Disagreement between service-users and clinicians assessment of physical health during early psychosis.
Early Interv Psychiatry
; 13(2): 314-317, 2019 Apr.
Article
em En
| MEDLINE
| ID: mdl-29707910
ABSTRACT
AIMS:
Physical illnesses account for the majority of excess deaths following psychosis; access to care and treatment is inequitable and schizophrenia has now been dubbed the life-shortening disease. We compared service-users and clinician's perspectives of their physical health assuming that one of the fundamental issues in prompting screening and treatment is the view that health is poor.METHODS:
Data comprising sample characteristics, diagnosis, symptoms, insight, antecedents to psychosis and physical health perspectives were obtained prospectively as part of a larger epidemiological study of first-episode psychosis. We compared physical health perspectives between service-users and clinicians and examined clinical correlates.RESULTS:
Contrary to our expectations, we found that service-users reported poorer physical health over time than clinicians did.CONCLUSION:
Reconciling service-users and clinician's views of physical health may be an important step towards collaborative care and improving access to better quality healthcare for serious mental illness.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Relações Médico-Paciente
/
Transtornos Psicóticos
/
Esquizofrenia
/
Psicologia do Esquizofrênico
/
Indicadores Básicos de Saúde
/
Dissidências e Disputas
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Early Interv Psychiatry
Assunto da revista:
PSIQUIATRIA
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Reino Unido