Measurement of Health Status for People with Serious Mental Illnesses

Parks, Joe; Radke, Alan Q.; Mazade, Noel A.; Mauer, Barbara

doi:10.1037/e604122012-001

Cited by 24 publications

(26 citation statements)

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“…4 The American Diabetes Association 5 recommends annual diabetes screening for patients treated with antipsychotic medications, and public health administrators have targeted this population for improved health screening. 6 To our knowledge, no studies have examined screening rates in this highest-risk population of adults with SMI because of limitations in public health medical records. We examined diabetes screening among publicly insured adults with SMI taking antipsychotic medications using matched administrative data for physical and mental health care services in a large health care system.…”

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confidence: 99%

Diabetes Screening Among Underserved Adults With Severe Mental Illness Who Take Antipsychotic Medications

et al. 2015

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confidence: 99%

Diabetes Screening Among Underserved Adults With Severe Mental Illness Who Take Antipsychotic Medications

et al. 2015

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“…Estimates suggest that those with serious mental illness are now dying approximately 25 years earlier than the general population and that up to 60% of premature deaths in those with serious mental illness are as a result of general medical conditions. 1 Studies have shown that not only do patients with mood disorders have more comorbid medical illnesses than mentally healthy individuals, 2 - 4 but also a greater medical illness burden (a greater number of medical illnesses) seems to be associated with a more severe clinical presentation of the mood illness. 5 Traditionally, the high prevalence of medical illness in those with mental health problems has been viewed as a consequence of psychotropic medications and an unhealthy lifestyle.…”

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confidence: 99%

Comorbid medical illness in bipolar disorder

et al. 2014

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BackgroundIndividuals with a mental health disorder appear to be at increased risk of medical illness.AimsTo examine rates of medical illnesses in patients with bipolar disorder (n = 1720) and to examine the clinical course of the bipolar illness according to lifetime medical illness burden.MethodParticipants recruited within the UK were asked about the lifetime occurrence of 20 medical illnesses, interviewed using the Schedules for Clinical Assessment in Neuropsychiatry (SCAN) and diagnosed according to DSM-IV criteria.ResultsWe found significantly increased rates of several medical illnesses in our bipolar sample. A high medical illness burden was associated with a history of anxiety disorder, rapid cycling mood episodes, suicide attempts and mood episodes with a typically acute onset.ConclusionsBipolar disorder is associated with high rates of medical illness. This comorbidity needs to be taken into account by services in order to improve outcomes for patients with bipolar disorder and also in research investigating the aetiology of affective disorder where shared biological pathways may play a role.

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“…Schizophrenia is a severe chronic psychotic disorder (National Institute of Mental Health [NIMH], 2007). Older adults with schizophrenia are an expanding segment of the population, and data indicate that their physical health status is exceedingly poor (Chafetz, White, Collins-Bride, Nickens, & Cooper, 2006; Kilbourne et al, 2005; Parks, Svendsen, Singer, Foti, & Mauer, 2006). Low levels of physical activity contribute to this poor health status.…”

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confidence: 99%