Needs and its relation to symptom dimensions in a sample of outpatients with schizophrenia

Ochoa, Susana; Haro, Josep María; Usall, Judit; Autonell, J; Vicens, Enric; Asensio, F.

doi:10.1016/j.schres.2004.06.002

Cited by 30 publications

(50 citation statements)

References 14 publications

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“…According to Ochoa et al [35,36], the number of unmet needs is positively and highly correlated with symptom severity: the more unmet needs, the higher the psychopathological severity. Moreover, such a correlation is particularly strong with disorganized and excited symptoms.…”

Section: Discussionmentioning

confidence: 99%

Complex Interaction Between Symptoms, Social Factors, and Gender in Social Functioning in a Community-Dwelling Sample of Schizophrenia

et al. 2011

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Social functioning (SF) is the ultimate target aimed in treatment plans in schizophrenia, thus it is critical to know what are the factors that determine SF. Gender is a well-established variable influencing SF, yet it is not known how social variables and symptoms interact in schizophrenia patients. Furthermore, it remains unclear whether the interaction between social variables and symptoms is different in men compared to women. Our aim is to test whether social variables are better predictors of SF in community-dwelled individuals with schizophrenia, and whether men and women differ in how symptoms and social variables interact to impact SF. Community-dwelling individuals with schizophrenia (N = 231) were randomly selected from a register. Participants were assessed with symptom measures (PANSS), performance-based social scale (LSP), objective social and demographic variables. Stratification by gender and stepwise multivariate regression analyses by gender were used to find the best-fitting models that predict SF in both gender. Men had poorer SF than women in spite of showing similar symptom scores. On stepwise regression analyses, gender was the main variable explaining SF, with a significant contribution by disorganized and excitatory symptoms. Age of onset made a less marked, yet significant, contribution to explain SF. When the sample was stratified by gender, disorganized symptoms and 'Income' variable entered the model and accounted for a 30.8% of the SF variance in women. On the other hand, positive and disorganized symptoms entered the model and accounted for a 36.1% of the SF variance in men. Community-dwelling men and women with schizophrenia differ in the constellation of variables associated with SF. Symptom scores still account for most of the variance in SF in both genders.

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Section: Discussionmentioning

confidence: 99%

Complex Interaction Between Symptoms, Social Factors, and Gender in Social Functioning in a Community-Dwelling Sample of Schizophrenia

et al. 2011

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“…In the literature, the findings with regard to needs and service satisfaction are mixed. The EPSILON study group reported that lower levels of service satisfaction were associated with having severer psychopathology [16] , while a Spanish study using multiple regression analysis found that needs were weakly associated with clinical variables [15] . This is in line with our result that needs for care accounted for 5.0% of variance in the negative syndrome.…”

Section: Factors Associated With Dimensions Of Psychopathologymentioning

confidence: 99%

“…Although there is no consensus, the following trends have been noted: the disorganization syndrome is associated with family history of mental illness, the negative syndrome is related to poor clinical outcome, diminished QOL and poor scholastic achievement, and positive thought disorder is associated with very-early-onset schizophrenia [1] . From the psychosocial perspective, however, the studies have examined the relationship of the psychopathological dimensions of schizophrenia with indices of quality of care, such as family caregiver burden [12][13][14] , patient's perception of unmet need for care [15] and patient's perception of satisfaction with services [16] . The indications are that severity of psychosis is associated with caregiver burden, perception of unmet need for care and dissatisfaction with services.…”

Section: Introductionmentioning

confidence: 99%

Schizophrenia Psychopathology in a Kuwaiti Arab Sample

Zahid

Ohaeri²

2010

Psychopathology

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Background: The heterogeneity of schizophrenia psychopathology has led to a search for symptom clusters that could be related to broad features of the disease. The objectives of the study were to: (1) highlight the pattern of symptoms among Kuwaiti subjects with schizophrenia, using the ICD-10 symptom checklist; (2) assess the factor structure of the Brief Psychiatric Rating Scale 18 (BPRS-18) and BPRS-24, and (3) evaluate the relationship of the resulting factors with sociodemographic characteristics, age at onset of illness, family history of mental illness, objective indicators of quality of life, self-esteem, affect balance, family caregiver burden, patient’s perceptions of service satisfaction and needs for care. Method: Consecutive outpatients in stable condition were assessed with the BPRS and ICD-10 symptom checklist, as well as measures of quality of life, needs for care, service satisfaction and family caregiver burden. Results: There were 130 patients (66.1% men, mean age = 36.8 years, age at onset of illness = 24.2 years, duration of illness = 12.9 years). Of the ICD-10 symptoms, the commonest positive symptoms were hallucinations (58.5%) and delusions (72%). Catatonic symptoms were rare (2.9%). About a quarter of the subjects experienced 4 of the negative symptoms. In exploratory factor analysis, we broadly replicated the known syndromes for BPRS-24 (disorganization, positive, activation, manic, negative and depression) and BPRS-18 (negative, positive, activation and affect). In regression analyses, the variables independently associated with psychopathology were family income, negative affect, self-esteem, duration of illness, age, lack of money for enjoyment, met needs for care and caregiver tension. The negative syndrome had more significant associations with the variables investigated than the positive syndrome. Psychopathological scores were separable from indices of psychological well-being. Conclusion: In this first study of schizophrenia psychopathology from the Arab world, the clinical manifestations were similar to the data from the developed countries. The persistence of psychotic symptoms despite freely available antipsychotic treatment and the impact on caregiver burden call for attention to the perennial issue of treatment resistance and underscore the need for continued interaction with family members after the acute inpatient phase of treatment, in order to address the impact of symptoms.

