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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 4/2009

01-04-2009 | ORIGINAL PAPER

Mobility limitations in persons with psychotic disorder: findings from a population-based survey

Authors: Satu Viertiö, Päivi Sainio, Seppo Koskinen, Jonna Perälä, Samuli I. Saarni, Marja Sihvonen, Jouko Lönnqvist, Jaana Suvisaari

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 4/2009

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Abstract

Background

There are few reports on mobility limitations in persons with psychotic disorder although restrictions in mobility may aggravate the general functional limitations of these patients. Our aim was to investigate mobility limitations among subjects with psychotic disorder in a general population-based sample.

Methods

A nationally representative sample of 6,927 persons aged 30 and older self-reported mobility limitations in an interview and was examined in performance tests. Diagnostic assessment of DSM-IV psychotic disorders combined SCID interview and case note data. Lifetime-ever diagnoses of psychotic disorder were classified into schizophrenia, other nonaffective psychotic disorders and affective psychoses.

Results

Self-reported mobility limitations were highly prevalent in persons with schizophrenia and other nonaffective psychosis, but not in the affective psychosis group. After adjusting for age and sex, persons with schizophrenia and other nonaffective psychoses but not affective psychoses had significantly increased odds of having both self-reported and test-based mobility limitations as well as weak muscle strength. Schizophrenia remained an independent predictor of mobility limitations even after controlling for lifestyle-related factors and chronic medical conditions. Among persons with nonaffective psychoses, higher levels of negative symptoms predicted mobility limitations.

Conclusion

Self-reported mobility limitations are prevalent already at a young age in persons with schizophrenia and other nonaffective psychotic disorders, and among older persons with these disorders both self-reported limitations and measured performance tests show lower capacity in mobility. Difficulties in mobility are associated with negative symptoms. Mental health care professionals should pay attention to mobility limitations in persons with psychotic disorder.
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Metadata
Title
Mobility limitations in persons with psychotic disorder: findings from a population-based survey
Authors
Satu Viertiö
Päivi Sainio
Seppo Koskinen
Jonna Perälä
Samuli I. Saarni
Marja Sihvonen
Jouko Lönnqvist
Jaana Suvisaari
Publication date
01-04-2009
Publisher
Steinkopff-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 4/2009
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-008-0433-y

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