Subjective distress in a representative sample of outpatients with psychotic disorders

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dc.contributor.authorRezende Andrade, Mario Cesar [UNIFESP]
dc.contributor.authorSlade, Mike
dc.contributor.authorBandeira, Marina
dc.contributor.authorEvans-Lacko, Sara
dc.contributor.authorKomaroff, Janina
dc.contributor.authorMartin, Denise [UNIFESP]
dc.contributor.authorMari, Jair de Jesus [UNIFESP]
dc.contributor.authorAndreoli, Sergio Baxter [UNIFESP]
dc.date.accessioned2018-07-26T17:30:33Z
dc.date.available2018-07-26T17:30:33Z
dc.date.issued2016
dc.description.abstractBackground: 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.en
dc.description.affiliationDepartment of Psychiatry, Universidade Federal de São Paulo (UNIFESP), Rua Borges Lagoa, 570, Vila Clementino, São Paulo 04038-020, Brazil
dc.description.affiliationKing's College London, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, London, UK
dc.description.affiliationDepartment of Psychology, Universidade Federal de São João del-Rei (UFSJ), São João del-Rei, Brazil
dc.description.affiliationLondon School of Economics and Political Science, London, UK WC2A 2AE, England
dc.description.affiliationCentre de Recherche de Montréal sur les Inégalités Sociales et les Discriminations (CREMIS), Montréal, Quebec, Canada
dc.description.affiliationUniversidade Católica de Santos, Santos, Brazil
dc.description.affiliationUnifespDepartment of Psychiatry, Universidade Federal de São Paulo (UNIFESP), Rua Borges Lagoa, 570, Vila Clementino, Sao Paulo 04038-020, Brazil.
dc.description.sourceWeb of Science
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.description.sponsorshipIDFAPESP: 2006/00679-0
dc.description.sponsorshipIDCNPq: 202398/2014-5
dc.format.extent220-223
dc.identifierhttp://dx.doi.org/10.1016/j.jad.2015.08.075
dc.identifier.citationJournal Of Affective Disorders. Amsterdam, v. 189, p. 220-223, 2016.
dc.identifier.doi10.1016/j.jad.2015.08.075
dc.identifier.issn0165-0327
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/46104
dc.identifier.wosWOS:000364170200032
dc.language.isoeng
dc.publisherElsevier Science Bv
dc.relation.ispartofJournal Of Affective Disorders
dc.rightsAcesso restrito
dc.subjectPsychotic disordersen
dc.subjectOutcomeen
dc.subjectDistressen
dc.subjectPsychological stressen
dc.subjectNeeds assessmentQuality-Of-Lifeen
dc.subject1st Episode Psychosisen
dc.subjectSevere Mental-Illnessen
dc.subject1st-Episode Psychosisen
dc.subjectCamberwell Assessmenten
dc.subjectBrazilian Versionen
dc.subjectSelf-Esteemen
dc.subjectSchizophreniaen
dc.subjectReliabilityen
dc.subjectDepressionen
dc.titleSubjective distress in a representative sample of outpatients with psychotic disordersen
dc.typeArtigo
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