The Effects of an Educational Intervention on Antipsychotic-Induced Weight Gain

  1. Kimberly H. Littrell1,*,
  2. Nicole M. Hilligoss2,
  3. Carol D. Kirshner3,
  4. Richard G. Petty4,
  5. Craig G. Johnson5

Article first published online: 23 APR 2004

DOI: 10.1111/j.1547-5069.2003.00237.x

Issue

Journal of Nursing Scholarship

Journal of Nursing Scholarship

Volume 35, Issue 3, pages 237–241, September 2003

Additional Information

How to Cite

Littrell, K. H., Hilligoss, N. M., Kirshner, C. D., Petty, R. G. and Johnson, C. G. (2003), The Effects of an Educational Intervention on Antipsychotic-Induced Weight Gain. Journal of Nursing Scholarship, 35: 237–241. doi: 10.1111/j.1547-5069.2003.00237.x

Author Information

  1. 1

    Kimberly H. Littrell, MS, ARNP, Epsilon Alpha, President & CEO, The Promedica Research Center, Tucker, GA and Adjunct Professor, Georgia State University, Atlanta, GA

  2. 2

    Nicole M. Hilligoss, MS, CRC, LPC, Rehabilitation Counselor, The Promedica Research Center, Tucker, GA

  3. 3

    Carol D. Kirshner, MS, CCRC, Vice President, The Promedica Research Center, Tucker, GA

  4. 4

    Richard G. Petty, MD, MRCP(UK), MRCPsych, Associate Medical Director and Adjunct Professor at Georgia State University, Atlanta, GA

  5. 5

    Craig G. Johnson, MD, Medical Director, The Promedica Research Center, Tucker, GA

*Ms. Littrell, Promedica Research Center, 3562 Habersham at Northlake, J-200, Tucker, GA 30084. E-mail: khlittrell@aol.com

  1. Educational materials were provided by Eli Lilly & Company.

Publication History

  1. Issue published online: 23 APR 2004
  2. Article first published online: 23 APR 2004
  3. Accepted for publication April 17, 2003.

SEARCH

SEARCH BY CITATION

ARTICLE TOOLS

Get PDF (37K)

Cited in:

CrossRef

This article has been cited by:

  1. 1
    Cecília Attux, Larissa C Martini, Hélio Elkis, Sérgio Tamai, Andréa Freirias, Maria das Graças Miquelutti Camargo, Mário Dinis Mateus, Jair de Jesus Mari, André F Reis, Rodrigo A Bressan, A 6-month randomized controlled trial to test the efficacy of a lifestyle intervention for weight gain management in schizophrenia, BMC Psychiatry, 2013, 13, 1, 60

    CrossRef

  2. 2
    Kim Usher, Tanya Park, Kim Foster, Petra Buettner, A randomized controlled trial undertaken to test a nurse-led weight management and exercise intervention designed for people with serious mental illness who take second generation antipsychotics, Journal of Advanced Nursing, 2013, 69, 6
    Direct Link:
  3. 3
    B. Happell, C. Platania-Phung, D. Scott, A systematic review of nurse physical healthcare for consumers utilizing mental health services, Journal of Psychiatric and Mental Health Nursing, 2013, 20, 5
    Direct Link:
  4. 4
    Seren Haf Roberts, Jois Elisabeth Bailey, An ethnographic study of the incentives and barriers to lifestyle interventions for people with severe mental illness, Journal of Advanced Nursing, 2013, 69, 6
    Direct Link:
  5. 5
    Alkomiet Hasan, Peter Falkai, Thomas Wobrock, Jeffrey Lieberman, Birte Glenthoj, Wagner F. Gattaz, Florence Thibaut, Hans-Jürgen Möller, World Federation of Societies of Biological Psychiatry (WFSBP) Guidelines for Biological Treatment of Schizophrenia, Part 2: Update 2012 on the long-term treatment of schizophrenia and management of antipsychotic-induced side effects, World Journal of Biological Psychiatry, 2013, 14, 1, 2

    CrossRef

  6. 6
    Joseph C. Ratliff, Laura B. Palmese, K.Melek Tonizzo, Lydia Chwastiak, Cenk Tek, Contingency Management for the Treatment of Antipsychotic-Induced Weight Gain: A Randomized Controlled Pilot Study, Obesity Facts, 2012, 5, 6, 919

