title: [Unhealthy lifestyle in patients of a psychosomatic outpatient and consultation-liaison clinic].
abstract: Patients with mental disorders have an increased risk for somatic diseases. Especially life style risk factors contribute to this increased risk. In order to identify targets for preventive measures, we aimed to determine the prevalence of an unhealthy lifestyle in a clinical sample and to analyze associations with severity of mental disorders and somatic complaints. We analyzed the medical records of n=1 919 outpatients, who were treated between 2009-2011 in the Department of Psychosomatic Medicine and Psychotherapy of the University Medical Center Mainz. 62.4% of the patients were physically inactive, 33.2% were smokers and 17.4% were obese. Lifestyle risk factors were associated with increased symptom burden and impairment. Smoking was strongly associated with more previous psychiatric or psychosomatic inpatient treatments. These results indicate an urgent need for targeting health behavior more rigorously in the treatment of patients with common mental disorders.
authors.affiliation: Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Universitätsmedizin der Johannes -Gutenberg-Universität Mainz.
authors.forename: Till F
authors.initials: TF
authors.lastname: Beutel
authors.affiliation: Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Universitätsmedizin der Johannes -Gutenberg-Universität Mainz.
authors.forename: Prisca
authors.initials: P
authors.lastname: Weiser
authors.affiliation: Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Universitätsmedizin der Johannes -Gutenberg-Universität Mainz.
authors.forename: Rüdiger
authors.initials: R
authors.lastname: Zwerenz
authors.affiliation: Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Universitätsmedizin der Johannes -Gutenberg-Universität Mainz.
authors.forename: Jörg
authors.initials: J
authors.lastname: Wiltink
authors.affiliation: Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Universitätsmedizin der Johannes -Gutenberg-Universität Mainz.
authors.forename: Claudia
authors.initials: C
authors.lastname: Subic-Wrana
authors.affiliation: Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Universitätsmedizin der Johannes -Gutenberg-Universität Mainz.
authors.forename: Matthias
authors.initials: M
authors.lastname: Michal
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care; D015897:Comorbidity; D017281:Cost of Illness; D005260:Female; D015438:Health Behavior; D006801:Humans; D008019:Life Style; D008297:Male; D001523:Mental Disorders / Q000523:psychology* / Q000628:therapy*; D008875:Middle Aged; D009765:Obesity / Q000150:complications / Q000523:psychology; D011570:Psychiatry; D011602:Psychophysiologic Disorders / Q000523:psychology* / Q000628:therapy*; D012017:Referral and Consultation; D057185:Sedentary Behavior; D012907:Smoking / Q000523:psychology; D000074606:Smoking Prevention; D055815:Young Adult