ArticleAmerican journal of health behavior2016
Barriers to Self-management of Serious Mental Illness and Diabetes.
Article in American journal of health behavior, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
42 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Pooled it
- Barriers to monitoring and management of cardiovascular and metabolic health of patients prescribed antipsychotic drugs: a systematic review.BMC psychiatry · 2020Pooled it
- Stigma in health facilities: why it matters and how we can change it.BMC medicine · 2019Pooled it
- Peer-Led Self-Management of General Medical Conditions for Patients With Serious Mental Illnesses: A Randomized Trial.Psychiatric services (Washington, D.C.) · 2018Trial
- Associations among comorbid anxiety, psychiatric symptomatology, and diabetic control in a population with serious mental illness and diabetes: Findings from an interventional randomized controlled trial.International journal of psychiatry in medicine · 2018Trial
- Healthcare utilization and chronic condition clusters in multimorbidity patients using weighted k-means: a register-based study in Denmark.Health information science and systems · 2026Article
- Health Characteristics of Emerging and Young Adults with SMI.Community mental health journal · 2026Article
- "International journal of qualitative studies on health and well-being · 2025Article
- Barriers to Access and Utilization of Diabetes Care Among Patients with Severe Mental Illness in Saudi Arabia: A Qualitative Interpretive Study.Healthcare (Basel, Switzerland) · 2025Article
- Couples and concealable chronic illness: Investigating couples' communication, coping, and relational well-being over time.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2024Article
- Emotional, Psychological, and Social Well-being Experience of Long-Term Living with Type 1 Diabetes Mellitus: A Patient-Psychiatrist-Endocrinologist Perspective.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024Article
- Supported self-management in long-term conditions in an African context.The South African journal of physiotherapy · 2024Article
- The influence of family socioeconomic status on college students' mental health literacy: the chain mediating effect of parenting styles and interpersonal relationships.Frontiers in psychology · 2024Article
- Article
- "It's Not Important"-The Social Constructing of Poor Physical Health as 'Normal' among People with Schizophrenia: Integrated Findings from an Ethnographic Study.International journal of environmental research and public health · 2023Article
- Physical Healthcare for People with a Severe Mental Illness in Belgium by Long-Term Community Mental Health Outreach Teams: A Qualitative Descriptive Study on Physicians', Community Mental Health Workers' and Patients' Perspectives.International journal of environmental research and public health · 2023Article
- Risk and protective factors in relation to early mortality among people with serious mental illness: Perspectives of peer support specialists and service users.Psychiatric rehabilitation journal · 2022Article
- User accounts on received diabetes and mental health care in a Danish setting - An interview study.International journal of mental health nursing · 2022Article
- Improving Healthy Living in Residential Care Facilities: Feasibility, Acceptability, and Appropriateness of Implementing a Multicomponent Intervention for Diabetes Risk Reduction in Adults with Serious Mental Illnesses.Administration and policy in mental health · 2022Article
- Disparities in cardiovascular outcomes among emergency department patients with mental illness.The American journal of emergency medicine · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivesIndividuals with serious mental illness (SMI) (major depressive disorder, bipolar disorder, schizophrenia), and diabetes (DM), face significant challenges in managing their physical and mental health. The objective of this study was to assess perceived barriers to self-management among patients with both SMI and DM in order to inform healthcare delivery practices.
methodsWe conducted 20 in-depth interviews with persons who had diagnoses of both SMI and DM. All interviews were audiotaped, transcribed verbatim, and analyzed using content analysis with an emphasis on dominant themes.
resultsTranscript-based analysis generated 3 major domains of barriers to disease self-management among patients with both DM and SMI: (1) personal level barriers (stress, isolation, stigma); (2) family and community level barriers (lack of support from family and friends); and (3) provider and health care system level barriers (poor relationships and communication with providers, fragmentation of care).
conclusionsCare approaches that provide social support, help in managing stress, optimize communication with providers, and reduce compartmentalization of medical and psychiatric care are needed to help these vulnerable individuals avoid health complications and premature mortality.
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Registered trials
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