Assessing Obesity and Other Related Health Problems of Mentally Ill Hispanic Patients in an Urban Outpatient Setting

Hellerstein, David J.; Almeida, Goretti; Devlin, Michael J.; Mendelsohn, Nathaniel; Helfand, Stacia; Dragatsi, Dianna; Miranda, Raquel Sales; Kelso, Julie R.; Capitelli, Lucia

doi:10.1007/s11126-007-9038-y

Cited by 19 publications

(25 citation statements)

References 33 publications

(30 reference statements)

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“…Disparities in cardiovascular disease risk factors among Latinos with and without SMI have been well-documented (Hellerstein et al, 2007; Kato et al, 2004; Mensah, Mokdad, Ford, Greenlund, & Croft, 2005; Romero, Romero, Shlay, Ogden, & Dabelea, 2012). Consistent with prior studies, most of the participants in our study reported either having diabetes, hypertension, or high cholesterol, or being at high risk for these conditions due to family history and current health status (i.e., obesity).…”

Section: Discussionmentioning

confidence: 99%

Perspectives of overweight Latinos with serious mental illness on barriers and facilitators to health behavior change.

Jimenez¹,

Aschbrenner²,

Burrows³

et al. 2015

Journal of Latina/o Psychology

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Serious mental illness (SMI) and Latino ethnicity can produce a compounded health disparity, placing individuals at particularly high risk for excess morbidity and premature mortality. Culturally sensitive strategies are needed to improve health behaviors, including exercise and healthy eating within this population. The purpose of this qualitative study was to explore facilitators, barriers, and preferences for health behavior change among Latinos with SMI. Semi-structured interviews were conducted with 20 Latinos with SMI who were enrolled in a randomized trial evaluating the effectiveness of a motivational health promotion intervention, In SHAPE. The interviews explored perceived facilitators and barriers to health behavior change, focusing on the role of family, and exercise preferences. The primary facilitator identified by participants was having someone (either professional or significant other) to hold them accountable for engaging in healthy behaviors. A major barrier to making lasting health behavior change was cultural influences on food. Participants preferred aerobic exercises set to music that kept their minds occupied in contrast to strenuous activities such as weight lifting. This exploratory research provides insight into the perspectives, experiences, and preferences of Latinos with SMI participating in a health promotion intervention. Findings will be used to inform future health promotion efforts adapted to meet the needs of an ethnically diverse, underserved community.

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Section: Discussionmentioning

confidence: 99%

Perspectives of overweight Latinos with serious mental illness on barriers and facilitators to health behavior change.

Jimenez¹,

Aschbrenner²,

Burrows³

et al. 2015

Journal of Latina/o Psychology

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“…To directly address this gap in the literature, we were interested in exploring relationships of LGMs to stress-coping, recovery, and active living within an often marginalized population-individuals with mental illness (e.g., major depression, bipolar disorders, schizophrenia). The rationale for specifically examining these relationships within this population is that a. people seem to gain valued life meanings as a result of effectively coping with stress through leisure pursuits (Heintzman, 2008;Hutchinson, Yarnal, Staffordson, & Kerstetter, 2008;Iwasaki, MacKay, Mactavish, Ristock, & Bartlett, 2006), b. meaning-making has been found as a key process to recovery from mental illness (Oades, Crowe, & Nguyen, 2009;Schön, 2010;Stainsby, Sapochnik, Bledin, & Mason, 2010), and c. the pursuit of active living is important for people with mental illness to address the high prevalence of obesity and inactive/sedentary lifestyle among this population group (Citrome & Vreeland, 2009;Hellerstein et al, 2007;Mangurian, Stowe, & Devlin, 2009). …”

