Gender-sensitive Lifestyle Psychiatry for Individuals with Severe Mental Illness: Do single sex studies offer new insights about how to address health inequities? – A scoping review

Andrea Buckley, Rebekah Carney, Grace McKeon, Denise Rogers, Noel Richardson, Evan Matthews

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review



People with Severe Mental Illness (SMI) present with high rates of physical comorbidities, reducing their lifespan by 10-20 years compared to the general population. Lifestyle Psychiatry (LP) appears to be an evolving field addressing modifiable risk factors, predominantly relating to interventions like physical activity, diet, sleep, and smoking cessation, traditional pillars of health (Firth et al. 2020, Noordsy 2019).

The two intersecting concepts sex/gender are linked to outcomes of physical and mental health, with sex defined as biological, and gender as socially constructed (Heidari et al. 2016). Gender is incorporated into the United Nations (UN) 2030 Agenda for Sustainable Development Goals (SDGs) to abate health inequities, indicating a prerequisite for gender-sensitive consideration in LP.

Our planned scoping review will explore how sex/gender are considered within LP as recommended in international policies and strategies, e.g. the UN`s SDGs, to abate gender inequities and improve physical and mental health.

A scoping review will be undertaken using the Joanna Briggs Institute (JBI) and their Preferred Reporting Items for Scoping Reviews (PRISMA-ScR) guidance, based on Arksey and O`Malley`s original framework (Peters et al. 2021).
Databases CINAHL, Scopus and PubMed will be searched, retrieved articles uploaded to the RAYYAN application), screened by two authors and discrepancies about in/exclusion clarified by consulting a third author. Included in the search strategy will be terms relating to “severe mental illness”, “lifestyle psychiatry” and “sex/gender”, regarding adults over 18 years, in all study types except protocols.
Data will be extracted by using an author developed standardised form. Peer-reviewed literature in English from 2012 to 2022 will be examined, and findings mapped and reported in a narrative synthesis.

Preliminary Findings
Findings will inform the next steps in the iterative research process of the overall PhD project examining gender-specific Lifestyle Psychiatry and guidance to support mental health services for enhanced future care.


Firth, J., Solmi, M., Wootton, R. E., Vancampfort, D., Schuch, F. B., Hoare, E., Gilbody, S., Torous, J., Teasdale, S. B., Jackson, S. E., Smith, L., Eaton, M., Jacka, F. N., Veronese, N., Marx, W., Ashdown‐Franks, G., Siskind, D., Sarris, J., Rosenbaum, S., … Stubbs, B. (2020). A meta‐review of “lifestyle psychiatry”: the role of exercise, smoking, diet and sleep in the prevention and treatment of mental disorders. World Psychiatry, [online] 19(3), pp. 360-380.
Heidari, S., Babor, T. F., de Castro, P., Tort, S., & Curno, M. (2016). Sex and Gender Equity in Research: rationale for the SAGER guidelines and recommended use. Research Integrity and Peer Review, 1(1).
Noordsy, D. L. (Ed.). (2019). Lifestyle Psychiatry. American Psychiatric Association Publishing. Available at (Accessed 14th February 2023)
Peters, M. D. J., Marnie, C., Tricco, A. C., Pollock, D., Munn, Z., Alexander, L., McInerney, P., Godfrey, C. M., & Khalil, H. (2021). Updated methodological guidance for the conduct of scoping reviews. (JBI Evidence Implementation, 19(1), 3–10.
Original languageEnglish (Ireland)
Title of host publicationThe 7th Annual All-Ireland Postgraduate (AIPG) Conference in Sport Sciences, Physical Activity & Physical Education
PublisherMunster Technological University
Publication statusPublished - 26 May 2023


  • Female
  • Gender
  • Equality
  • Non-binary
  • Male
  • Health behaviour


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