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Background <p>Although many studies from the West and India have evaluated the healthcare needs in patients with schizophrenia, no study has evaluated the healthcare needs of patients with First episode psychosis (FEP) in Indian setting.</p> Aim <p>To assess the health-care needs of the patients with FEP in clinical remission and to explore for the factors associated with healthcare needs in patients with FEP.</p> Methodology <p>103 patients of FEP in clinical remission were assessed on Camberwell Assessment of Needs-Research Version (CAN-R) and Supplementary Assessment of Needs Scale (SNAS) for healthcare needs. Additionally, the patients were assessed for residual psychopathology, subjective cognitive deficits, and functioning.</p> Results <p>About four-fifths (78.6%) of the patients were diagnosed with schizophrenia and mean total duration of illness was 3.05&#xa0;years. The mean CAN-R met, unmet and total healthcare needs were 2.21 (SD:1.79), 4.87 (SD:2.41) and 7.09 (SD:2.90), respectively. The mean SNAS met, unmet and total healthcare needs were 1.83 (SD-1.54), 3.63 (2.12) and 5.46 (2.35), respectively. On CAN-R, most commonly areas of unmet healthcare needs were in the domain of company (79.6%), followed by money (66.0%), sexual expression (63.1%), intimate relationships (62.1%), psychological distress (43.7%) and information about condition and treatment (39.8%). Presence of high level of residual psychopathology, better socio-occupational functioning and better cognitive functioning, and being unmarried/single were found to be associated with greater number of unmet healthcare needs in patients with FEP.</p> Conclusions <p>Most of healthcare needs of patients with FEP are unmet, more so in the domains of company, intimate relationships, finance, psycho-education and more time from clinicians, which should be addressed to improve the overall outcome of FEP.</p>

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Healthcare Needs of Patients with First Episode Psychosis and Their Relationship with Clinical Variables

  • 期刊论文

  • 发表日期：

    2025年12月3日

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  • Raj Laxmi,
  • Swapnajeet Sahoo,
  • Ritu Nehra,
  • Sandeep Grover

摘要

Background

Although many studies from the West and India have evaluated the healthcare needs in patients with schizophrenia, no study has evaluated the healthcare needs of patients with First episode psychosis (FEP) in Indian setting.

Aim

To assess the health-care needs of the patients with FEP in clinical remission and to explore for the factors associated with healthcare needs in patients with FEP.

Methodology

103 patients of FEP in clinical remission were assessed on Camberwell Assessment of Needs-Research Version (CAN-R) and Supplementary Assessment of Needs Scale (SNAS) for healthcare needs. Additionally, the patients were assessed for residual psychopathology, subjective cognitive deficits, and functioning.

Results

About four-fifths (78.6%) of the patients were diagnosed with schizophrenia and mean total duration of illness was 3.05 years. The mean CAN-R met, unmet and total healthcare needs were 2.21 (SD:1.79), 4.87 (SD:2.41) and 7.09 (SD:2.90), respectively. The mean SNAS met, unmet and total healthcare needs were 1.83 (SD-1.54), 3.63 (2.12) and 5.46 (2.35), respectively. On CAN-R, most commonly areas of unmet healthcare needs were in the domain of company (79.6%), followed by money (66.0%), sexual expression (63.1%), intimate relationships (62.1%), psychological distress (43.7%) and information about condition and treatment (39.8%). Presence of high level of residual psychopathology, better socio-occupational functioning and better cognitive functioning, and being unmarried/single were found to be associated with greater number of unmet healthcare needs in patients with FEP.

Conclusions

Most of healthcare needs of patients with FEP are unmet, more so in the domains of company, intimate relationships, finance, psycho-education and more time from clinicians, which should be addressed to improve the overall outcome of FEP.