|
KMID : 0897520070120010039
|
|
Journal of Korean Association of Social Psychiatry
2007 Volume.12 No. 1 p.39 ~ p.46
|
|
|
Behavioral Therapeutic Approach for Weight Control in Patients with Chronic Psychiatric Illness
|
|
Lee Joong-Kwon
Kim Jeong-Gee
Cho Dong-Hwan
Lee Soo-Jin
Wang Kuan-Shu
Seo Young-Ik
Choi Seong-Jin
Lee Da-Gyo
|
|
|
Abstract
|
|
|
Objectives：Even before using the antipsychotics, the metabolic disturbances associated with weight gain have been troublesome in subject with psychiatric disease. Although the atypical antipsychotics show excellent results in management and side effects, patients become more and more to expose to the risks such as drug related weight gain and metabolic disturbances. The objective of this study is to evaluate how the therapeutic approaches through life style modification to the patients in day hospital work and improve the risk factors such as weight gain.
Methods：This study was a 17-weeks open-label trial of 12 out of 16 patients who attended in day hospital and study performed between april 21st and september 4th in 2006. The primary outcome measure was the comparison of personal weight, waist circumference, BMI, LDL cholesterol, HDL cholesterol and TG before and after the trial. The secondary outcome measure was to evaluate the QOL using korean version of the Smithkline Beecham quality of life’ scale.
Results：The number of patient who completed the trial was 11, but 2 out of 11 patients turned down the withdrawal of blood. Before the trial, the mean weight was 71.81±9.51kg, mean waist circumference was 91.32±5.71cm. After the trial, the mean weight was 70.04±8.89kg, the mean waist circumference was 89.68±5.09cm. There was no statistically significant difference in lipid profile before and after the trial. In the post-trial evaluation, the measurement of QOL has improved in score and this represent the satisfaction for the eating habit and exercise program.
Conclusion：This study gave the patients with chronic psychiatric illness the motivation to modify their life style using the organized education and exercise. As a result, some of the participants showed reductions in weight and waist circumference. There may require a large scale study. Life style modification program to prevent weight gain could affect in positive way to the patient who need oral medication in the long run.
|
|
|
KEYWORD
|
|
|
Chronic psychiatric disease, Weight gain, Metabolic syndrome, Behavior therapy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|