Efficacy of a Short Psychoeducational Group Intervention for the Prevention of Cardiovascular Risk in Patients With Severe Mental Disorder: A Randomized Trial.

Psychoeducational interventions to improve healthy habits regarding cardiovascular risk (CVR) in people with a severe mental disorder showed scarce results in the literature. In this article, we showed the results of a randomized clinical trial including 80 adult outpatients (mainly psychosis spectrum) with moderate to very high CVR. A short-term psychoeducational group intervention to improve healthy habits regarding CVR was added to their as-usual individual psychoeducational schedule. With an intention-to-treat analysis, we expected improvements in the different parameters. Baseline and 1-year follow-up included CVR factors and indexes (REGICOR, SCORE, and DORICA). Basal characteristics did not show statistically significant differences between the groups. No significant improvements in any of the variables studied were observed in the intervention enriched group compared with the control individual group. Compliance with the sessions was scarce. The satisfaction with the intervention and the acquisition of knowledge were adequate. Moreover, the benefits of both interventions were weak.

Factores de riesgo cardiovascular en usuarios con trastorno mental severo / Cardiovascular risk factors in users with severe mental disorder

OBJETIVO: Identificar la prevalencia de riesgo cardiovascular (RCV) en usuarios con un trastorno mental severo (TMS) atendidos en el centro de salud mental Parc Taulí (Sabadell - Barcelona). MÉTODO: Estudio observacional, descriptivo y transversal de los factores de riesgo cardiovascular en 789 usuarios con TMS. El instrumento utilizado ha sido la escala de valoración del Registre Gironí del Cor, que estima el riesgo de presentar una enfermedad cardiovascular. RESULTADOS: Un 26,6% de la muestra presenta RCV (22,5% moderado, 3,8% alto y 0,3% muy alto). En el análisis de los factores de riesgo modificables destaca que un 16,5% son hipertensos, un 55,2% son fumadores, un 19,77% presentan hiperglucemia (de estos un 8,2% están diagnosticados de diabetes mellitus), un 40,2% presentan obesidad, un 36,2% sobrepeso y un 47,27% hipercolesterolemia. CONCLUSIONES: Se corrobora que en los usuarios con TMS la prevalencia de RCV es mayor a la de la población general y que está relacionada con la presencia de los factores de riesgo modificables. La educación sanitaria realizada por las enfermeras para prevenir el RCV es una actividad clave a desarrollar en los usuarios con TMS

OBJECTIVE: To identify the prevalence of the cardiovascular risk (RCV) in users with a Severe Mental Disorder (SMD) attended in mental health service in ParcTaulí (Sabadell - Barcelona). Method: This is an observational, descriptive and transversal study of the factors of cardiovascular risk in 789 users with SMD. The instrument used was the scale of assessment of the Registre Gironí del Cor, which estimates the risk of cardiovascular disease. RESULTS: 26.6% of the sample has RCV (22.5% moderate, 3.8% high and 0.3% very high). The analysis of the modifiable risk factors shows that 16.5% of the patients are hypertensive, 55.2% are smokers, 19.77% have hyperglycaemia (8.2% of whom are diagnosed of diabetes mellitus), 40.2% have obesity, 36.2% overweight and 47.27% hypercholesterolemia. CONCLUSIONS: The study confirms that the prevalence of the RVC in SMD users is greater than the RCV in general population and it's associated to the presence of modifiable risk factors. Health education carried out by nurses is the best to prevent the RCV in SMD users

[Cardiovascular risk factors in users with severe mental disorder]. / Factores de riesgo cardiovascular en usuarios con trastorno mental severo.

OBJECTIVE: To identify the prevalence of the cardiovascular risk (RCV) in users with a Severe Mental Disorder (SMD) attended in mental health service in ParcTaulí (Sabadell - Barcelona). METHOD: This is an observational, descriptive and transversal study of the factors of cardiovascular risk in 789 users with SMD. The instrument used was the scale of assessment of the Registre Gironí del Cor, which estimates the risk of cardiovascular disease. RESULTS: 26.6% of the sample has RCV (22.5% moderate, 3.8% high and 0.3% very high). The analysis of the modifiable risk factors shows that 16.5% of the patients are hypertensive, 55.2% are smokers, 19.77% have hyperglycaemia (8.2% of whom are diagnosed of diabetes mellitus), 40.2% have obesity, 36.2% overweight and 47.27% hypercholesterolemia. CONCLUSIONS: The study confirms that the prevalence of the RVC in SMD users is greater than the RCV in general population and it's associated to the presence of modifiable risk factors. Health education carried out by nurses is the best to prevent the RCV in SMD users.