Douglas Hospital Research Centre, Douglas Mental Health University Institute, Department of Psychiatry, McGill University, 6875 LaSalle Blvd., Montreal, QC H4H 1R3, Canada.
Psychiatr Q. 2013 Sep;84(3):363-79. doi: 10.1007/s11126-012-9252-0.
For persons suffering from severe mental disorders (SMD), better quantification of needs may facilitate services planning and evaluation, as well as patient recovery. This study aimed to assess associations of sociodemographic, socioeconomic, service utilization, life events, social support and clinical variables with the level of perceived needs of users with SMD globally and according to their factorial structure. A total of 351 adults with SMD from Montreal (Canada) were interviewed using the Montreal Assessment of Needs Questionnaire and seven other standardized instruments. Clinical records were also consulted. Eight variables were associated with levels of needs. Four factors were extracted from the factor analysis and labeled respectively: Helplessness, Social Integration, Functional Skills and Interpersonal Relationships. Models built from needs assessment factors are stronger than global needs and have a greater association with pertinent variables. Linear regression models based on factors show the importance of satisfaction with life domains and substance abuse in association with higher levels of perceived needs. The recognition of variables associated with each factor would optimize care planning and implementation.
对于患有严重精神障碍（SMD）的人来说，更好地量化需求可以促进服务规划和评估，以及患者康复。本研究旨在评估全球 SMD 患者的社会人口统计学、社会经济、服务利用、生活事件、社会支持和临床变量与感知需求水平之间的关联，并根据其因子结构进行评估。共对来自蒙特利尔（加拿大）的 351 名 SMD 成年人进行了访谈，使用了蒙特利尔需求评估问卷和其他七个标准化工具。还查阅了临床记录。有八个变量与需求水平相关。从因子分析中提取了四个因子，并分别标记为：无助感、社会融合、功能技能和人际关系。基于需求评估因素建立的模型比总体需求更强，与相关变量的关联更大。基于因素的线性回归模型表明，对生活领域的满意度和物质滥用与更高的感知需求水平有关。认识到与每个因素相关的变量可以优化护理计划和实施。
