Key result
Municipalities fail to offer health-promoting care to ~61% of non-affective psychotic outpatients in need.
Why the study?
Impaired quality of life and premature death in psychotic disorders relate to lifestyle comorbidities, but municipal health-promoting care does not embrace these challenges.
Cross-Sectional (n=165)
Yes
A large majority of outpatients with non-affective psychotic disorders require health-promoting interventions, but most do not receive them.
Answers are grounded in this paper and cite their sources.
Substantial unmet needs for health promotion persist in psychotic disorder outpatients; leaves open whether closing gaps improves cardiometabolic outcomes.
IntroductionImpaired quality of life (QoL) and premature death in patients with primary non-affective psychotic disorders is related to lifestyle-induced comorbidities. Current municipal health-promoting treatment and care do not embrace the challenges of living with psychotic disorders.AimThis cross-sectional study aimed to identify the proportion of outpatients diagnosed with primary psychotic disorders who need health-promoting treatment and care, and who receive municipal health-promoting interventions.MethodsOf 206 eligible invited outpatients from three psychiatric services clinics in Southern Denmark, 165 participated. Demographic and health characteristics, and use of alcohol, cannabis, drugs, and cigarettes were identified via a screening tool. Blood test information, body measurements, and medication status were extracted from the outpatients’ medical records. The need for health promotion was assessed based on body mass index (BMI), and use of alcohol, cannabis, drugs, and cigarettes.ResultsSeventy-three percent of outpatients needed health promotion, of whom 61 % were not offered municipal health-promoting treatment and care. Thirty-six percent had one or more somatic comorbidities, including diabetes mellitus (15 %) and cardiovascular disease (10 %); 41 % smoked a mean (SD) of 19 (10) cigarettes daily. Mean (SD) BMI was 34 (8) kg/m2 for women and 29 (7) kg/m2 for men.ConclusionThe majority of outpatients with non-affective psychotic disorders need health-promoting interventions, but only about 40 % of these patients receive such municipal health-promoting treatment and care. Future studies should clarify the impact of these interventions on the health status, QoL, and life expectancy of these patients.
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Kaasgaard et al. (2023) conducted a cross-sectional in primary non-affective psychotic disorders (n=165). Health-promoting treatment and care was evaluated on Proportion of outpatients needing health promotion. Among outpatients with non-affective psychotic disorders, 73% needed health-promoting interventions, but 61% of those in need were not offered municipal health-promoting treatment and care.
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