Serious mental illness and physical health problems: A discussion paper
Abstract
People with serious mental illness have higher morbidity and mortality rates of chronic diseases than the general population. This discussion paper explores the complex reasons for these disparities in health, such as limitations of health services, the effects of having a serious mental illness, health behaviours and the effects of psychotropic medication. Physical health can be enhanced by improved monitoring and lifestyle interventions initiated at the start of treatment. There are opportunities for mental health nurses to play a significant role in improving both the physical and mental health of people with serious mental illness.
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Studies exploring the relationship between SMI and all cancer types together have shown conflicting results.
“However, studies exploring the relationship between SMI and all cancer types together have shown conflicting results (30,439).”
From Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care (2011) · cites this paper as [30]
Patients with SMI have a shorter life expectancy, so they may die from cardiovascular reasons before reaching the expected age of death from cancer.
“Furthermore, patients with SMI have a shorter life expectancy, so they may die from cardiovascular reasons before reaching the expected age of death from cancer (30).”
From Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care (2011) · cites this paper as [30]
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- Authors
- Robson, D., & Gray, R.
- Affiliations
- King's College London (GB)
- Corresponding author
- Robson, Debbie
- Venue
- International Journal of Nursing Studies
- Publisher
- Elsevier BV
- Published
- 2007-03
- Volume
- 44
- Issue
- 3
- Pages
- 457-466
- ISSN
- 0020-7489 (ISSN-L)
- OpenAlex
- W2155986904
- Cited by
- 411
- References
- 83
- Citations by year
- 2026: 4 · 2025: 11 · 2024: 15 · 2023: 17 · 2022: 11 · 2021: 16 · 2020: 18 · 2019: 15 · 2018: 31 · 2017: 32 · 2016: 47 · 2015: 24 · 2014: 37 · 2013: 31 · 2012: 32
- FWCI
- 0.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Nursing Studies (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- severe mental illness, physical health, chronic disease, health disparities, morbidity and mortality, psychotropic drugs, health behavior, lifestyle intervention, health monitoring, psychiatric nursing, barriers to health services
- MeSH terms
- Mental Disorders, Cardiovascular Diseases, Chronic Disease, Diabetes Mellitus, Feeding Behavior, Health Promotion, Health Services Accessibility, Health Services Needs and Demand, Health Status, Humans, Life Style, Mass Screening, Neoplasms, Patient Education as Topic, Psychiatric Nursing, Respiratory Tract Diseases, Smoking, Health Behavior, Exercise, HIV Infections, Comorbidity, Causality, Nurse's Role
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