Abstract
Unhealthy lifestyles contribute, with other risk factors, to the high prevalence of mortality and physical comorbidity among mental patients compared to the general population. We collected data on the lifestyles of 193 subjects with psychosis in contact with a Community Mental Health Service in north-eastern Italy and compared them with a representative sample (total: 3219 subjects) of the general population of the same region. Diet, exercise, smoking and alcohol consumption were worse in mental patients. A higher percentage of patients was overweight or obese. The associations between socio-demographic and lifestyles variables showed that older patients exercise less, female patients tend to smoke and use alcohol less, while more educated patients tend to have higher alcohol consumption levels. Mental patients have unhealthier lifestyles and they appear to be more refractory to recommendations than the general population, indicating the necessity of specific health promotion programmes in this population.
References
Amaddeo, F., Bonizzato, P., & Tansella, M. (1997). Psychiatric case registers for monitoring service utilisation and evaluating its costs. Epidemiologia e Psichiatria Sociale, 6, 177–198.
Bonfioli, E., Berti, L., Goss, C., Muraro, F., & Burti, L. (2012). Health promotion lifestyle interventions for weight management in psychosis: A systematic review and meta-analysis of randomised controlled trials. BMC Psychiatry, 12(78), 1–12.
Chioffi, L., Morgante, S., Berti, L., Costa, L., De Noni, L., De Paoli, N., Faggionato, G., Rebonato, V., Soave, D., Valenari, L., Valsecchi, M., & Burti, L. (2008). Promozione della salute fisica: Un intervento con i pazienti psichiatrici. Dialogo sui Farmaci, 9, 232–234.
Chisholm, D., Knapp, M. R., Knudsen, H. C., Amaddeo, F., Gaite, L., & van Wijngaarden, B. (2000). Client Socio-Demographic and Service Receipt Inventory–European Version: Development of an instrument for international research. EPSILON Study 5. European Psychiatric Services: Inputs Linked to Outcome Domains and Needs. British Journal of Psychiatry, 177(Suppl. 39), s28–s33.
De Hert, M., Correll, C., Bobes, J., Cetkovich-Bakmas, M., Cohen, D., Asai, I., Detraux, J., Gautam, S., Möller, H., Ndetei, D. M., Newcomer, J. W., Uwakwe, R., & Leucht, S. (2011). Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care. World Psychiatry, 10, 52–77.
Endicott, J., Spitzer, R. L., Fleiss, J. L., & Cohen, J. (1976). The global assessment scale. A procedure for measuring overall severity of psychiatric disturbance. Archives of General Psychiatry, 33, 766–771.
Harris, E. C., & Barraclough, B. (1998). Excess mortality of mental disorder. British Journal of Psychiatry, 173, 11–53.
Haustein, K. O., Haffner, S., & Woodcock, B. G. (2002). A review of the pharmacological and psychopharmacological aspects of smoking and smoking cessation in psychiatric patients. International Journal of Clinical Pharmacology and Therapeutics, 40, 404–418.
Kaltenthaler, E., Pandor, A., & Wong, R. (2014). The effectiveness of sexual health interventions for people with severe mental illness: A systematic review. Health Technology Assessment, 18(1).
Leucht, S., Burkard, T., Henderson, J., Maj, M., & Sartorius, N. (2007). Physical illness and schizophrenia: A review of the literature. Acta Psychiatrica Scandinavica, 116, 317–333.
Pack, S. (2009). Poor physical health and mortality in patients with schizophrenia. Nursing Standard, 23(21), 41–45.
Progressi delle Aziende Sanitarie per la Salute in Italia. (2005). Questionario PASSI 2005. Retrieved January 20, 2016 from http://www.epicentro.iss.it/passi/pdf/QES_Passi.pdf.
Progressi delle Aziende Sanitarie per la Salute in Italia. (2007). Sistema di sorveglianza PASSI. Rapporto regionale 2007. Veneto. Retrieved January 20, 2016 from http://www.epicentro.iss.it/passi/pdf/Veneto2007.pdf.
Raedler, T. J. (2010). Cardiovascular aspects of antipsychotics. Current Opinion in Psychiatry, 23, 574–581.
Riordan, H. J., Antonini, P., & Murphy, M. F. (2011). Atypical antipsychotics and metabolic syndrome in patients with schizophrenia: risk factors, monitoring, and healthcare implications. American Health and Drug Benefits, 4(5), 292–302.
Roick, C., Fritz-Wieacker, A., Matschinger, H., Heider, D., Schindler, J., Riedel-Heller, S., & Angermeyer, M. C. (2007). Health habits of patients with schizophrenia. Social Psychiatry and Psychiatric Epidemiology, 42, 268–276.
Sartorius, N. (2007). Physical illness in people with mental disorders. World Psychiatry, 6, 3–4.
Tansella, M., Amaddeo, F., Burti, L., La Salvia, A., & Ruggeri, M. (2006). Evaluating a community-based mental health service focusing on severe mental illness. The Verona experience. Acta Psychiatrica Scandinavica, 429, 90–94.
Tsoi, D. T., Porwal, M., & Webster, A. C. (2013). Interventions for smoking cessation and reduction in individuals with schizophrenia (Review). Cochrane Database of Systematic Reviews, Issue 2.
Vancampfort, D., Knapen, J., Probst, M., Scheewe, T., Remans, S., & De Hert, M. (2012). A systematic review of correlates of physical activity in patients with schizophrenia. Acta Psychiatrica Scandinavica, 125, 352–362.
Von Hausswolff-Juhlin, Y., Bjartveit, M., Lindström, E., & Jones, P. (2009). Schizophrenia and physical health problems. Acta Psychiatrica Scandinavica, 119(Suppl. 438), 15–21.
Wing, J. K., Babor, T., Brugha, T., Babor, T., Brugha, T., Burke, J., Cooper, J. E., Giel, R., Jablenski, A., Regier, D., & Sartorius, N. (1990). SCAN. Schedules for clinical assessment in neuropsychiatry. Archives of General Psychiatry, 47, 589–593.
World Health Organization. (1992). The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. Geneva: WHO.
World Health Organization. (2011). Global recommendations on physical activity for health. Retrieved January 20, 2016 from http://www.who.int/dietphysicalactivity/leaflet-physical-activity-recommendations.pdf.
World Health Organization. (2004). Measuring intake of fruit and vegetables. Background paper for the Joint FAO/WHO Workshop on fruit and vegetables for health. 1–3 September 2004, Kobe, Japan. Retrieved January 20, 2016 from http://www.who.int/dietphysicalactivity/publications/f&v_intake_measurement.pdf.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Berti, L., Bonfioli, E., Chioffi, L. et al. Lifestyles of Patients with Functional Psychosis Compared to Those of a Sample of the Regional General Population: Findings from a Study in a Community Mental Health Service of the Veneto Region, Italy. Community Ment Health J 54, 1050–1056 (2018). https://doi.org/10.1007/s10597-017-0223-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10597-017-0223-7