Association between unmet needs and clinical status in patients with first episode of schizophrenia in Chile

Abstract

© 2015 Jorquera, Alvarado, Libuy and de Angel. Background: Schizophrenia is a severe mental disorder involving needs in several matters that are often not covered. A need is defined as a gap between the ideal state and the current state of a patient about a specific topic. Aim: To describe needs in patients with first episode of schizophrenia at the start of treatment and to describe associated clinical factors. Methods: Observational descriptive cross-sectional design. Patients were over 15 years old, with first episode schizophrenia, and admitted to treatment in the public health system from six districts in two cities of Chile, between 2005 and 2006. Sociodemographic data, clinical evaluations of current psychosis based on the Positive and Negative Syndrome Scale (PANSS), and the time of untreated psychosis were obtained. A clinical interview was carried out followed by the Camberwell Assessment of Need. Results: Twenty-nine patients were evaluated, 79.3% male, mean age 21.9 years o