Subjective distress in a representative sample of outpatients with XXXX .

@entity1 @entity147 @entity716 @entity914
BACKGROUND: The affective burden of @entity914 has been increasingly recognised. However, subjective reports of distress and its covariates, especially those related to service use, remain under-investigated in @entity1 with @entity716 . METHODS: This study investigated subjective distress and its covariates in a representative sample of 401 outpatients with a confirmed diagnosis of @entity914 in Brazil. @entity147 was assessed using the corresponding domain of a standardised measure of need - the Camberwell Assessment of Need. RESULTS: @entity147 was reported as a need by 165 (41%) @entity1 , being met in 78 (20%) and unmet in 87 (22%). Hierarchical logistic regression showed that the presence of distress as a need was predicted by attendance at psychotherapy (OR=3.49, CI=1.62-7.53), presence of suicidal ideation (OR=2.89, CI=1.75-4.79), non-attendance at psychosocial rehabilitation (OR=2.84, CI=1.31-6.19), and higher psychopathology (OR=1.09, CI=1.06-1.12). An unmet need was predicted by family not accompanying @entity1 to treatment (OR=2.60, CI=1.05-6.44) and higher psychopathology (OR=1.05, CI=1.02-1.09). LIMITATION: The use of a cross-sectional design and a single questionnaire domain to evaluate distress are the main limitations. CONCLUSIONS: Subjective distress is a common unmet need in @entity716 , and can be treated. The main clinical implication is that subjective distress in @entity716 may be impacted on by family engagement and psychosocial interventions.
