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Structure of needs among persons with schizophrenia

Korkeila, J; Heikkila, J; Hansson, Lars LU ; Sorgaard, K; Vahlberg, T and Karlsson, H (2005) In Social Psychiatry and Psychiatric Epidemiology 40(3). p.233-239
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.... (More)
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. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
quality of, life, cross-sectional, needs assessment, community, schizophrenia
in
Social Psychiatry and Psychiatric Epidemiology
volume
40
issue
3
pages
233 - 239
publisher
Steinkopff
external identifiers
  • pmid:15742229
  • wos:000227370900009
  • scopus:14944358639
ISSN
0933-7954
DOI
10.1007/s00127-005-0888-z
language
English
LU publication?
yes
id
3c536bac-1d62-4b85-a0b8-3a810e0fed08 (old id 897210)
date added to LUP
2008-01-16 13:13:28
date last changed
2017-10-29 03:32:05
@article{3c536bac-1d62-4b85-a0b8-3a810e0fed08,
  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.},
  author       = {Korkeila, J and Heikkila, J and Hansson, Lars and Sorgaard, K and Vahlberg, T and Karlsson, H},
  issn         = {0933-7954},
  keyword      = {quality of,life,cross-sectional,needs assessment,community,schizophrenia},
  language     = {eng},
  number       = {3},
  pages        = {233--239},
  publisher    = {Steinkopff},
  series       = {Social Psychiatry and Psychiatric Epidemiology},
  title        = {Structure of needs among persons with schizophrenia},
  url          = {http://dx.doi.org/10.1007/s00127-005-0888-z},
  volume       = {40},
  year         = {2005},
}