mentioning

confidence: 99%

Leisure-Generated Meanings and Active Living for Persons With Mental Illness

Iwasaki

Coyle

Shank

et al. 2013

Rehabilitation Counseling Bulletin

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Leisure may potentially play a key role in rehabilitation counseling, including psychiatric rehabilitation. Based on recovery and positive psychology frameworks in which meaning-making is a central concept, this study examined the role of leisuregenerated meanings (LGMs) experienced by culturally diverse individuals with mental illness in potentially helping them better cope with stress, adjust to and recover from mental illness, as well as feel more actively engaged in life. One-onone survey interviews were conducted with African (n = 35), Hispanic/Latino (n = 28), Caucasian (n = 28), and Asian (n = 8) American adults (aged between 23 and 78) (total n = 101) with mental illness (e.g., bipolar disorder, n = 32; major depression, n = 23; schizophrenia, n = 22) in Philadelphia, Pennsylvania. Using general linear modeling, we found that LGMs significantly predicted the adjustment to and recovery from mental illness, leisure stress-coping, leisure satisfaction, and perceived active living positively, and lower leisure boredom. The findings have implications for psychiatric rehabilitation to better support persons with mental illness from a strengths-based, meaning-centered, and active-living promotion perspective in which leisure seems to play an important role.

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“…This is an important population to examine because it is disproportionately affected by physical and mental health disparities (AHRQ, 2011; Barrio et al, 2003; Hellerstein et al, 2007; Kato et al, 2004; Mensah et al, 2005). We found that Latinos with SMI had a very positive view of health behavior change.…”

Section: Discussionmentioning

confidence: 99%

“…Premature mortality in adults with SMI is most often linked to cardiovascular disease (CVD) caused by preventable health behaviors such as sedentary lifestyles, obesity, and poor dietary habits (Colton & Manderscheid, 2006). Second, Latino adults with SMI have a significantly greater prevalence of CVD risk factors, such as obesity and metabolic syndrome, compared to non-Latino Whites with SMI (Hellerstein et al, 2007; Kato, Currier, Gomez, Hall, & Gonzalez-Blanco, 2004; Mensah, Mokdad, Ford, Greenlund, & Croft, 2005). In addition, CVD-related outcomes are worse for Latinos with SMI than Latinos in the general population, or than non-Latino Whites with these psychiatric disorders (Carliner et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, health behavior change interventions may seem less stigmatizing and more culturally relevant because they match Latinos’ beliefs about mental illness (Carpenter-Song et al, 2010; Jimenez et al, 2012). Because comorbid physical illness is a salient issue for many Latinos with SMI (Hellerstein et al, 2007; Kato et al, 2004; Mensah et al, 2005), health behavior change interventions that link physical activity and proper nutrition to improvement of mental health may motivate Latinos with SMI to adopt healthy lifestyle behaviors. There is also growing evidence to suggest that increased physical activity and nutrition can lead to improved mental and physical health outcomes as well as increased quality of life (Calvert, Isaac, & Johnson, 2012; Jennings-Sanders, 2003).…”

Section: Introductionmentioning

confidence: 99%

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Health behavior change benefits: Perspectives of Latinos with serious mental illness

Jimenez

Burrows

Aschbrenner

et al. 2016

Transcult Psychiatry

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The objective of this study was to explore the perceived benefits of engaging in health behavior change from the viewpoint of overweight and obese Latinos with severe mental illness (SMI) enrolled in the U.S. Qualitative, semistructured interviews were conducted with 20 obese Latinos with SMI who were enrolled in a randomized trial evaluating the effectiveness of a motivational health promotion intervention adapted for persons with SMI. Overweight and obese Latino participants believed that engaging in health behavior change would have both physical and mental health benefits, including chronic disease management, changes in weight and body composition, and increased self-esteem. Interventions that explicitly link physical activity and healthy eating to improvements in mental health and well-being may motivate Latinos with SMI to adopt health behavior change.

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Assessing Obesity and Other Related Health Problems of Mentally Ill Hispanic Patients in an Urban Outpatient Setting

Cited by 19 publications

References 33 publications

Perspectives of overweight Latinos with serious mental illness on barriers and facilitators to health behavior change.

Perspectives of overweight Latinos with serious mental illness on barriers and facilitators to health behavior change.

Leisure-Generated Meanings and Active Living for Persons With Mental Illness

Health behavior change benefits: Perspectives of Latinos with serious mental illness

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