Andrade, Mário César Rezende, Slade, Mike, Bandeira, Marina, Evans-Lacko, Sara 
ORCID: 0000-0003-4691-2630, Komaroff, Janina, Martin, Denise, Mari, Jair de Jesus and Andreoli, Sérgio Baxter
(2016)
Subjective distress in a representative sample of outpatients with psychotic disorders.
Journal of Affective Disorders, 189.
pp. 220-223.
ISSN 0165-0327
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Abstract
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. 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. 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). The use of a cross-sectional design and a single questionnaire domain to evaluate distress are the main limitations. 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 psychosocial interventions
| Item Type: | Article |
|---|---|
| Official URL: | http://www.sciencedirect.com/science/journal/01650... |
| Additional Information: | © 2015 Elsevier B.V. |
| Divisions: | Social Policy Care Policy and Evaluation Centre |
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Date Deposited: | 23 Oct 2015 14:25 |
| Last Modified: | 14 Sep 2025 23:20 |
| URI: | http://eprints.lse.ac.uk/id/eprint/64140 |
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