Food insecurity and mental illness: disproportionate impacts in the context of perceived stress and social isolation

Martin, Michael S.; Maddocks, E.; Chen, Y.; Gilman, Stephen E.; Colman, Ian

doi:10.1016/j.puhe.2015.11.014

Cited by 159 publications

(122 citation statements)

References 18 publications

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“…This high intake may be attributed to a number of reasons, including both the impact of the illness itself (executive performance and negative symptoms) 24 and side effects of psychotropic medications, 22 as well as less well-documented factors, such as financial constraints and food insecurity. 25 Food addiction is an evolving field. Although it is not a Diagnostical and Statistical Manual of Mental Disorders diagnosis, 26 there is a higher prevalence in those with mental illness, which may be attributed to psychiatric symptoms, such as low mood, or exacerbated by psychotropic medications.…”

Section: Discussionmentioning

confidence: 99%

Dietary intake, food addiction and nutrition knowledge in young people with mental illness

Teasdale

Burrows

Hayes

et al. 2019

Nutrition & Dietetics

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Aim: The aim of this study was to comprehensively assess dietary intake, nutrition knowledge and food addiction in young people with mental illness. Methods: This was a three-arm cross-sectional study of 16-25-year-olds attending community mental health services who met criteria for: (i) first-episode psychosis (FEP), (ii) ultra-high risk for psychosis (UHR) or (iii) depression/ anxiety. Participants self-completed three validated questionnaires: (i) Australian Eating Survey, (ii) General Nutrition Knowledge Questionnaire-Revised and (iii) Yale Food Addiction Score Questionnaire. Results: Thirty participants (mean age 19.7 AE 2.5 years) completed the study (10 per study arm); 43% of the energy intake was obtained from energy-dense, non-nutritious foods, higher than the recommended upper limit (<15%) and the levels reported in the general population (35%). Mean diet quality score was 33.5 AE 11.8 of 73. Mean food addiction symptom score was 3.3 AE 3.7. Prevalence of food addiction was 37%. Nutrition knowledge was lower in the FEP and UHR participants than the depression/anxiety group (48.2 AE 13.8 and 49.5 AE 8.2 of 88 respectively); however, this difference was not statistically significant. Conclusions: Unhealthy dietary intake was observed in the early stages of mental illness, likely seeding future poor physical health. Further research is needed on the role of food addiction in this population, including effective intervention techniques.

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Section: Discussionmentioning

confidence: 99%

Dietary intake, food addiction and nutrition knowledge in young people with mental illness

Teasdale

Burrows

Hayes

et al. 2019

Nutrition & Dietetics

View full text Add to dashboard Cite

show abstract

“…Food insecurity is the lack of or limited access to food or to nutritious diet because of financial constraints, and is estimated to affect more than two thirds of individuals who experience homelessness with a mental disorder. [12][13][14][15][16][17] While having a severe mental disorder is an underlying contributor to food insecurity [11,18], the relationships are bidirectional; food insecurity is also a risk factor for mental health problems, including depressive symptoms, mood disorder, stress and anxiety, [19][20][21][22] suicidality, [19,23,24] substance abuse, [15,25] and poor cognitive performance [26,27].…”

Section: Introductionmentioning

confidence: 99%

Mental and substance use disorders and food insecurity among homeless adults participating in the At Home/Chez Soi study

et al. 2020

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Background Few studies have examined how food insecurity changes over time when living with severe mental disorders or substance use disorders. This study identifies food insecurity trajectories of homeless adults participating in a trial of a housing intervention and examines whether receiving the intervention and having specific mental and substance disorders predict food insecurity trajectories.

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“…Garthwaite's study also revealed the lack of predictable food supply was commonly reported as an additional challenge for those affected by pre-existing mental health conditions, with the effort and mental energy associated with trying to maintain access to a food supply [32]. High income countries that are able to monitor HFI prevalence have found a clear association with food insecurity and poor mental health outcomes [63][64][65][66][67][68] including suicidal ideation and substance use problems in young adulthood [63,69].…”

Section: Discussionmentioning

confidence: 99%

A qualitative investigation of lived experiences of long-term health condition management with people who are food insecure

Douglas

MacIver

Yuill

2020

Preprint

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Background: As more people are living with one or more chronic health conditions, supporting patients to become activated, self-managers of their conditions has become a key health policy focus both in the UK and internationally. There is also growing evidence in the UK that those with long term health conditions have an increased risk of being food insecure. While international evidence indicates that food insecurity adversely affects individual’s health condition management capability, little is known about how those so affected manage their condition(s) in this context. An investigation of lived experience of health condition management was undertaken with food insecure people living in north east Scotland. The study aimed to explore the challenges facing food insecure people in terms of, i. their self-care condition management practices, and ii. disclosing and discussing the experience of managing their condition with a health care professional, and iii. notions of the support they might wish to receive from them. Methods : Twenty in-depth interviews were conducted with individuals attending a food bank and food pantry in north east Scotland. Interview audio recordings were fully transcribed and thematically analysed.Results : Individuals reporting multiple physical and mental health conditions, took part in the study. Four main themes were identified i.e.: 1. food practices, trade-offs and compromises, that relate to economic constraints and lack of choice; 2. illness experiences and food as they relate to physical and mental ill-health; 3. (in)visibility of participants’ economic vulnerability within health care consultations; and 4. perceptions and expectations of the health care system.Conclusions : This study, the first of its kind in the UK, indicated that participants’ health condition management aspirations were undermined by the experience of food insecurity, and that their health care consultations in were, on the whole, devoid of discussions of those challenges. As such, the study indicated practical and ethical implications for health care policy, practice and research associated with the risk of intervention-generated health inequalities that were suggested by this study. Better understanding is needed about the impact of household food insecurity on existing ill health, wellbeing and health care use across the UK.

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Food insecurity and mental illness: disproportionate impacts in the context of perceived stress and social isolation

Cited by 159 publications

References 18 publications

Dietary intake, food addiction and nutrition knowledge in young people with mental illness

Dietary intake, food addiction and nutrition knowledge in young people with mental illness

Mental and substance use disorders and food insecurity among homeless adults participating in the At Home/Chez Soi study

A qualitative investigation of lived experiences of long-term health condition management with people who are food insecure

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