Prevalence, Severity, and Co-occurrence of Chronic Physical Health Problems of Persons With Serious Mental Illness

Jones, Danson R.; Macias, Cathaleene; Barreira, Paul; Fisher, William H.; Hargreaves, William A.; Harding, Courtenay M.

doi:10.1176/appi.ps.55.11.1250

Cited by 270 publications

(193 citation statements)

References 37 publications

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“…People with severe mental illnesses such as schizophrenia experience disparate early morbidity and mortality due to smoking-related diseases. [3][4][5][6][7][8][9][10][11][12][13][14][15][16] This group is therefore an important target for prevention and cessation treatment efforts.…”

Section: Introductionmentioning

confidence: 99%

Expanding Cessation Pharmacotherapy Via Videoconference Educational Outreach to Prescribers

Brunette

Dzebisashvili

Xie

et al. 2015

NICTOB

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Section: Introductionmentioning

confidence: 99%

Expanding Cessation Pharmacotherapy Via Videoconference Educational Outreach to Prescribers

Brunette

Dzebisashvili

Xie

et al. 2015

NICTOB

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“…Adults with mental illness are at higher risk for physical health problems than those without mental illness [1][2][3], but less is known about Correspondence to: Gregory A. Aarons, Ph.D., Associate Professor of Psychiatry, University of California, San Diego, Child & Adolescent Services Research Center, 3020 Children's Way, MC-5033, San Diego, CA 92123-4282, Tel: 858.966.7703 ext. 3550, Fax: 858.966.7704, gaarons@ucsd.edu.…”

Section: Introductionmentioning

confidence: 99%

“…We focus on health problems shown to be related both directly and indirectly to mental health problems, by either a direct impact on the immune system or through altered health behaviors. These disorders also tend to be more common in adolescents, as opposed to physical health problems shown to be related to mental health problems in adults, such as cardiovascular disorders or Type II diabetes [1][2][3]. …”

mentioning

confidence: 99%

Association Between Mental and Physical Health Problems in High-Risk Adolescents: A Longitudinal Study

Aarons

Monn

Leslie

et al. 2008

Journal of Adolescent Health

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Purpose-This longitudinal study examined the relationship between mental and physical health problems in a sample of high-risk youth served in the public sector.Methods-Participants included youth ages 9 to 18 at baseline, randomly sampled from one of five public service sectors in San Diego County, California and youths may have been active to more than one sector. Diagnoses for mood, anxiety, and disruptive disorders based on structured diagnostic interviews were determined at baseline and data regarding health-related problems were collected two years post-baseline.Results-Mood and disruptive behavior disorders were related to cumulative health problem incidence, as well as aggregate measures of health problems and severe health problems. Additionally, mood disorder diagnosis was associated with higher rates of infectious diseases, respiratory problems, and weight problems. Disruptive disorder diagnosis was related to higher rates of risk-behavior related health problems.Conclusions-The present work extends the research on the relationship between mental and physical health problems to adolescents served in the public sector, who are at especially high risk for behavioral and emotional problems. Potential mechanisms by which mental health problems may impact health problems are discussed. We suggest the development of effective interagency cooperation between medical and mental health systems in order to improve the care of youth with comorbid mental and physical disorders.There is increasing concern and attention to the relation of mental health disorders and physical health problems as evidenced by published studies and by the National Institutes of Health (NIH) support for research addressing this issue. Adults with mental illness are at higher risk for physical health problems than those without mental illness [1][2][3], but less is known about Correspondence to: Gregory A. Aarons, Ph.D., Associate Professor of Psychiatry, University of California, San Diego, Child & Adolescent Services Research Center, 3020 Children's Way, MC-5033, San Diego, CA 92123-4282, Tel: 858.966.7703 ext. 3550, Fax: 858.966.7704, gaarons@ucsd.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. [4,6,9,10], oppositional defiant disorder (ODD), and conduct disorder (CD) [4,11,12]. However, studies of adolescents tend to be either crosssectional or conducted in clinical samples focused only on one type of disorder. NIH Public AccessMental illness may have a direct or indirect impact on physical health. For instance, mental disorders, such as depression, may directly lead to physical...

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“…Dickey et al reviewed 11,185 adult Medicaid beneficiaries treated for severe mental illness and found that 56 percent had one and 26 percent had more than one of the following: diabetes, hypertension, heart disease, asthma, gastrointestinal disorders, infections of the skin and subcutaneous tissue, malignant neoplasms, and acute respiratory disorders [7]. Similarly, Jones et al analyzed Medicaid claims data for 147 individuals with severe mental illness and found that 74 percent had one diagnosis of chronic health problems, while 50 percent had two or more diagnoses [8]. Sokal et al studied 200 psychiatric outpatients with schizophrenia and affective disorders and found that they had significantly elevated odds of diabetes, lung diseases, and liver problems compared with matched subsets of individuals from the general population [9].…”

Section: Introductionmentioning

confidence: 99%

Effects of co-occurring disorders on employment outcomes in a multisite randomized study of supported employment for people with severe mental illness

Cook

Razzano

Burke-Miller

et al. 2007

JRRD

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Abstract-Effects of co-occurring disorders on work outcomes were explored among individuals with severe mental illness who were participating in a multisite randomized study of supported employment. At seven sites, 1,273 people were randomly assigned to an experimental supported employment program or a control condition and followed for 2 years. Multivariate regression analysis examined work outcomes including earnings, hours worked, and competitive employment, as well as whether psychiatric disability was disclosed to coworkers and supervisors. Individuals with any comorbidity had lower earnings and were less likely to work competitively. Those with physical comorbidities had lower earnings, worked fewer hours, and were less likely to work competitively. Disclosure was more likely among those with both cognitive and physical comorbidities, as well as those with learning disabilities. Competitive employment was less likely among those with intellectual disability, visual impairment, and human immunodeficiency virus/acquired immunodeficiency syndrome. The experimental condition was positively related to all outcomes except disclosure. The results suggest that, with some exceptions, comorbidities affect employment outcomes, requiring tailored services and supports to promote vocational success.

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Prevalence, Severity, and Co-occurrence of Chronic Physical Health Problems of Persons With Serious Mental Illness

Cited by 270 publications

References 37 publications

Expanding Cessation Pharmacotherapy Via Videoconference Educational Outreach to Prescribers

Expanding Cessation Pharmacotherapy Via Videoconference Educational Outreach to Prescribers

Association Between Mental and Physical Health Problems in High-Risk Adolescents: A Longitudinal Study

Effects of co-occurring disorders on employment outcomes in a multisite randomized study of supported employment for people with severe mental illness

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