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Contextual Factors in the Health of People With Serious Mental Illness

Bibliographic Data

ID4674437
AuthorsL J Cabassa (0000-0002-1872-4141, Columbia University, New York, New York, USA), Elizabeth Siantz (0000-0001-8305-3818, University of Southern California, Los Angeles, California, USA), Andel Nicasio (0000-0001-6329-0971, New York State Psychiatric Institute, New York, New York, USA), P J Guarnaccia (0000-0002-4713-0641, Rutgers, the State University of New Jersey), Peter Guarnaccia (Rutgers, The State University of New Jersey, New Brunswick, New Jersey, USA), Roberto Lewis-Fernández (0000-0003-1305-7471, Columbia University, New York, New York, USA)
Year2014
Volume24
Issue8
Pages1126-1137
Publication date2014-08-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732314541681
PMID24966198
PMCIDPMC4276729
OpenAlexW2114126907
LanguageEN
Citations received11
References cited35

People living with serious mental illness (SMI) have shorter life expectancies than the general population. We examined how contextual factors influence the physical health of this population. We conducted interviews, focus groups, and participant observations with stakeholders from six behavioral health organizations. We found that consumers' avoidance of overt disagreement during medical visits, their mistrust of medical institutions, and cultural variations in body image influenced the clinical encounter. Mental health providers' ambivalence about intervening in consumers' physical health, primary care providers' misattribution of physical symptoms to mental disorders, and providers' stigmatization of consumers shaped clinical encounters. Consumers' diets were shaped by food environments and social norms associated with traditional diets. Internal and external factors impacted consumers' physical activity. In this article, we illustrate the importance of considering contextual factors in the development and implementation of interventions aimed at improving the physical health of people with SMI

Ambivalence · Cognition · Environmental health · Focus group · Mental health · Mental illness · Misattribution of memory · Population · Psychiatry · Psychological intervention · Eating Disorders and Behaviors · Food Security and Health in Diverse Populations · Medicine · Mental Health Treatment and Access · Psychology · Social Psychology

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Unique citing works11
Citations per year1,1
Citation span2016 - 2023 (8)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 10

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