Physical health assistance in early recovery of psychosis: Study protocol for a randomized controlled trial.
adolescent
mental health
metabolic syndrome
psychotic disorders
weight gain
Journal
Early intervention in psychiatry
ISSN: 1751-7893
Titre abrégé: Early Interv Psychiatry
Pays: Australia
ID NLM: 101320027
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
received:
10
08
2018
accepted:
22
09
2019
pubmed:
24
10
2019
medline:
4
5
2021
entrez:
24
10
2019
Statut:
ppublish
Résumé
Young people with psychotic disorders have poorer physical health compared to their healthy peers, a state compounded by the metabolic side-effects of antipsychotic medications. To address this, Orygen Youth Health has introduced physical health services including exercise physiologists and dieticians. These services are typically coordinated by the case manager and doctor. It is not yet known whether a treating team member dedicated to physical health will improve engagement, adherence and outcomes with these services. Hence, the protocol is presented here for a trial to evaluate the effect of including a physical health nurse in the care of young people with first-episode psychosis. This will be a single-blind randomized controlled trial that includes 15- to 24-year-olds with first-episode psychosis who have just commenced (within 30 days) antipsychotic medication. The primary outcome will be the event of clinically significant weight gain (≥7% body weight). Participants will be assigned either a physical health nurse in their treating team (in addition to the case manager and doctor) for a 12-week period, or treatment as usual (case manager and doctor). Research assessments will be conducted at baseline, 12 and 26 weeks. Activity trackers worn by participants for the study's duration will measure sleep and physical activity. The present study will determine whether a physical health nurse will facilitate participants in attending and engaging in physical health interventions and whether this will be associated with physical health improvements or the prevention of worsening physical health.
Substances chimiques
Antipsychotic Agents
0
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
587-593Subventions
Organisme : Morris Family Foundation
Pays : International
Organisme : National Health and Medical Research Council
ID : 1142045
Pays : International
Organisme : University of Melbourne
ID : Early Career Researcher Grant
Pays : International
Informations de copyright
© 2019 John Wiley & Sons Australia, Ltd.
Références
Adan Sanchez, A. Y., McMillan, E., Bhaduri, A., Pehlivan, N., Monson, K., Badcock, P., … O'Donoghue, B. (2018). High-risk sexual behaviour in young people with mental health disorders. Early Intervention in Psychiatry, 13, 867-873. https://doi.org/10.1111/eip.12688
Alvarez-Jimenez, M., Gonzalez-Blanch, C., Crespo-Facorro, B., Hetrick, S., Rodriguez-Sanchez, J. M., Perez-Iglesias, R., & Vazquez-Barquero, J. L. (2008). Antipsychotic-induced weight gain in chronic and first-episode psychotic disorders: A systematic critical reappraisal. CNS Drugs, 22(7), 547-562.
Andreasen, N. C. (1984). The scale for the assessment of negative symptoms. In Iowa city. Iowa: University of Iowa.
Bailey, R. L., Miller, P. E., Mitchell, D. C., Hartman, T. J., Lawrence, F. R., Sempos, C. T., & Smiciklas-Wright, H. (2009). Dietary screening tool identifies nutritional risk in older adults. The American Journal of Clinical Nutrition, 90(1), 177-183. https://doi.org/10.3945/ajcn.2008.27268
Bastien, C. H., Vallieres, A., & Morin, C. M. (2001). Validation of the insomnia severity index as an outcome measure for insomnia research. Sleep Medicine, 2(4), 297-307.
Buysse, D. J., Reynolds, C. F., 3rd, Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193-213.
Cameron, A. J., Magliano, D. J., Zimmet, P. Z., Welborn, T., & Shaw, J. E. (2007). The metabolic syndrome in Australia: Prevalence using four definitions. Diabetes Research and Clinical Practice, 77(3), 471-478. https://doi.org/10.1016/j.diabres.2007.02.002
Chaput, J. P., Després, J. P., Bouchard, C., & Tremblay, A. (2007). Short sleep duration is associated with reduced leptin levels and increased adiposity: Results from the Quebec family study. Obesity, 15(1), 253-261. https://doi.org/10.1038/oby.2007.512
Cohrs, S. (2008). Sleep disturbances in patients with schizophrenia. CNS Drugs, 22(11), 939-962.
Colrain, I. M., & Baker, F. C. (2011). Changes in sleep as a function of adolescent development. Neuropsychology Review, 21(1), 5-21.
Curtis, J., Newall, H. D., & Samaras, K. (2012). The heart of the matter: Cardiometabolic care in youth with psychosis. Early Intervention in Psychiatry, 6(3), 347-353.
Curtis, J., Watkins, A., Rosenbaum, S., Teasdale, S., Kalucy, M., Samaras, K., & Ward, P. B. (2015). Evaluating an individualized lifestyle and life skills intervention to prevent antipsychotic-induced weight gain in first-episode psychosis. Early Intervention in Psychiatry, 10(3), 267-276. https://doi.org/10.1111/eip.12230
Doyle, R., Turner, N., Fanning, F., Brennan, D., Renwick, L., Lawlor, E., & Clarke, M. (2014). First-episode psychosis and disengagement from treatment: A systematic review. Psychiatric Services, 65(5), 603-611. https://doi.org/10.1176/appi.ps.201200570
Feinberg, I., & Campbell, I. G. (2010). Sleep EEG changes during adolescence: An index of a fundamental brain reorganization. Brain and Cognition, 72(1), 56-65.
