Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Weight Reduction Program on Body Weight, Self Esteem and Self Efficacy of Chronic Mentally Ill Persons

체중관리 프로그램이 만성정신질환자의 체중, 자아존중감 및 자기효능감에 미치는 효과

  • Kim, Su Yeon (Community Psychiatric Nurse Practitioner, John's Village) ;
  • Kim, Soo Jin (School of Nursing, Chonnam National University, Chonnam Research Institute of Nursing Science)
  • Received : 2015.10.18
  • Accepted : 2015.12.28
  • Published : 2015.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to test the effectiveness of a weight reduction program on the body weight, BMI, self-esteem, and self-efficacy of chronic mentally ill persons. Methods: A nonequivalent control group pre-posttest design was employed. Participants were 46 chronic mentally ill persons who agreed to participate in this study, and were assigned to an experimental group (n=23) and a control group (n=23). The weight reduction program was modified by the author, based on the Wellness program (Lilly Pharmaceutical Company, 2003), Lee (2007) and Kim (2013). Data analysis with frequency, ${\chi}^2$-test, Fisher's exact test, and t-test was performed using SPSS/Win 18.0 version. Results: The results showed a significant decrease in body weight and BMI and an increase in self-esteem in the experimental group compared to the control group. Conclusion: The weight reduction program had a positive effect on body weight, BMI, and self-esteem. Evaluation of drug compliance and vocational rehabilitation is recommended for long term effect of the program and conduct of further studies will be required for use of various resources for self-efficacy for inclusion in drug education in a program for improved health outcome.

