Metabolic syndrome in mental health and addiction treatment: a quantitative study

J Psychiatr Ment Health Nurs. 2015 Feb;22(1):15-9. doi: 10.1111/jpm.12166. Epub 2014 Nov 7.

Abstract

Patients with mental illnesses have been found to shorter life expectancy due to an increased risk of heart disease. Some medication used to treat mental illnesses have been linked to weight gain and other physical change that make patients susceptible to heart disease. In order to reduce this risk it is important that health professionals regularly measure and monitor signs of these physical changes. This research has found that measuring both waist circumference and blood pressure of patients is a safe and reliable way to way to monitor patients. To identify if combined blood pressure and waist circumference measurements are reliable predictor of metabolic syndrome, a descriptive correlational design was used to examine the sensitivity and specificity of screening techniques used to detect metabolic syndrome. Data were collected regarding waist circumference, body mass index, blood pressure, fasting blood glucose, triglycerides and high-density lipoproteins. Blood pressure and waist circumference measurements demonstrated high significance, sensitivity and specificity as screening instruments for metabolic syndrome. Combined waist circumference and blood pressure measurements may be clinically useful for a quick and reliable detection of metabolic syndrome in patients with addiction and comorbid mental health problems.

Keywords: Metabolic syndrome; addiction; dual diagnosis; mental health; schizophrenia.

MeSH terms

  • Adult
  • Blood Pressure / physiology*
  • Comorbidity
  • Female
  • Humans
  • Male
  • Mental Disorders / drug therapy*
  • Mental Disorders / epidemiology
  • Metabolic Syndrome / blood
  • Metabolic Syndrome / diagnosis*
  • Metabolic Syndrome / epidemiology
  • Metabolic Syndrome / physiopathology
  • Middle Aged
  • Sensitivity and Specificity
  • Waist Circumference / physiology*
  • Young Adult