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Does physical health monitoring reduce mortality in people with psychotic disorders?

Research output: Contribution to journalMeeting abstract

Athif Ilyas, Edward Chesney, Rashmi Patel

Original languageEnglish
Article numberPW0263
Pages (from-to)S237
Number of pages1
JournalEuropean Psychiatry
Publication statusPublished - 4 Mar 2018

King's Authors


Introduction: Psychotic disorders are associated with a significant reduction in life expectancy due, in part, to increased cardiovascular risk factors such as smoking, obesity and metabolic syndrome. Physical health monitoring programmes have been implemented by UK mental health services in an attempt to improve life expectancy in people with psychotic disorders but little is known about their effectiveness.

Objectives: To determine whether physical health monitoring strategies are effective in reducing mortality in people with psychotic disorders.

Methods: Literature review of studies investigating the implementation and effectiveness of physical health monitoring.

Results: A number of studies found that physical health monitoring programmes are poorly implemented with variable uptake ranging from 25 to 70%. There were no RCTs or systematic reviews investigating the effectiveness of physical health monitoring in psychotic disorders. Studies investigating physical health monitoring in the general population found that although such programmes may help to reduce cardiovascular risk factors in a selected population, there is no evidence that they reduce mortality.

Conclusions: There is little evidence to support the use of physical health monitoring in people with psychotic disorders. Instead, more emphasis should be placed on the role of primary prevention strategies such as assertive smoking cessation, dietary and exercise interventions and avoiding unnecessary long-term use of antipsychotics which may contribute to increased cardiovascular risk. Greater investment in primary prevention would substantially improve life expectancy in people with psychotic disorders.

Disclosure of interest: The authors have not supplied a conflict of interest statement.

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