Keywords

References

  1. Bae, K. H. & Kim, J. S. (2005). The effect of the assertive training program on anxiety, self-efficacy, and assertive behavior of the schizophrenic patients. Clinical Nursing Research, 11(1), 137-148.
  2. Chen, C. K. (2009). Effects of a 10-week weight control program on obese patients with schizophrenia or schizo affective disorder : a 12-month follow up. Psychiatry & Clinical Neuroscience, 63, 17-22. http://dx.doi.org/10.1111/j.1440-1819.2008.01886.x
  3. Chung, M. S., Ko, K. H., & Kim, Y. O. (2011). The effects of an obesity control program for children in pediatric and adolescent psychiatric hospital. Journal of Korean Association Society Psychiatry, 20(1), 71-80. http://dx.doi.org/10.12934/jkpmhn.2011.20.1.71
  4. Cimo, A., Stergiopoulos, E., Cheng, C., Bonato, S., & Dewa, C. S. (2012). Effective lifestyle interventions to improve type II diabetes self management for those with schizophrenia or schizoaffective disorder: a systemic review. BMC Psychiatry, 12, 24. http://dx.doi.org/10.1186/1471-244X-12-24
  5. Hofstetter, C. R., Sallis, J. F., &, M. F. (1990). Some health dimensions of self -efficacy: analysis of theoretical specificity. Social Science Medicine, 31(9). 1051-1056. http://dx.doi.org/10.1016/0277-9536(90)90 118-c
  6. Hong, M. N., Baek, G. S., Han, Y. H., & Kwon, M. S. (2008). Effects of weight control program on body weight and the sense of efficacy for control of dietary behavior of psychiatric inpatients. Journal of Korean Academy of Nursing, 38(4), 533-540. http://dx.doi.org/10.4040/jkan.2008.38.4.533
  7. Im, H. S., Han, K. S., & Chung, H. K. (2006). Effect of weight control program on weight gain and self esteem of psychiatric inpatients. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 15(1), 5-13.
  8. Jon, B. J. (1974). Self-esteem: a test of its measurability. Yonsei Nonchong, 11(1), 109 -129.
  9. Jung, S. Y. (2004). The effect of the weight control program applied to psychiatric inpatients. Unpublished master's thesis, Catholic University, Seoul.
  10. Kim, S. H. (2013). Effect of weight control program on metabolic risk factor, depression, and drug attitude of psychiatric inpatients toward atypical antipsychotics. Unpublished master's thesis, Inha University, Incheon.
  11. Kim, S. J. (1996). A study on the effectiveness of efficacy expectation promoting program on chronic schizophrenics. Journal of Korean Academy of Psychiatric and Mental health Nursing, 5(2), 122-140.
  12. Ko, K. H., Chung, M. S., & Kim, J. H. (2010). The effect of a wellness program on nutritional and diet knowledge, and weight control of schizophrenia. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 19(1), 34-43. http://dx.doi.org/10.12934/jkpmhn.2010.19.1.34
  13. Lambert, T. J. R., Velakoulis, D., & Pantelis, C. (2003). Medical comobidity in schizophrenia. The Medical Journal of Australia, 178(9), 67-70.
  14. Lee, J. H. (2007). The effect of self-management program on self efficacy, body image, and quality of life for psychiatric patients. Unpublished master's thesis, Catholic University of Daegu, Daegu.
  15. Lee, S. H. & Kim, S. J. (2012). The degree of perceived stress, depression and self esteem of university students. Journal of Korean Public Health Nursing, 26(3), 453-464. http://dx.doi.org/10.5932/jkphn.2012.26.3.453
  16. Lee, Y. H. (2012). Effects of weight management program for psychiatric inpatient. Unpublished master's thesis, Ewha Womans University, Seoul.
  17. Lilly Pharmaceutical Company. (2003). Wellness program. Indianapolis: Author.
  18. Mcintyre, R. S., Mancini, D. A., & Basile, V. S. (2001). Mechanisms of antipsychotic induced weight gain. Journal of Clinical Psychiatry, 62(23), 23-29.
  19. Menza, M., Vreeland, B., Minsky, S., Gara, M., Radler, D. R., & Sakowitz, M. (2004). Managing atypical antipsychotic-associated weight gain: 12-month data on a multimodal weight control program. Journal of Clinical Psychiatry. 65(4), 471-477. http://dx.doi.org/10.4088/JCP.v65n0404
  20. Min, S. G. (2006). Modern Psychiatry. Seoul: Iljogak.
  21. Ministry of Health and Welfare. (2011, December). The epidemiological survey of mental disorders in Korea. Seoul: Author.
  22. Ministry of Health and Welfare. (2013, November). The mental health statistics. Seoul: Author.
  23. Nam, S. M. (2013). Effects of club obesity management program for obese children on body composition, self efficacy, and health promotion. Journal of Korean Public Health Nursing, 27(3), 619-632. http://dx.doi.org/10.5932/jkphn.2013.27.3.619
  24. Oh, J. H. (2007). Effect of nutrition education program in mental patients. Unpublished master's thesis, Chonbuk National University, Jeonju.
  25. Park, J. S. & Oh, Y. J. (2013). The effects of a program on cancer symptoms, self efficacy, self esteem, and empowerment in home-based cancer patients. Journal of Korean Public Health Nursing, 27(1), 50-63. http://dx. doi.org/10.5932/jkphn.2013. 27.1.50
  26. Roh, E. S. (2000). A study on the development of life model of schizophrenic patients. Unpublished doctoral dissertation, Chung-Ang University, Seoul.
  27. Roerig, J. L., Steffen, K. J., & Mitchell, J. E. (2011). A typical antipsychotic-induced weight gain: insights into mechanisms of action. CNS Drugs. 25(12), 1035-1059. https://doi.org/10.2165/11596300-000000000-00000
  28. Rosenberg, M. (1965). Social and adolescent self-image. New Jersey: Princeton university press.
  29. Sherer, M. & Maddeux, J. E. (1982). The self-efficacy scale: construction& validation, Psychological Reports, 5 1, 663-667.
  30. Son, S. I. (2008). The effects of motivational health-management program for the chronic mentally illness. Unpublished master's thesis, Keimyung University, Daegu.

Cited by

  1. Obesity and Related-factors in Patients with Chronic Mental Illness Registered to Community Mental Health Welfare Centers vol.29, pp.1, 2018, https://doi.org/10.12799/jkachn.2018.29.1.76