Superwellness Program: a cognitive-behavioral therapy-based group intervention to reduce weight gain in patients treated with antipsychotic drugs
| Autor: | Roberta Rossi, Alessandra Mombrini, Dario Lamonaca, Roberto Poli, Giuseppe Rossi, Aldo Uberti, Clarissa Ferrari, Giuseppe Primerano, M.T. Caldera, Ileana Boggian, Luciana Zanotti, F. M. Saviotti, Elena Staffieri, Silvia Merlin, Laura R Magni |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty obesity cognitive-behavioral therapy lcsh:RC435-571 medicine.medical_treatment Population Health Promotion Body Mass Index Antipsychotic 03 medical and health sciences 0302 clinical medicine lcsh:Psychiatry medicine Humans Prospective Studies Prospective cohort study education Aged education.field_of_study Cognitive Behavioral Therapy business.industry weight gain Middle Aged medicine.disease Obesity 030227 psychiatry Weight Reduction Programs Clinical trial Cognitive behavioral therapy Psychiatry and Mental health Psychotherapy Group Schizophrenia Physical therapy Original Article Female medicine.symptom business Body mass index Weight gain 030217 neurology & neurosurgery Antipsychotic Agents Follow-Up Studies |
| Zdroj: | Revista Brasileira de Psiquiatria, Volume: 39, Issue: 3, Pages: 244-251, Published: 13 MAR 2017 Brazilian Journal of Psychiatry, Vol 39, Iss 3, Pp 244-251 (2017) Brazilian Journal of Psychiatry v.39 n.3 2017 Brazilian Journal of Psychiatry (São Paulo. 1999. Online) Associação Brasileira de Psiquiatria (ABP) instacron:ABP Brazilian Journal of Psychiatry |
| Popis: | Objective: To assess the effectiveness of a cognitive-behavioral therapy-based intervention (Superwellness Program) on weight gain compared with a treatment-as-usual (TAU) approach in patients treated with antipsychotics, and to evaluate the relationship between body mass index (BMI) variation and clinical variables. Method: Eighty-five patients treated with antipsychotics were allocated across two groups, experimental (n=59) and control (n=26). The Superwellness Program (experimental group) consisted of 32 twice-weekly 1-hour sessions, conducted by a psychologist and a nutritionist/nurse, concurrently with moderate food intake and moderate physical activity plans. Sociodemographic, clinical, and biological variables were collected at baseline, at the end of intervention (16 weeks), and after 6 months. Results: BMI change from baseline differed significantly between the experimental and control groups, with a larger decrease in the experimental group (F = 5.5, p = 0.021). Duration of illness moderated the effect of treatment on BMI (p = 0.026). No significant (p = 0.499) effect of intervention during the follow-up period was found. Interestingly, the intervention indirectly induced a significant (p = 0.024) reduction in metabolic risk by reducing BMI. Conclusion: A cognitive-behavioral therapy-based intervention could be useful in reducing weight in a clinical population taking antipsychotics, with consequent benefit to physical and mental health. |
| Databáze: | OpenAIRE |
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