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The need for routine physical health care in schizophrenia

Published online by Cambridge University Press:  16 April 2020

A.-L. Montejo
A.-L. Montejo*
Affiliation:
University of Salamanca, Av Comuneros 27. Salamanca, Spain
*
Correspondence. Tel.: +34 923 126596/97. E-mail address: amontejo@usal.es
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Abstract

When managing their patients with schizophrenia, psychiatrists are increasingly concerned about physical disorders, including weight gain, obesity, metabolic abnormalities (in particular, diabetes and the metabolic syndrome), prolactin increase, sexual dysfunction and cardiovascular disease. Other common health-related problems in these patients include recreational drug use, sedation/physical inactivity, adverse drug effects and poor self-care. Each of these can have an impact on patient well-being, adherence to therapy and life expectancy. Collectively they can pose substantial barriers to optimal outcomes. However, the widespread acknowledgement of the importance of the physical health of patients with schizophrenia does not always result in consistent monitoring and management of physical health risks in the clinic. Urgent action is needed to ensure that psychiatrists prioritise physical healthcare alongside mental healthcare as a way to improve the longterm outcomes of treatment in all patients with schizophrenia.

Keywords

SchizophreniaAntipsychotic agentsPhysical health
Type
Research Article
Information
European Psychiatry , Volume 25 , Issue S2: Physical health in patients with schizophrenia: current knowledge and practical recommendations , June 2010 , pp. S3 - S5
Copyright
Copyright © 2010 Elsevier Masson SAS

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