Hewer W, Schneider F
Klinik für Gerontopsychiatrie, Klinikum Christophsbad, 73035, Göppingen, Deutschland.
Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Uniklinik RWTH Aachen, Aachen, Deutschland.
Nervenarzt. 2016 Jul;87(7):787-801. doi: 10.1007/s00115-016-0146-5.
In addition to psychosocial impairment, patients with severe mental illness (SMI) are exposed to substantial risks with respect to physical health. Their life expectancy is significantly shortened in the range of 1-2 decades. Against this background common medical comorbidities of this important group of patients are discussed (e.g. cardiovascular, respiratory and metabolic disorders) with a focus on those clinical aspects most relevant for everyday psychiatric practice. Potentials for improvement of curative and preventive health care are outlined. Current scientific and clinical knowledge on somatic health of patients with SMI provides evidence of close interactions between physical and mental health. Meeting the challenge of compromised physical health in this particular group of patients might be a relevant topic for further conceptual development of psychiatry, psychotherapy und psychosomatic medicine.
除了社会心理障碍外，重症精神疾病（SMI）患者还面临着重大的身体健康风险。他们的预期寿命显著缩短，缩短幅度在10至20年之间。在此背景下，讨论了这一重要患者群体常见的医学合并症（如心血管、呼吸和代谢紊乱），重点关注与日常精神病学实践最相关的临床方面。概述了改善治疗性和预防性医疗保健的潜力。目前关于SMI患者躯体健康的科学和临床知识证明了身心健康之间存在密切的相互作用。应对这一特殊患者群体身体健康受损的挑战，可能是精神病学、心理治疗和心身医学进一步概念发展的一个相关主题。
