Recommendations for dietetics in mental healthcare

Teasdale, Scott; Firth, Joseph

doi:10.1111/jhn.12716

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…Along with the preliminary evidence for specific dietary interventions in ADHD presented above, several recent RCTs (not captured in our meta-review) have reported significant improvements in clinical depression from Mediterranean diet interventions, observing moderately large positive effects [102][103][104] . While further replication of these findings is still required to determine effects on mental health, the high levels of dietary risk factors and associated cardiometabolic diseases associated with mental illness 6,105 already provides a basis for considering dietary factors within multidisciplinary health care for people with mental illness 106 .…”

Section: Discussionmentioning

confidence: 99%

A meta‐review of “lifestyle psychiatry”: the role of exercise, smoking, diet and sleep in the prevention and treatment of mental disorders

et al. 2020

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There is increasing academic and clinical interest in how “lifestyle factors” traditionally associated with physical health may also relate to mental health and psychological well‐being. In response, international and national health bodies are producing guidelines to address health behaviors in the prevention and treatment of mental illness. However, the current evidence for the causal role of lifestyle factors in the onset and prognosis of mental disorders is unclear. We performed a systematic meta‐review of the top‐tier evidence examining how physical activity, sleep, dietary patterns and tobacco smoking impact on the risk and treatment outcomes across a range of mental disorders. Results from 29 meta‐analyses of prospective/cohort studies, 12 Mendelian randomization studies, two meta‐reviews, and two meta‐analyses of randomized controlled trials were synthesized to generate overviews of the evidence for targeting each of the specific lifestyle factors in the prevention and treatment of depression, anxiety and stress‐related disorders, schizophrenia, bipolar disorder, and attention‐deficit/hyperactivity disorder. Standout findings include: a) convergent evidence indicating the use of physical activity in primary prevention and clinical treatment across a spectrum of mental disorders; b) emerging evidence implicating tobacco smoking as a causal factor in onset of both common and severe mental illness; c) the need to clearly establish causal relations between dietary patterns and risk of mental illness, and how diet should be best addressed within mental health care; and d) poor sleep as a risk factor for mental illness, although with further research required to understand the complex, bidirectional relations and the benefits of non‐pharmacological sleep‐focused interventions. The potentially shared neurobiological pathways between multiple lifestyle factors and mental health are discussed, along with directions for future research, and recommendations for the implementation of these findings at public health and clinical service levels.

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Section: Discussionmentioning

confidence: 99%

A meta‐review of “lifestyle psychiatry”: the role of exercise, smoking, diet and sleep in the prevention and treatment of mental disorders

et al. 2020

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“…The role of dietitians and clinical nutritionists in mental health services has been clearly defined [35], and the dietetic and clinical nutritionist workforce in mental health Once a suitable tool is available for routine use in mental health services, the researchers anticipate implementation studies and quality improvement projects, and staff upskilling will be required. Mandated malnutrition screening in mental health services appears inconsistent, and rates of completion in services with mandated malnutrition screening is unknown.…”

Section: Discussionmentioning

confidence: 99%

“…The role of dietitians and clinical nutritionists in mental health services has been clearly defined [35], and the dietetic and clinical nutritionist workforce in mental health services is growing, but the frequency of these specialist clinicians working in mental health services remains sporadic, and the frequency and quality of intervention being provided is inconsistent. Mental health systems need to continue to work towards building multidisciplinary teams that include dietitians or clinical nutritionists with mental-health expertise.…”

Section: Discussionmentioning

confidence: 99%

The Development of a Nutrition Screening Tool for Mental Health Settings Prone to Obesity and Cardiometabolic Complications: Study Protocol for the NutriMental Screener

Teasdale

Moerkl

Moetteli

et al. 2021

IJERPH

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People living with serious mental illness (SMI) experience physical health complications at disproportionate rates to people without an SMI. Unhealthy dietary intake and disordered eating behaviors are key driving factors. There is a lack of valid nutrition-risk screening tools targeted to mental health services, and typically used nutrition-risk screening tools are not suitable for mental health services. This paper details the rationale and study protocol for development and validation of the NutriMental screener, a tool for use in clinical practice to identify service users who are at risk for common nutrition issues experienced by this population group and trigger referral to a specialist clinician. The development process includes five phases. Phase I is the development of nutrition-related domains of interest from screening tools used in mental health services. Phase II involves a literature review and service-user interviews to identify additional domains. Phase III consists of international workshops with relevant clinicians and persons with SMI to gain a consensus on questions to be included in the draft tool. Phase IV involves conducting multinational feasibility and preliminary validation studies. Phase V consists of performing formal validation studies. The development of a nutrition-risk screening tool for mental health services is a necessary step to help rectify the physical-health disparities and life-expectancy gap for people with SMI.

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“…Ernährungsfachkräfte [37][38][39], psychiatrische Pflegekräfte [40], aber auch Genesungsbegleiter:innen [41] werden als zentrale Akteure zur Gesundheitsförderung von Menschen mit psychischen Erkrankungen benannt; ein multiprofessioneller Ansatz wäre wünschenswert. Ärzt:innen spielen eine bedeutende Rolle in der Prävention von und Intervention, insbesondere bei Psychopharmakainduzierter Gewichtszunahme.…”

Section: Diskussionunclassified

„Aber ohne therapeutische Begleitung, schaffe ich es nicht“ – Exploration von Erfahrungen von Menschen mit psychischen Erkrankungen hinsichtlich der Unterstützung bei ernährungsbezogenen Problemen

Peisser

Cornet²,

Mörkl

et al. 2023

Psychiatr Prax

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Zusammenfassung Ziel der Studie In dieser Studie untersuchten wir die subjektiven Erfahrungen und Wünsche von Betroffenen in Bezug auf ernährungs- und gewichtsbezogene Unterstützung im Rahmen der Regelversorgung. Methodik Insgesamt wurden 16 Interviews mit Erwachsenen mit einer schweren psychischen Erkrankung anhand eines semi-strukturierten Leitfadens in Ulm (Deutschland) und Graz (Österreich) durchgeführt und qualitativ ausgewertet. Ergebnisse Einige Betroffenen kritisierten die aus ihrer Sicht unzureichende Unterstützung durch Fachkräfte bei ernährungs- und gewichtsbezogenen Problemen und wünschen sich eine stärkere Adressierung dieser Themen in der psychiatrischen Versorgung. Schlussfolgerung Die Implementierung von gesundheitsfördernden Angeboten in der psychiatrischen Versorgung ist wichtig, um eine aus Betroffenensicht bedürfnisorientierte Versorgung zu schaffen. Durch interdisziplinäre Versorgungskonzepte könnten Verantwortlichkeiten diesbezüglich auf mehrere Berufsgruppen verteilt werden.

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Recommendations for dietetics in mental healthcare

Cited by 4 publications

References 7 publications

A meta‐review of “lifestyle psychiatry”: the role of exercise, smoking, diet and sleep in the prevention and treatment of mental disorders

A meta‐review of “lifestyle psychiatry”: the role of exercise, smoking, diet and sleep in the prevention and treatment of mental disorders

The Development of a Nutrition Screening Tool for Mental Health Settings Prone to Obesity and Cardiometabolic Complications: Study Protocol for the NutriMental Screener

„Aber ohne therapeutische Begleitung, schaffe ich es nicht“ – Exploration von Erfahrungen von Menschen mit psychischen Erkrankungen hinsichtlich der Unterstützung bei ernährungsbezogenen Problemen

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