Severe Mental Illness

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Fermin Mayoral-cleries - One of the best experts on this subject based on the ideXlab platform.

  • Medication and physical activity and physical fitness in Severe Mental Illness.
    Psychiatry research, 2018
    Co-Authors: David Pérez-cruzado, Antonio Cuesta-vargas, Elisa Vera-garcia, Fermin Mayoral-cleries
    Abstract:

    Anti-psychotic medication has emerged as the primary medical treatment for people with Severe Mental Illness, despite the great risks involved in the use of this medication. In addition, this population suffers from problems of obesity, sedentary lifestyle and poor physical fitness, which is aggravated by the use of this type of medication. The objective of this study is to explore the influence of the most commonly used antipsychotics in this population (Olanzapine and Risperidone) on physical activity and the physical fitness of people with Severe Mental Illness. Sixty-two people between 26 and 61 years of age with Severe Mental Illness were assessed. All participants were evaluated with a battery of 11 physical tests to assess their physical fitness and with the IPAQ-short version questionnaire to determine their level of physical activity. The doses of Risperidone and Olanzapine were also evaluated in all participants. Significant differences were found for physical activity, with higher levels reported in those patients with Severe Mental Illness who did not take any of these medications. Regarding physical fitness, significant differences were only found for the consumption of Risperidone, with better physical fitness levels seen in patients who did not consume this medication; on the other hand, for the consumption of Olanzapine, differences were found in muscular strength, balance and aerobic condition with better values in non-Olanzapine consumers compared with Olanzapine consumers.

  • The relationship between quality of life and physical fitness in people with Severe Mental Illness.
    Health and quality of life outcomes, 2018
    Co-Authors: David Pérez-cruzado, Antonio Cuesta-vargas, Elisa Vera-garcia, Fermin Mayoral-cleries
    Abstract:

    Quality of life of people with Severe Mental Illness may be decrease by the high occurrence of metabolic and cardiovascular diseases. Physical fitness emerges as a modifying factor in this population through physical activity and this modification could influence in the quality of life of this population. The aim of the present study is to determine the contribution of physical fitness to the quality of life of people with Severe Mental Illness. In the current study, a physiotherapist and an occupational therapist assessed 62 people with Severe Mental Illness. Physical fitness was measured with a range of 11 fitness tests that covered flexibility, strength, balance, and endurance. To assess quality of life the EQ-5D-3 L scale was used, which measures five dimensions (mobility, self-care, usual activities, pain-discomfort, and anxiety-depression). Significant correlations are presented between the quality of life and primary variables of physical fitness (balance, endurance, and upper limb strength). Endurance explained 22.9% of the variance of the quality of life in people with Severe Mental Illness. Functional reach added another 36.2% variance to the prediction of quality of life. The results of the present study suggest that some variables of physical fitness are associated with quality of life in people with Severe Mental Illness. The improvement in physical fitness of this population should be a primary objective. ClinicalTrials.gov Identifier: NCT02413164 “retrospective registered” Registered Febr 2017.

David Pérez-cruzado - One of the best experts on this subject based on the ideXlab platform.

  • Medication and physical activity and physical fitness in Severe Mental Illness.
    Psychiatry research, 2018
    Co-Authors: David Pérez-cruzado, Antonio Cuesta-vargas, Elisa Vera-garcia, Fermin Mayoral-cleries
    Abstract:

    Anti-psychotic medication has emerged as the primary medical treatment for people with Severe Mental Illness, despite the great risks involved in the use of this medication. In addition, this population suffers from problems of obesity, sedentary lifestyle and poor physical fitness, which is aggravated by the use of this type of medication. The objective of this study is to explore the influence of the most commonly used antipsychotics in this population (Olanzapine and Risperidone) on physical activity and the physical fitness of people with Severe Mental Illness. Sixty-two people between 26 and 61 years of age with Severe Mental Illness were assessed. All participants were evaluated with a battery of 11 physical tests to assess their physical fitness and with the IPAQ-short version questionnaire to determine their level of physical activity. The doses of Risperidone and Olanzapine were also evaluated in all participants. Significant differences were found for physical activity, with higher levels reported in those patients with Severe Mental Illness who did not take any of these medications. Regarding physical fitness, significant differences were only found for the consumption of Risperidone, with better physical fitness levels seen in patients who did not consume this medication; on the other hand, for the consumption of Olanzapine, differences were found in muscular strength, balance and aerobic condition with better values in non-Olanzapine consumers compared with Olanzapine consumers.

