Delphi consensus on the physical health of patients with schizophrenia: evaluation of the recommendations of the spanish societies of psychiatry and biological psychiatry by a panel of experts

Authors

  • Julio Bobes-García Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM) Departamento de Psiquiatría Universidad de Oviedo, Oviedo Asturias, Spain
  • Jerónimo Saiz-Ruiz Instituto Ramón y Cajal de Investigación Sanitaria, IRYCIS Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM) Hospital Universitario Ramón y Cajal Departamento de Psiquiatría, Universidad de Alcalá Madrid, Spain
  • Miquel Bernardo-Arroyo Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM) Unidad de Esquizofrenia Clínic, Institut Clínic de Neurociències Hospital Clínic, Universidad de Barcelona / IDIBAPS Barcelona, Spain
  • Fernando Caballero-Martínez Unidad de Investigación, Dirección Académica de Medicina Facultad de Ciencias Biosanitarias, Universidad Francisco de Vitoria Madrid, Spain
  • Inmaculada Gilaberte-Asín Unidad de Investigación Clínica en Neurociencias Lilly Clinical Research Laboratories Alcobendas, Madrid, España
  • Antonio Ciudad-Herrera Unidad de Investigación Clínica en Neurociencias Lilly Clinical Research Laboratories Alcobendas, Madrid, Spain

Keywords:

Schizophrenia, Physical health,, Morbidity, Psychiatry, Intervention guides

Abstract

Introduction. Available data from scientific literature show that patients with schizophrenia have higher rates of physical comorbidity and excess mortality due to other physical pathologies. The growing interest to investigate and improve the health of these patients has led a group of Spanish experts to publish in 2008 a “Consensus on physical health of patients with schizophrenia from the Spanish Societies of Psychiatry and Biological Psychiatry” (2008 Consensus). These recommendations imply a significant change to the present model of medical attention.

Objective. To gauge the level of agreement of a group of expert psychiatrists on the clinical criteria and recommendations collected from the scientific literature and the 2008 Consensus on the physical health of patients with schizophrenia.

Method. The process involved four phases: 1) Scientific Committee established to manage the study and to define the 66-item questionnaire; 2) Panel of 15 experts in psychiatry is established; 3) Submission of questionnaire to the Expert Panel in two consecutive rounds, with an intermediate processing and sharing of results; 4) Evaluation of results, discussion and conclusions between Scientific Committee and Expert Panel.

Results. All items, as set by the Scientific Committee and aligned with the recommendations published in the 2008 Consensus, achieved consensus on agreement from the Expert Panel, except 5 items, for which most of the answers were placed in the indeterminate position rate.

Conclusions. The expert criteria shown in this study indicate a global agreement with regard to clinical criteria on the physical health of patients with schizophrenia, as well as with the present recommendations to improve the health of patients having, or at risk to have, other concomitant pathologies. The need to incorporate new intervention guidelines that facilitate a better control and improvement of the physical health of patients with schizophrenia must be disseminated in the psychiatric providers’ collectives.

Published

2012-05-01

How to Cite

Julio Bobes-García, et al. “Delphi Consensus on the Physical Health of Patients With Schizophrenia: Evaluation of the Recommendations of the Spanish Societies of Psychiatry and Biological Psychiatry by a Panel of Experts”. Actas Españolas De Psiquiatría, vol. 40, no. 3, May 2012, pp. 114-28, https://actaspsiquiatria.es/index.php/actas/article/view/458.

Issue

Section

Original