{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T12:10:58Z","timestamp":1772712658901,"version":"3.50.1"},"reference-count":44,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,10,7]],"date-time":"2018-10-07T00:00:00Z","timestamp":1538870400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Mental Health Nurs"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The objective was to use various somatic parameters as basis for investigating the physical health of older adults with severe mental illnesses (<jats:styled-content style=\"fixed-case\">SMI<\/jats:styled-content>). A cross\u2010sectional study design is performed by using baseline data from the Physical Health in <jats:styled-content style=\"fixed-case\">SMI<\/jats:styled-content>\u2010elderly (<jats:styled-content style=\"fixed-case\">PH<\/jats:styled-content>i<jats:styled-content style=\"fixed-case\">SMI<\/jats:styled-content>\u2010E) study. Data were collected using the Nursing Monitoring of Somatic Status and Lifestyle \u2013 Mental Health instrument in adults aged over 60 with <jats:styled-content style=\"fixed-case\">SMI<\/jats:styled-content> in a large Dutch mental health institute. Ninety\u2010nine elderly <jats:styled-content style=\"fixed-case\">SMI<\/jats:styled-content> patients were included. Somatic comorbidity (84.8%), use of somatic medication (77.7%) and polypharmacy (67.7%) were prevalent. Extrapyramidal symptoms were experienced by 51% of patients, mainly in the subgroup with psychotic disorders (75.6%). Unhealthy diet was reported in 16.2%, obesity in 27.3%, and physical inactivity in 57.6%. Fatigue (67.7%) and dry mouth (66.6%) were the commonest reported physical symptoms. Mean <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content> score (scale 0\u201310) indicating participants\u2019 self\u2010perceived physical health was 6.7 (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>\u00a0\u00b1\u00a01.6). After division of the total patient group into tertiles based on the <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content> scores, the lowest tertile was characterized by less physical activity, unhealthier diet, more use of medication, more fatigue, somnolence, and inner agitation. In conclusion, impaired physical health status was common in these older patients with <jats:styled-content style=\"fixed-case\">SMI<\/jats:styled-content>. Although they had more psychiatric and somatic comorbidity than adult <jats:styled-content style=\"fixed-case\">SMI<\/jats:styled-content> patients described in the literature, they had a healthier lifestyle. To reduce morbidity and premature mortality in these frail patients, it is essential that healthcare providers are aware of the high prevalence of somatic comorbidity and symptoms, and of their interactions with the psychiatric disorders. This study improves our understanding of differences in vulnerability factors of older patients with <jats:styled-content style=\"fixed-case\">SMI<\/jats:styled-content>. The (early) detection of somatic comorbidities may improve long\u2010term health outcomes of these patients.<\/jats:p>","DOI":"10.1111\/inm.12547","type":"journal-article","created":{"date-parts":[[2018,10,8]],"date-time":"2018-10-08T04:09:20Z","timestamp":1538971760000},"page":"457-467","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Physical health status of older adults with severe mental illness: The <scp>PH<\/scp>i<scp>SMI<\/scp>\u2010E cohort study"],"prefix":"10.1111","volume":"28","author":[{"given":"Noortje","family":"Houben","sequence":"first","affiliation":[{"name":"Department of Old Age Psychiatry Mondriaan Heerlen The Netherlands"},{"name":"Department of Advanced Nursing Practice School for Nursing Zuyd University Heerlen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2129-2431","authenticated-orcid":false,"given":"Eveline 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