People with schizophrenia have higher risk of COPD, suggests study

People with schizophrenia are less likely to receive adequate general medical care, leading to an under-diagnosis of COPD. COPD symptoms are often viewed as psychosomatic in people with schizophrenia. Studies have also shown that some antipsychotic medications impact respiratory health, including an increased risk of pneumonia.

“People with schizophrenia are less likely to use primary and preventative services or seek help for medical concerns. They also tend to prioritize mental health issues over physical illnesses,” said Professor David M.G. Halpin, MBBS, DPhil, FRCP, a professor of respiratory medicine at University of Exeter. “We need to ensure primary care providers are aware that people with schizophrenia are at higher risk of developing COPD. Patients should have regular physical health checks, and those with schizophrenia and COPD should be offered comprehensive care. Developing integrated care services and avoiding stigma could make a significant difference to outcomes, including survival, in this disadvantaged group of patients.”

Reference:

Ratcliffe S, Halpin DMG. COPD and schizophrenia. Chronic Obstr Pulm Dis. 2025; 12(4): 328-338. doi: http://doi.org/10.15326/jcopdf.2025.0631.