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 Shankar 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…

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.

Physical illness in patients with severe mental disorders . II . Barriers to care , monitoring and treatment guidelines , plus recommendations at the system and individual level

TLDR
A confluence of patient, provider, treatment and system factors has created a situation in which access to and quality of health care is problematic for individuals with SMI, and Table 1 summarizes the barriers to the recognition and management of somatic illnesses in SMI patients.

Reducing health inequalities for people with serious mental illness.

  • N. HallettHelen Rees
  • Medicine
    Nursing standard (Royal College of Nursing (Great Britain) : 1987)
  • 2017
TLDR
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.

Physical morbidity and mortality in people with mental illness

TLDR
A broad range of clinician and organisational factors prevent access to adequate physical healthcare that in turn compounds the above problems.

Health Care and Mortality among Persons with Severe Mental Illness

TLDR
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.

Physical Comorbidity According to Diagnoses and Sex among Psychiatric Inpatients in South Korea

TLDR
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.

Somatic Problems and Dual Disorder Patients

TLDR
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.

Effects of antipsychotics, antidepressants and mood stabilizers on risk for physical diseases in people with schizophrenia, depression and bipolar disorder

TLDR
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.

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.

Multiple physical healthcare needs among outpatients with schizophrenia: findings from a health examination study

TLDR
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.
...

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