Community Mental Health Journal

, Volume 41, Issue 6, pp 747–755 | Cite as

Heart Disease, Schizophrenia, and Affective Psychoses: Epidemiology of Risk in Primary Care

  • Suzanne McDermott
  • Robert Moran
  • Tan Platt
  • Terri Isaac
  • Hope Wood
  • Srikanth Dasari
Article

Abstract

A retrospective cohort design was used to study risk factors and cardiovascular end points among adults, with and without psychoses, receiving primary care. Earlier onset of risk factors and heart disease was noted among individuals with schizophrenia compared to those with affective psychoses and no disabilities. Patients with schizophrenia had increased relative risk for obesity, congestive heart failure, dementia, depression and death, while patients with affective psychoses had increased risk for dementia and diabetes.

Key words

persons with schizophrenia affective psychoses heart disease 

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References

  1. Brown, S. 1997Excess mortality of schizophrenia. A meta-analysisBritish Journal of Psychiatry171502508PubMedCrossRefGoogle Scholar
  2. Brown, S., Birtwistle, J., Roe, L., Thompson, C. 1999The unhealthy lifestyle of people with schizophreniaPsychological Medicine29697701PubMedGoogle Scholar
  3. Davidson, M. 2002Risk of cardiovascular disease and sudden death in schizophreniaJournal of Clinical Psychiatry63511PubMedGoogle Scholar
  4. Dixon, L., Postrado, L., Delachanty, J., Fischer, P. J., Lehman, A. 1999The association of medical comorbidity in schizophrenia with poor physical and mental healthJournal of Nervous and Mental Disease187496502CrossRefPubMedGoogle Scholar
  5. Dixon, L., Weiden, P., Delahanty, J.,  et al. 2000Prevalence and correlates of diabetes in national schizophrenia samplesSchizophrenia Bulletin26903912PubMedGoogle Scholar
  6. Druss, B. G., Bradford, W. D., Rosenheck, R. A., Radford, M. J., Krumholz, H. M. 2001Quality of medical care and excess mortality in older patients with mental disordersArchives of General Psychiatry58565572CrossRefPubMedGoogle Scholar
  7. Felker, B., Yakel, J. J., Short, D. 1996Mortality and medical comorbidity among psychiatric patients: a reviewPsychiatric Services4713561363PubMedGoogle Scholar
  8. Green, A. I., Canuso, C. M., Brenner, M. J., Wojcik, J. D. 2003Detection and management of comorbidity in patients with schizophreniaPsychiatric Clinics of North America26115139CrossRefPubMedGoogle Scholar
  9. Jeste, D. V., Gladsjo, J. A., Lindamer, L. A., Lacro, J. P. 1996Medical comorbidity in schizophreniaSchizophrenia Bulletin22413430PubMedGoogle Scholar
  10. Lollar, D. J. 2001Public Health Trends in DisabilityAlbrect, G. L.Seelman, K. D.Bury, M. eds. Handbook of Disability Studies, Sage PublicationsThousand Oaks, CAGoogle Scholar
  11. SAS Institute1999SAS/STAT User’s Guide, Version 8SAS InstituteCary, NCGoogle Scholar
  12. US Department of Health and Human Services. (1999). Mental Health: A Report of the Surgeon General–Executive Summary. Rockville, MD: US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental HealthGoogle Scholar
  13. US Department of Health and Human Services. (2003). Summary of Health Statistics for US Adults: National Health Interview Study, 1999. Vital and Health Statistics, Series 10, No 212. Rockville, MD: U.S. Department of Health and Human ServicesGoogle Scholar
  14. Wirshing, D. A., Pierre, J. M., Erhart, S. M., Boyd, J. A. 2003Understanding the new and evolving profile of adverse drug effects in schizophreniaPsychiatric Clinics of North America2616590CrossRefPubMedGoogle Scholar
  15. World Health Organization1980International statistical classification of diseases9 World Health OrganizationGeneva SwitzerlandGoogle Scholar

Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  • Suzanne McDermott
    • 1
  • Robert Moran
    • 1
  • Tan Platt
    • 1
  • Terri Isaac
    • 1
  • Hope Wood
    • 1
  • Srikanth Dasari
    • 1
  1. 1.Department of Family and Preventive MedicineFamily Practice CenterColumbia

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