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• W2958971346 abstract "The poor physical health of people with mental illness is a multifaceted, transdiagnostic, and global problem. People with mental illness have an increased risk of physical disease, as well as reduced access to adequate health care. As a result, physical health disparities are observed across the entire spectrum of mental illnesses in low-income, middle-income, and high-income countries. The high rate of physical comorbidity, which often has poor clinical management, drastically reduces life expectancy for people with mental illness, and also increases the personal, social, and economic burden of mental illness across the lifespan. Mind and body go together: the need for integrated careThe Global Burden of Disease study1 ranked mental disorders as the second-highest contributor to years lived with disability and the sixth-highest contributor to disability-adjusted life-years in 2017. These figures do not directly take into account the increased risk of physical health conditions, such as cardiovascular disease, obesity, diabetes, metabolic syndrome, and hypertension, for people with mental illness, suggesting that the adverse impact of mental illness is even greater than current estimates. Full-Text PDF Common mental disorders: falling through the gapPeople with mental illness are more likely than the rest of the population to have physical health problems and to die prematurely. The Lancet Psychiatry Commission1 on protecting physical health in people with mental illness draws attention to this global inequality. Full-Text PDF Protecting physical health in people with mental illnessThe Lancet Psychiatry Commission by Joseph Firth and colleagues1 on protecting physical health in people with mental illness addresses an important problem in health care. However, the Commission also represents a missed opportunity through its emphasis on a restricted set of potentially modifiable factors linking mental and physical health. Although health behaviours and adverse drug reactions are important, other processes that are also amenable to intervention contribute to physical illness in people with mental health problems. Full-Text PDF Protecting physical health in people with mental illness – Authors' replyThe Chair, section leaders, and senior authors of the Lancet Psychiatry Commission1 on protecting physical health in people with mental illness are pleased by the constructive dialogue on the report. We agree with Andrew Steptoe and Daisy Fancourt that a broad range of psychological and biological processes contribute to poor physical health in people with mental illness—not all of which were explicitly focused on by the Commission. Although psychological therapies are a core component of evidence-based treatment for managing stress associated with mental illness, whether these interventions effectively improve cardiometabolic outcomes or reduce physical comorbidities in people with mental illness has not been established. Full-Text PDF Protecting physical health in people with mental illnessWe applaud Joseph Firth and colleagues1 for addressing physical health in people with mental health problems and for proposing intervention and prevention targets in their Lancet Psychiatry Commission. However, we were surprised that the authors state several times that antipsychotics reduce mortality risk in people with psychotic disorders. A comprehensive review of the scientific literature does not support this claim. Full-Text PDF" @default.
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• W2958971346 date "2019-08-01" @default.
• W2958971346 modified "2023-10-18" @default.
• W2958971346 title "The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness" @default.
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