School of Medicine,University of Queensland,Brisbane,Australia.
School of Psychiatry,University of New South Wales,Sydney,Australia.
Epidemiol Psychiatr Sci. 2016 Jun;25(3):205-10. doi: 10.1017/S2045796015001043. Epub 2016 Jan 15.
Despite overwhelming evidence demonstrating a persisting gap in life expectancy between those with psychotic illness and the general population, there has been no widespread implementation of interventions to improve the physical wellbeing of people with psychotic illness. This article explores opportunities to 'Bridge the Gap' in life expectancy. We describe an Australian evidence-based intervention that has substantially improved the physical health of young people recently commenced on antipsychotic medication. Further epidemiological research, accompanied by cultural change within mental health services, is an essential precursor to the implementation of effective and sustainable lifestyle interventions. There are other relatively neglected areas of physical wellbeing for people with psychotic illness, such as screening and diagnosis of malignancies, which need more research and clinical attention. While there has been progress with intervention development and evaluation, translation of evidence-based short-term intervention studies into feasible and sustainable system-wide changes within routine mental health service settings remains a challenge. Developing an implementation framework to support such change is an urgent priority so as to bridge the persisting premature mortality in people living with psychotic illness.
尽管有大量证据表明，精神病患者与普通人群之间的预期寿命差距持续存在，但仍未广泛实施干预措施来改善精神病患者的身体健康。本文探讨了“弥合差距”以提高预期寿命的机会。我们描述了一种澳大利亚循证干预措施，该措施极大地改善了刚开始服用抗精神病药物的年轻人的身体健康状况。进一步的流行病学研究，以及心理健康服务中的文化变革，是实施有效和可持续的生活方式干预措施的必要前提。精神病患者还有其他一些相对被忽视的身体健康领域，例如恶性肿瘤的筛查和诊断，这些领域需要更多的研究和临床关注。虽然在干预措施的开发和评估方面已经取得了进展，但将基于证据的短期干预研究转化为常规心理健康服务环境中可行和可持续的系统范围的改变仍然是一个挑战。制定一个实施框架来支持这种变革是当务之急，以便弥合精神病患者过早死亡的持续差距。
