Superwellness Program: a cognitive-behavioral therapy-based group intervention to reduce weight gain in patients treated with antipsychotic drugs

Magni, Laura R; Ferrari, Clarissa; Rossi, Giuseppe; Staffieri, Elena; Uberti, Aldo; Lamonaca, Dario; Boggian, Ileana; Merlin, Silvia Stahl; Primerano, Giuseppe; Mombrini, Alessandra; Poli, Roberto; Saviotti, Francesco M.; Caldera, M.T.; Zanotti, Luciana; Rossi, Roberta

doi:10.1590/1516-4446-2016-1993

Cited by 11 publications

(23 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Resultsmentioning

confidence: 99%

“…Twenty studies were randomised controlled trials, 27‐29,31‐42,44,46,47,49,50 three were cluster randomised controlled trials, 43,48,51 and two were non‐randomised controlled trials 30,45 . Twenty‐four studies included intervention and control arms 27‐48,50,51 . One study 49 was a three‐arm trial (two intervention arms and one control group); for our review and analysis, we separately compared each intervention arm with the control arm, yielding a total of 26 comparisons of intervention arms with control arms (Box 2).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Effectiveness of nutrition and dietary interventions for people with serious mental illness: systematic review and meta‐analysis

Rocks

Teasdale

Fehily

et al. 2022

Medical Journal of Australia

View full text Add to dashboard Cite

Objective To review recent published trials of nutrition and dietary interventions for people with serious mental illness; to assess their effectiveness in improving metabolic syndrome risk factors. Study design Systematic review and meta‐analysis of randomised and non‐randomised controlled trials of interventions with a nutrition/diet‐related component delivered to people with serious mental illness, published 1 January 2010 – 6 September 2021. Primary outcomes were weight, body mass index (BMI), and waist circumference. Secondary outcomes were total serum cholesterol, low‐density lipoprotein (LDL) and high‐density lipoprotein (HDL) cholesterol, triglyceride, and blood glucose levels. Data sources MEDLINE, EMBASE, PsycINFO, CINAHL, and CENTRAL databases. In addition, reference lists of relevant publications were examined for further additional studies. Data synthesis Twenty‐five studies encompassing 26 intervention arms were included in our analysis. Eight studies were at low or some risk of bias, seventeen were deemed to be at high risk. Eight of seventeen intervention arms found statistically significant intervention effects on weight, ten of 24 on BMI, and seven of seventeen on waist circumference. The pooled effects of nutrition interventions on metabolic syndrome risk factors were statistically non‐significant. However, we identified small size effects on weight for interventions delivered by dietitians (five studies; 262 intervention, 258 control participants; standardised mean difference [SMD], –0.28; 95% CI, –0.51 to –0.04) and interventions consisting of individual sessions only (three studies; 141 intervention, 134 control participants; SMD, –0.30; 95% CI, –0.54 to –0.06). Conclusions We found only limited evidence for nutrition interventions improving metabolic syndrome risk factors in people with serious mental illness. However, they may be more effective when delivered on an individual basis or by dietitians. PROSPERO registration CRD42021235979 (prospective).

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Effectiveness of nutrition and dietary interventions for people with serious mental illness: systematic review and meta‐analysis

Rocks

Teasdale

Fehily

et al. 2022

Medical Journal of Australia

View full text Add to dashboard Cite

show abstract

“…[ 81 ] Cognitive behavioral therapy was effective for reducing weight gain in subjects using antipsychotic agents. [ 95 ]…”

Section: B Ackgroundmentioning

confidence: 99%

On psychology and psychiatry in diabetes

Sridhar¹

2020

Indian J Endocr Metab

View full text Add to dashboard Cite

Managing diabetes requires dealing with diet, medications, and self-monitoring, besides other pressures of daily living. It, therefore, requires collaboration among individuals with diabetes, their families, and significant others including the social milieu in which they reside. Psychological stress plays critical role in the cause and course of diabetes, particularly in mastering various self-management skills, which are essential for adequate management of diabetes. It is possible to measure and to resolve such stressors. Besides the patient and the family, the built environment which the person occupies must be conducive for healthy living. This is a key component in providing an appropriate physical and psychosocial environment. Lacunae in any of the built environmental parameters compromise social and psychological well-being. Psychiatric conditions are also common in diabetes. Both depression and distress are bi-directionally associated with diabetes. The presence of one condition increases the risk of developing the other. In addition, medications used for the treatment of psychiatric conditions have adverse effects on body weight and insulin sensitivity. One must carefully weigh the risk and benefit of the drug class with potential adverse effects. Therefore, identification and management of psychological and psyciatric aspects in subjects with diabetes is an integral and critical component in treating subjects with diabetes.

show abstract

“…However, after antipsychotic treatment for 16 weeks, the mean change in BMI was -1.9% for the intervention group and +0.6% for the control group. Further, the difference in BMI from baseline was associated with duration of illness and a metabolic risk index, suggesting that healthy nutrition and physical activity may be effective in controlling body weight during treatment (Magni et al 2017).…”

Section: Antipsychotic Drugsmentioning

confidence: 99%

Role of food-drug interactions in neurological and psychological diseases

Karadağ¹,

Çelik²,

Kadayifçi³

et al. 2018

Acta Neurobiologiae Experimentalis

View full text Add to dashboard Cite

Given that foods and nutrients have been shown to influence the pharmacokinetics of drugs, drugs may cause changes in the nutritional status of patients and their response to a given drug. Food-drug interactions are particularly relevant for drugs used to treat neurological and psychological diseases. This review provides an overview of food-drug interaction in the treatment of neurological and psychological diseases. A literature search was carried out by collecting data from different reviews, reports, and original articles on general or specific drug interactions with food, in patients with a variety of neurological and psychological diseases. Based on our review, we found that food-drug interactions may alter the expected impact of drug, or cause the development of a drug toxicity. Nutritional status of the patients may also be affected, particularly a change in body weight caused by a change appetite. Metabolism, absorption, and excretion of foods may also be altered, and nutritional insufficiencies may occur. Recent studies show that diet can have a strong influence on gut microbiota and thus, alter drug pharmacokinetics.Therefore, microbiota alterations should also be considered while assessing food-drug interactions. Knowledge of food-drug interactions is critical for improving health of patients with neurological and psychological diseases, and also for improving effectiveness of treatments.

show abstract

Superwellness Program: a cognitive-behavioral therapy-based group intervention to reduce weight gain in patients treated with antipsychotic drugs

Abstract: A cognitive-behavioral therapy-based intervention could be useful in reducing weight in a clinical population taking antipsychotics, with consequent benefit to physical and mental health.

Cited by 11 publications

References 47 publications

Effectiveness of nutrition and dietary interventions for people with serious mental illness: systematic review and meta‐analysis

Effectiveness of nutrition and dietary interventions for people with serious mental illness: systematic review and meta‐analysis

On psychology and psychiatry in diabetes

Role of food-drug interactions in neurological and psychological diseases

Contact Info

Product

Resources

About