  • The relationship between quality of life and physical fitness in people with Severe Mental Illness.
    Health and quality of life outcomes, 2018
    Co-Authors: David Pérez-cruzado, Antonio Cuesta-vargas, Elisa Vera-garcia, Fermin Mayoral-cleries
    Abstract:

    Quality of life of people with Severe Mental Illness may be decrease by the high occurrence of metabolic and cardiovascular diseases. Physical fitness emerges as a modifying factor in this population through physical activity and this modification could influence in the quality of life of this population. The aim of the present study is to determine the contribution of physical fitness to the quality of life of people with Severe Mental Illness. In the current study, a physiotherapist and an occupational therapist assessed 62 people with Severe Mental Illness. Physical fitness was measured with a range of 11 fitness tests that covered flexibility, strength, balance, and endurance. To assess quality of life the EQ-5D-3 L scale was used, which measures five dimensions (mobility, self-care, usual activities, pain-discomfort, and anxiety-depression). Significant correlations are presented between the quality of life and primary variables of physical fitness (balance, endurance, and upper limb strength). Endurance explained 22.9% of the variance of the quality of life in people with Severe Mental Illness. Functional reach added another 36.2% variance to the prediction of quality of life. The results of the present study suggest that some variables of physical fitness are associated with quality of life in people with Severe Mental Illness. The improvement in physical fitness of this population should be a primary objective. ClinicalTrials.gov Identifier: NCT02413164 “retrospective registered” Registered Febr 2017.

Antonio Cuesta-vargas - One of the best experts on this subject based on the ideXlab platform.

  • Medication and physical activity and physical fitness in Severe Mental Illness.
    Psychiatry research, 2018
    Co-Authors: David Pérez-cruzado, Antonio Cuesta-vargas, Elisa Vera-garcia, Fermin Mayoral-cleries
    Abstract:

    Anti-psychotic medication has emerged as the primary medical treatment for people with Severe Mental Illness, despite the great risks involved in the use of this medication. In addition, this population suffers from problems of obesity, sedentary lifestyle and poor physical fitness, which is aggravated by the use of this type of medication. The objective of this study is to explore the influence of the most commonly used antipsychotics in this population (Olanzapine and Risperidone) on physical activity and the physical fitness of people with Severe Mental Illness. Sixty-two people between 26 and 61 years of age with Severe Mental Illness were assessed. All participants were evaluated with a battery of 11 physical tests to assess their physical fitness and with the IPAQ-short version questionnaire to determine their level of physical activity. The doses of Risperidone and Olanzapine were also evaluated in all participants. Significant differences were found for physical activity, with higher levels reported in those patients with Severe Mental Illness who did not take any of these medications. Regarding physical fitness, significant differences were only found for the consumption of Risperidone, with better physical fitness levels seen in patients who did not consume this medication; on the other hand, for the consumption of Olanzapine, differences were found in muscular strength, balance and aerobic condition with better values in non-Olanzapine consumers compared with Olanzapine consumers.

  • The relationship between quality of life and physical fitness in people with Severe Mental Illness.
    Health and quality of life outcomes, 2018
    Co-Authors: David Pérez-cruzado, Antonio Cuesta-vargas, Elisa Vera-garcia, Fermin Mayoral-cleries
    Abstract:

    Quality of life of people with Severe Mental Illness may be decrease by the high occurrence of metabolic and cardiovascular diseases. Physical fitness emerges as a modifying factor in this population through physical activity and this modification could influence in the quality of life of this population. The aim of the present study is to determine the contribution of physical fitness to the quality of life of people with Severe Mental Illness. In the current study, a physiotherapist and an occupational therapist assessed 62 people with Severe Mental Illness. Physical fitness was measured with a range of 11 fitness tests that covered flexibility, strength, balance, and endurance. To assess quality of life the EQ-5D-3 L scale was used, which measures five dimensions (mobility, self-care, usual activities, pain-discomfort, and anxiety-depression). Significant correlations are presented between the quality of life and primary variables of physical fitness (balance, endurance, and upper limb strength). Endurance explained 22.9% of the variance of the quality of life in people with Severe Mental Illness. Functional reach added another 36.2% variance to the prediction of quality of life. The results of the present study suggest that some variables of physical fitness are associated with quality of life in people with Severe Mental Illness. The improvement in physical fitness of this population should be a primary objective. ClinicalTrials.gov Identifier: NCT02413164 “retrospective registered” Registered Febr 2017.

Elisa Vera-garcia - One of the best experts on this subject based on the ideXlab platform.

