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Background factors as determinants of satisfaction with care among first-episode psychosis patients

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Social Psychiatry and Psychiatric Epidemiology Aims and scope Submit manuscript

Abstract

Objective

To evaluate the impact of demographic and psychosocial background factors and psychiatric and functional status before and at admission on the patients' satisfaction with care (PSC) among first-episode psychosis (FEP) patients.

Method

One year after entering the Parachute Project, 134 FEP patients completed a patient satisfaction questionnaire. The association with demographic and psychosocial background factors, together with psychiatric and functional status before and after admission, was analysed.

Results

Twenty-nine per cent of the variance of PSC was explained by factors such as educational level, social network, duration of untreated psychosis (DUP) and Global Assessment of Functioning (GAF) the year prior to onset. Negative symptoms and lack of hope at admission were also predictors of PSC. The strongest predictor was DUP.

Conclusion

Affecting the public knowledge in psychiatric problems and psychiatric treatment, together with early intervention strategies aiming to decrease the prodromal and DUP period among FEP patients, can positively influence the patients' experience of given care. By increasing the knowledge of available psychiatric treatment, the sense of powerlessness might decrease among the affected persons, and the possibility of early help seeking might increase.

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Authors and Affiliations

  1. Dept. of Public Health Sciences, Division of Social Medicine, Karolinska Institute, Stockholm, Sweden

    Maria Mattsson MS, Sc, RN & Yvonne Forsell PhD, MD

  2. Dept. of Psychiatry, R & D section—The Parachute Project, Danderyd Hospital, 18287, Stockholm, Sweden

    Maria Mattsson MS, Sc, RN & J Cullberg PhD, MD

  3. Stockholm Centre of Public Health, Unit of Mental Health, Stockholm, Sweden

    Stephen Lawoko PhD

  4. Stockholm Institute of Education, Stockholm, Sweden

    Ulf Olsson PhD

  5. Dept. of Nursing, Lund University, Lund, Sweden

    Lars Hansson PhD

Authors
  1. Maria Mattsson MS, Sc, RN
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  2. Stephen Lawoko PhD
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  3. J Cullberg PhD, MD
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  4. Ulf Olsson PhD
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  5. Lars Hansson PhD
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  6. Yvonne Forsell PhD, MD
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Corresponding author

Correspondence to Maria Mattsson MS, Sc, RN.

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Mattsson, M., Lawoko, S., Cullberg, J. et al. Background factors as determinants of satisfaction with care among first-episode psychosis patients. Soc Psychiat Epidemiol 40, 749–754 (2005). https://doi.org/10.1007/s00127-005-0945-7

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  • DOI: https://doi.org/10.1007/s00127-005-0945-7

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