Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care

@article{Hert2011PhysicalII,
  title={Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care},
  author={Marc De Hert and Christoph U. Correll and Julio Bobes and Marcelo G Cetkovich-Bakmas and Dan Cohen and Itsuo Asai and Johan Detraux and Shiv Shanker Gautam and Hans-J{\"u}rgen M{\"o}ller and David Musyimi Ndetei and John W Newcomer and Richard Uwakwe and Stefan Leucht},
  journal={World Psychiatry},
  year={2011},
  volume={10}
}
The lifespan of people with severe mental illness (SMI) is shorter compared to the general population. [...] Key Method We searched MEDLINE (1966 - August 2010) combining the MeSH terms of schizophrenia, bipolar disorder and major depressive disorder with the different MeSH terms of general physical disease categories to select pertinent reviews and additional relevant studies through cross-referencing to identify prevalence figures and factors contributing to the excess morbidity and mortality rates…Expand

Paper Mentions

Interventional Clinical Trial
People with serious mental illness such as schizophrenia and bipolar disorder experience high rates of physical illness and die earlier than people without serious mental illness (WHO… Expand
ConditionsMental Disorder, Obesity
InterventionBehavioral
Interventional Clinical Trial
People experiencing severe mental illnesses (SMI), including schizophrenia, psychosis, bipolar disorder and major depressive disorder, are prone to poorer physical health and… Expand
ConditionsBipolar Disorder, Major Depressive Disorder, Schizophrenia
InterventionOther
Interventional Clinical Trial
The proposed study will pilot the use of an adapted Game Squad intervention aimed at improving physical activity and other important health behaviors (nutrition, sleep hygiene… Expand
ConditionsDevelopmental Disorder, Health Behavior, Mental Health Issue (E.G., Depression, Psychosis, Personality Disorder, Substance Abuse), (+1 more)
InterventionBehavioral
Interventional Clinical Trial
The mortality rate among people with Serious Mental Illness (SMI) is 2 to 3 times that of the general population, meaning that those with a serious mental illness die, on average, 25… Expand
ConditionsDepression, Medical Disorders, Schizophrenia, (+1 more)
InterventionBehavioral
Are metabolic disorders part of a severe mental illness? Historical and current perspective
TLDR
SMI seems to be part of a metabolic disorder, which mostly results from the lifestyle, pharmacological treatment, and also the genetic factors, and it should be taken into account that the treatment of SMI always requires monitoring of metabolic indicators. Expand
Physical illness in patients with severe mental disorders . II . Barriers to care , monitoring and treatment guidelines , plus recommendations at the system and individual level
World Psychiatry 10:2 June 2011 As outlined in the first part of this bi-partite publication (1), individuals with severe mental illness (SMI) are at an increased risk for a large number of physicalExpand
Reducing health inequalities for people with serious mental illness.
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Nurses in all practice settings can use health promotion, assessment and treatment to improve the physical health of people with SMI in relation to four areas of health: metabolic syndrome, smoking, oral health and sexual health. Expand
Physical morbidity and mortality in people with mental illness
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A broad range of clinician and organisational factors prevent access to adequate physical healthcare that in turn compounds the above problems. Expand
Health Care and Mortality among Persons with Severe Mental Illness
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In Israel, a country with a national health insurance and a rehabilitation law for persons with mental disabilities, service users with bipolar disorder receive equitable levels of general health care, compared with other countries with universal health insurance. Expand
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Male and female patients with schizophrenia-related disorders showed similar comorbidity prevalence patterns by sex, and liver disease was most prevalent in males and third-most in females, and hypothyroidism in females. Expand
Somatic Problems and Dual Disorder Patients
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There is sufficient evidence that dual disorder patients have a significantly greater medical comorbidity than SMI patients without an SUD, and this is confirmed by additional research on major medical diseases in these patients. Expand
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To what degree medication‐specific and patient‐specific risk factors interact, and how adverse outcomes can be minimized, allowing patients to derive maximum benefits from these medications, requires adequate clinical attention and further research. Expand
Multiple physical healthcare needs among outpatients with schizophrenia: findings from a health examination study
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Health examinations for outpatients with schizophrenia revealed numerous physical healthcare needs, and prevention and treatment of obesity and smoking should be given priority in order to diminish somatic comorbidities in schizophrenia. Expand
PHYSICAL HEALTH CHECKS IN SERIOUS MENTAL ILLNESS: A PROGRAMME OF RESEARCH IN SECONDARY CARE
TLDR
This project used a programme of research to evaluate the impact of the HIP Programme on care processes and patient outcomes and identified that it was possible to identify comorbidities in people with SMI using the structured health check in secondary care and that change in health behaviours and outcomes was possible. Expand
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