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Submitted by christine121782 on September 25, 2006
Category: Psychology
Words: 3385 | Pages: 14
Views: 380
Popularity Rank: 27,549
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Obesity is a major problem nationwide and even more prevalent among people with psychiatric disabilities. This study examined the efficacy of a psychiatric rehabilitation weight loss program. Twenty-one individuals participated in the 12-week intervention. Another 15 individuals served as matched controls. Results indicate the intervention group improved more than the control group for weight, body mass index, waist circumference and physical activity. The intervention group lost 2.7 kg (6 lbs) and the control group gained 0.5 kg (1 lb). A weight loss program incorporating psychiatric rehabilitation principles was effective for people with psychiatric disabilities at a community based program.
Background
Healthy People 2010 lists overweight and obesity as a Leading Health Indicator and estimates that over half the adults in the United States are affected by this concern (U.S. Department of Health and Human Services, 2000). Obesity is a chronic disorder related to many physical conditions including hypertension, high cholesterol, diabetes, heart disease, stroke, osteoarthritis, sleep apnea, and certain cancers. In addition, obesity contributes to social stigma.
Individuals with psychiatric disabilities are more vulnerable to weight gain than the general public due to several risk factors. Obesity is more prevalent among individuals with lower incomes (U.S. Department of Health and Human Services, 2000), and most people with serious mental illness live below the poverty line. People with psychiatric disabilities have limited access to health care and are less likely to report physical symptoms to their health provider (Dixon, Postrado, Delahanty, Fischer, & Lehman, 1999; Jeste, Gladsjo, Lindamer, & Lacro, 1996). Another risk for obesity is poor health behaviors. Two studies indicate people with schizophrenia rarely exercise and have diets high in fat and low in fiber (Holmberg & Kane, 1999; Brown, Birtwistle, Roe, &...
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