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Physical health of patients in continuing care

Published online by Cambridge University Press:  02 January 2018

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Extract

As psychiatrists, we are responsible for large numbers of patients who require follow-up over years, and often lifelong. Usually these patients suffer from chronic psychotic illnesses, and their psychiatrist may be their main point of contact with the medical profession. As a group they face a whole range of problems – not only from the psychiatric condition itself, with its associated stigma and psychosocial stresses, but also from unemployment, poverty, poor housing and worse physical health.

This review will look at the evidence that patients in continuing care have increased morbidity and mortality. The types of illness excess will be examined and explanations suggested as to why such an increase exists. Finally, we present practical steps that might usefully be taken to reduce physical illness and premature death in this vulnerable group.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 1999 

References

Brown, S. (1997) Excess mortality of schizophrenia. A meta-analysis. British Journal of Psychiatry, 171, 502508.CrossRefGoogle ScholarPubMed
Brugha, T. S., Wing, J. K. & Smith, B.L. (1989) Physical health of the long-term mentally ill in the community. Is there unmet need? British Journal of Psychiatry, 155, 777781.CrossRefGoogle ScholarPubMed
Clark, M. L. (1994) Nutrition. In Clinical Medicine (3rd edn) (eds Kumar, P. J. & Clark, M. L.) pp. 167169. London: Ballière Tindall.Google ScholarPubMed
Cormac, I. & Jenkins, P. (1999) Understanding the importance of oral health in psychiatric patients. Advances in Psychiatric Treatment, 5, 5360.CrossRefGoogle Scholar
De Leon, J., Dadvand, M., Canuso, C. et al (1996) Polydipsia and water intoxication in a long term psychiatric hospital. Biological Psychiatry, 40, 2834.CrossRefGoogle Scholar
Drake, R. E., Osher, F. C. & Wallach, M. A. (1989) Alcohol use and abuse in schizophrenia: a prospective community study. Journal of Nervous and Mental Disease, 177, 408414.CrossRefGoogle ScholarPubMed
Dworkin, R. H. (1994) Pain insensitivity in schizophrenia: a neglected phenomenon and some implications. Schizophrenia Bulletin, 20, 235248.CrossRefGoogle ScholarPubMed
Felker, B., Yazel, J. J. & Short, D. (1996) Mortality and medical comorbidity among psychiatric patients: a review. Psychiatric Services, 47, 13571363.Google ScholarPubMed
Fisher, N. & Roberts, J. (1998) Primary health care service for long-stay psychiatric in-patients. Psychiatric Bulletin, 22, 610612.CrossRefGoogle Scholar
Harris, E. C. & Barraclough, B. (1998) Excess mortality of mental disorder. British Journal of Psychiatry, 173, 1153.CrossRefGoogle ScholarPubMed
Herman, D. B., Susser, E. S., Jandorf, L. et al (1998) Homelessness among individuals with psychotic disorders hospitalised for the first time: findings from the Suffolk county mental health project. American Journal of Psychiatry, 155, 109113.CrossRefGoogle Scholar
Hughes, J. R., Hatsukami, D. K., Mitchell, J. E. et al (1986) Prevalence of smoking among psychiatric out-patients. American Journal of Psychiatry, 143, 993997.Google Scholar
Jeste, D. V., Gladsjo, J. A., Lindamer, L. A. et al (1996) Medical comorbidity in schizophrenia. Schizophrenia Bulletin, 22, 413430.CrossRefGoogle Scholar
Kendrick, T., Sibbald, B., Burns, T. et al (1991) Role of general practitioners in care of long term mentally ill patients. British Medical Journal, 302, 508510.CrossRefGoogle ScholarPubMed
McClelland, R. J. & Wilson, A. B. (1997) Psychiatric manifestations of organic illness. In The Essentials of Postgraduate Psychiatry (3rd edn) (eds Murray, R., Hill, P. D. & Mcguffin, P.) pp. 362397. Cambridge: Cambridge University Press.Google Scholar
McIntyre, J. S. & Romano, J. (1977) Is there a stethoscope in the house (and is it used)? Archives of General Psychiatry, 34, 11471151.CrossRefGoogle Scholar
Mortensen, P. B. & Juel, K. (1993) Mortality and causes of death in first admitted schizophrenic patients. British Journal of Psychiatry, 163, 183189.CrossRefGoogle ScholarPubMed
Newman, S. C. & Bland, R. C. (1991) Mortality in a cohort of patients with schizophrenia: a record linkage study. The Canadian Journal of Psychiatry, 36, 239245.CrossRefGoogle Scholar
Regier, D. A., Farmer, M. E., Rae, D. S. et al (1990) Comorbidity of mental disorders with alcohol and other drug abuse: results from the epidemiological catchment area (ECA) study. Journal of The American Medical Association, 264, 25112518.CrossRefGoogle ScholarPubMed
Ruschena, D., Mullen, P. E., Burgess, P. et al (1998) Sudden death in psychiatric patients. British Journal of Psychiatry, 172, 331336.CrossRefGoogle Scholar
Sewell, D. D. (1996) Schizophrenia and HIV. Schizophrenia Bulletin, 22, 465473.CrossRefGoogle ScholarPubMed
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