Comorbidities and Mortality in Persons With Schizophrenia: A Swedish National Cohort Study

Crump, Casey; Winkleby, Marilyn A.; Sundquist, Kristina; Sundquist, Jan

doi:10.1176/appi.ajp.2012.12050599

Cited by 649 publications

(703 citation statements)

References 44 publications

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“…The average life expectancy of the general population is 76 years, whereas the corresponding figure is 61 years among people with a diagnosis of schizophrenia (Hennekens, Hennekens, & Hollar et al, 2005). More than two-thirds of individuals diagnosed with schizophrenia, compared with approximately one-half in the general population, die of coronary heart disease (Crump, Winkleby, & Sundquist et al, 2013). People with a diagnosis of schizophrenia often, for a variety of reasons, have unhealthy dietary habits, as indicated by the findings of the study of Simonelli-Muñoz et al (2012), which show that 51% of the participants took no longer than 15 min to eat, 40.8% did not eat fruit daily, and 63.1% did not eat fish.…”

Section: Master’s Level Mental Health Nursing Competencies In Terms Omentioning

confidence: 99%

“…Nevertheless, role ambiguities among mental health nurses have been revealed, and mental health nurses normally feel that physical care is outside their remit and expertise (Happell et al, 2012). Thus, master’s level mental health nurses should be routinely supported with physical health-care education and training to avoid role ambiguity regarding physical health issues among mental health service users (Blythe & White, 2013; Happell, Platania-Phung, & Scott, 2014c; Happell, Scott, & Hoey et al, 2014d). …”

Section: Attitudesmentioning

confidence: 99%

See 1 more Smart Citation

Master’s level mental health nursing competencies, a prerequisite for equal health among service users in mental health care

Jormfeldt

Doyle

Ellilä

et al. 2018

International Journal of Qualitative Studies on Health and Well

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Purpose: This discussion paper aims to explore the need of a clarified definition of master’s level mental health nursing competencies in terms of knowledge, skills and attitudes in a European context. Mental health service users have, in spite of their right to equal overall health, higher rates of physical illness and are more likely to experience premature death than the general population. Implementation of a holistic concept of health comprising mental, physical and social aspects of health in mental health services has previously proved to be challenging. Methods: Master’s level mental health nursing competencies in recent literature are discussed and illuminated in terms of knowledge, skills and attitudes in order to enable the promotion of equal overall health among service users in mental health services. Results: The discussion show contents, values and utility of master’s level mental health nursing competencies in mental health services and contribute to reduced role ambiguity by distinguishing master’s level responsibilities from undergraduate nursing tasks and obligations of other professionals in mental health care. Conclusion: This discussion paper shapes implications for developments in master’s level mental health nursing education curricula.

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Section: Master’s Level Mental Health Nursing Competencies In Terms Omentioning

confidence: 99%

Section: Attitudesmentioning

confidence: 99%

Master’s level mental health nursing competencies, a prerequisite for equal health among service users in mental health care

Jormfeldt

Doyle

Ellilä

et al. 2018

International Journal of Qualitative Studies on Health and Well

View full text Add to dashboard Cite

show abstract

“…It is a chronic condition often requiring long-term treatment with antipsychotic drugs. Interestingly, the disorder shows considerable overlap with other psychiatric conditions, in particular obesity and substance abuse disorders (Chambers et al, 2001;Crump et al, 2013). Most clinical studies largely disregard comorbidities and especially higher weight.…”

Section: Weight Gain and Schizophreniamentioning

confidence: 99%

Altered reward anticipation: Potential explanation for weight gain in schizophrenia?

Grimm

Kaiser

Plichta

et al. 2017

Neuroscience & Biobehavioral Reviews

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a b s t r a c tObesity and weight gain are severe complications of mental illness, especially schizophrenia. They result from changes in lifestyle and nutrition, side effects of medication and other, less well-understood factors. Recent studies suggest that obesity and weight gain are linked to psychopathology. Specifically, severe psychopathology is associated with greater weight dysregulation, typically weight gain. However, our knowledge about the neuroscientific basis of weight gain in schizophrenia is currently limited. We propose that altered reward anticipation, which in turn is related to striatal dopaminergic dysregulation, may explain why obesity is more prevalent in individuals with mental illness. We review evidence that reward anticipation and weight change are linked by a core deficit in dopaminergic striatal circuits. Several lines of evidence, running from animal studies to preclinical and clinical studies, suggest that striatal dopaminergic neurotransmission is a major hub for the regulation of eating behavior and that dopamine links eating behavior to other motivated behavior. From this perspective, the present review outlines a unifying perspective on dopaminergic reward anticipation as a theoretical frame to link weight gain, medication effects and psychopathology. We derive important but open empirical questions and present perspectives for new therapeutic concepts.

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“…Excess mortality in psychotic disorders is a major public health concern and therapeutic challenge (Crump et al 2013b;Saha et al 2007;Termorshuizen et al 2013;Walker et al 2015;Ösby et al 2000). Individuals with psychotic disorders have over a 2-to 4-fold higher all-cause mortality risk than the general population (Crump et al 2013b;Høye et al 2011;Kiviniemi et al 2010;Lumme et al 2016;Olfson et al 2015;Saha et al 2007;Termorshuizen et al 2013) and their life expectancy is 10-25 years lower (Crump et al 2013b;Tiihonen et al 2009).…”

Section: Introductionmentioning

confidence: 99%

Do adverse perinatal events predict mortality in schizophrenia during midlife?

Rautio

Jääskeläinen

Nordström

et al. 2017

Schizophrenia Research

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Background: We examined mortality in schizophrenia spectrum disorder (SSD) and nonschizophrenic psychosis (NSSD) compared to individuals without psychosis, and whether perinatal factors predict mortality. (1.56-5.55), respectively. Among non-psychotic persons, mother's depression, smoking and low SES predicted mortality after adjustment for gender and parental psychoses (and SES), whereas among psychosis those whose father was a farmer had lower risk of mortality compared to those with high SES.Conclusions: Individuals with SSD had a higher risk of unnatural death and individuals with NSSD of natural and unnatural deaths. Perinatal factors seem to be more important predictors of mortality in individuals without psychoses than with psychoses. According to population-based long follow-up data, it is important to pay attention to somatic morbidity behind natural causes of death in psychoses and to prevent suicides in order to prevent excess mortality.

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Comorbidities and Mortality in Persons With Schizophrenia: A Swedish National Cohort Study

Cited by 649 publications

References 44 publications

Master’s level mental health nursing competencies, a prerequisite for equal health among service users in mental health care

Master’s level mental health nursing competencies, a prerequisite for equal health among service users in mental health care

Altered reward anticipation: Potential explanation for weight gain in schizophrenia?

Do adverse perinatal events predict mortality in schizophrenia during midlife?

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