Excess mortality in subjects with severe mental illness: A matter of serious concern

Nielsen, René Ernst; Straszek, Sune Puggaard Vogt; Kovács, Zoltán; Licht, Rasmus W

doi:10.1111/bdi.12898

Cited by 5 publications

(4 citation statements)

References 5 publications

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“…33 Given this primary driver for higher mortality, patients with SMI might need earlier and more intensive treatment for cardiovascular risk factors than individuals without SMI. 34 Our results also suggested that healthcare workers need to pay attention to the CVD situation of PMI and implement preventive measures as soon as possible. Despite the lack of significant differences in the number of comorbidities between the three groups, the high prevalence is sufficient to prompt medical staff and policymakers to pay more attention to problems arising from comorbidities faced by PMI.…”

Section: Discussionmentioning

confidence: 62%

“…The American Heart Association has stated that major depressive disorder and bipolar disorder predispose young individuals to accelerated atherosclerosis and early cardiovascular death 33 . Given this primary driver for higher mortality, patients with SMI might need earlier and more intensive treatment for cardiovascular risk factors than individuals without SMI 34 . Our results also suggested that healthcare workers need to pay attention to the CVD situation of PMI and implement preventive measures as soon as possible.…”

Section: Discussionmentioning

confidence: 70%

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Physical condition and activity of daily living among aging inpatients with mental disorders in Guangzhou, China: a cross‐sectional study

Wu,

Ye,

Wang

et al. 2023

Psychogeriatrics

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Background: The number of elderly with mental disorders is increasing, but few studies have been concerned with the physical condition and activities of daily living (ADL) of these patients. This study aims to describe the physical condition and ADL of patients with mental illnesses (PMI) from different age groups, which provides evidence to improve mental health services for PMI. Methods: In this prospective cross-sectional study, the samples were divided into three groups of less than 60 years old (group 1), 60-74 years old (group 2), and over 75 years old (group 3) for comparison. Participants' ADL and physical condition were measure by Barthel Index (BI), Functional Activities Questionnaire (FAQ), Standardised swallowing assessment (SSA) and Short Form of Mini Nutrition Assessment (MNA-SF). The Brief Psychiatric Rating Scale (BPRS) and the Mini-Mental State Examination (MMSE) were used to measure psychological condition. Results: Totally, 392 participants had been recruited, meanwhile 86% of them were diagnosed with at least one physical disease. There were statistically significant differences in the three groups of participants in BI (F = 50.603, P < 0.001), FAQ (F = 40.332, P < 0.001), SSA (F = 28.574, P < 0.001), and MNA-SF (F = 18.366, P < 0.001). Group 2 and group 3 had significantly lower scores in BI and FAQ than group 1, and the SSA scores were significantly higher than the participants in group 1. In the negative symptoms subscale of BPRS, the mean score of group 3 was significantly higher than groups 1 and 2. Negative symptom subscale has different degrees of correlation with BI (r = À0.537), FAQ (r = 0.643), SSA (r = 0.480), MNA (r = À0.325) and MMSE (r = 0.607). In addition, the participants with comorbidities were related to BI (r = -0.364). Conclusion: Somatic comorbidities play a pivotal role in the clinical characteristics of elderly patients with mental illness, thus greater effort should be paid to elderly patients suffering from mental illness with dysphagia, malnutrition, and cognitive decline. Further, the negative symptoms of elderly patients with mental disorders also deserve attention.

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Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 70%

Physical condition and activity of daily living among aging inpatients with mental disorders in Guangzhou, China: a cross‐sectional study

Wu,

Ye,

Wang

et al. 2023

Psychogeriatrics

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“…When considering the social context of this research, which was illustrated by an everyday life environment in which people with schizophrenia experienced various ongoing physical health issues and daily challenges related to mental and physical health, both the participants with schizophrenia and the MHCPs may have become habituated to these issues as a usual and expected aspect of life. Even though there may be some community and professional outrage about how people with SMI face slowly deteriorating physical health and early death [36][37][38], at the same time there is high potential for this poor physical health to be perceived as a normal part of everyday life for this group. Witnessing (by MHCPs and others) or experiencing (by people with schizophrenia) poor physical health over and over again can become a routine that remains unchallenged, which in turn minimises or blurs any moral imperative to facilitate change [34].…”

Section: Discussionmentioning

confidence: 99%

“It’s Not Important”—The Social Constructing of Poor Physical Health as ‘Normal’ among People with Schizophrenia: Integrated Findings from an Ethnographic Study

Lerbæk

Jørgensen

McCloughen

2023

IJERPH

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People with schizophrenia have shortened life expectancy partly due to physical ill health. Management of coexisting mental and physical health issues is complex, and knowledge in the field is lacking. This study investigated how physical health was managed among people with schizophrenia, by integrating findings from three separate analyses conducted in an ethnographic study. Qualitative data generation methods were used; 505 h of field work were undertaken among nine participants with schizophrenia and 27 mental healthcare professionals were interviewed using a semi-structured interview approach. Three separate analyses were conducted using thematic and discourse analysis. Progressive focusing was used to integrate findings. Across the mental health care contexts that were part of this research, managing physical health was characterised by a lack of recognition of the seriousness of physical health issues as part of everyday life among people with schizophrenia. Poor physical health was accounted for as being “not of importance” by both mental health care professionals and the participants experiencing physical health issues. The integrated findings offer new insights about the social co-construction of poor physical health as something normal. At the individual level, this shared understanding by people with schizophrenia and healthcare professionals contributed to sustaining inexpedient management strategies of “modifying” behaviour or “retreating” from everyday life when physical health issues were experienced.

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“…When considering the social context of this research, which was illustrated by an everyday life environment in which people with schizophrenia experienced various ongoing physical health issues and daily challenges related to mental and physical health, both the participants with schizophrenia and the MHCPs may have become habituated to these issues as a usual and expected aspect of life. While there may be some community and professional outrage about how people with SMI face slowly deteriorating physical health and an early death (Chwastiak, 2015;R. E. Nielsen, Straszek, Kovacs, & Licht, 2020;Thornicroft, 2011), there is high potential for ill-health to be perceived as a normal part of everyday life.…”

Section: Discussion Of Findingsmentioning

confidence: 99%

Managing physical health issues in everyday life: An ethnographic study among people with schizophrenia

Lerbæk¹

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General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.-Users may download and print one copy of any publication from the public portal for the purpose of private study or research. -You may not further distribute the material or use it for any profit-making activity or commercial gain -You may freely distribute the URL identifying the publication in the public portal -8 9 Managing physical health issues by 'modifying or 'retreating'. An ethnographic study among a group of Danish people with schizophrenia

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Excess mortality in subjects with severe mental illness: A matter of serious concern

Cited by 5 publications

References 5 publications

Physical condition and activity of daily living among aging inpatients with mental disorders in Guangzhou, China: a cross‐sectional study

Physical condition and activity of daily living among aging inpatients with mental disorders in Guangzhou, China: a cross‐sectional study

“It’s Not Important”—The Social Constructing of Poor Physical Health as ‘Normal’ among People with Schizophrenia: Integrated Findings from an Ethnographic Study

Managing physical health issues in everyday life: An ethnographic study among people with schizophrenia

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