Health behaviour risk factors for coronary heart disease (CHD) in smokers with a psychotic disorder: baseline results

Background. People with psychotic disorders are more likely to develop and die from coronary heart disease (CHD) than the general population. Aims. This study aimed to explore the level of CHD risk factors (smoking, diet and physical activity) in smokers with psychosis. The second aim was to examine the reasons for smoking/quitting, and the levels of motivation and confidence to change. Method. Forty-three smokers diagnosed with psychosis were assessed using semi-structured interviews and standardised self-report instruments. Carbon monoxide levels, blood pressure, height, weight and hip/waist measurements were assessed. Blood samples were taken for cholesterol and blood sugar levels. CHD risk percentiles were calculated using the Framingham algorithm. Results. Participants smoked heavily (mean 30.8 cigarettes per day ±12.5). The majority reported smoking due to addiction and for stress management and many contemplated quitting, mainly due to health concerns. Participants were on average moderately obese ...