Influencing factors of weight gain in women with schizophrenia after treatment
10.3760/cma.j.issn.1008-6706.2018.24.021
- VernacularTitle:女性精神分裂症患者治疗后体质量增加的影响因素
- Author:
Zhien CHEN
1
;
Jing ZHANG
;
Huihui LIU
;
Liyan CHEN
;
Runfang KANG
Author Information
1. 丽水市第二人民医院精神科
- Keywords:
Schizophrenia;
Female;
Antipsychotic agents;
Weight gain;
Factor analysis,statistical
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(24):3215-3218
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influencing factors of weight gain in women with schizophrenia after treatment.Methods From January 2016 to December 2016,180 patients with schizophrenia who admitted to the Second People′s Hospital of Lishui for the first time and were treated with antipsychotics (APD) were followed up at hospital and 4 months after discharge.The height,weight and body mass index were observed.The joint general situation questionnaire,brief psychiatric scale(BPRS),negative symptoms(SANS),positive symptom scale(SAPS) and the clinical curative effect overall rating scale subscales of overall curative effect (CGI-GI) were comprehensively evaluated.The data were analyzed statistically.Results The weight gain was related to the type of antipsychotics (χ2＝37.3,P＜0.01),and the effect of aripiprazole and ziprasidone on body weight was significantly less than that in the case of weight(χ2＝31.1,P＜0.01).Single factor analysis showed that a medication time correlation (F＝4.92,P＜0.05),and each point GⅠscore had no correlation with weight gain,and weight gain was associated with BPRS,SAPS subtraction score at discharge (r＝0.079,0.092,all P＜0.01),and during follow-up weight gain was correlated with SANS score reduction (r＝-0.063,-0.086,P＜0.05 or P＜0.01).Stepwise regression analysis showed that at the alpha＝0.05 level,entered the regression equation factors in the order : APD types,maximum doses and taking the product of time,the negative symptoms,the best functional level at 1 year before disease.Conclusion It is important to control the weight gain of young women.The mediating role of diet and activity should not be underesti-mated.Appropriate APD was chosen to adjust the maintenance treatment strategy as appropriate,improve the negative symptoms and improve the level of individual social function as the main intervention measure .
