Korean Journal of Biological Psychiatry (생물정신의학)

The Korean Society of Biological Psychiatry (대한생물정신의학회)
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Body Image Distortion among Inpatients with Schizophrenia

입원한 조현병 환자의 신체이미지 왜곡

  • Kim, Sung-Jin (Department of Psychiatry, Geyo Hospital) ;
  • Moon, Seok-Woo (Department of Psychiatry, Konkuk University School of Medicine Chungju Hospital) ;
  • Kim, Daeho (Department of Psychiatry, Hanyang University School of Medicine, Guri Hospital)
  • 김성진 (계요병원 정신건강의학과) ;
  • 문석우 (건국대학교 의학전문대학원 충주병원 정신건강의학교실) ;
  • 김대호 (한양대학교 의학전문대학원 구리병원 정신건강의학교실)
  • Received : 2012.08.06
  • Accepted : 2012.10.08
  • Published : 2012.11.30
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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.

Keywords

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