Change in psychiatrists' attitudes towards the physical health care of patients with schizophrenia coinciding with the dissemination of the consensus on physical health in patients with schizophrenia

被引:17
作者
Bobes, J. [1 ]
Alegria, A. A. [2 ,6 ]
Saiz-Gonzalez, M. D. [3 ]
Barber, I. [4 ]
Perez, J. L. [5 ]
Saiz-Ruiz, J. [2 ]
机构
[1] Univ Oviedo, Dept Psychiat, Ctr Invest Biomed Red Salud Mental Cibersam, E-33006 Oviedo, Asturias, Spain
[2] Univ Alcala de Henares, Ctr Invest Biomed Red Salud Mental Cibersam, Ramon & Cajal Univ Hosp, Dept Psychiat,IRYCIS, Madrid 28034, Spain
[3] Univ Complutense, Ctr Invest Biomed Red Salud Mental Cibersam, Clin San Carlos Univ Hosp, Dept Psychiat, E-28040 Madrid, Spain
[4] Otsuka Pharmaceut SA Spain, Barcelona 08028, Spain
[5] Bristol Myers Squibb Co, Dept Med, Madrid 28040, Spain
[6] New York State Psychiat Inst & Hosp, New York, NY 10032 USA
关键词
Schizophrenia; Physical health; Consensus; Comorbidities; ISCHEMIC-HEART-DISEASE; METABOLIC SYNDROME; ANTIPSYCHOTIC TREATMENT; RISK; TRIAL; CATIE; PREVALENCE; MORTALITY; RATES; PEOPLE;
D O I
10.1016/j.eurpsy.2010.04.004
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Purpose. - To evaluate the impact of the "Spanish Consensus on Physical Health in Patients with Schizophrenia" on psychiatrists' evaluations of the physical health of patients with schizophrenia. Method. - Epidemiological, non-interventional, national, multicentre study, with two retrospective, cross-sectional data collection stages in which 229 psychiatrists evaluated 1193 clinical records of patients with schizophrenia (ICD-10) seen in January and September of 2007. Results. - Mean age of the patients was 39.7 +/- 11.6 years, 65.5% were men, diagnosed for schizophrenia 14.0 +/- 10.3 years ago. Forty percent of the patients suffer from a concomitant disease, the most prevalent being hypercholesterolemia (46.3%), hypertriglyceridaemia (33.5%) and arterial hypertension (26.0%). The difference in the number of patients who had all the physical measurements taken between the two cross-sectional evaluations was 13.8% (Cl: 11.8%, 15.7%). The differences for each parameter were: weight 13.7% (Cl: 11.7%, 15.6%), BMI 13.58% (Cl: 11.6%, 15.5%), waist circumference 14.0% (Cl: 12.0%, 15.39%), lipid profile 2.9% (Cl: 1.9%, 3.9%) and glycaemia 2.6% (Cl: 1.7%, 3.5%). Conclusions. - These results imply that the dissemination of the "Consensus on Physical Health in Schizophrenia Patients", and possibly other actions, has made psychiatrists more aware of an integral approach to patients with schizophrenia, promoting increased monitoring of the physical health of these patients. (C) 2010 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:305 / 312
页数:8
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