Predominant diagnoses, gender, and admission duration in an adult psychiatric inpatient hospital in United Kingdom

Lazzari, Carlo; Shoka, Ahmed; Papanna, Basavaraja; Kulkarni, Kapil

doi:10.5958/2394-2061.2018.00008.3

Cited by 2 publications

(4 citation statements)

References 10 publications

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“…Previous studies by the same authors of the current research show a prevalence of females with borderline personality disorder in the adult psychiatric inpatients hence suggesting that this target population might be the one with the highest number of observations of severe overweight and obesity [14,20]. One study seems to confirm the hypothesis suggesting that difficulties in controlling impulsive eating might be responsible for obesity in psychiatric inpatients [27].…”

Section: Introductionsupporting

confidence: 74%

“…Our recent research indicates a prevalence of admissions in general adult psychiatric wards of females of white ethnic background with borderline personality disorder [14]. These patients have already high prevalence of severe obesity [36].…”

Section: Introductionmentioning

confidence: 92%

“…The fourth theory assumes that pathological weights are comorbid to psychiatric illnesses especially in female patients [12,13]. In fact, the prevalence of women with borderline personality disorder in the general adult inpatient population [14], and the association between borderline personality disorder and obesity [15] can partly explain why pathological weight is mostly found in the female psychiatric population with personality disorders. Furthermore, a general association has been discovered between overweight, metabolic syndrome and psychiatric illnesses [16].…”

Section: Introductionmentioning

confidence: 99%

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Long-Term Weight Gain and Prevalence of Obesity in General Adult Psychiatric Inpatients

Lazzari¹

2018

AJPN

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Weight gain is a common concern in general adult psychiatry. However, there are no extensive and longitudinal studies to show how weight gain variates and if it does so in the inpatient population. We collected the electronic data of the weights from a sample of 186 psychiatric and non-forensic inpatients hospitalized in Essex, United Kingdom, these data being relative to a period from one to ten years. Statistical methods included the coefficient of determination R 2 for progressive measures of weight, Cohen's d for R 2 , and meta-analysis to calculate the coefficient of heterogeneity I 2 of individual R 2 and mean weights. Subsequently, the body weights were compared with the national Body Mass Index (BMI = Kg/m 2 ). The results showed that the time variation of body weight was low to medium for male patients (R 2 = 0.17; d = 0.44), and medium to high for female patients (R 2 = 0.27; d = 0.74). Additionally, the average BMI for female patients was 31.21 (SD = ±7.73) corresponding to the WHO Class I Obesity spectrum while for males it was 27.05 (SD = ±5.92) corresponding to the WHO Overweight Class spectrum. In conclusion, overweight in males and obesity in females are commonly found in psychiatric non-forensic inpatients. However, in our study, only 27% of the females' and 17% of the males' variation in body weight was explained by the time variable. Consequently, one conclusion is that increased BMI might be comorbid with psychiatric disorders although the direction of the reciprocal influence should be investigated.

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Section: Introductionsupporting

confidence: 74%

Section: Introductionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

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Long-Term Weight Gain and Prevalence of Obesity in General Adult Psychiatric Inpatients

Lazzari¹

2018

AJPN

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“…It should be noted that, the multilevel findings suggested that the probability of having a hospitalization six months after the first wave did not seem to vary between patients with different diagnoses. Similarly, previous studies have reported associations between sociodemographic and clinical factors such as sex, age, medication adherence, and hospitalizations [ 55 , 56 ]. We also included those factors as confounding variables in our multilevel analyses, to control for their potential contribution.…”

Section: Discussionsupporting

confidence: 55%

Teletherapy and hospitalizations in patients with serious mental illness during the COVID-19 pandemic: A retrospective multicenter study

Sánchez-Guarnido¹,

Urquiza²,

Sánchez³

et al. 2022

PLoS ONE

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Background Interventions with patients with Serious Mental Illness (SMI) had to adapt rapidly to the COVID-19 safety restrictive measures, leading to the widespread use of teletherapy as an alternative. Objectives The aims of this study were to compare the use of different intervention modalities with patients with SMI during the first wave of the pandemic and examine their association with emergency hospital visits and hospitalization rates six months later. Methods Records of 270 service users of fifteen outpatient mental health services across Spain, were retrospectively assessed. We retrieved clinical data and data on the modality of intervention received (in-person, over the phone, videoconferencing) in three time points (before, during and after the first COVID-19 wave). Also, data were retrieved regarding the frequency of their emergency hospital visits and hospitalization rates, two, four and six months later. Results During the first wave of the pandemic, teletherapy (over the phone and videoconferencing) was the modality most widely used, whilst in-person therapy sessions were significantly reduced, though they seemed to return to pre-COVID levels after the first wave had passed. Importantly, patients receiving teletherapy during the first wave seemed to have significantly fewer emergency visits and hospitalization rates four and six months later (χ2 = 13.064; p < .001). Multilevel analyses revealed that patients receiving videoconferencing interventions had fewer hospitalizations six months after the first wave (OR = 0.25; p = .012). Conclusions Under challenging circumstances as those created by the COVID pandemic, teletherapy is a useful tool for protection against hospitalizations and can be used as an alternative to in-person therapy, to ensure continuity of care for patients with SMI.

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Predominant diagnoses, gender, and admission duration in an adult psychiatric inpatient hospital in United Kingdom

Cited by 2 publications

References 10 publications

Long-Term Weight Gain and Prevalence of Obesity in General Adult Psychiatric Inpatients

Long-Term Weight Gain and Prevalence of Obesity in General Adult Psychiatric Inpatients

Teletherapy and hospitalizations in patients with serious mental illness during the COVID-19 pandemic: A retrospective multicenter study

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