TY - JOUR
T1 - Outpatients with psychotic disorders need physical health-promoting treatment
T2 - A cross-sectional multisite study
AU - Kaasgaard, Didde Marie
AU - Stryhn, Lene
AU - Veldt Larsen, Pia
AU - Fisker, Lone
AU - Friis Elliott, Anja
AU - Høgh, Lene
AU - Thunberg, Rolf
AU - Knudsgaard Sørensen, Mette
AU - Martinsen, Pernille
AU - Kjær Hansen, Hanne
AU - Munk-Jørgensen, Povl
AU - Hjorth, Peter
N1 - Funding Information:
The study was funded by unconditional grants from the Research Fund of Psychiatric Services in the Region of Southern Denmark (grant ID: 18081151 ). The funders had no role in study design, data collection, data analysis, data interpretation, or writing of the manuscript.
Publisher Copyright:
© 2023 The Authors
PY - 2023/11
Y1 - 2023/11
N2 - INTRODUCTION: Impaired quality of life (QoL) and premature death in patients with primary non-affective psychotic disorders is related to lifestyle-induced comorbidities. Current municipal health-promoting treatment and care do not embrace the challenges of living with psychotic disorders.AIM: This cross-sectional study aimed to identify the proportion of outpatients diagnosed with primary psychotic disorders who need health-promoting treatment and care, and who receive municipal health-promoting interventions.METHODS: Of 206 eligible invited outpatients from three psychiatric services clinics in Southern Denmark, 165 participated. Demographic and health characteristics, and use of alcohol, cannabis, drugs, and cigarettes were identified via a screening tool. Blood test information, body measurements, and medication status were extracted from the outpatients' medical records. The need for health promotion was assessed based on body mass index (BMI), and use of alcohol, cannabis, drugs, and cigarettes.RESULTS: Seventy-three percent of outpatients needed health promotion, of whom 61 % were not offered municipal health-promoting treatment and care. Thirty-six percent had one or more somatic comorbidities, including diabetes mellitus (15 %) and cardiovascular disease (10 %); 41 % smoked a mean (SD) of 19 (10) cigarettes daily. Mean (SD) BMI was 34 (8) kg/m
2 for women and 29 (7) kg/m
2 for men.
CONCLUSION: The majority of outpatients with non-affective psychotic disorders need health-promoting interventions, but only about 40 % of these patients receive such municipal health-promoting treatment and care. Future studies should clarify the impact of these interventions on the health status, QoL, and life expectancy of these patients.
AB - INTRODUCTION: Impaired quality of life (QoL) and premature death in patients with primary non-affective psychotic disorders is related to lifestyle-induced comorbidities. Current municipal health-promoting treatment and care do not embrace the challenges of living with psychotic disorders.AIM: This cross-sectional study aimed to identify the proportion of outpatients diagnosed with primary psychotic disorders who need health-promoting treatment and care, and who receive municipal health-promoting interventions.METHODS: Of 206 eligible invited outpatients from three psychiatric services clinics in Southern Denmark, 165 participated. Demographic and health characteristics, and use of alcohol, cannabis, drugs, and cigarettes were identified via a screening tool. Blood test information, body measurements, and medication status were extracted from the outpatients' medical records. The need for health promotion was assessed based on body mass index (BMI), and use of alcohol, cannabis, drugs, and cigarettes.RESULTS: Seventy-three percent of outpatients needed health promotion, of whom 61 % were not offered municipal health-promoting treatment and care. Thirty-six percent had one or more somatic comorbidities, including diabetes mellitus (15 %) and cardiovascular disease (10 %); 41 % smoked a mean (SD) of 19 (10) cigarettes daily. Mean (SD) BMI was 34 (8) kg/m
2 for women and 29 (7) kg/m
2 for men.
CONCLUSION: The majority of outpatients with non-affective psychotic disorders need health-promoting interventions, but only about 40 % of these patients receive such municipal health-promoting treatment and care. Future studies should clarify the impact of these interventions on the health status, QoL, and life expectancy of these patients.
KW - Body mass index
KW - Health promotion
KW - Lifestyle
KW - Schizophrenia
U2 - 10.1016/j.heliyon.2023.e21670
DO - 10.1016/j.heliyon.2023.e21670
M3 - Journal article
C2 - 38034687
AN - SCOPUS:85176289810
SN - 2405-8440
VL - 9
JO - Heliyon
JF - Heliyon
IS - 11
M1 - e21670
ER -