Skip to main content
×
×
Home

A dedicated nurse-led service for antipsychotic-induced weight gain: An evaluation

  • Ruth I. Ohlsen (a1), Janet Treasure (a1) and Lyn S. Pilowsky (a1)
Abstract
Aims and Method

To evaluate a psychosocial intervention for patients treated with antipsychotics with body mass index (BMI) > 25. A total of 44 patients (mean age (s.e.) 37.6 (1.2); 28 female, 16 male) received dietary and exercise advice with motivational interviewing. Weight and BMI were measured at baseline and monthly thereafter. Patients were offered weight monitoring for 1 year.

Results

Overall mean weight loss was 3.1 kg (mean 3.22%). Modal (range) weight change was 74.2 (719.2 kg to +8.7 kg).

Clinical Implications

Overall weight loss was not significant after 355.7 (32.5) (mean, s.e.) days. Determinants of response remain unclear. Avoiding weight gain in the first instance is critical. Further research will explore determinants of antipsychotic-induced weight gain and prevention strategies.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      A dedicated nurse-led service for antipsychotic-induced weight gain
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      A dedicated nurse-led service for antipsychotic-induced weight gain
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      A dedicated nurse-led service for antipsychotic-induced weight gain
      Available formats
      ×
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
Hide All
Allison, D. B., Mentore, J. L., Heo, M., et al (1999) Antipsychotic-induced weight gain: a comprehensive research synthesis. American Journal of Psychiatry, 156, 16851696.
American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM–IV). Washington, DC: APA.
Ball, M. P., Coons, V. B. & Buchanan, R.W. (2001) A program for treating olanzapine related weight gain. Psychiatric Services, 52, 967969.
Brown, S., Birtwistle, J., Roe, L., et al (1999) The unhealthy lifestyle of people with schizophrenia. Psychological Medicine, 29, 697701.
Devlin, M. J., Yanovski, S. Z. & Wilson, G.T. (2000) Obesity: what mental health professionals need to know. American Journal of Psychiatry, 157, 854866.
Leibbrand, R. & Fichter, M. M. (2002) Maintenance of weight loss after obesity treatment: is continuous support necessary? Behavioural Research Therapy, 40, 12751289.
Littrell, K. H., Hilligoss, N. M., Kirschner, C. D., et al (2003) The effects of an educational intervention on antipsychotic induced weight gain. Journal of Nursing Scholarship, 35, 237241.
Nasrallah, H. A. & Mulvihill, T. (2001) Iatrogenic disorders associated with conventional vs atypical antipsychotics. Annals of Clinical Psychiatry, 13, 215227.
Recasens, C. (2001) Body weight changes and psychotropic drug treatment:neuroleptics. Encéphale, 27, 269276.
Ryan, M. & Thakore, J. (2002) Physical consequences of schizophrenia and its treatment: the metabolic syndrome. Life Sciences, 71, 239257.
Tuomilehto, J., Lindstrom, J., Eriksson, J. G., et al (2001) Prevention of Type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. New England Journal of Medicine, 344, 13431350.
Umbricht, D., Flury, H. & Bridler, R. (2001) Cognitive behavior therapy for weight gain. American Journal of Psychiatry, 158, 971.
Werneke, U., Taylor, D., Sanders, T. A., et al (2002) Options for pharmacological management of obesity in patients treated with atypical antipsychotics. International Clinical Psychopharmacology, 17, 145160.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 12 *
Loading metrics...

Abstract views

Total abstract views: 32 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 23rd July 2018. This data will be updated every 24 hours.

A dedicated nurse-led service for antipsychotic-induced weight gain: An evaluation

  • Ruth I. Ohlsen (a1), Janet Treasure (a1) and Lyn S. Pilowsky (a1)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *