Unhealthy Lifestyle in Patients of a Psychosomatic Outpatient and Consultation-Liaison Clinic

被引:5
作者
Beutel, Till F. [1 ]
Weiser, Prisca [1 ]
Zwerenz, Ruediger [1 ]
Wiltink, Joerg [1 ]
Subic-Wrana, Claudia [1 ]
Michal, Matthias [1 ]
机构
[1] Johannes Gutenberg Univ Mainz, Klin & Poliklin Psychosomat Med & Psychotherapie, Univ Med, Mainz, Germany
关键词
lifestyle; physical activity; smoking; mental disorder; prevention; CORONARY-HEART-DISEASE; DEPRESSIVE SYMPTOMS; PRIMARY-CARE; HEALTH; SMOKING; RISK; ANXIETY; ADULTS; INDIVIDUALS; ASSOCIATION;
D O I
10.1055/s-0034-1375634
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Patients with mental disorders have an increased risk for somatic diseases. Especially life style risk factors contribute to this increased risk. In order to identify targets for preventive measures, we aimed to determine the prevalence of an unhealthy lifestyle in a clinical sample and to analyze associations with severity of mental disorders and somatic complaints. We analyzed the medical records of n = 1 919 outpatients, who were treated between 2009-2011 in the Department of Psychosomatic Medicine and Psychotherapy of the University Medical Center Mainz. 62.4% of the patients were physically inactive, 33.2% were smokers and 17.4% were obese. Lifestyle risk factors were associated with increased symptom burden and impairment. Smoking was strongly associated with more previous psychiatric or psychosomatic inpatient treatments. These results indicate an urgent need for targeting health behavior more rigorously in the treatment of patients with common mental disorders.
引用
收藏
页码:378 / 383
页数:6
相关论文
共 42 条
[1]  
[Anonymous], AM J PUBLIC HLTH
[2]  
[Anonymous], 2017, S3-Leitlinie/Nationale VersorgungsLeitlinie Unipolare Depression-Kurzfassung
[3]   Cigarette smoking and depression: tests of causal linkages using a longitudinal birth cohort [J].
Boden, Joseph M. ;
Fergusson, David M. ;
Norwood, L. John .
BRITISH JOURNAL OF PSYCHIATRY, 2010, 196 (06) :440-446
[4]  
Busch M, 2011, GBE kompakt, V2
[5]   Twenty-Year Depressive Trajectories Among Older Women [J].
Byers, Amy L. ;
Vittinghoff, Eric ;
Lui, Li-Yung ;
Hoang, Tina ;
Blazer, Dan G. ;
Covinsky, Kenneth E. ;
Ensrud, Kristine E. ;
Cauley, Jane A. ;
Hillier, Teresa A. ;
Fredman, Lisa ;
Yaffe, Kristine .
ARCHIVES OF GENERAL PSYCHIATRY, 2012, 69 (10) :1073-1079
[6]  
Chwastiak L, 2012, PSYCHOSOMATICS
[7]   Predictors of long-term prognosis of depression [J].
Colman, Ian ;
Naicker, Kiyuri ;
Zeng, Yiye ;
Ataullahjan, Anushka ;
Senthilselvan, Ambikaipakan ;
Patten, Scott B. .
CANADIAN MEDICAL ASSOCIATION JOURNAL, 2011, 183 (17) :1969-1976
[8]   A prospective study of physical fitness, obesity, and the subsequent risk of mental disorders among healthy young adults in army training [J].
Gubata, Marlene E. ;
Urban, Nadia ;
Cowan, David N. ;
Niebuhr, David W. .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2013, 75 (01) :43-48
[9]   Treatment of Smokers with Co-Occurring Disorders: Emphasis on Integration in Mental Health and Addiction Treatment Settings [J].
Hall, Sharon M. ;
Prochaska, Judith J. .
ANNUAL REVIEW OF CLINICAL PSYCHOLOGY, 2009, 5 :409-431
[10]   Association of smoking and nicotine dependence with severity and course of symptoms in patients with depressive or anxiety disorder [J].
Jamal, Mumtaz ;
Van der Does, A. J. Willem ;
Cuijpers, Pim ;
Penninx, Brenda W. J. H. .
DRUG AND ALCOHOL DEPENDENCE, 2012, 126 (1-2) :138-146