: Outpatients with psychotic disorders need physical health-promoting treatment: a multisite study

  • Hjorth, Peter (Projektdeltager)
  • Munk-Jørgensen, Povl (Projektdeltager)
  • Kastgaard, Didde Marie (Projektdeltager)
  • Christensen, Lone Fisker (Projektdeltager)
  • Høgh, Lene (Projektdeltager)
  • Eriksen, Lene Stryhn (Projektdeltager)
  • Larsen, Pia Veldt (Projektdeltager)
  • Elliot Friis, Anja (Projektdeltager)
  • Martinsen, Pernille (Projektdeltager)
  • Hansen, Hanne Kjær (Projektdeltager)

Projekter: ProjektForskning

Projektdetaljer

Beskrivelse

Introduction: The premature death of people living with non-affective psychotic disorders is related to lifestyle somatic comorbidities. Current municipal health-promoting treatment and care do not embrace the challenges of living with psychotic disorders.
Aim: To investigate the demographics and health characteristics of representative outpatients with non-affective and non-organic psychotic disorders; and to investigate what characterizes outpatients who are not offered existing municipal health-promoting treatment and care despite having need of it.
Methods: Of 206 eligible invited outpatients from three psychiatric services clinics in Southern Denmark, 165 participated. Demographic and health characteristics, as well as use of alcohol, cannabis, drugs, and cigarettes, were identified via a screening tool. Blood test information, body measurements, and medica-tion status were extracted from the patients’ medical records. Need for health promotion was assessed based on body mass index (BMI), and use of alcohol, cannabis, drugs, and cigarettes.
Results: Almost three-quarters of outpatients needed health promotion, of whom 61% were not offered any municipal health-promoting treatment and care. Thirty-six per cent had one or more of the investigat-ed somatic comorbidities, including diabetes mellitus (15%) and cardiovascular disease (10%). Forty-one per cent smoked a mean (SD) of 19 (10) cigarettes daily. The mean (SD) BMI of women was 34 (8) kg/m2 and 29 (7) kg/m2 for men.
Conclusion: Outpatients not offered municipal health-promoting treatment and care need to be offered such treatment just as often as those who are offered it. Future studies should clarify the effects of health-promoting prevention and treatment offered to patients with non-affective and non-organic psychotic dis-orders to prevent and treat comorbidities and thereby increase quality of life and life expectancy.

StatusAfsluttet
Effektiv start/slut dato01/01/202031/08/2023

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