Medical Illness and Schizophrenia

by Meyer, Jonathan M.; Nasrallah, Henry A.

• ISBN13: 9781585621064
• ISBN10: 1585621064
• Edition: 1st
• Format: Paperback
• Copyright: 2003-05-01
• Publisher: Amer Psychiatric Pub Inc

Summary

In the past 5 years, an explosion of research has linked schizophrenia to medical morbidity and mortality. Lifestyle choices, effects of medications, poor self-care, and barriers to treatment of physical illness often compromise the health of patients with schizophrenia -- increasing the severity of their psychopathology, reducing quality of life, and leading to premature death. Medical Illness and Schizophrenia reflects a growing awareness of the importance of providing better medical assessment and treatment to improve outcomes. Since community health centers are most often the focus for care -- and psychiatrists are often the de facto primary care providers -- the book underscores the need to improve public health services for this underserved population. This is the first and only volume to bring together research and practical recommendations on medical issues related to schizophrenia and antipsychotic medications. Chapters cover excessive morbidity and mortality in schizophrenic patients caused by obesity, glucose intolerance and diabetes, cardiovascular illness and hyperlipidemia, nicotine and tobacco use, HIV and hepatitis C, substance use disorders, neurological comorbidity, prolactin and endocrine-related disorders, and factors related to aging. Medical Illness and Schizophrenia is an important volume for every clinician who encounters patients with chronic severe mental illness. In addition, it serves to underscore the need to provide integrated medical and psychiatric care to this vulnerable population. Book jacket.

Author Biography

Jonathan M. Meyer, M.D., is Assistant Professor of Psychiatry, University of California, San Diego, Department of Psychiatry; and Staff Psychiatrist, San Diego VA Medical Center.

Henry A. Nasrallah, M.D., is Professor of Psychiatry, Neurology and Neuroscience and Associate Dean at the University of Cincinnati College of Medicine.Jonathan M. Meyer, M.D., and Henry A. Nasrallah, M.D.

Table of Contents

Contributors	vii
Preface	xi
Issues Surrounding Medical Care for Individuals With Schizophrenia: The Challenge of Dual Neglect by Patients and the System	1	(12)
Jonathan M. Meyer
Henry A. Nasrallah
Excessive Mortality and Morbidity Associated With Schizophrenia	13	(22)
Daniel E. Casey
Thomas E. Hansen
Obesity in Patients With Schizophrenia	35	(18)
Donna A. Wirshing
Jonathan M. Meyer
Cardiovascular Illness and Hyperlipidemia in Patients With Schizophrenia	53	(28)
Jonathan M. Meyer
Nicotine and Tobacco Use in Schizophrenia	81	(18)
Tony P. George
Jennifer C. Vessicchio
Angelo Termine
Glucose Intolerance and Diabetes in Schizophrenia	99	(16)
David C. Henderson
Elissa Powers Ettinger
HIV and Hepatitis C in Patients With Schizophrenia	115	(26)
Milton L. Wainberg
Francine Cournos
Karen McKinnon
Alan Berkman
Medical Health in Aging Persons With Schizophrenia	141	(22)
Raymelle Schoos
Carl I. Cohen
Substance Use Disorders in Schizophrenia	163	(22)
Alison Netski
Christopher Welsh
Jonathan M. Meyer
Neurological Comorbidity and Features in Schizophrenia	185	(30)
Theo C. Manschreck
Lili C. Kopala
William G. Honer
Prolactin- and Endocrine-Related Disorders in Schizophrenia	215	(18)
Diana O. Perkins
Index	233