Needs of Patients with Schizophrenia and Their Predictors

Uygur, Abdullah Burak; Danacı, Ayşen Esen

doi:10.5080/u23283

Cited by 3 publications

(8 citation statements)

References 17 publications

(23 reference statements)

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“…This is probably because the treatment is delivered specifically for the psychotic symptoms and thus the treatment needs for psychotic symptoms and need for information is fulfilled for the majority of patients who are seeking treatment for first episode psychosis 39). This agrees with previous reports (12,34,38). Endorsement of a fulfilled need (met need) is captured as the presence of a need for which the patient has received help from the health care system, family/friends, or community partners to fulfill the need.…”

Section: Discussionsupporting

confidence: 94%

“…They feel the stress, worry, grief, or anxiety with their social situation and reintegration which stems from their social exclusion due to the mental illness or lack of social skills. Other studies conducted in schizophrenia patients identified mostly different unmet needs (12,27,34,35). A systematic review of 20 studies showed that social relationships, information about disease and psychological distress were the main sources of unmet needs in people with mental illness (5).…”

Section: Discussionmentioning

confidence: 99%

“…A few of the studies have reported similar domains of unmet needs ( 41 ), however, the domains and items identified in various studies tend to differ. Psychological distress was a common unmet need identified in most of the studies ( 12 , 27 , 34 , 35 ), as it is a common occurrence in recovering patients who understand the reality of their condition once their symptoms stabilize. They feel the stress, worry, grief, or anxiety with their social situation and reintegration which stems from their social exclusion due to the mental illness or lack of social skills.…”

Section: Discussionmentioning

confidence: 99%

“…The sample size was estimated based on the results from Uygur and Danaci ( 12 ). To estimate the needs of patients with schizophrenia spectrum and other psychotic disorders using similar instruments with a desired width of the confidence interval or precision set at 1 and confidence level set at 95%, a sample size from 53 to 87 was required.…”

Section: Methodsmentioning

confidence: 99%

“…Uygur and Danaci ( 12 ) studied the needs of patients with schizophrenia and found that among various health and social needs, those related to psychotic symptoms were unmet in the group. Housework, daily activities, psychological distress, and relationships were also identified as needs.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Needs of patients with early psychosis: A comparison of patient’s and mental health care provider’s perception

AshaRani

Tan²,

Samari³

et al. 2022

Front. Psychiatry

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BackgroundNeeds define the capacity of a patient to benefit from health care services and a systematic assessment of needs allows planning and delivery of effective treatment to suit patients. This study aimed to understand the (a) needs felt by patients and those perceived by the care providers (CPs), (b) agreement between patients and CPs in the identified needs and (c) factors associated with unmet needs.MethodsParticipants (N = 215) were recruited through convenience sampling from the Early Psychosis Intervention Programme (EPIP). Data was captured from patients and CPs using the Camberwell Assessment of Needs Short Appraisal Schedule (CANSAS).ResultsPatients and CPs identified an average of 4.06 and 3.84 needs, respectively. The highest number of unmet needs were identified for the social (50% of patients and CPs) and health domains (31.13% of patients’ vs. 28.30% of CPs). Company, intimate relationships, psychotic symptoms, money, sexual expression and psychological distress, information and benefits were the unmet needs identified by patients, whereas company, intimate relationships, physical health, and daytime activities were identified by CPs. The concordance between patients and CPs was low with majority of the items scoring slight to fair agreement (Cohen’s kappa = 0–0.4). Older age, depression, severe anxiety and having Obsessive-Compulsive Disorder (OCD) were positively associated with unmet needs in patients.ConclusionWhile there was an overall consensus on the total needs and met needs between patients and CPs, the level of agreement between the two groups on various items were low. Different perceptions regarding unmet needs were noted between the groups. A holistic approach that takes into account different facets of the needs of patients together with strategic planning to address unmet needs might improve treatment outcomes and satisfaction.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Needs of patients with early psychosis: A comparison of patient’s and mental health care provider’s perception

AshaRani

Tan²,

Samari³

et al. 2022

Front. Psychiatry

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Triangulation study of needs assessment of people with severe mental illness in “follow‐up” day hospital settings

2022

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Aim The aim of research was to assess the needs of patients with severe mental illness (SMI) attending follow‐up day hospital (DH) programmes from the patients', relatives' and experts' perspective. Design This triangulation research relies on three sources of information and two techniques of data collection. Methods Qualitative research was conducted comprising semi‐structured interviews (n = 15) and focus groups (n = 4) in three sequential rounds, triangulating patients', relatives' and experts' views. A content analysis was carried out. Results Study reveals a diverse spectrum of needs of SMI patients in follow‐up DH programmes. The analysis yielded six themes: optimal daily functioning, work and educational activities, social network inclusion, continuous treatment, support and guidance, long‐term care. DH programmes should assess the needs of patients with SMI and be adapted according to the findings. In addition to clinical treatment, requirements for continuous treatment, psychological and social needs, therapeutic relationship in less‐restrictive settings should be considered.

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The relationship between therapeutic alliance, frequency of consultation and uptake of telemedicine among patients seeking treatment for early psychosis: A moderated mediation model

AshaRani,

Tan,

Samari

et al. 2024

DIGITAL HEALTH

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Background Telehealth services ensure the delivery of healthcare services to a wider range of consumers through online platforms. Nonetheless, the acceptance and uptake of telehealth remain elusive. This study aims to understand the (a) uptake and (b) acceptability of telemedicine, (c) if therapeutic alliance mediates the relationship between the frequency of consultations with clinicians and the uptake of telemedicine in patients with early psychosis, and (d) role of education in moderating the relationship between therapeutic alliance and the uptake of telemedicine for their mental healthcare. Methods A convenience sample of outpatients ( n = 109) seeking treatment for early psychosis and their care providers ( n = 106) were recruited from a tertiary psychiatric care centre. Sociodemographic and clinical characteristics, therapeutic alliance (Working Alliance Inventory), and telemedicine use were captured through self-administered surveys. The moderated mediation analysis was performed using PROCESS macro 3.4.1 with therapeutic alliance and level of education as the mediating and moderating factors, respectively. Results The acceptance of telemedicine was high (possibly will use: 47.7%; definitely will use: 26.6%) whilst the uptake was low (11%). Therapeutic alliance mediated the relationship between the frequency of consultation and the uptake of telemedicine ( β: 0.326; CI: 0.042, 0.637). This effect was moderated by the level of education ( β: −0.058; p < 0.05). Conclusion Therapeutic alliance mediates the relationship between the frequency of consultations and the uptake of telemedicine services with the level of education moderating this mediation. Focusing on the patients with lower education to improve their telemedicine knowledge and therapeutic alliance might increase the uptake.

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Needs of Patients with Schizophrenia and Their Predictors

Cited by 3 publications

References 17 publications

Needs of patients with early psychosis: A comparison of patient’s and mental health care provider’s perception

Needs of patients with early psychosis: A comparison of patient’s and mental health care provider’s perception

Triangulation study of needs assessment of people with severe mental illness in “follow‐up” day hospital settings

The relationship between therapeutic alliance, frequency of consultation and uptake of telemedicine among patients seeking treatment for early psychosis: A moderated mediation model

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