Structure of needs among persons with schizophrenia.

https://arctichealth.org/en/permalink/ahliterature9273
Source
Soc Psychiatry Psychiatr Epidemiol. 2005 Mar;40(3):233-9
Publication Type
Article
Date
Mar-2005
Author
Jyrki Korkeila
Jyrki Heikkilä
Lars Hansson
Knut W Sørgaard
Tero Vahlberg
Hasse Karlsson
Author Affiliation
Dept. of Psychiatry, Turku University Central Hospital and University of Turku, Turku, Finland. jyrki.korkeila@turku.fi
Source
Soc Psychiatry Psychiatr Epidemiol. 2005 Mar;40(3):233-9
Date
Mar-2005
Language
English
Publication Type
Article
Keywords
Adaptation, Psychological
Adult
Ambulatory Care
Cross-Sectional Studies
Female
Health services needs and demand
Humans
Male
Mental Health Services - organization & administration
Quality of Life - psychology
Questionnaires
Scandinavia
Schizophrenia - therapy
Schizophrenic Psychology
Abstract
BACKGROUND: The importance of needs assessment for service development has been widely recognised. Several studies have focused on the associations between ratings of needs by patients and staff and have found clear differences, especially concerning the unmet needs. METHODS: The present study is part of a Nordic Multicentre study that investigates the life and care of outpatients with a schizophrenia group illness in all the Nordic countries. The aim of this paper is to study the patterns of needs as identified by patients and staff according to the Camberwell Assessment of Needs (CAN). Quality of life, level of functioning, and psychiatric symptoms were assessed. RESULTS: The sample includes 300 patients, 194 (65%) men and 106 (35%) women. The factor analysis identified five factors for patients and four factors for staff in the questionnaire on ratings of needs. In four of the five patient-related factors a meaningful interpretation was possible, and the factors were named skills, illness, coping, and substance abuse. The staff-related factors were named skills, impairment, symptom, and substance abuse. There were significant associations between the sum scores constructed from the factors and measures of functioning level and symptoms. CONCLUSIONS: It seems that the sum factor reflecting secondary needs was the most important of the identified factors among both patient and staff ratings. The item-by-item comparisons in previous studies have emphasised differences between patient and staff ratings, but our analysis of the structure of needs also found similarities in the structures and in the associations between the identified sum scores and measures of symptoms, functioning level, and quality of life.
PubMed ID
15742229 View in PubMed
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