  • Medication and physical activity and physical fitness in Severe Mental Illness.
    Psychiatry research, 2018
    Co-Authors: David Pérez-cruzado, Antonio Cuesta-vargas, Elisa Vera-garcia, Fermin Mayoral-cleries
    Abstract:

    Anti-psychotic medication has emerged as the primary medical treatment for people with Severe Mental Illness, despite the great risks involved in the use of this medication. In addition, this population suffers from problems of obesity, sedentary lifestyle and poor physical fitness, which is aggravated by the use of this type of medication. The objective of this study is to explore the influence of the most commonly used antipsychotics in this population (Olanzapine and Risperidone) on physical activity and the physical fitness of people with Severe Mental Illness. Sixty-two people between 26 and 61 years of age with Severe Mental Illness were assessed. All participants were evaluated with a battery of 11 physical tests to assess their physical fitness and with the IPAQ-short version questionnaire to determine their level of physical activity. The doses of Risperidone and Olanzapine were also evaluated in all participants. Significant differences were found for physical activity, with higher levels reported in those patients with Severe Mental Illness who did not take any of these medications. Regarding physical fitness, significant differences were only found for the consumption of Risperidone, with better physical fitness levels seen in patients who did not consume this medication; on the other hand, for the consumption of Olanzapine, differences were found in muscular strength, balance and aerobic condition with better values in non-Olanzapine consumers compared with Olanzapine consumers.

  • The relationship between quality of life and physical fitness in people with Severe Mental Illness.
    Health and quality of life outcomes, 2018
    Co-Authors: David Pérez-cruzado, Antonio Cuesta-vargas, Elisa Vera-garcia, Fermin Mayoral-cleries
    Abstract:

    Quality of life of people with Severe Mental Illness may be decrease by the high occurrence of metabolic and cardiovascular diseases. Physical fitness emerges as a modifying factor in this population through physical activity and this modification could influence in the quality of life of this population. The aim of the present study is to determine the contribution of physical fitness to the quality of life of people with Severe Mental Illness. In the current study, a physiotherapist and an occupational therapist assessed 62 people with Severe Mental Illness. Physical fitness was measured with a range of 11 fitness tests that covered flexibility, strength, balance, and endurance. To assess quality of life the EQ-5D-3 L scale was used, which measures five dimensions (mobility, self-care, usual activities, pain-discomfort, and anxiety-depression). Significant correlations are presented between the quality of life and primary variables of physical fitness (balance, endurance, and upper limb strength). Endurance explained 22.9% of the variance of the quality of life in people with Severe Mental Illness. Functional reach added another 36.2% variance to the prediction of quality of life. The results of the present study suggest that some variables of physical fitness are associated with quality of life in people with Severe Mental Illness. The improvement in physical fitness of this population should be a primary objective. ClinicalTrials.gov Identifier: NCT02413164 “retrospective registered” Registered Febr 2017.

Peter Huxley - One of the best experts on this subject based on the ideXlab platform.

  • vocational rehabilitation for people with Severe Mental Illness
    Cochrane Database of Systematic Reviews, 2001
    Co-Authors: Ruth Crowther, Gary R. Bond, Max Marshall, Peter Huxley
    Abstract:

    Unemployment rates are high amongst people with Severe Mental Illness, yet surveys show that most want to work. Vocational rehabilitation services exist to help Mentally ill people find work. Traditionally, these services have offered a period of preparation (Pre-vocational Training), before trying to place clients in competitive (i.e. open) employment. More recently, some services have begun placing clients in competitive employment immediately whilst providing on-the-job support (Supported Employment). It is unclear which approach is most effective.

  • helping people with Severe Mental Illness to obtain work systematic review
    BMJ, 2001
    Co-Authors: Ruth Crowther, Gary R. Bond, Max Marshall, Peter Huxley
    Abstract:

    Abstract Objective: To determine the most effective way of helping people with Severe Mental Illness to obtain competitive employment—that is, a job paid at the market rate, and for which anyone can apply. Design: Systematic review. Participants: Eligible studies were randomised controlled trials comparing prevocational training or supported employment (for people with Severe Mental Illness) with each other or with standard community care. Outcome measures: The primary outcome was number of subjects in competitive employment. Secondary outcomes were other employment outcomes, clinical outcomes, and costs. Results: Eleven trials met the inclusion criteria. Five (1204 subjects) compared prevocational training with standard community care, one (256 subjects) compared supported employment with standard community care, and five (484 subjects) compared supported employment with prevocational training. Subjects in supported employment were more likely to be in competitive employment than those who received prevocational training at 4, 6, 9, 12, 15, and 18 months (for example, 34% v 12% at 12 months; number needed to treat 4.45, 95% confidence interval 3.37 to 6.59). This effect was still present, although at a reduced level, after a sensitivity analysis that retained only the highest quality trials (31% v 12%; 5.3, 3.6 to 10.4). People in supported employment earned more and worked more hours per month than those who had had prevocational training. Conclusion: Supported employment is more effective than prevocational training at helping people with Severe Mental Illness obtain competitive employment.