scholarly journals Physical monitoring and advice: absence of evidence is not evidence of absence

2015 ◽  
Vol 21 (2) ◽  
pp. 75-77
Author(s):  
Katharine Smith

SummaryIndividuals with severe mental illness have increased rates of physical health problems and reduced life expectancy. As a vulnerable population, they have been identified as needing increased physical health monitoring and treatment. The first of two Cochrane reviews considered here assessed the evidence for the benefit of monitoring but found no studies that could be included. The second reviewed the evidence for provision of general physical healthcare advice. Although the results were suggestive of benefit, the evidence, where available, was of poor quality. These reviews highlight an important area for future research to evaluate the relative health and cost benefits of different types of intervention.

2008 ◽  
Vol 25 (3) ◽  
pp. 108-115
Author(s):  
Majella Cahill ◽  
Anne Jackson

AbstractDeveloping effective models of identifying and managing physical ill health amongst mental health service users has become an increasing concern for psychiatric service providers. This article sets out the general professional and Irish statutory obligations to provide physical health monitoring services for individuals with serious mental illness. Review and summary statements are provided in relation to the currently available guidelines on physical health monitoring.


2012 ◽  
Vol 27 ◽  
pp. 1
Author(s):  
B.Serván Rendón-Luna ◽  
M.D.Morón Nozaleda ◽  
M.Machín Vázquez-Illá ◽  
O.Bautista Garrido ◽  
M.de los Reyes Montoya ◽  
...  

2017 ◽  
Vol 211 (4) ◽  
pp. 194-197 ◽  
Author(s):  
Athif Ilyas ◽  
Edward Chesney ◽  
Rashmi Patel

SummaryPeople with serious mental illness have a reduced life expectancy that is partly attributable to increased cardiovascular disease. One approach to address this is regular physical health monitoring. However, physical health monitoring is poorly implemented in everyday clinical practice and there is little evidence to suggest that it improves physical health. We argue that greater emphasis should be placed on primary prevention strategies such as assertive smoking cessation, dietary and exercise interventions and more judicious psychotropic prescribing.


2011 ◽  
Vol 37 (4) ◽  
pp. 671-673 ◽  
Author(s):  
G. Tosh ◽  
A. Clifton ◽  
M. Bachner

2021 ◽  
pp. 1-10
Author(s):  
Aaron A. Kandola ◽  
David P. J. Osborn

SUMMARY Physical activity is a modifiable risk factor for several physical and mental health conditions. It is well established that people with severe mental illness have increased risk of physical health complications, particularly cardiovascular disease. They are also more likely to be physically inactive, contributing to the elevated cardiovascular and metabolic risks, which are further compounded by antipsychotic medication use. Interventions involving physical activity are a relatively low risk and accessible way of reducing physical health problems and weight in people with severe mental illness. They also have wider benefits for mental health symptoms and quality of life. However, many barriers still exist to the widespread implementation of physical activity interventions in the treatment of severe mental illness. A more concerted effort is needed to facilitate their translation into routine practice and to increase adherence to activity interventions.


2001 ◽  
Vol 16 (3) ◽  
pp. 287-302 ◽  
Author(s):  
Rebecca Campbell ◽  
Courtney E. Ahrens ◽  
Tracy Sefl ◽  
Sharon M. Wasco ◽  
Holly E. Barnes

In this study, 102 rape survivors were interviewed about the social reactions they received from family and friends post-rape. Results supported Ullman’s (1996b) conclusion that the overall contribution of positive social reaction (e.g., providing support, listening, believing) on victims’ recovery is negligible, but that negative social reactions (e.g., blaming) hinder recovery. In contrast to Ullman’s (1996b) work, this research also examined whether rape victims have similar perceptions as to what constitutes a “positive” and “negative” social reaction. Results indicated that victims often agree as to what reactions are healing (positive), but that they do not agree as to what is hurtful (negative). By taking victims’ perceptions into account, this study was able to compare the relative contributions of social reactions that were considered healing, social reactions that were considered hurtful, and the absence of social reactions. Results indicated that survivors who had someone believe their account of what happened or were allowed to talk about the assault—and considered these reactions to be healing—had fewer emotional and physical health problems than victims who considered these reactions hurtful, or victims who did not experience these reactions at all. Implications for future research on social reactions are discussed.


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