Subjective distress in a representative sample of outpatients with psychotic disorders

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 distr...

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Bibliographic Details
Published in:Journal of affective disorders 2016-01, Vol.189, p.220-223
Main Authors: Andrade, Mário César Rezende, Slade, Mike, Bandeira, Marina, Evans-Lacko, Sara, Komaroff, Janina, Martin, Denise, Mari, Jair de Jesus, Andreoli, Sérgio Baxter
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Ambulatory Care
Brazil
Cross-Sectional Studies
Distress
Female
Health Surveys
Humans
Logistic Models
Male
Middle Aged
Needs Assessment
Outcome
Psychiatry
Psychological stress
Psychotherapy
Psychotic disorders
Psychotic Disorders - psychology
Psychotic Disorders - therapy
Suicidal Ideation
Surveys and Questionnaires
Young Adult
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Summary: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 psychosocial interventions.
ISSN:0165-0327
1573-2517
DOI:10.1016/j.jad.2015.08.075