Subjective distress in a representative sample of outpatients with psychotic disorders

Subjective distress in a representative sample of outpatients with psychotic disorders

Author Rezende Andrade, Mario Cesar Autor UNIFESP Google Scholar
Slade, Mike Google Scholar
Bandeira, Marina Google Scholar
Evans-Lacko, Sara Google Scholar
Komaroff, Janina Google Scholar
Martin, Denise Autor UNIFESP Google Scholar
Mari, Jair de Jesus Autor UNIFESP Google Scholar
Andreoli, Sergio Baxter Autor UNIFESP Google Scholar
Abstract Background: The affective burden of psychotic disorder has been increasingly recognised. However, subjective reports of distress and its covariates, especially those related to service use, remain under-investigated in patients with psychosis. Methods: This study investigated subjective distress and its covariates in a representative sample of 401 outpatients with a confirmed diagnosis of psychotic disorders in Brazil. Distress was assessed using the corresponding domain of a standardised measure of need - the Camberwell Assessment of Need. Results: Distress was reported as a need by 165 (41%) patients, being met in 78 (20%) and unmet in 87 (22%). Hierarchical logistic regression showed that the presence of distress as a need was predicted by attendance at psychotherapy (OR=3.49, CI=1.62-7.53), presence of suicidal ideation (OR=2.89, CI=1.75-4.79), non-attendance at psychosocial rehabilitation (OR=2.84, CI=1.31-6.19), and higher psychopathology (OR= 1.09, CI=1.06-1.12). An unmet need was predicted by family not accompanying patients to treatment (OR=2.60, CI=1.05-6.44) and higher psychopathology (OR=1.05, CI=1.02-1.09). Limitation: The use of a cross-sectional design and a single questionnaire domain to evaluate distress are the main limitations. Conclusions: Subjective distress is a common unmet need in psychosis, and can be treated. The main clinical implication is that subjective distress in psychosis may be impacted on by family engagement and psycho social interventions. (C) 2015 Elsevier B.V. All rights reserved.
Keywords Psychotic disorders
Outcome
Distress
Psychological stress
Needs assessmentQuality-Of-Life
1st Episode Psychosis
Severe Mental-Illness
1st-Episode Psychosis
Camberwell Assessment
Brazilian Version
Self-Esteem
Schizophrenia
Reliability
Depression
Language English
Sponsor Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Grant number FAPESP: 2006/00679-0
CNPq: 202398/2014-5
Date 2016
Published in Journal Of Affective Disorders. Amsterdam, v. 189, p. 220-223, 2016.
ISSN 0165-0327 (Sherpa/Romeo, impact factor)
Publisher Elsevier Science Bv
Extent 220-223
Origin http://dx.doi.org/10.1016/j.jad.2015.08.075
Access rights Closed access
Type Article
Web of Science ID WOS:000364170200032
URI http://repositorio.unifesp.br/handle/11600/49712

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