Incidence of cardiovascular diseases and type-2-diabetes mellitus in patients with psychiatric disorders.

Objective: To assess the incidence of cardiovascular diseases (CVD) and type-2-diabetes in patients with psychiatric disorders.

Methods: A population-based study was conducted using the Swedish national health registries. Patients were identified from the Electronic Medical Records (EMR) in 20 primary care centers and were categorized in four diagnosis cohorts according to their first psychiatric diagnosis: bipolar disorder, schizophrenia, major depressive disorder, or other mood disorder.

[Higher mortality and somatic illness in a psychotic diseases].

Patients with schizophrenia have a higher mortality than the general population. The risk of obesity, diabetes mellitus and cardiovascular disease is twice as high as in people without psychotic disorders. There are differences in emergency care as well as in secondary prevention in cardiovascular disorders and diabetes.

Swedish clinical guidelines--prevention and management of metabolic risk in patients with severe psychiatric disorders.

Individuals with severe psychiatric disorders are more likely than the population at large to develop metabolic derangements such as overweight and diabetes. Cardiovascular disease is also more frequently seen in this group. Contributing factors may include inappropriate diet or lack of physical activity, but antipsychotic medication may also play a role.