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Accuracy of body image perception and preferred weight loss strategies in schizophrenia: a controlled pilot study.

Loh C, Meyer JM, Leckband SG

Veterans Affairs San Diego Healthcare System, University of California, San Diego, CA 92161, USA. cloh@ucsd.edu

Objective: Obesity in severely mentally ill (SMI) populations is an increasing problem, but there is no controlled data regarding the relationship between SMI and weight perception. Method: Fifty patients with schizophrenia and 50 demographically matched control participants were recruited. Weight, height, and body image accuracy were assessed for all participants, and assessments of mood, psychotic symptom severity and anxiety, and preferred modes of weight loss were assessed for the schizophrenia sample. Results: Patients with schizophrenia were significantly more likely to be obese than controls (46% vs. 18%, P < 0.005), and most patients expressed an interest in losing weight. Obese participants with schizophrenia underestimated their body size (11.0%) more than controls (4.9%) (P < 0.05). Conclusion: Patients with schizophrenia are more likely to underestimate their body size, independent of the effects of obesity. However, they also express concern about weight issues and willingness to participate in psychoeducational groups targeted at weight loss.

Published 17 January 2008 in Acta Psychiatr Scand, 117(2): 127-32.
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