First, M., Spitzer, R. L., G, M., & Williams, J. B. (1995). Structured clinical interview for DSM-IV Axis 1 disorders. New York, NY: New York State Psychiatric Insititute.
Firth, J., Cotter, J., Elliott, R., French, P., & Yung, A. R. (2015). A systematic review and meta-analysis of exercise interventions in schizophrenia patients. Psychological Medicine, 45(7), 1343-1361. https://doi.org/10.1017/S0033291714003110
Gradisar, M., Gardner, G., & Dohnt, H. (2011). Recent worldwide sleep patterns and problems during adolescence: A review and meta-analysis of age, region, and sleep. Sleep Medicine, 12(2), 110-118.
Horne, J. A., & Ostberg, O. (1976). A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. International Journal of Chronobiology, 4(2), 97-110.
Huang, P. L. (2009). A comprehensive definition for metabolic syndrome. Disease Models & Mechanisms, 2(5-6), 231-237. https://doi.org/10.1242/dmm.001180
International-Diabetes-Federation. (2006). IDF consensus worldwide definition of the metabolic syndrome.
Jackson, H. M., & McGorry, P. (2009). The Recognition and Management of Early Psychosis. A Preventive Approach (2nd edition ed.). Cambridge, UK: Cambridge University Press.
Knutson, K. L., Spiegel, K., Penev, P., & Van Cauter, E. (2007). The metabolic consequences of sleep deprivation. Sleep Medicine Reviews, 11(3), 163-178. https://doi.org/10.1016/j.smrv.2007.01.002
Laursen, T. M., Munk-Olsen, T., & Vestergaard, M. (2012). Life expectancy and cardiovascular mortality in persons with schizophrenia. Current Opinion in Psychiatry, 25(2), 83-88. https://doi.org/10.1097/YCO.0b013e32835035ca
Lederman, O., Grainger, K., Stanton, R., Douglas, A., Gould, K., Perram, A., … Rosenbaum, S. (2016). Consensus statement on the role of accredited exercise physiologists within the treatment of mental disorders: A guide for mental health professionals. Australasian Psychiatry, 24(4), 347-351. https://doi.org/10.1177/1039856216632400
McGorry, P. D., Purcell, R., Goldstone, S., & Amminger, G. P. (2011). Age of onset and timing of treatment for mental and substance use disorders: Implications for preventive intervention strategies and models of care. Current Opinion in Psychiatry, 24(4), 301-306.
McMillan, E., Adan Sanchez, A., Bhaduri, A., Pehlivan, N., Monson, K., Badcock, P., … O'Donoghue, B. (2017). Sexual functioning and experiences in young people affected by mental health disorders. Psychiatry Research, 253, 249-255. https://doi.org/10.1016/j.psychres.2017.04.009
Morgan, V. A., McGrath, J. J., Jablensky, A., Badcock, J. C., Waterreus, A., Bush, R., … Mackinnon, A. (2014). Psychosis prevalence and physical, metabolic and cognitive co-morbidity: Data from the second Australian national survey of psychosis. Psychological Medicine, 44(10), 2163-2176. https://doi.org/10.1017/S0033291713002973
Myles, N., Newall, H. D., Curtis, J., Nielssen, O., Shiers, D., & Large, M. (2012). Tobacco use before, at, and after first-episode psychosis: A systematic meta-analysis. The Journal of Clinical Psychiatry, 73(4), 468-475. https://doi.org/10.4088/JCP.11r07222
Patel, S. R., & Hu, F. B. (2008). Short sleep duration and weight gain: A systematic review. Obesity, 16(3), 643-653. https://doi.org/10.1038/oby.2007.118
Rhoades, H. M., & Overall, J. E. (1988). The semistructured BPRS interview and rating guide. Psychopharmacology Bulletin, 24(1), 101-104.
Rickwood, D., Nicholas, A., Mazzer, K., Telford, N., Parker, A., Tanti, C., & Simmons, M. (2017). Satisfaction with youth mental health services: Further scale development and findings from headspace - Australia's National Youth Mental Health Foundation. Early Intervention in Psychiatry, 11(4), 296-305. https://doi.org/10.1111/eip.12248
Roberts, R. E., Roberts, C. R., & Duong, H. T. (2009). Sleepless in adolescence: Prospective data on sleep deprivation, health and functioning. Journal of Adolescence, 32(5), 1045-1057.
Rosenbaum, S., Ward, P. B., & International Working, G. (2016). The simple physical activity questionnaire. Lancet Psychiatry, 3(1), e1. https://doi.org/10.1016/S2215-0366(15)00496-4
Saha, S., Chant, D., & McGrath, J. (2007). A systematic review of mortality in schizophrenia: Is the differential mortality gap worsening over time? Archives of General Psychiatry, 64(10), 1123-1131. https://doi.org/10.1001/archpsyc.64.10.1123
Smith, L., Agius, P., Mitchell, A., Barrett, C., & Pitts, M. (2009). National survey of australian secondary students and sexual health retrieved from LaTrobe University. Australia: Melbourne.
Teasdale, S. B., Ward, P. B., Rosenbaum, S., Samaras, K., & Stubbs, B. (2017). Solving a weighty problem: Systematic review and meta-analysis of nutrition interventions in severe mental illness. The British Journal of Psychiatry, 210(2), 110-118. https://doi.org/10.1192/bjp.bp.115.177139
Waters, F., & Manoach, D. S. (2012). Sleep dysfunctions in schizophrenia: A practical review. Open Journal of Psychiatry, 2(04), 384. https://doi.org/10.4236/ojpsych.2012.224054