A comparison of needs of patients with schizophrenia in five European countries:the EPSILON Study

Objective: To compare the occurrence of needs of patients with schizophrenia in Amsterdam, Copenhagen, London, Santander and Verona. Method: Patients with schizophrenia were interviewed with the Camberwell Assessment of Need. The mean numbers of total, met and unmet needs were compared across the si...

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Veröffentlicht in:Acta psychiatrica Scandinavica 2001-05, Vol.103 (5), p.370-379
Hauptverfasser: McCrone, Paul, Leese, Morven, Thornicroft, Graham, Schene, Aart, Knudsen, Helle Charlotte, Vázquez-Barquero, José Luis, Tansella, Michele, Becker, Thomas
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container_end_page 379
container_issue 5
container_start_page 370
container_title Acta psychiatrica Scandinavica
container_volume 103
creator McCrone, Paul
Leese, Morven
Thornicroft, Graham
Schene, Aart
Knudsen, Helle Charlotte
Vázquez-Barquero, José Luis
Tansella, Michele
Becker, Thomas
description Objective: To compare the occurrence of needs of patients with schizophrenia in Amsterdam, Copenhagen, London, Santander and Verona. Method: Patients with schizophrenia were interviewed with the Camberwell Assessment of Need. The mean numbers of total, met and unmet needs were compared across the sites. Ratings for individual domains were also examined. Means were adjusted, using multiple regression analysis, to control for patient differences between sites. Results: The highest levels of unmet need were in Amsterdam and London. The number of met needs were similar. Adjusting for patient differences reduced the estimated number of unmet needs and total needs in Copenhagen, but made little difference elsewhere. There were many site differences for individual domains. Conclusion: Needs vary between different countries. Unmet needs are greater in large urban areas like London and Amsterdam. Differences in the pattern of individual needs may be partly explained in terms of service provision.
doi_str_mv 10.1034/j.1600-0447.2001.00207.x
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Method: Patients with schizophrenia were interviewed with the Camberwell Assessment of Need. The mean numbers of total, met and unmet needs were compared across the sites. Ratings for individual domains were also examined. Means were adjusted, using multiple regression analysis, to control for patient differences between sites. Results: The highest levels of unmet need were in Amsterdam and London. The number of met needs were similar. Adjusting for patient differences reduced the estimated number of unmet needs and total needs in Copenhagen, but made little difference elsewhere. There were many site differences for individual domains. Conclusion: Needs vary between different countries. Unmet needs are greater in large urban areas like London and Amsterdam. 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Method: Patients with schizophrenia were interviewed with the Camberwell Assessment of Need. The mean numbers of total, met and unmet needs were compared across the sites. Ratings for individual domains were also examined. Means were adjusted, using multiple regression analysis, to control for patient differences between sites. Results: The highest levels of unmet need were in Amsterdam and London. The number of met needs were similar. Adjusting for patient differences reduced the estimated number of unmet needs and total needs in Copenhagen, but made little difference elsewhere. There were many site differences for individual domains. Conclusion: Needs vary between different countries. Unmet needs are greater in large urban areas like London and Amsterdam. Differences in the pattern of individual needs may be partly explained in terms of service provision.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>cross-cultural comparison</subject><subject>Europe</subject><subject>Europe - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Interview, Psychological</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental health</subject><subject>mental health services</subject><subject>Middle Aged</subject><subject>Needs Assessment</subject><subject>Organization of mental health. Health systems</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Regression Analysis</subject><subject>Reproducibility of Results</subject><subject>schizophrenia</subject><subject>Schizophrenia - diagnosis</subject><subject>Schizophrenia - epidemiology</subject><subject>Social psychiatry. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adolescent
Adult
Aged
Biological and medical sciences
cross-cultural comparison
Europe
Europe - epidemiology
Female
Humans
Interview, Psychological
Male
Medical sciences
Mental health
mental health services
Middle Aged
Needs Assessment
Organization of mental health. Health systems
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Regression Analysis
Reproducibility of Results
schizophrenia
Schizophrenia - diagnosis
Schizophrenia - epidemiology
Social psychiatry. Ethnopsychiatry
title A comparison of needs of patients with schizophrenia in five European countries:the EPSILON Study
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