolled in this study (68 with schizophrenia and schizoaffective disorder, 106 with bipolar disorder type 1). A qualified psychiatry resident conducted interviews with each patient to determine their needs using the Camberwell Assessment of Need Short Appraisal Schedule (CANSAS) and the severity of their illness using the Hamilton Depression Rating Scale (HAM-D), Positive and Negative Syndrome Scale (PANSS), and Young Mania Rating Scale. A checklist for demographic data and the World Health Organization Quality of Life Brief Version (WHOQOL-BREF) questionnaire was completed by patients. Data were analyzed using descriptive statistics. Since the number of needs distribution was not normal, we used the Mann-Whitney, Kruskal-Wallis, and chi-square tests for qualitative variables. Results The total number of patient needs was 9 (mean = 9.1, SD = 3.7). The most unmet needs were intimate relationships (69.5%), sexual expression (65.5%), and information on condition and treatment (51.1%). Unmet needs showed a negative correlation with the quality of life ( P < 0.001) and a positive correlation with the severity of depression ( P = 0.045), negative symptoms ( P = 0.001), and general psychopathology ( P < 0.001). Conclusion A higher number of unmet needs of severe psychiatric patients is associated with lower quality of life and more severe disorders.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Evaluation of Met and Unmet Needs in Patients with Severe Psychiatric Disorders and its Relation to the Quality of Life: A Cross-Sectional Study

Mohebbi,

Alavi,

Jalali Nadoushan

et al. 2024

MJIRI

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“…A study compared the needs of patients in five European countries (20) and found that the mean number of needs in each country ranged from 6.3 to 4.8, and the most frequently reported unmet needs were related to company, intimate relationships, and psychological distress. In LMICs, countries such as Kuwait, India, and Brazil, the most frequently reported unmet needs were related to money, education, accommodation, and information (2,(22)(23)(24), which seem to be more associated with possible socioeconomic disadvantages than with the severity and prognosis of the mental disorder itself.…”

Section: Introductionmentioning

confidence: 99%

“…In Brazil, the high prevalence of mental disorders ( 1 - 3 ) contrasts with the mental health expenditure, which is less than 1% of the national health budget ( 4 ), with the implementation of effective community-oriented mental health care still an ongoing process ( 5 ). Thus, identifying of possible barriers to appropriate treatment for each person and specific population groups is an important step to guide the application of scarce resources ( 6 ).…”

Section: Introductionmentioning

confidence: 99%

Patient needs four years after first psychiatric hospitalization in a Brazilian cohort

Santos

Roza

Barros

et al. 2021

Braz J Med Biol Res

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Knowledge about the needs of psychiatric patients is essential for mental health care planning. However, research on met and unmet needs is still scarce, particularly in low-and middle-income countries. This study aimed to describe the patients' needs (met and unmet) at least four years after their first psychiatric hospitalization and to verify the role of demographic and clinical features as possible predictors of these needs. Patients who had their first psychiatric admission between January 1, 2006 and December 31, 2007 at an inpatient unit in the city of Ribeirão Preto, Brazil, were eligible to participate in the study. Patients were contacted and face-to-face interviews were conducted by psychologists using the Camberwell Assessment of Need. Data were analyzed using zero-inflated negative binomial regression model. Of 933 eligible patients, 333 were interviewed. The highest level of needs was related to welfare benefits (32.4%, unmet=25.5%), followed by household skills (30.3%, unmet=3.0%), psychotic symptoms (29.4%, unmet=9.0%), psychological distress (27.6%, unmet=8.4%), physical health (24.3%, unmet=5.4%), daytime activities (19.5%, unmet=16.5%), and money (16.8%, unmet=9.0%). Fewer years of schooling, living with relatives, and unemployment at the moment of the first admission were significantly associated with a higher number of both met and unmet needs in the follow-up. Unmet needs were also more often reported by patients living alone. In conclusion, socioeconomic indicators were the best predictors of needs. The unmet needs related to welfare benefits point to the need for specific social and health policies.

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Camberwell Assessment of Need (CAN)

Slade

Thornicroft

2020

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Need for information in a representative sample of outpatients with schizophrenia disorders

Abstract: Information was a commonly reported need and which was often unmet, showing no significant association with service use. Greater attention should be given by mental health services to information provision.

Cited by 24 publications

References 19 publications

Evaluation of Met and Unmet Needs in Patients with Severe Psychiatric Disorders and its Relation to the Quality of Life: A Cross-Sectional Study

Evaluation of Met and Unmet Needs in Patients with Severe Psychiatric Disorders and its Relation to the Quality of Life: A Cross-Sectional Study

Patient needs four years after first psychiatric hospitalization in a Brazilian cohort

Camberwell Assessment of Need (CAN)

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