Weight management in a cohort of Irish inpatients with serious mental illness (SMI) using a modular behavioural programme. A preliminary service evaluation

Bushe, Chris J.; McNamara, Dermot; Haley, Cliff; McCrossan, Mary Fleming; Devitt, Pat
January 2008
BMC Psychiatry;2008, Vol. 8, Special section p1
Academic Journal
Background: Weight gain is commonly observed during psychotropic treatments for chronic forms of severe mental illness and is most rapid during the early treatment phases. All formats of behavioural weight intervention programmes have suggested that weight gain can be prevented or reversed in some patients. There is no data on these programmes in acutely unwell inpatients whom may be the major beneficiaries. Methods: A modular behavioural intervention programme (Solutions for Wellness) used in SMI outpatients since 2002 in Ireland has been adapted for inpatient use. Preliminary data is reported from 5 centres in Ireland. Results: In 47 inpatients the mean weight change was +0.26 kg (SD 2.02) with a median change of 0 kg. Mean follow-up was 23.7 (SD 21.6) days, and median 14 days (range 6-98 days). There was no difference in mean weight change in those patients involved for > 35 days compared with < 35 days (+0.26 kg; 0.25 kg; p = 0.5). Weight loss or maintenance was seen in 70% of patients. Conclusion: These preliminary data are supportive of the concept that acutely unwell inpatients with SMI may engage with a behavioural weight programme. Weight change observed contrasts with the significant weight gain often seen in most subjects. Further clinical trials are warranted.


Related Articles

  • Weight Change in Diabetes and Glycemic and Blood Pressure Control. Feldstein, Adrianne C.; Nichols, Gregory A.; Smith, David H.; Stevens, Victor J.; Bachman, Keith; Rosales, A. Gabriela; Perrin, Nancy // Diabetes Care;Oct2008, Vol. 31 Issue 10, p1960 

    OBJECTIVE -- Weight loss in type 2 diabetes is undisputedly important, and data from community settings are limited. We evaluated weight change and resulting glycemic and blood pressure control in type 2 diabetic patients at an HMO. RESEARCH DESIGN AND METHODS -- Using electronic medical...

  • Non-pharmacological management of antipsychotic-induced weight gain systematic review and meta-analysis of randomised controlled trials. Álvarez-Jiménez, Mario; Hetrick, Sarah E.; González-Blanch, Cesar; Gleeson, John F.; McGorry, Patrick D. // British Journal of Psychiatry;Aug2008, Vol. 193 Issue 2, p101 

    Background Antipsychotic-induced weight gain is a major concern in the treatment of psychosis. The efficacy of non-pharmacological interventions as well as the optimal intervention approach for this side-effect remain unclear. Aims To determine the effectiveness of non-pharmacological...

  • Health tips.  // Mayo Clinic Health Letter;Apr1999, Vol. 17 Issue 4, p3 

    Provides tips on losing and gaining weight. Eating smaller portions; Choosing healthful cooking methods; Increase daily activity.

  • "WHAT WORKED FOR ME".  // Shape;Dec2011, Vol. 31 Issue 4, p96 

    The article discusses methods that Kristen Foley of Ohio used to lose 104 pounds.

  • The facts about yo yo dieting. Kosich, Daniel // IDEA Personal Trainer;Feb96, Vol. 7 Issue 2, p16 

    Focuses on the risks association with repeated cycles of weight loss and gain. Decreased body lean mass; Decreased resting metabolic rate; Increase of activity of lipoprotein lipase enzyme.

  • Is your weight higher or lower vs. a year ago? Dolliver, Mark // Adweek Southeast Edition;10/27/97, Vol. 18 Issue 43, p18 

    Highlights findings of a survey conducted by the magazine `Adweek' on Americans' weight changes. Percentage of people who gained and lost weight; Gender differences.

  • splendid, slim holidays. Kane, Emily A. // Better Nutrition;Dec2009, Vol. 71 Issue 12, p22 

    The article provides an answer to a question on how to lose weight and maintain it.

  • Managing the Weight.  // Heart & Soul;Sep/Oct98, Issue 29, p40 

    Tells stories of two women who succeed in their weight gain and weight loss activities. Key to managing a trimmer body; Importance of exercise and diet.

  • Big fat lies and the skinny on diets.  // Asian Pacific Post;12/17/2009, p5 

    The article addresses several misconceptions about weight loss.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics