입원한 조현병 환자의 신체이미지 왜곡
Body Image Distortion among Inpatients with Schizophrenia
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives : Body image distortion is found in eating disorder and obesity and there are some evidence that schizophrenia is associated with body image distortion. This study sought to find whether schizophrenic patients report more body image distortion than healthy individuals and whether it is related with symptomatology. Methods : A total of 88 inpatients with schizophrenia and 88 healthy controls were recruited. Weight, height, and body image accuracy were assessed in all participants, and assessment of mood, psychotic symptom severity and self-esteem, and personal and social performance scale were conducted. Results : The patients with schizophrenia had higher Body Mass Index (p < 0. 001) and underestimated their body size more than controls (26.14% vs. 5.13%, p < 0.001). Multiple regression analysis showed that lower depressive symptoms and higher scores of general psychopathology predicted underestimation of body size. Conclusion : Weight gain and metabolic syndrome are common adverse events of pharmacological treatment of schizophrenia. Thus, underestimation of body size among patients with schizophrenia may interfere with effort to lose weight or seek weight reduction programs. Clinicians need to consider possible unterestimation of underestimation of body size in patients whose general symptomatology is severe.
Abstract
Objectives : Body image distortion is found in eating disorder and obesity and there are some evidence that schizophrenia is associated with body image distortion. This study sought to find whether schizophrenic patients report more body image distortion than healthy individuals and whether it is related with symptomatology. Methods : A total of 88 inpatients with schizophrenia and 88 healthy controls were recruited. Weight, height, and body image accuracy were assessed in all participants, and assessment of mood, psychotic symptom severity and self-esteem, and personal and social performance scale were conducted. Results : The patients with schizophrenia had higher Body Mass Index (p < 0. 001) and underestimated their body size more than controls (26.14% vs. 5.13%, p < 0.001). Multiple regression analysis showed that lower depressive symptoms and higher scores of general psychopathology predicted underestimation of body size. Conclusion : Weight gain and metabolic syndrome are common adverse events of pharmacological treatment of schizophrenia. Thus, underestimation of body size among patients with schizophrenia may interfere with effort to lose weight or seek weight reduction programs. Clinicians need to consider possible unterestimation of underestimation of body size in patients whose general symptomatology is severe.
참고문헌 (47)
- Bresolin L, "Body image and health counseling for women", Arch Fam Med, 2, pp.1084~1087 (1993)
- Song HJ, "The factors associated with satisfaction about body image and weight control behaviors in adolescents", J Korean Acad Fam Med, 20, pp.345~357 (1999)
- Lissner L, "Variability of body weight and health outcomes in the Framingham population", N Engl J Med, 324, pp.1839~1844 (1991)
- Vander Wal JS, "Eating and body image concerns among obese and average-weight children", Addict Behav, 25, pp.775~778 (2000)
- Horne RL, "Disturbed body image in patients with eating disorders", Am J Psychiatry, 148, pp.211~215 (1991)
- Slade PD, "Experimental investigations of bodily perception in anorexia nervosa and obesity", Psychother Psychosom, 22, pp.359~363 (1973)
- Moore DC, "Body image and eating behavior in adolescent boys", Am J Dis Child, 144, pp.475~479 (1990)
- Chapman LJ, "Body-image aberration in Schizophrenia", J Abnorm Psychol, 87, pp.399~407 (1978)
- Koide R, "Body image differences between normal and schizophrenic female adults", Applied Psychology, 34, pp.335~347 (1985)
- Baldwin IT, "The head-body ratio in human figure drawings of schizophrenic and normal adults", J Proj Tech Pers Assess, 28, pp.393~396 (1964)
- Priebe S, "Specific body image pathology in acute schizophrenia", Psychiatry Res, 101, pp.289~301 (2001)
- Röhricht F, "Do cenesthesias and body image aberration characterize a subgroup in schizophrenia?", Acta Psychiatr Scand, 105, pp.276~282 (2002)
- Strassnig M, "Self-reported body weight perception and dieting practices in community-dwelling patients with schizophrenia", Schizophr Res, 75, pp.425~432 (2005)
- Loh C, "Accuracy of body image perception and preferred weight loss strategies in schizophrenia: a controlled pilot study", Acta Psychiatr Scand, 117, pp.127~132 (2008)
- Goa KL, "l-Carnitine. A preliminary review of its pharmacokinetics, and its therapeutic use in ischaemic cardiac disease and primary and secondary carnitine deficiencies in relationship to its role in fatty acid metabolism", Drugs, 34, pp.1~24 (1987)
- Strassnig M, "Weight gain in newly diagnosed first-episode psychosis patients and healthy comparisons: one-year analysis", Schizophr Res, 93, pp.90~98 (2007)
- Marken PA, "Emerging treatments for bipolar disorder: safety and adverse effect profiles", Ann Pharmacother, 40, pp.276~285 (2006)
- Mathews J, "Neural Correlates of Weight Gain With Olanzapine", Arch Gen Psychiatry, pp.1~11 (2012)
- Meyer JM, "Change in metabolic syndrome parameters with antipsychotic treatment in the CATIE Schizophrenia Trial: prospective data from phase 1", Schizophr Res, 101, pp.273~286 (2008)
- Meyer JM, "The metabolic syndrome and schizophrenia", Acta Psychiatr Scand, 119, pp.4~14 (2009)
- Kurzthaler I, "The clinical implications of weight gain in schizophrenia", J Clin Psychiatry, 62(Suppl 7), pp.32~37 (2001)
- Berken GH, "Weight gain. A side-effect of tricyclic antidepressants", J Affect Disord, 7, pp.133~138 (1984)
- Strassnig M, "Body mass index and quality of life in community-dwelling patients with schizophrenia", Schizophr Res, 62, pp.73~76 (2003)
- 류미, "서울 시내 일부 직장인들은 어느 정도의 체형을 비만으로 인식하는가?", Korean Journal of Family Medicine, 24(3), pp.8~270 (2003), 대한가정의학회
- Won CW, "Factors affecting body image distortion", Korean J Fam Med, 17, pp.408~414 (1996)
- Must A, "Remote recall of childhood height, weight, and body build by elderly subjects", Am J Epidemiol, 138, pp.56~64 (1993)
- Bae JM, "Quick measurement of an obesity level with somatotype drawings in outpatient clinic setting in Korea", Korean J Fam Med, 17, pp.332~338 (1996)
- Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.561~571 (1961)
- Lee YH, "A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales", Korean J Clin Psychol, 10, pp.98~113 (1991)
- Colis MJ, "Cognitive insight in inpatients with psychotic, bipolar, and major depressive disorders", J Psychopathol Behav Assess, 28, pp.243~250 (2006)
- 김유라, "정신분열병 환자의 인지적 병식에 관한 연구", 한국심리학회지 임상, 25(4), pp.1011~1027 (2006), 한국임상심리학회
- Rosenberg M, "Society and the Adolescent Self-Image", pp.158~170 (1965), Princeton University Press
- Lee YH, "The relations between attributional style, life events, event attribution, hopelessness and depression", pp.1993
- Kay SR, "The positive and negative syndrome scale (PANSS) for schizophrenia", Schizophr Bull, 13, pp.261~276 (1987)
- 이중서, "한국판 양성 및 음성증후군 척도(Positive and Negative Syndrome Scale)의 신뢰도와 타당도", 신경정신의학, 40(6), pp.1090~1105 (2001), 대한신경정신의학회
- Morosini PL, "Development, reliability and acceptability of a new version of the DSM-IV Social and Occupational Functioning Assessment Scale (SOFAS) to assess routine social functioning", Acta Psychiatr Scand, 101, pp.323~329 (2000)
- 이정구, "정신분열병의 새로운 기능 평가 도구와 Personal and Social Performance Scale(PSP)", 대한정신약물학회지, 17(2), pp.128~142 (2006), 대한정신약물학회
- Yancey AK, "Ethnic and sex variations in overweight self-perception: relationship to sedentariness", Obesity (Silver Spring), 14, pp.980~988 (2006)
- Gray SH, "Social aspects of body image: perception of normalcy of weight and affect of college undergraduates", Percept Mot Skills, 45(3 Pt 2), pp.1035~1040 (1977)
- Jakatdar TA, "Body-image thought processes: The development and initial validation of the Assessment of Body-Image Cognitive Distortions", Body Image, 3, pp.325~333 (2006)
- Sundquist J, "The influence of socioeconomic status, ethnicity and lifestyle on body mass index in a longitudinal study", Int J Epidemiol, 27, pp.57~63 (1998)
- Hwang JK, "The self-assessment of obesity in Korean adults", Korean J Obesity, 11, pp.349~355 (2002)
- Taylor MJ, "An experimental study of the effect of mood on body size perception", Behav Res Ther, 30, pp.53~58 (1992)
- Grubb HJ, "Factors related to depression and eating disorders: self-esteem, body image, and attractiveness", Psychol Rep, 72(3 Pt 1), pp.1003~1010 (1993)
- Anderson LA, "Relationship of satisfaction with body size and trying to lose weight in a national survey of overweight and obese women aged 40 and older, United States", Prev Med, 35, pp.390~396 (2002)
- Shin HB, "The development of behavioral modification program on weight reduction in overweight patients taking atypical antipsychotics: preliminary study", J Korean Soc Biol Psychiatry, 10, pp.186~193 (2003)
- Ohtahara H, "Abnormal perception of body weight is not solely observed in pubertal girls: incorrect body image in children and its relationship to body weight", Acta Psychiatr Scand, 87, pp.218~222 (1993)
