Cited by 870Schizophrenia research and treatmentMental Health Treatment and AccessPsychiatric care and mental health services

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Physical illness in patients with severe mental disorders. II. Barriers to care, monitoring and treatment guidelines, plus recommendations at the system and individual level

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DE HERT, MARC, COHEN, DAN, BOBES, JULIO, CETKOVICH‐BAKMAS, MARCELO, LEUCHT, STEFAN, NDETEI, DAVID M., NEWCOMER, JOHN W., UWAKWE, RICHARD, ASAI, ITSUO, MÖLLER, HANS‐JURGEN, GAUTAM, SHIV, DETRAUX, JOHAN, CORRELL, CHRISTOPH U.·2011·World Psychiatry

DOI 10.1002/j.2051-5545.2011.tb00036.xPMC PMC3104888

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Abstract

Physical disorders are, compared to the general population, more prevalent in people with severe mental illness (SMI). Although this excess morbidity and mortality is largely due to modifiable lifestyle risk factors, the screening and assessment of physical health aspects remains poor, even in developed countries. Moreover, specific patient, provider, treatment and system factors act as barriers to the recognition and to the management of physical diseases in people with SMI. Psychiatrists can play a pivotal role in the improvement of the physical health of these patients by expanding their task from clinical psychiatric care to the monitoring and treatment of crucial physical parameters. At a system level, actions are not easy to realize, especially for developing countries. However, at an individual level, even simple and very basic monitoring and treatment actions, undertaken by the treating clinician, can already improve the problem of suboptimal medical care in this population. Adhering to monitoring and treatment guidelines will result in a substantial enhancement of physical health outcomes. Furthermore, psychiatrists can help educate and motivate people with SMI to address their suboptimal lifestyle, including smoking, unhealthy diet and lack of exercise. The adoption of the recommendations presented in this paper across health care systems throughout the world will contribute to a significant improvement in the medical and related psychiatric health outcomes of patients with SMI.

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“It asks not only whether assessment or intervention exists, but also who can access and receive appropriate physical health care, whether support is responsive to different levels of need, and who remains engaged long enough to bene ﬁ t (11).”

Authors: DE HERT, M., COHEN, D., BOBES, J., CETKOVICH‐BAKMAS, M., LEUCHT, S., NDETEI, D. M., NEWCOMER, J. W., UWAKWE, R., ASAI, I., MÖLLER, H., GAUTAM, S., DETRAUX, J., & CORRELL, C. U.
Affiliations: University of Groningen (NL)
Universidad de Oviedo (ES)
Technical University of Munich (DE)
University of Nairobi (KE)
Washington University in St. Louis (US)
Nnamdi Azikiwe University (NG)
SMS Medical College (IN)
KU Leuven (BE)
Albert Einstein College of Medicine (US)
ORCID: COHEN, DAN
BOBES, JULIO
LEUCHT, STEFAN
NDETEI, DAVID M.
NEWCOMER, JOHN W.
UWAKWE, RICHARD
DETRAUX, JOHAN
CORRELL, CHRISTOPH U.
Venue: World Psychiatry
Publisher: Wiley
Published: 2011-06
Volume: 10
Issue: 2
Pages: 138-151
ISSN: 1723-8617 (ISSN-L)
2051-5545
DOI: 10.1002/j.2051-5545.2011.tb00036.x
PMC: PMC3104888
OpenAlex: W1828019950
Cited by: 870
References: 150
Citations by year: 2026: 39 · 2025: 50 · 2024: 50 · 2023: 57 · 2022: 68 · 2021: 54 · 2020: 72 · 2019: 76 · 2018: 68 · 2017: 56 · 2016: 79 · 2015: 57 · 2014: 37 · 2013: 57 · 2012: 39
FWCI: 31.70
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 650 d)
Locations: World Psychiatry (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Lirias (submittedVersion)
mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion)
University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
Funders: Bristol-Myers Squibb
Pfizer
Società Italiana di Psichiatria Biologica
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords: physical illness, severe mental illness, barriers to care, physical health screening, treatment guidelines, lifestyle risk factors, smoking, diet, physical activity, developing countries

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Physical illness in patients with severe mental disorders. II. Barriers to care, monitoring and treatment guidelines, plus recommendations at the system and individual level

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