Subjective distress in a representative sample of outpatients with psychotic disorders

Author(s)

Rezende Andrade, Mario Cesar ^{[1, 2]} ; Slade, Mike ^[2] ; Bandeira, Marina ^[3] ; Evans-Lacko, Sara ^{[2, 4]} ; Komaroff, Janina ^[5] ; Martin, Denise ^{[6, 1]} ; Mari, Jair de Jesus ^{[1, 2]} ; Andreoli, Sergio Baxter ^{[6, 1]}

Affiliation

^[1] Univ Fed Sao Paulo UNIFESP, Dept Psychiat, BR-04038020 Sao Paulo - Brazil

^[2] Kings Coll London, Hlth Serv & Populat Res Dept, Inst Psychiat Psychol & Neurosci, London WC2R 2LS - England

^[3] Univ Fed Sao Joao del Rei UFSJ, Dept Psychol, Sao Joao Del Rei - Brazil

^[4] Univ London London Sch Econ & Polit Sci, London WC2A 2AE - England

^[5] Ctr Rech Montreal Inegalites Sociales & Discrimin, Montreal, PQ - Canada

^[6] Univ Catolica Santos, Santos - Brazil

• Document type: Journal article
• Source: Journal of Affective Disorders; v. 189, p. 220-223, JAN 1 2016.
• Web of Science Citations: 3

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. (AU)

• FAPESP's process: 06/00679-0 - The evaluation of the needs of patients with serious mental health disorders attended to at psychosocial attention community centers
• Grantee: Sérgio Baxter Andreoli
• Support Opportunities: Regular Research Grants