Evidence map›Paper›PMID 24313930›Full record

ArticleBMC psychiatry2013

A follow-up on patients with severe mental disorders in Sardinia after two changes in regional policies: poor resources still correlate with poor outcomes.

Mauro Giovanni Carta, Matthias C Angermeyer, Federica Sancassiani, Francesco Tuligi, Roberto Pirastu, Anna Pisano, Elisa Pintus, Gisa Mellino, Mirra Pintus, Emanuele Pisanu and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.6field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Observational
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  4. Implementing WHO-Quality Rights Project in Tunisia: Results of an Intervention at Razi Hospital.Clinical practice and epidemiology in mental health : CP & EMH · 2020
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  6. The Elderly and the City: Lack of Knowledge on Violence Perception and Consequences on Daily Life.Clinical practice and epidemiology in mental health : CP & EMH · 2018
    Review
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  9. The Physical Body Experiences Questionnaire Simplified for Active Aging (PBE-QAG).Clinical practice and epidemiology in mental health : CP & EMH · 2018
    Article
  10. Article
  11. Article
  12. Article
  13. Organizational Wellbeing among Workers in Mental Health Services: A Pilot Study.Clinical practice and epidemiology in mental health : CP & EMH · 2015
    Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 2 countries.

Mauro Giovanni CartaDepartment of Public Health, Clinical and Molecular Medicine, University of Cagliari, via Ospedale, 117 Cagliari, Italy. mgcarta@tiscali.it.
Matthias C Angermeyer
Federica Sancassiani
Francesco Tuligi
Roberto Pirastu
Anna Pisano
Elisa Pintus
Gisa Mellino
Mirra Pintus
Emanuele Pisanu
Maria Francesca Moro
Davide Massidda
Giuseppina Trincas
Dinesh Bhugra
University of Cagliari · ITPsychiatry Research Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis survey followed a cohort of patients with chronic psychosis recruited from five catchment areas (DSMs) of the Sardinian community mental health services. The objective was to examine whether the amount of resources in the different sites may be a determinant of the outcomes.

methodsNaturalistic follow-up study on 309 consecutive users with diagnosis of schizophrenic disorder, schizoaffective disorder, bipolar affective disorder with psychotic symptoms (DSM-IV TR) of five Sardinian community mental health services. Mental state and clinical symptoms along with functioning were assessed using semi-structured clinical interviews (ANTAS), Clinical Global Impression Severity Scale (CGI-S), Global Assessment of Functioning Scale (GAF) and Health of the Nation Outcome Scales (HONOS). Assessments were conducted at the beginning of the study and after one year.

resultsThe proportion of professionals working in all DSMs participating in the study was found lower than the national Italian standard (0.7 vs. 1.0 per 1,500 inhabitants). Follow-up revealed significant differences between DSMs in the improvement of the Honos scores (F = 5.932, p = 0.000). These differences correlate with the improvement of resources in terms of number of professionals during, and one year prior, to the trial.

conclusionsThe study shows that mental health services provided in the public sector in Sardinia are still very resource-poor, at least in terms of human resources. Our findings suggest that mental health service resources influence outcomes as regards the social functioning of users. We urge policy makers to take these observations into account when planning future services.

Indexed as

Community Mental Health ServicesHealth PolicyHealth ResourcesHealth Services Needs and DemandAdultFemaleFollow-Up StudiesHumansItalyMaleMiddle AgedPsychotic DisordersTreatment Outcome

Identifiers

PMID24313930
PMCPMC4029176
OpenAlexW2012402827

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.