Attitudes toward metabolic adverse events among patients with schizophrenia in Japan

Sugawara, Norio; Yasui‐Furukori, Norio; Yamazaki, Manabu; Saito, Kazutaka; Mori, Takao; Sugai, Takuro; Suzuki, Yutaro; Minami, Yoshitake; Ozeki, Yuji; Okamoto, Koichi; Sagae, Toyoaki; Someya, Toshiyuki

doi:10.2147/ndt.s98711

Cited by 16 publications

(10 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Low intakes, or lower intakes than comparison groups, were found for fish 54 , 63 and nuts and vegetable oils 20 . Large intakes, or higher intakes than comparison groups, were found for carbonated beverages, 20 sweetened beverages, 30 soft drinks, 69 cakes and other sweets, 69 white bread, 43 hydrogenated oils 20 and fast food/takeaway foods 43 , 62 . In addition, one study found poor diet literacy 41 and one study found difficulties obtaining and/or cooking food 48 for people with SMI.…”

Section: Resultsmentioning

confidence: 91%

Dietary intake of people with severe mental illness: systematic review and meta-analysis

et al. 2019

View full text Add to dashboard Cite

BackgroundSevere mental illness (SMI) is thought to be associated with lower diet quality and adverse eating behaviours contributing towards physical health disparities. A rigorous review of the studies looking at dietary intake in psychotic disorders and bipolar disorder is lacking.AimsTo conduct a systematic, comprehensive evaluation of the published research on dietary intake in psychotic disorders and bipolar disorder.MethodSix electronic databases were searched for studies reporting on dietary intakes in psychotic disorders and bipolar disorder. Dietary-assessment methods, and dietary intakes, were systematically reviewed. Where possible, data was pooled for meta-analysis and compared with healthy controls.ResultsIn total, 58 eligible studies were identified. People with SMI were found to have significantly higher dietary energy (mean difference 1332 kJ, 95% CI 487–2178 kJ/day, P = 0.002, g = 0.463) and sodium (mean difference 322 mg, 95% CI 174–490 mg, P < 0.001, g = 0.414) intake compared with controls. Qualitative synthesis suggested that higher energy and sodium intakes were associated with poorer diet quality and eating patterns.ConclusionsThese dietary components should be key targets for preventative interventions to improve weight and other physical health outcomes in people with SMI.Declaration of interestS.B.T. and E.T. have clinical dietitian appointments within the South Eastern Sydney Local Health District and do not receive any further funding.

show abstract

Section: Resultsmentioning

confidence: 91%

Dietary intake of people with severe mental illness: systematic review and meta-analysis

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Interventions to improve the physical health of schizophrenia patients, including modification of lifestyle choices such as smoking, diet, and exercise, have been effective 34). In clinical settings, it may be difficult to engage patients with severe mental illness in behavioral modification due to their low motivation and lack of acknowledgement of the need for physical health management 35). A motivation enhancement strategy is required to change patients’ unhealthy behavior.…”

Section: Discussionmentioning

confidence: 99%

Physical Health Literacy and Health-related Behaviors in Patients with Psychosis

Kim

Woo-Young

Jhon

et al. 2019

Clin Psychopharmacol Neurosci

View full text Add to dashboard Cite

Objective This study compared the levels of knowledge of physical illnesses and patterns of health behaviors between patients with psychosis and the general population. Methods A total of 712 participants were included in the study; 292 patients with a schizophrenia spectrum disorder and 420 healthy controls matched for age and gender. Questionnaires were administered to study participants to determine the level of knowledge of chronic physical illnesses such as cancer, hypertension, and diabetes mellitus and health-related behavior. Results from the two study groups were compared to identify differences in knowledge of physical illness and health-related behaviors. Results Compared with healthy controls, patients with psychosis were less likely to undergo regular medical check-ups and engage in exercise. Patients with psychosis had poorer knowledge of physical illnesses, and were more likely to smoke, be overweight, or have diabetes. Patients with psychosis were significantly less likely to acknowledge the importance of early detection of cancer and controlling hypertension and diabetes, independent of education and type of medical insurance. Patients who smoked were significantly less likely to agree with the statement on the relationship between smoking and physical illnesses. Patients not undergoing regular medical check-ups were significantly less likely to agree with statements concerning the need for cancer screening. Conclusion Patients with psychosis demonstrated lower levels of knowledge of physical illnesses and a lack of understanding of preventive behaviors. Low levels of knowledge were associated with poor health-related behaviors. Education of physical health should be provided to patients with psychosis.

show abstract

“…In this regard, it is worthwhile to stress that while awareness is definitely increasing, psychiatrists should be vigilant to the adverse metabolic effects of some second-generation antipsychotics ( 33 ), especially the risk of reward deficiency syndrome in substance user psychotic patients treated with full blocking D2 antagonist. To improve the current situation, additional efforts are still needed in order to improve training programs as shown in a recent survey of 35 countries ( 34 ).…”

Section: Discussionmentioning

confidence: 99%

Patterns of Management of Patients With Dual Disorder (Psychosis) in Italy: A Survey of Psychiatrists and Other Physicians Focusing on Clinical Practice

Clerici

Bartolomeis

Filippis³

et al. 2018

Front. Psychiatry

View full text Add to dashboard Cite

Patients with severe psychotic disorders such as schizophrenia, schizoaffective, and bipolar disorders frequently suffer from concomitant substance use disorders (SUDs)–Dual Disorder (DD) patients. In order to better understand current practices for management of patients with psychotic episodes and concomitant SUD in Italy, we carried out a survey of psychiatrists on current routine practice among prescribers. These aspects can help to identify at-risk patients, improve current prescribing practices, and favor early intervention. An ad hoc survey of 17 questions was administered to psychiatrists via electronic polling and on-line distribution; 448 completed questionnaires were collected. Comorbid substance abuse was most frequently diagnosed within the context of anxiety disorder (46%), followed by bipolar disorder (25%), and schizophrenia/schizoaffective disorder (12%). The vast majority of respondents felt that patient management was becoming more complex due to substance abuse. The areas reported to be most affected in patients with SUD were functioning, interpersonal relations, and impulsivity, while sensory perception disorders, ideation, agitation, and impulsivity were the most frequently reported symptoms. In the acute setting, haloperidol was used as the first-line agent of choice followed by aripiprazole and olanzapine. In the maintenance phase, aripiprazole was the dominantly used first-line agent, followed by olanzapine. Almost half of respondents used long-acting agents, while about one-third did not. Among those prescribing long-acting agents, efficacy, control of impulsivity, and control of specific symptoms were cited as motivators, while in the maintenance phase, better adherence, and tolerability were mainly cited. From the responses to the present survey, it is clear that the respondents are aware of the problem of SUD in psychotic patients. While treatment be optimized in terms of the choice and formulation of antipsychotics, greater emphasis should be placed on efficacy, tolerability, and the negative metabolic consequences of some antipsychotics. When considering the ideal antipsychotic, long-acting agents were considered to be superior in reducing relapse, even if current treatment guidelines often give preference to oral formulations.

show abstract

Attitudes toward metabolic adverse events among patients with schizophrenia in Japan

Cited by 16 publications

References 46 publications

Dietary intake of people with severe mental illness: systematic review and meta-analysis

Dietary intake of people with severe mental illness: systematic review and meta-analysis

Physical Health Literacy and Health-related Behaviors in Patients with Psychosis

Patterns of Management of Patients With Dual Disorder (Psychosis) in Italy: A Survey of Psychiatrists and Other Physicians Focusing on Clinical Practice

Contact Info

Product

Resources

About