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The lived experience of severe mental illness and long-term conditions: a qualitative exploration of service user, carer, and healthcare professional perspectives on self-managing co-existing mental and physical conditions.

Authors :
Carswell, C.
Brown, J. V. E.
Lister, J.
Ajjan, R. A.
Alderson, S. L.
Balogun-Katung, A.
Bellass, S.
Double, K.
Gilbody, S.
Hewitt, C. E.
Holt, R. I. G.
Jacobs, R.
Kellar, I.
Peckham, E.
Shiers, D.
Taylor, J.
Siddiqi, N.
Coventry, P.
Source :
BMC Psychiatry. 7/18/2022, Vol. 22 Issue 1, p1-14. 14p. 1 Chart.
Publication Year :
2022

Abstract

Background: People with severe mental illness (SMI), such as schizophrenia, have higher rates of physical long-term conditions (LTCs), poorer health outcomes, and shorter life expectancy compared with the general population. Previous research exploring SMI and diabetes highlights that people with SMI experience barriers to self-management, a key component of care in long-term conditions; however, this has not been investigated in the context of other LTCs. The aim of this study was to explore the lived experience of co-existing SMI and LTCs for service users, carers, and healthcare professionals. Methods: A qualitative study with people with SMI and LTCs, their carers, and healthcare professionals, using semi-structured interviews, focused observations, and focus groups across the UK. Forty-one interviews and five focus groups were conducted between December 2018 and April 2019. Transcripts were coded by two authors and analysed thematically. Results: Three themes were identified, 1) the precarious nature of living with SMI, 2) the circularity of life with SMI and LTCs, and 3) the constellation of support for self-management. People with co-existing SMI and LTCs often experience substantial difficulties with self-management of their health due to the competing demands of their psychiatric symptoms and treatment, social circumstances, and access to support. Multiple long-term conditions add to the burden of self-management. Social support, alongside person-centred professional care, is a key facilitator for managing health. An integrated approach to both mental and physical healthcare was suggested to meet service user and carer needs. Conclusion: The demands of living with SMI present a substantial barrier to self-management for multiple co-existing LTCs. It is important that people with SMI can access person-centred, tailored support for their LTCs that takes into consideration individual circumstances and priorities. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
1471244X
Volume :
22
Issue :
1
Database :
Academic Search Index
Journal :
BMC Psychiatry
Publication Type :
Academic Journal
Accession number :
158035401
Full Text :
https://doi.org/10.1186/s12888-022-04117-5