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Cardiovascular disease and diabetes in people with severe mental illness position statement from the European Psychiatric Association (EPA), supported by the European Association for the Study of Diabetes (EASD) and the European Society of Cardiology (ESC)

Published online by Cambridge University Press:  16 April 2020

M. De Hert ,
J.M. Dekker ,
D. Wood ,
K.G. Kahl ,
R.I.G. Holt  and
H.-J. Möller
M. De Hert*
Affiliation:
University Psychiatric, Centre Catholic University, Leuven campus Kortenberg, Leuvensesteenweg 517, 3070Kortenberg, Belgium
J.M. Dekker
Affiliation:
University Psychiatric, Centre Catholic University, Leuven campus Kortenberg, Leuvensesteenweg 517, 3070Kortenberg, Belgium
D. Wood
Affiliation:
National Heart and Lung Institute Cardiovascular Science, Imperial College, Charing Cross Campus, W6 8RPLondon, United Kingdom
K.G. Kahl
Affiliation:
Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Carl-Neubergstrasse. 1, 30625Hannover, Germany
R.I.G. Holt
Affiliation:
Endocrinology & Metabolism, Developmental Origins of Health and Disease, School of Medicine, University of Southampton, Southampton SO16 6YD, United Kingdom
H.-J. Möller
Affiliation:
Department of Psychiatry, Ludwig-Maximilians-University, Nussbaumstrasse 7, 80336Munich, Germany
*
*Corresponding author. E-mail address: marc.de.hert@uc-kortenberg.be (M. De Hert).
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Abstract

People with severe mental illnesses, such as schizophrenia, depression or bipolar disorder, have worse physical health and reduced life expectancy compared to the general population. The excess cardiovascular mortality associated with schizophrenia and bipolar disorder is attributed in part to an increased risk of the modifiable coronary heart disease risk factors; obesity, smoking, diabetes, hypertension and dyslipidaemia. Antipsychotic medication and possibly other psychotropic medication like antidepressants can induce weight gain or worsen other metabolic cardiovascular risk factors. Patients may have limited access to general healthcare with less opportunity for cardiovascular risk screening and prevention than would be expected in a non-psychiatric population. The European Psychiatric Association (EPA), supported by the European Association for the Study of Diabetes (EASD) and the European Society of Cardiology (ESC) published this statement with the aim of improving the care of patients suffering from severe mental illness. The intention is to initiate cooperation and shared care between the different healthcare professionals and to increase the awareness of psychiatrists and primary care physicians caring for patients with severe mental illness to screen and treat cardiovascular risk factors and diabetes.

Keywords

Severe mental illnessSchizophreniaDepressionBipolar disorderPhysical healthWeight gain
Type
Review
Information
European Psychiatry , Volume 24 , Issue 6 , September 2009 , pp. 412 - 424
Copyright
Copyright © Elsevier Masson SAS 2009

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