Literature DB >> 19134507

Care and management of cardiovascular risk factors among individuals with schizophrenia and type 2 diabetes who smoke.

Seth Himelhoch1, Jaclyn Leith, Richard Goldberg, Julie Kreyenbuhl, Deborah Medoff, Lisa Dixon.   

Abstract

OBJECTIVE: We sought to determine whether individuals with schizophrenia and type 2 diabetes who smoke were being monitored and treated for modifiable risk factors associated with cardiovascular disease.
METHODS: Cross-sectional analysis of 100 patients with schizophrenia and 99 without serious mental illness (SMI), with a diagnosis of type 2 diabetes.
RESULTS: Individuals with schizophrenia were nearly twice as likely to be smokers compared to those without SMI (62% vs. 34%). Among smokers, those with schizophrenia were significantly less likely to receive blood pressure exams, lipid profiles or treatment with ACE inhibitors or statins compared to those without SMI. Both groups were equally likely to receive smoking cessation counseling.
CONCLUSIONS: Smokers with type 2 diabetes and schizophrenia are significantly less likely to receive services and treatments known to improve cardiovascular outcomes. Efforts to increase awareness and improve delivery of services to this vulnerable group of patients are warranted.

Entities:  

Mesh:

Year:  2008        PMID: 19134507      PMCID: PMC2731990          DOI: 10.1016/j.genhosppsych.2008.07.007

Source DB:  PubMed          Journal:  Gen Hosp Psychiatry        ISSN: 0163-8343            Impact factor:   3.238


  14 in total

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Authors: 
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5.  Extent and management of cardiovascular risk factors in patients with type 2 diabetes and serious mental illness.

Authors:  Julie Kreyenbuhl; Faith B Dickerson; Deborah R Medoff; Clayton H Brown; Richard W Goldberg; Lijuan Fang; Karen Wohlheiter; Leena P Mittal; Lisa B Dixon
Journal:  J Nerv Ment Dis       Date:  2006-06       Impact factor: 2.254

6.  Mortality and causes of death in schizophrenia in Stockholm county, Sweden.

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Journal:  Schizophr Res       Date:  2005-07-15       Impact factor: 4.939

Review 8.  Implications of recent clinical trials for the National Cholesterol Education Program Adult Treatment Panel III guidelines.

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9.  A comparison of type 2 diabetes outcomes among persons with and without severe mental illnesses.

Authors:  Lisa B Dixon; Julie A Kreyenbuhl; Faith B Dickerson; Thomas W Donner; Clayton H Brown; Karen Wohlheiter; Karen Wolheiter; Leticia Postrado; Richard W Goldberg; LiJuan Fang; Christopher Marano; Erick Messias
Journal:  Psychiatr Serv       Date:  2004-08       Impact factor: 3.084

10.  To whom do psychiatrists offer smoking-cessation counseling?

Authors:  Seth Himelhoch; Gail Daumit
Journal:  Am J Psychiatry       Date:  2003-12       Impact factor: 18.112

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6.  Atypical antipsychotic use is an independent predictor for the increased mean platelet volume in patients with schizophrenia: A preliminary study.

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7.  Effectiveness of an intervention in increasing the provision of preventive care by community mental health services: a non-randomized, multiple baseline implementation trial.

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8.  Evaluating Diabetes Care for Patients With Serious Mental Illness Using the Chronic Care Model: A Pilot Study.

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9.  A Systematic Review of Psychosocial Barriers and Facilitators to Smoking Cessation in People Living With Schizophrenia.

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  9 in total

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