| The impact of serious mental illness on health and healthcare. | |
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MedLine Citation:
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PMID: 21051676 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Patients with serious mental illness (SMI; e.g., psychotic disorders and major mood disorders) die earlier, have more medical illnesses, and receive worse medical care than those in the general population. OBJECTIVE: The aims of this article are to review the data on medical morbidity and mortality in those with SMI, to highlight the factors that lead to such disparities, and to discuss potential solutions to the problem. METHOD: The authors reviewed the literature on medical morbidity and mortality in those with SMI. RESULTS: Adults with SMI in the United States die 25 years earlier than those in the general population; cardiovascular disease is responsible for the majority of this excess mortality, accounting for roughly 50%-60% of the deaths due to medical illness. Patient, provider, and system-level factors interact to contribute to poor health outcomes in people with SMI. CONCLUSION: Patients with SMI are losing many years of life to preventable and treatable medical illnesses. Solutions to the problem will require attention to patient, provider, and system-level factors. |
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Authors:
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Mark J Viron; Theodore A Stern |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Psychosomatics Volume: 51 ISSN: 1545-7206 ISO Abbreviation: Psychosomatics Publication Date: 2010 Nov-Dec |
Date Detail:
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Created Date: 2010-11-05 Completed Date: 2011-03-24 Revised Date: 2012-04-24 |
Medline Journal Info:
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Nlm Unique ID: 0376506 Medline TA: Psychosomatics Country: United States |
Other Details:
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Languages: eng Pagination: 458-65 Citation Subset: IM |
Affiliation:
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correspondence and M.D., Dept. of Psychiatry, Massachusetts General Hospital, 15 Parkman St., WACC 812, Boston, MA 02114, USA. mviron@partners.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Comorbidity Cost of Illness Health Services Needs and Demand Healthcare Disparities* Humans Mental Disorders / mortality*, therapy* Morbidity* Primary Health Care Quality of Health Care Risk Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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