Prevention of coronary heart disease in people with severe mental illnesses: a qualitative study of patient and professionals' preferences for care
2006

Preventing Heart Disease in People with Severe Mental Illness

Sample size: 66 publication Evidence: moderate

Author Information

Author(s): Christine A Wright, David PJ Osborn, Irwin Nazareth, Michael B King

Primary Institution: UCL Department of Mental Health Sciences, Royal Free and University College Medical School

Hypothesis

How can services for the primary prevention of coronary heart disease be organized for people with severe mental illness?

Conclusion

Effective management of physical health care for people with severe mental illness requires integrated solutions that involve both primary and secondary care.

Supporting Evidence

  • People with severe mental illness are at a higher risk of coronary heart disease.
  • Participants expressed concerns about the neglect of physical health in mental health services.
  • Both patients and professionals highlighted the need for better communication between primary and secondary care.

Takeaway

People with severe mental illness need special care to prevent heart disease, and both mental health and regular doctors should work together to help them.

Methodology

In-depth interviews were conducted with patients and health professionals, and the transcripts were analyzed using a framework approach.

Potential Biases

Response bias may exist as those with a particular interest in the topic were more likely to participate.

Limitations

The study's conclusions may not be generalizable due to the small sample size from two inner London boroughs.

Participant Demographics

31 patients with severe mental illness (18 males, 13 females) aged 28-67, and 35 health professionals (14 males, 21 females) aged 24-57.

Digital Object Identifier (DOI)

10.1186/1471-244X-6-16

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