Cardiovascular and Respiratory Risk Factors and Symptoms among General Practice Patients with Long-Term Mental Illness
Abstract
Background: In the past psychiatric in-patients suffered increased cardiovascular and respiratory mortality. The present study investigated whether increased risks persist among patients in the community and are being addressed in general practice. Method: A survey of 101 long-term mentally ill adults in 16 general practices in the South Thames (West) Region. Results: Twenty-six patients were found to be obese (body mass index > 30 kg/m 2), 53 were current smokers and 11 were hypertensive (mean systolic blood pressure > 160 mmHg or mean diastolic blood pressure > 100 mmHg, or both). Twenty-one reported daily cough and sputum, 24 shortness of breath, 11 wheezing and seven chest pain on exertion. These rates were significantly higher than population rates in a contemporary national survey. Nearly all the risk factors were recorded in the general practice records but few attempts to intervene were apparent. Conclusions: Long-term mentally ill patients remain at increased risk of cardiovascular and respiratory problems in the community. Primary care teams should make special efforts to tackle risk factors among this group.
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- Authors
- Kendrick, T.
- Affiliations
- St George's, University of London (GB)
- Corresponding author
- Kendrick, Tony
- ORCID
- Kendrick, Tony
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 1996-12
- Volume
- 169
- Issue
- 6
- Pages
- 733-739
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2017993561
- Cited by
- 145
- References
- 15
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 1 · 2021: 2 · 2020: 4 · 2019: 1 · 2018: 3 · 2017: 3 · 2016: 3 · 2015: 3 · 2014: 9 · 2013: 4 · 2012: 3
- FWCI
- 3.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- ePrints Soton (University of Southampton) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- long-term mental illness, cardiovascular risk factors, respiratory risk factors, obesity, smoking, hypertension, chronic cough, dyspnea, wheezing, chest pain, primary care, general practice records, community mental health, cardiovascular mortality, respiratory mortality
- MeSH terms
- Adult, Mental Disorders, Cardiovascular Diseases, Chronic Disease, England, Family Practice, Female, Humans, Hypertension, Long-Term Care, Lung Diseases, Obstructive, Male, Middle Aged, Obesity, Patient Care Team, Risk, Smoking, Comorbidity
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