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“…Os anos de doença, a cronicidade dos sintomas e até as perdas cognitivas que os transtornos mentais graves acarretam, tornam as pessoas menos ativas profissionalmente (Kammerling & O'Connor, 1993;Lewis & Sloggett, 1998). Deve-se salientar que o desemprego também costuma se mostrar associado aos transtornos mentais graves e, de alguma forma, representam a relação entre aderência ao tratamento e esse grupo de pacientes (Lerner et al,1993 ,0-7,8 (McCrone et al, 2001;Ochoa et al, 2005;Wennström & Wiesel, 2006;Arvidsson, 2008;Wiersma et al, 2009;Trauer, 2010). Em estudos de países de baixa e média renda, como o Brasil, a média de necessidades totais foi mais alta, de 6,1 a 8,7 (Yeh, Luh, Liu, Lee & Slade, 2006;Kulhara et al, 2010;Ernest et al, 2013, Zahid & Ohaeri, 2013.…”

Section: Aderência Ao Tratamento E Características Associadasunclassified

“…Na literatura, os tipos de necessidades diferem muito de um estudo para outro, mas é fácil compreender essas diferenças, já que estão intimamente relacionadas a uma série de variações como diagnósticos diferentes (Joska & Flisher, 2007), tempo de doença, momento da doença, fatores sociais como pobreza e nível educacional, e também dos desenhos dos estudos e seus métodos (Ochoa et al, 2005;Hayward et al, 2006;Grinshpoon & Ponizovsky, 2008 (Lasalvia et al, 2007;Drukker et al, 2008;Wennström, Berglund, Lindbäck & Wiesel, 2008 …”

Section: Aderência Ao Tratamento E Características Associadasunclassified

Identificação de fatores associados à aderência ao tratamento, reinternação hospitalar e necessidades de cuidados de pacientes inseridos na rede pública de assistência em saúde mental

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AgradecimentosAos meus pais, Marcia e Vilson, pela educação que me deram e que me fez um ser humano honesto, justo e com vontade de saber sempre mais.Ao meu marido Vanderlei, por todo apoio nesta jornada, nem sempre tão fácil de ser compreendida por quem não é da área médica e científica. Sempre me ajudou e apoiou, simplesmente por acreditar que era importante.À minha amada filha, Ana Júlia, que sempre teve orgulho de uma mãe estudante, e que se deliciava quando eu também tinha que fazer "lição de casa". Principalmente a ela, que eu seja um exemplo de que nunca devemos parar.Aos demais familiares, Gra, tia Gó, Dani, e todos os outros com quem tenho uma dívida emocional, por estarem comigo, não só neste, mas em todos os momentos importantes da minha vida.À Profa. Dra. Cristina Marta Del-Ben, minha amiga Kit, que, por me incentivar fortemente a fazer doutorado, tornou-se também minha orientadora, papel que exerceu como uma verdadeira cientista (que é!). Aprendi muito com você e tenho certeza de que vou aprender sempre, pois o doutorado se finda, mas amigos não saem de nossas vidas.

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Needs and its relation to symptom dimensions in a sample of outpatients with schizophrenia

Cited by 30 publications

References 14 publications

Complex Interaction Between Symptoms, Social Factors, and Gender in Social Functioning in a Community-Dwelling Sample of Schizophrenia

Complex Interaction Between Symptoms, Social Factors, and Gender in Social Functioning in a Community-Dwelling Sample of Schizophrenia

Schizophrenia Psychopathology in a Kuwaiti Arab Sample

Identificação de fatores associados à aderência ao tratamento, reinternação hospitalar e necessidades de cuidados de pacientes inseridos na rede pública de assistência em saúde mental

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