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Patients with Severe Mental Disorder (SMD) show a life expectancy of 13 to 30 years lower than the general population. Among the factors that determine this expectancy are cardiovascular risk and the metabolic syndrome. The objective of the present study will be to evaluate the effectiveness of a rehabilitative intervention comprinsing a psychopharmacology and psychoeducation program on cardiovascular risk, metabolic syndrome, independency for activities of daily living and psychopathological symptoms.
It will be selected sixty patients diagnosed with SMD from a community Mental Health Unit from Spain. It will be implemented a intervention program consisted of psychopharmacology + psychoeducation on healthy living habits during three months. The patients will be evaluated at the beginning, at three months and at six months follow-up for weight, waist circumference, waist-hip ratio, body mass index, cardiovascular risk, independency and psychopathology.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Psychoeducation program | Active Comparator | The intervention program consists of psychopharmacology (standard intervention in mental health services) + individual psychoeducation (individual treatment including learning of Healthy Lifestyle). This program is implemented for three months, allocated in several sessions. |
|
| Habitual intervention | Active Comparator | Intervention program consists of psychopharmacology (standard intervention in mental health services). This program is implemented for three months. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Psychoeducation program | Behavioral | Intervention program consisted of psychopharmacology + psychoeducation. This will be executed during 3 months, distribuited in several sessions. |
| Measure | Description | Time Frame |
|---|---|---|
| weight | This measurement registers weight in Kg | Change from Baseline in weight at 3 and 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| waist circumference | This measurement registers waist circumference in cm | Change from Baseline in waist circumference at 3 and 6 months |
| waist-hip ratio | Waist-hip ratio will be calculated |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| José Manuel Pérez Mármol, PhD | Department of Physiotherapy. Faculty of Health Sciences, University of Granada | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| José Manuel Pérez Mármol | Córdoba | 18007 | Spain |
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| ID | Term |
|---|---|
| D001523 | Mental Disorders |
| D024821 | Metabolic Syndrome |
| ID | Term |
|---|---|
| D007333 | Insulin Resistance |
| D006946 | Hyperinsulinism |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
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|
| Psychopharmacology intervention | Drug | Intervention program consisted of psychopharmacology. This will be executed during 3 months. |
|
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| Change from Baseline in waist-hip ratio at 3 and 6 months |
| Framingham scale | The Framingham Risk Score is a gender-specific algorithm used to estimate the 10-year cardiovascular risk of an individual. | Change from Baseline in Framingham scale at 3 and 6 months |
| Global Assesment of funtioning Scale | This scale evaluates psychological, social, and occupational functioning dimensions on a hypothetical continuum of mental health-illness. | Change from Baseline in Global Assesment of funtioning Scale at 3 and 6 months |
| PANNS | The Positive and Negative Syndrome Scale for mental disorder | Change from Baseline in PANNS at 3 and 6 months |
| D009750 |
| Nutritional and Metabolic Diseases |