Physical health behaviours and health locus of control in people with schizophrenia-spectrum disorder and bipolar disorder: a cross-sectional comparative study with people with non-psychotic mental illness

<p>Abstract</p> <p>Background</p> <p>People with mental illness experience high levels of morbidity and mortality from physical disease compared to the general population. Our primary aim was to compare how people with severe mental illness (SMI; i.e. schizophrenia-spectrum disorders and bipolar disorder) and non-psychotic mental illness perceive their: (i) global physical health, (ii) barriers to improving physical health, (iii) physical health with respect to important aspects of life and (iv) motivation to change modifiable high-risk behaviours associated with coronary heart disease. A secondary aim was to determine health locus of control in these two groups of participants.</p> <p>Methods</p> <p>People with SMI and non-psychotic mental illness were recruited from an out-patient adult mental health service in London. Cross-sectional comparison between the two groups was conducted by means of a self-completed questionnaire.</p> <p>Results</p> <p>A total of 146 people participated in the study, 52 with SMI and 94 with non-psychotic mental illness. There was no statistical difference between the two groups with respect to the perception of global physical health. However, physical health was considered to be a less important priority in life by people with SMI (OR 0.5, 95% CI 0.2-0.9, <it>p </it>= 0.029). There was no difference between the two groups in their desire to change high risk behaviours. People with SMI are more likely to have a health locus of control determined by powerful others (<it>p </it>< 0.001) and chance (<it>p </it>= 0.006).</p> <p>Conclusions</p> <p>People with SMI appear to give less priority to their physical health needs. Health promotion for people with SMI should aim to raise awareness of modifiable high-risk lifestyle factors. Findings related to locus of control may provide a theoretical focus for clinical intervention in order to promote a much needed behavioural change in this marginalised group of people.</p

Seismic input at the archaeological site of Kancheepuram in Southern India

A probabilistic seismic hazard assessment at Kancheepuram in Southern India was carried out with the scope of defining the seismic input for the vulnerability assessment of historical and monumental structures at the site, in terms of horizontal Uniform Hazard Spectra and a suite of spectrum-compatible natural accelerograms to perform time-history analysis. The standard Cornell–McGuire and a zone-free approach have been used for hazard computations after the compilation of a composite earthquake catalogue for Kancheepuram. Epistemic uncertainty in the seismic hazard was addressed within a logic-tree framework. Deaggregation of the seismic hazard for the peak ground acceleration shows low seismicity at Kancheepuram controlled by weak-to-moderate earthquakes with sources located at short distances from the archaeological site. Suites of natural accelerograms recorded on rock have been selected by imposing a custom-defined compatibility criterion with the probabilistic spectra. The site of Kancheepuram is characterized by a seismicity controlled by weak-to-moderate earthquakes with sources at short distances from the site, the PGA expected for 475- and 2,475-year return period are, respectively, 0.075 and 0.132 g. The Indian code-defined spectra (DBE and MCE) tend to underestimate spectral ordinates at low periods. On the other hand, the PGA are comparable and the spectral ordinates for longer periods from the probabilistic study are significantly lower