Eating and weight related cognitions in people with Schizophrenia: a case control study

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Serval ID
serval:BIB_860D7192C4E4
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Eating and weight related cognitions in people with Schizophrenia: a case control study
Journal
Clinical Practice and Epidemiology in Mental Health
Author(s)
Khazaal Y, Frésard E, Zimmermann G, Morinière Trombert N, Pomini V, Grasset F, Borgeat F, Zullino DF
ISSN
1745-0179
Publication state
Published
Issued date
2006
Peer-reviewed
Oui
Volume
2
Pages
29
Language
english
Notes
SAPHIRID:61535 Open access
Abstract
ABSTRACT: BACKGROUND: Patients with antipsychotic-induced weight gain (WG) regularly report on unsuccessful dietary trials, which suggests strong biological weight gain drive that is extremely hard to overcome with thoughts, such that behaviour doesn't change despite some intent to change. The purpose of the present study was to assess cognitions specifically related to restrained eating in severely overweight patients with schizophrenia treated with antipsychotic drugs. METHODS: Forty outpatients with schizophrenia and 40 controls without psychiatric disability were included. Both groups were composed of one subgroup severely overweight (defined as a BMI > 28), and a comparison sample (BMI<28). The revised version of the Mizes Anorectic cognitive questionnaire (MAC-R) was used in this cross-sectional case-control study. RESULTS: Gender was significantly related to eating disorders cognition, women scoring higher than men. Patients with schizophrenia in general scored higher on the MAC-R total scale and on the MAC-R subscale 2, the latter score representing rigid weight regulation and fear of weight gain. When comparing the two groups of subjects with BMI < 28, it appeared that patients with schizophrenia also scored higher on MAC-R total scale, the subscales 2 and 3, the latter subscale 3, indicating altered self control and self-esteem. CONCLUSION: As is the case in weight gain of subjects without schizophrenia, the present results suggest that the cognitive distortions, as assessed by the MAC-R, may play an important role in weight gain also in patients with schizophrenia, and in weight gain associated with antipsychotic pharmacotherapy. Particular attention to these processes may help to improve the management of antipsychotic drugs induced weight gain
Pubmed
Open Access
Yes
Create date
10/03/2008 14:34
Last modification date
20/08/2019 14:45
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