Psychopathological and psychosocial factors influencing physical health of people with mental disorders
Introduction Severe mental disorders (SMD) are associated with higher morbidity rates and poorer health outcomes compared to the general population. They are more likely to be overweight, to be affected by cardiovascular diseases, and to have higher risk factors for chronic diseases. Objectives...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-04-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821004028/type/journal_article |
| _version_ | 1797617061770297344 |
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| author | F. Zinno C. Palummo L. Giannelli A. Pitocco A. Carello E. Barone V. Giallonardo G. Sampogna M. Luciano V. Del Vecchio A. Fiorillo |
| author_facet | F. Zinno C. Palummo L. Giannelli A. Pitocco A. Carello E. Barone V. Giallonardo G. Sampogna M. Luciano V. Del Vecchio A. Fiorillo |
| author_sort | F. Zinno |
| collection | DOAJ |
| description |
Introduction
Severe mental disorders (SMD) are associated with higher morbidity rates and poorer health outcomes compared to the general population. They are more likely to be overweight, to be affected by cardiovascular diseases, and to have higher risk factors for chronic diseases.
Objectives
To assess physical health in a sample of patients with SMD and to investigate which mental health-related factors and other psychosocial outcomes could be considered predictors of poor physical health.
Methods
Patients referring to the psychiatric outpatients unit of the University of Campania “L. Vanvitelli” were recruited, and were assessed through validated assessment instruments exploring psychopathological status, global functioning and stigma. Physical health was assessed with an ad-hoc anthropometric schedule. A blood sample has been collected to assess levels of cholesterol, blood glucose, triglycerides, and blood insulin.
Results
75 patients have been recruited, with a mean age of 45.63±11.84 years. 30% of the sample had a diagnosis of psychosis, 27% of depression and 43% of bipolar disorder. A higher BMI is predicted by higher number of hospitalizations, a reduced score at MANSA (p<.000), and PSP (p<.05), and higher score at ISMI and BPRS (p<.05). A higher cardiovascular risk is predicted by a reduced MANSA score (p<.000), a higher ISMI score and a poorer adherence to pharmacological treatments (p<.05). Higher ISMI score (p<.0001) and number of hospitalizations (p<.05) are predictors of insulin-resistance.
Conclusions
Our study shows that psychosocial domains negatively influence physical health outcome. It is necessary to disseminate an integrated psychosocial intervention in order to improve patients’ physical health.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:49:16Z |
| format | Article |
| id | doaj.art-51fb943f07f14861bfbf0be94ab37732 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:49:16Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-51fb943f07f14861bfbf0be94ab377322023-11-17T05:06:57ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S147S14710.1192/j.eurpsy.2021.402Psychopathological and psychosocial factors influencing physical health of people with mental disordersF. Zinno0C. Palummo1L. Giannelli2A. Pitocco3A. Carello4E. Barone5V. Giallonardo6G. Sampogna7M. Luciano8V. Del Vecchio9A. Fiorillo10Department Of Psychiatry, University of Campania “Luigi Vanvitelli”, Naples, ItalyDepartment Of Psychiatry, University of Campania “Luigi Vanvitelli”, Naples, ItalyDepartment Of Psychiatry, University of Campania “Luigi Vanvitelli”, Naples, Italy Department Of Pschiatry, University of Campania “Luigi Vanvitelli”, Naples, ItalyDepartment Of Psychiatry, University of Campania “Luigi Vanvitelli”, Naples, ItalyDepartment Of Psychiatry, University of Campania “Luigi Vanvitelli”, Naples, Italy Department Of Pschiatry, University of Campania “Luigi Vanvitelli”, Naples, ItalyDepartment Of Psychiatry, University of Campania “Luigi Vanvitelli”, Naples, Italy Department Of Psychiatry, University of Campania “Luigi Vanvitelli”, Napoli, ItalyDepartment Of Psychiatry, University of Campania “Luigi Vanvitelli”, Naples, Italy Department Of Pschiatry, University of Campania “Luigi Vanvitelli”, Naples, ItalyDepartment Of Psychiatry, University of Campania “Luigi Vanvitelli”, Naples, ItalyDepartment Of Psychiatry, University of Campania “Luigi Vanvitelli”, Naples, ItalyDepartment Of Psychiatry, University of Campania “Luigi Vanvitelli”, Naples, ItalyDepartment Of Psychiatry, University of Campania, Naples, Italy Introduction Severe mental disorders (SMD) are associated with higher morbidity rates and poorer health outcomes compared to the general population. They are more likely to be overweight, to be affected by cardiovascular diseases, and to have higher risk factors for chronic diseases. Objectives To assess physical health in a sample of patients with SMD and to investigate which mental health-related factors and other psychosocial outcomes could be considered predictors of poor physical health. Methods Patients referring to the psychiatric outpatients unit of the University of Campania “L. Vanvitelli” were recruited, and were assessed through validated assessment instruments exploring psychopathological status, global functioning and stigma. Physical health was assessed with an ad-hoc anthropometric schedule. A blood sample has been collected to assess levels of cholesterol, blood glucose, triglycerides, and blood insulin. Results 75 patients have been recruited, with a mean age of 45.63±11.84 years. 30% of the sample had a diagnosis of psychosis, 27% of depression and 43% of bipolar disorder. A higher BMI is predicted by higher number of hospitalizations, a reduced score at MANSA (p<.000), and PSP (p<.05), and higher score at ISMI and BPRS (p<.05). A higher cardiovascular risk is predicted by a reduced MANSA score (p<.000), a higher ISMI score and a poorer adherence to pharmacological treatments (p<.05). Higher ISMI score (p<.0001) and number of hospitalizations (p<.05) are predictors of insulin-resistance. Conclusions Our study shows that psychosocial domains negatively influence physical health outcome. It is necessary to disseminate an integrated psychosocial intervention in order to improve patients’ physical health. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933821004028/type/journal_articleStigmaMental disordersPhysical healthchronic diseases |
| spellingShingle | F. Zinno C. Palummo L. Giannelli A. Pitocco A. Carello E. Barone V. Giallonardo G. Sampogna M. Luciano V. Del Vecchio A. Fiorillo Psychopathological and psychosocial factors influencing physical health of people with mental disorders European Psychiatry Stigma Mental disorders Physical health chronic diseases |
| title | Psychopathological and psychosocial factors influencing physical health of people with mental disorders |
| title_full | Psychopathological and psychosocial factors influencing physical health of people with mental disorders |
| title_fullStr | Psychopathological and psychosocial factors influencing physical health of people with mental disorders |
| title_full_unstemmed | Psychopathological and psychosocial factors influencing physical health of people with mental disorders |
| title_short | Psychopathological and psychosocial factors influencing physical health of people with mental disorders |
| title_sort | psychopathological and psychosocial factors influencing physical health of people with mental disorders |
| topic | Stigma Mental disorders Physical health chronic diseases |
| url | https://www.cambridge.org/core/product/identifier/S0924933821004028/type/journal_article |
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