Reducing the Risk of Cardiovascular Diseases in Non-selected Outpatients With Schizophrenia: A 30-Month Program Conducted in a Real-life Setting

Hjorth, Peter; Juel, Anette; Hansen, Mogens Herman; Madsen, Nikolaj Juul; Viuff, Anne Grethe; Munk‐Jørgensen, Povl

doi:10.1016/j.apnu.2017.08.005

Cited by 14 publications

(15 citation statements)

References 44 publications

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“…Results do suggest that a continued focus upon the lifestyle programme is required, as the results were no longer significant after 12 months. A comparable study was done in Denmark (Hjorth et al, 2017), as a part of the European HELPS project (Weiser et al, 2009) with similar results. Deenik et al (2017) carried out a cross-sectional study showing that for inpatients of mental health wards, physical activity is associated with higher quality of life, especially for those patients who are least active.…”

Section: Lifestyle Interventionssupporting

confidence: 60%

Contemporary approaches in mental health rehabilitation

Meer

Wunderink

2018

Epidemiol Psychiatr Sci

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In many European countries, deinstitutionalisation has been an ongoing process over the last few decades. Mental health organisations were transformed to provide support in a more integrated and comprehensive manner, preferably in their own homes in the community. Yet, despite the welcome aspiration of community integration for all, people with complex mental health problems (also termed severe mental illness) have continued to require high levels of support, in inpatient settings and in the community. This group's needs make them highly dependent on their caregivers. The attitudes, knowledge and skills of the staff providing treatment and support is crucial to their recovery. Rehabilitation programmes provide a much-needed framework to guide practitioners and help them organise and focus their recovery-oriented approach. In this editorial, we will provide a non-exhaustive overview of such rehabilitation programmes and interventions to illuminate the wide scope and practical usability of these interventions for this group of people with complex mental health problems.

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Section: Lifestyle Interventionssupporting

confidence: 60%

Contemporary approaches in mental health rehabilitation

Meer

Wunderink

2018

Epidemiol Psychiatr Sci

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“…Studies that reported age identified the range from 18 to 65 years old. Weight (kg) or BMI (kg m −2 ) was identified as the primary outcome measure in 18 of the 20 included studies (17–34). Researchers used scales and questionnaires in order to report changes in the psychiatric domain of participants after applying interventions in nine programs (18, 23–27, 30, 32, 35).…”

Section: Resultsmentioning

confidence: 99%

“…However, in many of the articles there was no information about the recommended exercise intensity. Participants were recruited mostly from outpatient or daily departments (17, 18, 21, 23–25, 30, 34, 36), but in almost half of the cases, the authors did not specify these data (19, 20, 26, 27, 29, 31, 32, 35, 36). Analyses of the long-term effects were conducted in four studies (21, 23, 27, 29).…”

Section: Resultsmentioning

confidence: 99%

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Nonpharmacological Interventions for the Treatment of Cardiometabolic Risk Factors in People With Schizophrenia—A Systematic Review

et al. 2019

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Background: People suffering from schizophrenia are notably vulnerable to cardiometabolic risk factors (CMRF), such as obesity, high blood pressure, hyperglycemia and insulin resistance, high serum triglycerides, and low serum high-density lipoprotein (HDL), which are related to increased mortality and decreased quality of life. The increased risk of “metabolic syndrome” (MS) is related to low physical activity, an unhealthy diet, and side effects of antipsychotic drugs. Nonpharmacological interventions seem to be important in the prevention and therapy of MS. Aim: This paper provides an overview of published studies and a critical analysis of pilot programs involving nonpharmacological measures aimed at prevention and treatment of CMRF in patients with schizophrenia. Material and Method: We searched the PubMed, PsycARTICLES, and Cochrane Library databases to identify clinical trials. We included full-text studies that met the following criteria: age > 18 years, a diagnosis of schizophrenia or schizoaffective disorder, and monitored parameters associated with MS. Results: All 1,555 references were evaluated for inclusion in the review, and 20 met the inclusion criteria. Nonpharmacological interventions led to improvement in physical health and showed a promising potential for implementation in treatment programs dedicated to this particular group of patients. However, a critical analysis revealed limitations, which have implications for the direction of future research. Conclusions: Patients suffering from schizophrenia can benefit from nonpharmacological interventions aimed at counteracting CMRF, improving either metabolic parameters, cardiovascular fitness, or their health perception. Notwithstanding, to achieve long-term effects, future studies should comprise appropriate follow-up procedures.

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“…), and premorbid drug use and lifestyle (Hjorth et al . )–in a disease such as schizophrenia. These results also show that PMHNs are aware of the relevance of these factors and consider them worthy of consideration when intervening with a person with this mental illness.…”

Section: Discussionmentioning

confidence: 99%

An international survey of Psychiatric‐Mental‐Health Nurses on the content validity of the International Classification of Functioning, Disability and Health Core Sets for Schizophrenia

Nuño

Barrios

Moller

et al. 2019

Int J Mental Health Nurs

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The International Classification of Functioning, Disability and Health (ICF) Core Sets for schizophrenia describe the key problems in functioning that are experienced by individuals with this disorder. This study examines the content validity of these Core Sets and aims to identify the most frequent problems faced by people with schizophrenia, considering for this analysis the perspective of Psychiatric-Mental-Health Nurses. The study complied with the COREQ checklist for qualitative studies. A total of 101 nurses from 30 countries covering all six World Health Organization regions participated in a Delphi study. Their responses in Round 1 were linked to ICF categories, retaining those reported by at least 5% of participants. In Round 2, they were asked to rate the relevance of each of these categories to the nursing care of patients with schizophrenia. This process was repeated in Round 3. A total of 2327 concepts were extracted in Round 1 and linked to ICF categories. Following the analysis, 125 categories and 31 personal factors were presented to the experts in rounds 2 and 3. Consensus (defined as agreement ≥75%) was reached for 97 of these categories and 29 personal factors. These categories corresponded to all those (N = 25) in the Brief Core Set and 87 of the 97 categories of the bs_bs_banner Comprehensive Core Set for schizophrenia. Ten new categories emerged. The Delphi process identified the problems in functioning that nurses encounter when treating individuals with schizophrenia, and the results supported the content validity of the Core Sets. We conclude that these Core Sets offer a comprehensive framework for structuring clinical information and guiding the treatment process.

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Reducing the Risk of Cardiovascular Diseases in Non-selected Outpatients With Schizophrenia: A 30-Month Program Conducted in a Real-life Setting

Cited by 14 publications

References 44 publications

Contemporary approaches in mental health rehabilitation

Contemporary approaches in mental health rehabilitation

Nonpharmacological Interventions for the Treatment of Cardiometabolic Risk Factors in People With Schizophrenia—A Systematic Review

An international survey of Psychiatric‐Mental‐Health Nurses on the content validity of the International Classification of Functioning, Disability and Health Core Sets for Schizophrenia

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