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Unmet Needs in Outpatients with Psychotic Disorders in Brazil

Published online by Cambridge University Press:  15 April 2020

M. Rezende Andrade
Affiliation:
Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil
M. Bandeira
Affiliation:
Psychology, Federal University of São João del-Rei, São João del-Rei, Brazil
M. Slade
Affiliation:
Institute of Psychiatry, King's College London, London, United Kingdom
S. Evans-Lacko
Affiliation:
Institute of Psychiatry, King's College London, London, United Kingdom
D. Martin
Affiliation:
Public Health, Catholic University of Santos/Federal University of São Paulo, Santos, Brazil
S.B. Andreoli
Affiliation:
Public Health, Catholic University of Santos/Federal University of São Paulo, Santos, Brazil

Abstract

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Introduction

The assessment of needs among patients with severe mental disorders is one of the most studied measures in treatment planning and monitoring of mental health services. Nevertheless, studies on this subject are scarce in Brazil, even following the recent expansion of community services.

Objectives

To investigate the prevalence and correlates of unmet needs among outpatients with psychotic disorders in Brazilian community mental health services.

Methods

This is a cross-sectional study with a random sample of 401 outpatients with psychotic disorders in the city of Santos, Brazil. Needs were assessed through interviews with patients using the Camberwell Assessment of Needs (CAN), which investigates 22 clinical, social and basic needs. The Positive and Negative Symptom Scale (PANSS) was used to assess symptoms. Data were analyzed with multiple linear regression, using p < 0.05. Independent variables were introduced in hierarchical levels, as follows: 1) demographic variables; 2) history and severity of illness; and, 3) service utilization.

Results

The most reported needs were psychotic symptoms (67.0%), information needs (55.0%), psychological distress (41.8%) and money (41.5%). The mean number of unmet needs was 2.91 (+-2.56). A greater number of unmet needs was significantly associated to lower education, more negative symptoms and general psychopathology, all with p = 0.001.

Conclusions

The most reported needs were clinical and social. The number of unmet needs was consistent with the results of international studies. Furthermore, the association of greater unmet needs with lower education and higher symptoms severity may indicate the need for further and comprehensive psychosocial interventions.

Type
Article: 1389
Copyright
Copyright © European Psychiatric Association 2015
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