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Sökning: WFRF:(Overgaard Karin) > Outcome of a psycho...

  • Westman, JeanetteKarolinska Institutet (författare)

Outcome of a psychosocial health promotion intervention aimed at improving physical health and reducing alcohol use in patients with schizophrenia and psychotic disorders (MINT)

  • Artikel/kapitelEngelska2019

Förlag, utgivningsår, omfång ...

  • Elsevier BV,2019

Nummerbeteckningar

  • LIBRIS-ID:oai:lup.lub.lu.se:f5fba4ae-71f7-4286-aa79-b34cc1f376fa
  • https://lup.lub.lu.se/record/f5fba4ae-71f7-4286-aa79-b34cc1f376faURI
  • https://doi.org/10.1016/j.schres.2019.03.026DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:141051312URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:art swepub-publicationtype
  • Ämneskategori:ref swepub-contenttype

Anmärkningar

  • Background: Life expectancy is reduced by 19 years in men and 17 in women with psychosis in Sweden, largely due to cardiovascular disease. Aim: Assess whether a psychosocial health promotion intervention improves cardiometabolic risk factors, quality of life, and severity of illness in patients with psychotic disorders more than treatment as usual. Methods: A pragmatic intervention trial testing a manual-based multi-component health promotion intervention targeting patients with psychosis. The Swedish intervention was adapted from IMPaCT therapy, a health-promotion program based on motivational interviewing and cognitive behavioral therapy, designed to be incorporated into routine care. The intervention group consisted of 119 patients and the control group of 570 patients from specialized psychosis departments. Outcome variables were assessed 6 months before intervention during the run-in period, again at the start of intervention, and 12 months after the intervention began. The control group received treatment as usual. Results: The intervention had no significant effect on any of the outcome variables. However, BMI, waist circumference, systolic BP, heart rate, HbA1c, general health, and Clinical Global Impressions Scale score improved significantly during the run-in period before the start of the active intervention (observer effect). The multi-component design meant that treatment effects could only be calculated for the intervention as a whole. Conclusion: The results of the intervention are similar to those of the U.K. IMPaCT study, in which the modular health-promotion intervention had little effect on cardiovascular risk indicators. However, in the current study, the run-in period had a positive effect on cardiometabolic risk factors.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Eberhard, JonasLund University,Lunds universitet,Psykiatri, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Forskningsenheten: svårbehandlade psykiatriska tillstånd,Forskargrupper vid Lunds universitet,Psychiatry (Lund),Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Severe Mental Illness research unit,Lund University Research Groups,King's College London(Swepub:lu)psyk-jeb (författare)
  • Gaughran, Fiona P.King's College London (författare)
  • Lundin, LennartSahlgrenska University Hospital (författare)
  • Stenmark, RichardLund University,Lunds universitet,Psykiatri, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Psychiatry (Lund),Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)psyc-rsn (författare)
  • Edman, GunnarKarolinska Institutet,Danderyd Hospital (författare)
  • Eriksson, Sven V.Enköping Hospital (författare)
  • Jedenius, ErikKarolinska Institutet,Lund University (författare)
  • Rydell, PiaSahlgrenska University Hospital (författare)
  • Overgaard, KarinSahlgrenska University Hospital (författare)
  • Abrams, DanielSahlgrenska University Hospital (författare)
  • Greenwood, Kathryn E.University of Sussex,Great Ormond Street Hospital (författare)
  • Smith, ShubuladeSouth London and Maudsley NHS Foundation Trust,King's College London (författare)
  • Ismail, KhalidaKing's College London (författare)
  • Murray, RobinKing's College London,South London and Maudsley NHS Foundation Trust (författare)
  • Ösby, UrbanKarolinska Institutet,Karolinska University Hospital (författare)
  • Karolinska InstitutetPsykiatri, Lund (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Schizophrenia Research: Elsevier BV208, s. 138-1440920-99641573-2509

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