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Schizophrenic patients: physical health and access to somatic care

Published online by Cambridge University Press:  16 April 2020

F Casadebaig ,
A Philippe ,
JM Guillaud-Bataille ,
MF Gausset ,
N Quemada  and
JL Terra
F Casadebaig*
Affiliation:
National Institute of Health and Medical Research (INSERM) Unit 302, French Group of Psychiatric Epidemiology GFEP, Lyon, France
A Philippe
Affiliation:
National Institute of Health and Medical Research (INSERM) Unit 302, French Group of Psychiatric Epidemiology GFEP, Lyon, France
JM Guillaud-Bataille
Affiliation:
Lyon University Hospital, French Group of Psychiatric Epidemiology GFEP, Lyon, France
MF Gausset
Affiliation:
Lyon University Hospital, French Group of Psychiatric Epidemiology GFEP, Lyon, France
N Quemada
Affiliation:
WHOCC, French Group of Psychiatric Epidemiology GFEP, Lyon, France
JL Terra
Affiliation:
Lyon University Hospital, French Group of Psychiatric Epidemiology GFEP, Lyon, France
*
*Correspondence: 44 chemin de Ronde, 7811O Le Vésinet, France
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Summary

This study concerns the state of physical health and the availability of somatic care for 3,470 adult patients diagnosed as schizophrenic according to the research criteria established by the International Classification of Diseases (ICD-10 F20) and treated in public institutions. These institutions volunteered to participate in the study, whereas the patients were selected at random. Data concerning demographic characteristics, physical health, and access to somatic care are compared to that of a public health survey of a sample of the French population. The present study allows the estimation of ratios for a large number of diseases and of some risk factors among the target group. Heavy smokers and overweight individuals are more numerous among schizophrenics. Pathologies such as epilepsy, diabetes and AIDS infection are overrepresented. Patients' access to somatic care is more prevalent than that of the general population overall, similar to that of the less qualified workers or unemployed group. In this study, gender does not appear to allow prediction of care use for schizophrenics in contrast to the general population.

Keywords

schizophrenicsepidemiologyphysical healthaccess to somatic carerisk factors
Type
Original article
Information
European Psychiatry , Volume 12 , Issue 6 , 1997 , pp. 289 - 293
Copyright
Copyright © European Psychiatric Association 1997

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References

Angermeyer, MCKühn, LGender differences in age at onset of schizophrenia. Eur Arch Psychiatr Neurol Sci 1988; 237: 351–364CrossRefGoogle ScholarPubMed
Baldwin, JASchizophrenia and physical disease. Psychol Med 1979; 9: 611–618CrossRefGoogle ScholarPubMed
16–29 March 1993Boisguerin, BParayre, CLQuemada, NEnquête nationale sur la population prise en charge par les secteurs de psychiatrie générale Rapport Paris July 1994Google Scholar
Bouyer, JHemon, DCordier, SDerrienic, RStucker, IStengel, B, et al.Epidémiologie, Principes et méthodes quantitatives Paris: Les Editions INSERM, 1993Google Scholar
Caldwell, CBGottesman, IISchizophrenics kill themselves too: a review of risk factors for suicide. Schizophr Bull 1990; 16: 571–589CrossRefGoogle ScholarPubMed
Casadebaig, FPhilippe, AMortalité par suicide, accidents et causes indéterminées chez les malades mentaux hospitalisés 19681982. Rev Epidemiol Sante Publique 1992; 40: 126–135Google Scholar
Casadebaig, FQuemada, NChevalier, AEvolution de la mortalité des malades mentaux hospitalisés 19681982. Rev Epidemiol Sante Publique 1990; 38: 227–236Google Scholar
Castle, DJMurray, RMThe neurodevelopmental basis of sex differences in schizophrenia. Psychol Med 1991; 21: 565–575CrossRefGoogle Scholar
Corten, PHRibourdouille, MHermann, PRorsman, BSims, AEpidemiological survey of the “natural” mortality in psy-chiatry. Acta Psychiatr Belg 1988; 88: 349–371Google Scholar
D'Ercole, ASkodol, AEStruening, ECurtus, JMillman, JDiagnosis of physical illness in psychiatric patients using axis III and a standardized medical history. Hosp Commu-nity Psychiatry 1991; 42: 395–400Google Scholar
Farmer, SMedical problems of chronic patients in a community support program. Hosp Community Psychiatry 1987; 38: 745–749Google Scholar
Ferguson, BDudleston, KDetection of physical disorder in newly admitted psychiatric patients. Acta Psychiatr Scand 1986; 74: 485–489CrossRefGoogle ScholarPubMed
Gopala Swamy, AKMorgan, RToo many chronic mentally disabled patients are too fat. Acta Psychiatr Scand 1985; 72: 254–258CrossRefGoogle Scholar
Gulbinat, WDupont, AJablensky, AJensen, OMMarsella, ANakane, Y, et al.Cancer incidence of schizophrenic patients. Results of record linkage studies in three countries. Br J Psychiatry 1992; 161: 75–85CrossRefGoogle Scholar
Häfner, HEpidemiology of schizophrenia. The disease model of schizophrenia in the light of current epidemiological knowledge. Eur Psychiatry 1995; 10: 217–227CrossRefGoogle ScholarPubMed
Hall, RCWPopkin, MKDevaul, RAFaillace, LAStickney, SKPhysical illness presenting as psychiatric disease. Arch Gen Psychiatry 1978; 35: 1315–1320CrossRefGoogle ScholarPubMed
Hall, RCWGardner, ERStickney, SKLecann, AFPopkin, MKPhysical illness manifesting as psychiatric disease. Arch Gen Psychiatry 1980; 37: 989–995CrossRefGoogle ScholarPubMed
Honig, APop, PTan, ESPhilipsen, HRomme, MAJPhysical illness in chronic psychiatric patients from a community psychiatric unit. The implications for daily practice. Br J Psychiatry 1989; 155: 58–64CrossRefGoogle ScholarPubMed
Honig, APop, PDe Kemp, EPhilipsen, HRomme, MAJPhysical illness in chronic psychiatric patients from a commu-nity psychiatric unit revisited. Br J Psychiatry 1992; 161: 80–83CrossRefGoogle Scholar
Iacono, WGBeiser, MAre males more likely than females to develop schizophrenia. Am J Psychiatry 1992; 149: 1070–1074Google ScholarPubMed
Knutsen, EDurand, CPreviously unrecognized physical ill-nesses in psychiatric patients. Hosp Community Psychiatry 1991; 42: 182–186Google Scholar
Koran, LMSox, HCMarton, KIMoltzen, SSox, CHKraemer, H, et al.Medical evaluation of psychiatric patients. Arch Gen Psychiatry 1989; 46: 733–740CrossRefGoogle ScholarPubMed
Koranyi, EKPotoczny, WMPhysical illnesses underlying psy-chiatric symptoms Psychother Psychosom 1992; 58: 155–160CrossRefGoogle ScholarPubMed
Les Français et leursanté Enquête 1991 Solidarité Santé 1994Google Scholar
Lewis, SSex and schizophrenia: vive la différence. Br J Psy-chiatry 1992; 161: 445–450CrossRefGoogle ScholarPubMed
Weyerer, SHewer, WPfeifer-Kurda, MDilling, H.Psychiatric disorders diabetes Results from a community study J Psychosom Res 1989; 33: 633–640CrossRefGoogle ScholarPubMed
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