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Psychopathological and psychosocial factors influencing physical health of people with mental disorders

Published online by Cambridge University Press:  13 August 2021

F. Zinno*
Affiliation:
Department Of Psychiatry, University of Campania “Luigi Vanvitelli”, Naples, Italy
C. Palummo
Affiliation:
Department Of Psychiatry, University of Campania “Luigi Vanvitelli”, Naples, Italy
L. Giannelli
Affiliation:
Department Of Psychiatry, University of Campania “Luigi Vanvitelli”, Naples, Italy Department Of Pschiatry, University of Campania “Luigi Vanvitelli”, Naples, Italy
A. Pitocco
Affiliation:
Department Of Psychiatry, University of Campania “Luigi Vanvitelli”, Naples, Italy
A. Carello
Affiliation:
Department Of Psychiatry, University of Campania “Luigi Vanvitelli”, Naples, Italy Department Of Pschiatry, University of Campania “Luigi Vanvitelli”, Naples, Italy
E. Barone
Affiliation:
Department Of Psychiatry, University of Campania “Luigi Vanvitelli”, Naples, Italy Department Of Psychiatry, University of Campania “Luigi Vanvitelli”, Napoli, Italy
V. Giallonardo
Affiliation:
Department Of Psychiatry, University of Campania “Luigi Vanvitelli”, Naples, Italy Department Of Pschiatry, University of Campania “Luigi Vanvitelli”, Naples, Italy
G. Sampogna
Affiliation:
Department Of Psychiatry, University of Campania “Luigi Vanvitelli”, Naples, Italy
M. Luciano
Affiliation:
Department Of Psychiatry, University of Campania “Luigi Vanvitelli”, Naples, Italy
V. Del Vecchio
Affiliation:
Department Of Psychiatry, University of Campania “Luigi Vanvitelli”, Naples, Italy
A. Fiorillo
Affiliation:
Department Of Psychiatry, University of Campania, Naples, Italy
*
*Corresponding author.

Abstract

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Introduction

Severe mental disorders (SMD) are associated with higher morbidity rates and poorer health outcomes compared to the general population. They are more likely to be overweight, to be affected by cardiovascular diseases, and to have higher risk factors for chronic diseases.

Objectives

To assess physical health in a sample of patients with SMD and to investigate which mental health-related factors and other psychosocial outcomes could be considered predictors of poor physical health.

Methods

Patients referring to the psychiatric outpatients unit of the University of Campania “L. Vanvitelli” were recruited, and were assessed through validated assessment instruments exploring psychopathological status, global functioning and stigma. Physical health was assessed with an ad-hoc anthropometric schedule. A blood sample has been collected to assess levels of cholesterol, blood glucose, triglycerides, and blood insulin.

Results

75 patients have been recruited, with a mean age of 45.63±11.84 years. 30% of the sample had a diagnosis of psychosis, 27% of depression and 43% of bipolar disorder. A higher BMI is predicted by higher number of hospitalizations, a reduced score at MANSA (p<.000), and PSP (p<.05), and higher score at ISMI and BPRS (p<.05). A higher cardiovascular risk is predicted by a reduced MANSA score (p<.000), a higher ISMI score and a poorer adherence to pharmacological treatments (p<.05). Higher ISMI score (p<.0001) and number of hospitalizations (p<.05) are predictors of insulin-resistance.

Conclusions

Our study shows that psychosocial domains negatively influence physical health outcome. It is necessary to disseminate an integrated psychosocial intervention in order to improve patients’ physical health.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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