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. 2024 Nov 1;25(6):737-745.
doi: 10.5152/alphapsychiatry.2024.241718. eCollection 2024 Nov.

Development and Evaluation of the "Eating More Consciously" Module of a Lifestyle Intervention Program to Prevent Medication-Induced Weight Gain in Psychiatric Patients: A One-Arm Pilot Study

Catherine Glocker  1 , Maria S Simon  1 , Nicole Adler  1   2 , Julia Eder  1 , Barbara B Barton  1 , Richard Musil  1   3
Affiliations

Development and Evaluation of the "Eating More Consciously" Module of a Lifestyle Intervention Program to Prevent Medication-Induced Weight Gain in Psychiatric Patients: A One-Arm Pilot Study

Catherine Glocker et al. Alpha Psychiatry. .

Abstract

Objective: Overweight and obesity are health issues that are increasing worldwide. Patients with severe mental illness are particularly vulnerable for various reasons, including the intake of weight gain-associated drugs. In this pilot study, we targeted eating behavior as a predictor for medication-induced weight gain and developed a module of a prevention program ("Eating More Consciously") to be evaluated by psychiatric inpatients.

Methods: Thirty-three patients participated in a behaviorally oriented group therapy program with 2 modules of 120 minutes each and weekly follow-up measurements over 4 weeks. Measures included weight, laboratory parameters, the German versions of the Three-Factor Eating Questionnaire (Fragebogen Essverhalten; FEV) and the Food Craving Inventory (FCI) as well as a questionnaire on the implementation of the strategies in everyday life.

Results: Thirty-three participants completed both modules and felt that they had benefited from the module "Eating More Consciously". Fragebogen Essverhalten domain "cognitive restraint" scores increased significantly throughout the study (P = .039), and the FCI sum score decreased significantly (P = .003).

Conclusion: We propose that the "Eating More Consciously" module is a promising approach to behavioral intervention in weight management in patients with severe mental illness. Prospective randomized controlled studies with a larger sample and a longer follow-up are needed.

Keywords: Behavioral therapy; drug-induced weight gain; eating behavior; prevention; severe mental illness; weight management.

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Conflict of interest statement

Declaration of Interests: The authors have no conflicts of interest to declare.

Figures

Figure 1.
Figure 1.
Schematic representation of the study process including the parameters collected. Three-Factor Eating Questionnaire (FEV, Fragebogen Essverhalten; FCI, Food Craving Inventory).
Figure 2.
Figure 2.
Flow diagram outlining the progress through the study.
See this image and copyright information in PMC

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