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翻訳と辞書　辞書検索 [ 開発暫定版 ] スポンサード リンク Physical health in schizophrenia ： ウィキペディア英語版 Physical health in schizophrenia A recent phenomenon is that people with schizophrenia are at higher than average risk of physical ill health, and die earlier than the general population from natural causes. The fatal conditions include cardiovascular, respiratory and metabolic disorders.〔Harris EC, Barraclough B. Excess mortality of mental disorder. ''Br J Psychiatry'' 1998; 173: 11-53.〕 Although death by suicide in schizophrenia has received much needed attention, death from cardiovascular disease is far more common, accounting for up to 75 percent of deaths.〔Hennekens CH, et al. Schizophrenia and increased risks of cardiovascular disease. ''Am Heart J'' 2005; 150(6): 1,115-21.〕 The causes of physical health problems include factors associated with mental illness and its treatment, poverty, poor housing, higher rates of smoking, poor diet and lack of exercise.〔Phelan M, et al. Physical health of people with severe mental illness. BMJ 2001; 322: 443-44.〕〔Brown S, et al. The unhealthy lifestyle of people with schizophrenia. Psychol Med 1999; 29: 697-701.〕〔McCreadie R. Diet, smoking and cardiovascular risk in people with schizophrenia. Br J Psychiatry 2003; 183: 534-39.〕〔Vancampfort, et al. Considering a frame of reference for physical activity research related to the cardiometabolic risk profile in schizophrenia. Psychiatry Res 2010;177(3): 271-9.〕 == Dynamics == Despite the high rates of physical health problems, mental health service users report that health care workers overlook their physical health needs.〔Friedli L, Dardis C. Not all in the mind: Mental health service user perspectives on physical health. ''J Mental Health Promotion'' 2002; 1:36-46.〕 Service users would like mental health practitioners to do more for their physical health. Rethink〔Rethink. Just one per cent. Kingston-Upon-Thames: Rethink; 2003. Available from: http://www.rethink.org/.〕 interviewed 2,998 mental health service users, over half of whom lived with a diagnosed severe mental illness. Nearly one third said regular physical health checks were in their top three priorities for improving services. Mental health practitioners may feel unable to provide physical health input. Also there may be a feeling that people with mental health problems will not be interested in physical health education and support. In fact, much health promotion is simple and well received by service users. One review showed that people with schizophrenia benefited from a variety of behavioural interventions and achieved weight loss and lifestyle change.〔Bushe C, et al. The role of lifestyle interventions and weight management in schizophrenia. J Psychopharmacol 2005; 19(6 Suppl): 28-35.〕 Another study found little evidence to support one intervention over another,〔Richardson CR, et al. Integrating physical activity into mental health services for persons with serious mental illness. Psychiatr Serv 2005; 56: 324-31.〕 but argued that moderately strenuous exercise was important. 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Physical health in schizophrenia」の詳細全文を読む スポンサード リンク 翻訳と辞書 : 翻訳のためのインターネットリソース Copyright(C) kotoba.ne.jp 1997-2016. All Rights Reserved.