Korean J Schizophr Res.  2012 Jun;15(1):20-26. 10.16946/kjsr.2012.15.1.20.

The Effect of a 12-week Weight Management Program on the Quality of Life in Patients with Schizophrenia

• Kim JJ
• Jae YM
• Lee DS
• Choi JH
• Park SH

• KMID: 1790743
• DOI: http://doi.org/10.16946/kjsr.2012.15.1.20

Abstract

OBJECTIVES
This study was designed to examine the effect of a 12-week weight management program on the quality of life, self-esteem and psychotic symptoms of schizophrenia.
METHODS
The subjects of the experiment consisted of psychiatric patients taking antipsychotics who were diagnosed with DSM-IV schizophrenia. The experimental group were patients with body mass index of 25 kg/m2 or above who participated in a 12-week weight management program, while the control group did not join the program. All the patients were admitted in closed psychiatry ward of a mental hospital. The program consisted of diet therapy, exercise, behavior modification and education. All the patients were checked on Brief Psychiatric Rating Scale (BPRS), Rosenberg Self-esteem Scale (RSES), Korean version of the SmithKlein Beecham Quality of Life (KvSBQOL), Korean version of 4th revision of Schizophrenia Quality of Life Scale (SQLS-R4K) and the weight.
RESULTS
After the 12-week weight management program, RSES, KvSBQOL and SQLS-R4K were increased significantly in the experimental group (p<0.001), as opposed to the control group. While the experimental group showed a notable increase in body weight and body mass index (BMI), the change in the control group was insignificant. BPRS was decreased significantly (p<0.05).
CONCLUSION
12-week weight management program had a positive effect to decrease the weight and to increase the self-esteem and quality of life. This study provides evidence for the potential and beneficial effect of weight management program for schizophrenic patients.

Keyword

Schizophrenia; Weight control; Self-esteem; Quality of life

MeSH Terms

Antipsychotic Agents
Behavior Therapy
Body Mass Index
Body Weight
Brief Psychiatric Rating Scale
Diagnostic and Statistical Manual of Mental Disorders
Hospitals, Psychiatric
Humans
Quality of Life
Schizophrenia
Antipsychotic Agents

Figure

• 

  Fig. 1. Change in body weight (A) and body mass index (BMI)(B) during 12-week weight management program. Body weight (A) and BMI was measured on the day 1 (Before) and the day 84 (After). **: p＜0.001, vs. corresponding control, †: p＜0.05, ††: p＜ 0.001, vs. corresponding the day 1.

• 

  Fig. 2. Change in Brief Psychiatric Rating Scale (BPRS) during 12-week weight management program. BPRS was measured on the day 1 (Before) and the day 84 (After) by a psychiatrist. *: p＜ 0.05, vs. corresponding control, †: p＜0.05, vs. corresponding the day 1.

• 

  Fig. 3. Change in Rosenberg Self-esteem Scale (RSES)(A), Korean version of the SmithKlein Beecham Quality of Life (KvSBQOL) (B), Korean version of 4th revision of Schizophrenia Quality of Life Scale (SQLS-R4K)(C) during 12-week weight management program. RSES, KvSBQOL, SQLS-R4K were measured on the day 1 (Before) and the day 84 (After) by a psychiatrist. **: p＜0.001, vs. corresponding control, ††: p＜0.001, vs. corresponding the day 1.

Reference

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