{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T19:24:44Z","timestamp":1777749884564,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,10,4]],"date-time":"2020-10-04T00:00:00Z","timestamp":1601769600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Soc Psychiatry"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Schizophrenia spectrum disorders (SSD) are the most impairing psychiatric disorders and are a major cause of social exclusion. Despite that, there are only two studies published assessing the socioeconomic characteristics of SSD patients living in Portugal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>The purpose of this study is to assess the degree of social and family support for SSD patients living in the region of \u2018T\u00e2mega e Sousa\u2019, in northern Portugal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>We conducted a cross-sectional observational study using patients under home-based care provided by the Department of Psychiatry and Mental Health of Centro Hospitalar do T\u00e2mega e Sousa. We retrieved sociodemographic data from clinical records. The study was approved by the Hospital Ethics Committee.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Our sample consists on 67 patients with SSD, mostly men (74.6%). Although the majority was single (69.2%) and childless (85.7%), only a minority lived alone (21.2%). In relation to their professional status, only 5.0% were employed and 78.3% got a disability pension. Among the patients that lived accompanied, 68% lived with their parents or grandparents, and a quarter lived with family members affected by psychiatric disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>These findings highlight the dependence of SSD patients on their family\u2019s support. Lack of labour market integration, economic dependence and difficulty establishing stable relationships further aggravate their social exclusion. Although our results are consistent with a previous observational study held in Portugal, our patients display a worse functional status. Even considering the possible patient selection bias, there is evidence supporting the need for more investment in psychosocial rehabilitation that should take into account the sociodemographic idiosyncrasies of this Portuguese region.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0020764020962534","type":"journal-article","created":{"date-parts":[[2020,10,5]],"date-time":"2020-10-05T01:17:05Z","timestamp":1601860625000},"page":"441-447","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Living conditions of patients with schizophrenia spectrum disorders in the region of \u2018T\u00e2mega e Sousa\u2019 (Portugal)"],"prefix":"10.1177","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7458-4331","authenticated-orcid":false,"given":"Rui","family":"Barranha","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Mental Health, Centro Hospitalar do T\u00e2mega e Sousa, Penafiel, Portugal"}]},{"given":"T\u00e2nia","family":"Teixeira","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Mental Health, Centro Hospitalar do T\u00e2mega e Sousa, Penafiel, Portugal"}]},{"given":"Jo\u00e3o","family":"Quarenta","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Mental Health, Centro Hospitalar do T\u00e2mega e Sousa, Penafiel, Portugal"}]},{"given":"Orlando","family":"von Doellinger","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Mental Health, Centro Hospitalar do T\u00e2mega e Sousa, Penafiel, Portugal"},{"name":"Department of Clinical Neurosciences and Mental Health, Faculty of Medicine of the University of Porto, Porto, Portugal"}]}],"member":"179","published-online":{"date-parts":[[2020,10,4]]},"reference":[{"key":"bibr1-0020764020962534","doi-asserted-by":"crossref","unstructured":"Alegr\u00eda M., NeMoyer A., Falg\u00e0s Bagu\u00e9 I., Wang Y., Alvarez K. (2018). Social determinants of mental health: Where we are and where we need to go. Current Psychiatry Reports, 20(11), 95. https:\/\/doi.org\/10.1007\/s11920-018-0969-9","DOI":"10.1007\/s11920-018-0969-9"},{"key":"bibr2-0020764020962534","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association. (2013). Schizophrenia spectrum and other psychotic disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). Author. https:\/\/doi.org\/10.1176\/appi.books.9780890425596.dsm02","DOI":"10.1176\/appi.books.9780890425596.dsm02"},{"key":"bibr3-0020764020962534","doi-asserted-by":"crossref","unstructured":"Evensen S., Wisl\u00f8ff T., Lystad J. U., Bull H., Ueland T., Falkum E. (2016). Prevalence, employment rate, and cost of schizophrenia in a high-income welfare society: A population-based study using comprehensive health and welfare registers. Schizophrenia Bulletin, 42(2), 476\u2013483. https:\/\/doi.org\/10.1093\/schbul\/sbv141","DOI":"10.1093\/schbul\/sbv141"},{"key":"bibr4-0020764020962534","first-page":"3716","volume-title":"Kaplan & Sadock\u2019s comprehensive textbook of psychiatry","volume":"1","author":"Jablensky A.","year":"2017","edition":"10"},{"key":"bibr5-0020764020962534","unstructured":"Marques-Teixeira J., Pereira A., Silva A., Marieiro J., Humberto M., Guerreiro J. (2005). Caracteriza\u00e7\u00e3o de doentes portugueses com esquizofrenia: Resultados da avalia\u00e7\u00e3o do estudo observacional SOHO no in\u00edcio do estudo [Characterisation of schizophrenia patients in Portugal: Results from the baseline assessment of SOHO observational study]. Sa\u00fade Mental 7(4), 13\u201321. https:\/\/sigarra.up.pt\/faup\/pt\/pub_geral.pub_view?pi_pub_base_id=81909"},{"key":"bibr6-0020764020962534","doi-asserted-by":"crossref","unstructured":"Marwaha S., Johnson S., Bebbington P., Stafford M., Angermeyer M. C., Brugha T., Azorin J. M., Kilian R., Hansen K., Toumi M. (2007). Rates and correlates of employment in people with schizophrenia in the UK, France and Germany. The British Journal of Psychiatry: The Journal of Mental Science, 191(1), 30\u201337. https:\/\/doi.org\/10.1192\/bjp.bp.105.020982","DOI":"10.1192\/bjp.bp.105.020982"},{"key":"bibr7-0020764020962534","doi-asserted-by":"crossref","unstructured":"Morin L., Franck N. (2017). Rehabilitation interventions to promote recovery from schizophrenia: A systematic review. Frontiers in Psychiatry, 8, 100. https:\/\/doi.org\/10.3389\/fpsyt.2017.00100","DOI":"10.3389\/fpsyt.2017.00100"},{"key":"bibr8-0020764020962534","doi-asserted-by":"crossref","unstructured":"Papageorgiou G., Ca\u00f1as F., Zink M., Rossi A. (2011). Country differences in patient characteristics and treatment in schizophrenia: Data from a physician-based survey in Europe. 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