ArticlePatient education and counseling2019
Patient perspectives on how living with a mental illness affects making and maintaining healthy lifestyle changes.
Article in Patient education and counseling, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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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
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patient Perspectives on What Alleviates Hoarding Disorder Symptoms and Improves Wellbeing: A Systematic Review of Qualitative Data.Clinical psychology & psychotherapyPooled it
- Trial
- Structured assessment of modifiable lifestyle habits among patients with mental illnesses in primary care.Scientific reports · 2022Trial
- Patterning in Patient Referral to and Uptake of a National Exercise Referral Scheme (NERS) in Wales From 2008 to 2017: A Data Linkage Study.International journal of environmental research and public health · 2020Trial
- Associations Between Maternal Mental Health and Congenital Syphilis Birth Outcomes: Analysis of Georgia Surveillance Data, 2018-2023.Sexually transmitted diseases · 2026Article
- Mental health service users' pre- and post-therapy hospitalization rates: A data linkage study.The British journal of clinical psychology · 2026Article
- Perception of rectal prolapse symptoms in patients with psychiatric disorders.World journal of gastrointestinal surgery · 2026Article
- Non-pharmacologicaL InterVEntions for Antipsychotic-Induced Weight Gain (RESOLVE) in People Living With Severe Mental Illness: A Realist Synthesis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Review
- HEAD-MIP-(HEAlth Dialogues for patients with Mental Illness in Primary care)-a feasibility study.Pilot and feasibility studies · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo understand the ways that mental health symptoms interfere with achieving health goals.
methodsIndividuals with mental illness diagnoses and varying levels of preventive service use were recruited from federally qualified health centers and an integrated health care delivery system and interviewed. Thematic analysis was used to characterize descriptions of how mental illness experiences influenced lifestyle change efforts.
resultsThree themes described patients' (n = 163) perspectives on barriers to making healthy lifestyle changes: 1) Thinking about making lifestyle changes is overwhelming for individuals already managing the burdens of mental illnesses; 2) Depression makes it difficult to care about a healthy future; and 3) When mental illness symptoms are not adequately treated unhealthy behaviors that provide relief are unlikely to be discontinued. Participants also made suggestions for improving health care delivery to facilitate positive behavior change.
conclusionPatients with mental illnesses need their clinicians to be empathic, help them envision a healthier future, address unmet mental health needs, and provide resources. PRACTICE IMPLICATIONS: Primary care clinicians should encourage their patients with mental illnesses to make healthy lifestyle changes within the context of a supportive relationship. Lifestyle change can be overwhelming; clinicians should acknowledge progress and provide ongoing tangible support.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.