Cardiovascular disease (CVD) is the leading cause of death among people with severe mental disorder (SMD). CVD risk factors occur at the individual, health system, and socio-environmental levels and contribute not only to high rates of CVD but also to worsening mental health. While acknowledging this wider context, this review focuses on behavioral interventions for seven CVD risk behaviors—smoking, physical inactivity, excessive alcohol consumption, low fruit and vegetable intake, inadequate sleep, poor social participation, and poor medication adherence—that are common among people with SMD. We survey recent meta-reviews of the literature and then review additional key studies to provide clinical recommendations for behavioral interventions to reduce CVD risk among people with SMD. A transdiagnostic psychological approach from the start of mental health treatment, drawing upon multidisciplinary expertise to address multiple risk behaviors, is recommended.

中文翻译：

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降低严重精神障碍患者心血管风险的行为干预措施

心血管疾病（CVD）是严重精神障碍（SMD）患者死亡的主要原因。 CVD 危险因素发生在个人、卫生系统和社会环境层面，不仅导致 CVD 发病率高，而且还会导致心理健康状况恶化。在承认这一更广泛背景的同时，本综述重点关注对人们常见的七种心血管疾病风险行为的行为干预——吸烟、缺乏运动、过量饮酒、水果和蔬菜摄入量低、睡眠不足、社会参与度差和服药依从性差与SMD。我们调查了最近的文献荟萃评论，然后回顾了其他关键研究，为行为干预提供临床建议，以降低 SMD 患者的 CVD 风险。建议从心理健康治疗开始就采用跨诊断心理学方法，利用多学科专业知识来解决多种危险行为。