Ward Martha
Department of Psychiatry and Behavioral Sciences and Department of Medicine, Emory University School of Medicine, Atlanta.
Focus (Am Psychiatr Publ). 2021 Jan;19(1):24-30. doi: 10.1176/appi.focus.20200036. Epub 2021 Jan 25.
The early mortality of individuals with serious mental illness has long been documented yet persists despite calls for change. Individuals with serious mental illness have a higher rate of medical morbidity than those in the general population across all categories of disease. Cardiovascular disease is particularly prevalent in this population, and it is the leading cause of death for persons with serious mental illness. Addressing cardiovascular risk factors is essential to closing the mortality gap, yet patients with serious mental illness often receive poor continuity of medical care, and psychiatrists are often their only physicians. Thus, to have an impact on the mortality gap, psychiatrists must address the cardiovascular health of their patients with serious mental illness. Here, the author presents a framework of intervention at varying levels of intensity for psychiatrists to increase their role in addressing the cardiovascular health of patients with serious mental illness.
严重精神疾病患者的早期死亡率早已被记录在案，尽管人们呼吁做出改变，但这一现象依然存在。在所有疾病类别中，严重精神疾病患者的医疗发病率高于普通人群。心血管疾病在这一人群中尤为普遍，并且是严重精神疾病患者的主要死因。解决心血管危险因素对于缩小死亡率差距至关重要，然而，严重精神疾病患者往往接受的医疗护理连续性较差，而精神科医生通常是他们唯一的医生。因此，为了对死亡率差距产生影响，精神科医生必须关注其严重精神疾病患者的心血管健康。在此，作者提出了一个针对精神科医生的不同强度干预框架，以增强他们在解决严重精神疾病患者心血管健康问题上的作用。
