[Needs of people with severe mental illness].

IF 0.9 4区医学 Q4 CLINICAL NEUROLOGY

Nervenarzt Pub Date : 2025-05-19 DOI:10.1007/s00115-025-01835-5

Johanna Breilmann, Andreas Allgöwer, Reinhold Kilian, Uta Gühne, Steffi G Riedel-Heller, Alkomiet Hasan, Thomas Becker, Peter Falkai, Klemens Ajayi, Peter Brieger, Karel Frasch, Theresa Halms, Stephan Heres, Markus Jäger, Andreas Küthmann, Albert Putzhammer, Bertram Schneeweiß, Michael Schwarz, Markus Kösters

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引用次数: 0

Abstract

Background: Due to illness-related functional limitations, a significant proportion of individuals with severe mental illness are dependent on external assistance to navigate their daily lives and achieve an optimal level of independence and wellbeing.

Objectives: The present study sought to investigate the needs, the coverage of needs and the influencing factors among people with severe mental illness in Germany.

Methods: The study included patients diagnosed with severe mental illness. The met and unmet needs, as well as the potential influencing factors, were collected using Camberwell Assessment of Need (CAN) and Client Sociodemographic and Service Receipt Inventory (CSSRI) and subsequently analysed descriptively and exploratively.

Results: The mean number of reported needs was 6.4, with an average of 40.6% of these needs being met. The vast majority of patients (98%) require professional support, which is, from their perspective, inadequate (9-86% depending on the area concerned). Additionally, many patients also receive support from relatives (7-57% depending on the area concerned). The diagnosis, age, functioning, household income, and housing situation have an influence on the number and coverage of needs.

Conclusions: The findings indicate that patients have diverse and complex needs, which are not fully met. Notably, the support provided by professional services is perceived as inadequate.

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[严重精神疾病患者的需要]。

背景：由于疾病相关的功能限制，很大一部分患有严重精神疾病的个体依赖外部援助来导航他们的日常生活，并达到最佳水平的独立性和幸福感。目的：调查德国重度精神疾病患者的心理需求、心理需求的覆盖范围及其影响因素。方法：研究对象为诊断为严重精神疾病的患者。使用Camberwell需求评估（CAN）和客户社会人口和服务接收量表（CSSRI）收集已满足和未满足的需求以及潜在的影响因素，并随后进行描述性和探索性分析。结果：报告需求的平均数量为6.4个，平均有40.6%的需求得到满足。绝大多数患者（98%）需要专业支持，从他们的角度来看，这是不足的（9-86%，取决于相关地区）。此外，许多患者还得到亲属的支持（7-57%，取决于有关地区）。诊断、年龄、功能、家庭收入和住房状况对需求的数量和覆盖范围有影响。结论：研究结果表明，患者的需求是多样而复杂的，并没有得到充分满足。值得注意的是，专业服务提供的支助被认为是不够的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nervenarzt 医学-精神病学

CiteScore

2.50

自引率

18.20%

发文量

169

审稿时长

4-8 weeks

期刊介绍： Der Nervenarzt is an internationally recognized journal addressing neurologists and psychiatrists working in clinical or practical environments. Essential findings and current information from neurology, psychiatry as well as neuropathology, neurosurgery up to psychotherapy are presented. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of neurology and psychiatry. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.