431 EXERCISE AND SELF-ESTEEM: THE IMPLICATIONS FOR PERSONS WITH SEVERE MENTAL ILLNESS

1994 ◽  
Vol 26 (Supplement) ◽  
pp. S76
Author(s):  
D. Hutchinson ◽  
G. Skrinar
2007 ◽  
Vol 22 (7) ◽  
pp. 413-418 ◽  
Author(s):  
Shubulade Smith ◽  
David Yeomans ◽  
Chris J.P. Bushe ◽  
Cecilia Eriksson ◽  
Tom Harrison ◽  
...  

AbstractintroductionCardiovascular disease is more prevalent in patients with severe mental illness (SMI) than in the general population.MethodSeven geographically diverse centres were assigned a nurse to monitor the physical health of SMI patients in secondary care over a 2-year period in the “Well-being Support Programme” (WSP). A physical health screen was performed and patients were given individual weight and lifestyle advice including smoking cessation to reduce cardiovascular risk.ResultsNine hundred and sixty-six outpatients with SMI >2 years were enrolled. The completion rate at 2 years was 80%. Significant improvements were observed in levels of physical activity (p < 0.0001), smoking (p < 0.05) and diet (p < 0.0001). There were no changes in mean BMI although 42% lost weight over 2 years. Self-esteem improved significantly. Low self-esteem decreased from 43% at baseline to 15% at 2 years (p < 0.0001). At the end of the programme significant cardiovascular risk factors remained, 46% of subjects smoked, 26% had hypertension and 81% had BMI >25.ConclusionPhysical health problems are common in SMI subjects. Many patients completed 2 years follow up suggesting that this format of programme is an acceptable option for SMI patients. Cardiovascular risk factors were significantly improved. interventions such as the Well-being Support Programme should be made widely available to people with SMI.


Author(s):  
Tania Lecomte ◽  
Claude Leclerc ◽  
Til Wykes

Groups using CBT principles or techniques but targeting either a specific symptom or a domain outside of typical CBT for psychosis have been developed and tested. Some of these groups have been presented briefly in Chapter 3 and have demonstrated their empirical efficacy. In this chapter we present them in more detail. Specifically, we present a group approach focusing on voices, another aiming at improving participants’ self-esteem, a group targeting stress management in people with severe mental illness, and CBT for work integration of people with severe mental illness participating in supported employment programs. The chapter also describes a CBT group for parents or family members of individuals with psychosis, which seems to be effective.


2000 ◽  
Vol 51 (2) ◽  
pp. 229-233 ◽  
Author(s):  
William C. Torrey ◽  
Kim T. Mueser ◽  
Gregory H. McHugo ◽  
Robert E. Drake

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