Cited by 820Schizophrenia research and treatmentBipolar Disorder and TreatmentTreatment of Major Depression

Effects of antipsychotics, antidepressants and mood stabilizers on risk for physical diseases in people with schizophrenia, depression and bipolar disorder

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Correll, Christoph U., Detraux, Johan, De Lepeleire, Jan, De Hert, Marc·2015·World Psychiatry

Abstract

People with severe mental illness have a considerably shorter lifespan than the general population. This excess mortality is mainly due to physical illness. Next to mental illness-related factors, unhealthy lifestyle, and disparities in health care access and utilization, psychotropic medications can contribute to the risk of physical morbidity and mortality. We systematically reviewed the effects of antipsychotics, antidepressants and mood stabilizers on physical health outcomes in people with schizophrenia, depression and bipolar disorder. Updating and expanding our prior systematic review published in this journal, we searched MEDLINE (November 2009 - November 2014), combining the MeSH terms of major physical disease categories (and/or relevant diseases within these categories) with schizophrenia, major depressive disorder and bipolar disorder, and the three major psychotropic classes which received regulatory approval for these disorders, i.e., antipsychotics, antidepressants and mood stabilizers. We gave precedence to results from (systematic) reviews and meta-analyses wherever possible. Antipsychotics, and to a more restricted degree antidepressants and mood stabilizers, are associated with an increased risk for several physical diseases, including obesity, dyslipidemia, diabetes mellitus, thyroid disorders, hyponatremia; cardiovascular, respiratory tract, gastrointestinal, haematological, musculoskeletal and renal diseases, as well as movement and seizure disorders. Higher dosages, polypharmacy, and treatment of vulnerable (e.g., old or young) individuals are associated with greater absolute (elderly) and relative (youth) risk for most of these physical diseases. To what degree medication-specific and patient-specific risk factors interact, and how adverse outcomes can be minimized, allowing patients to derive maximum benefits from these medications, requires adequate clinical attention and further research.

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  1. Andersohn F, Schade R, Suissa S et al. Long-term use of antide- pressants for depressive disorders and the risk of diabetes melli- tus. Am J Psychiatry 2009;166:591-8.

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Authors
Correll, C. U., Detraux, J., De Lepeleire, J., & De Hert, M.
Affiliations
  • Albert Einstein College of Medicine (US)
  • KU Leuven (BE)
  • Department of Public Health and Primary Care; University of Leuven; B-3000 Leuven Belgium
  • Department of Neurosciences; Catholic University Leuven; B-3070 Kortenberg Belgium
Venue
World Psychiatry
Publisher
Wiley
Published
2015-06
Volume
14
Issue
2
Pages
119-136
ISSN
1723-8617 (ISSN-L)
OpenAlex
W1603664273
Cited by
820
References
286
Citations by year
2026: 59 · 2025: 79 · 2024: 77 · 2023: 75 · 2022: 71 · 2021: 77 · 2020: 89 · 2019: 88 · 2018: 71 · 2017: 66 · 2016: 51 · 2015: 15 · 2013: 1
FWCI
54.87
Type
journal article
Language
en
Open access
Locations
  • World Psychiatry (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Lirias (KU Leuven) (submittedVersion, other-oa)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
  • Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
Keywords
antipsychotic drugs, antidepressants, mood stabilizers, somatic comorbidity, physical morbidity, schizophrenia, major depressive disorder, bipolar disorder, obesity, dyslipidemia, diabetes mellitus, thyroid dysfunction, hyponatremia, cardiovascular disease, polypharmacy, drug dosing, adverse drug reactions, severe mental illness, excess mortality

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