    CrossRef

  7. 7
    T. Bradshaw, A. Wearden, M. Marshall, J. Warburton, N. Husain, R. Pedley, D. Escott, C. Swarbrick, K. Lovell, Developing a healthy living intervention for people with early psychosis using the Medical Research Council's guidelines on complex interventions: Phase 1 of the HELPER – InterACT programme, International Journal of Nursing Studies, 2012, 49, 4, 398

    CrossRef

  8. 8
    Noosha Niv, Amy N. Cohen, Alison Hamilton, Christopher Reist, Alexander S. Young, Effectiveness of a Psychosocial Weight Management Program for Individuals with Schizophrenia, The Journal of Behavioral Health Services & Research, 2012,

    CrossRef

  9. 9
    Brenda Happell, Cally Davies, David Scott, Health behaviour interventions to improve physical health in individuals diagnosed with a mental illness: A systematic review, International Journal of Mental Health Nursing, 2012, 21, 3
    Direct Link:
  10. 10
    Elena Bonfioli, Loretta Berti, Claudia Goss, Francesca Muraro, Lorenzo Burti, Health promotion lifestyle interventions for weight management in psychosis: a systematic review and meta-analysis of randomised controlled trials, BMC Psychiatry, 2012, 12, 1, 78

    CrossRef

  11. 11
    Brenda Happell, David Scott, Chris Platania-Phung, Janette Nankivell, Nurses' views on physical activity for people with serious mental illness, Mental Health and Physical Activity, 2012, 5, 1, 4

    CrossRef

  12. 12
    Catherine Coakley, Paula Bolton, Linda Flaherty, Lynne M. Kopeski, Karen Slifka, Melissa A. Sutherland, The Incidence of Metabolic Risk Factors in an Inpatient Psychiatric Setting, Journal of Psychosocial Nursing and Mental Health Services, 2012, 50, 3, 24

    CrossRef

  13. 13
    G L Daumit, A T Dalcin, G J Jerome, D R Young, J Charleston, R M Crum, C Anthony, J H Hayes, P B McCarron, E Khaykin, L J Appel, A behavioral weight-loss intervention for persons with serious mental illness in psychiatric rehabilitation centers, International Journal of Obesity, 2011, 35, 8, 1114

    CrossRef

  14. 14
    Tina R. Goldstein, Benjamin I. Goldstein, Michael B. Mantz, Bridget Bailey, Antoine Douaihy, A Brief Motivational Intervention for Preventing Medication-Associated Weight Gain Among Youth with Bipolar Disorder: Treatment Development and Case Report, Journal of Child and Adolescent Psychopharmacology, 2011, 21, 3, 275

    CrossRef

  15. 15
    Joachim Cordes, Johanna Thünker, Gunnar Regenbrecht, Jürgen Zielasek, Christoph U. Correll, Christian Schmidt-Kraepelin, Christian Lange-Asschenfeldt, Marcus W. Agelink, Kai G. Kahl, Wolfgang Gaebel, Ansgar Klimke, Hans Hauner, Can an early weight management program (WMP) prevent olanzapine (OLZ)-induced disturbances in body weight, blood glucose and lipid metabolism? Twenty-four- and 48-week results from a 6-month randomized trial, World Journal of Biological Psychiatry, 2011, 1

    CrossRef

  16. 16
    Maria Hassapidou, Konstantina Papadimitriou, Niki Athanasiadou, Valasia Tokmakidou, Ioannis Pagkalos, George Vlahavas, Fotini Tsofliou, Changes in body weight, body composition and cardiovascular risk factors after long-term nutritional intervention in patients with severe mental illness: an observational study, BMC Psychiatry, 2011, 11, 1, 31

    CrossRef

  17. 17
    Rohan Ganguli, Jaspreet S. Brar, Ronald Garbut, Chung-Chou H. Chang, Ranita Basu, Changes in Weight and other Metabolic Indicators in Persons with Schizophrenia Following a Switch to Aripiprazole, Clinical Schizophrenia & Related Psychoses, 2011, 5, 2, 75

    CrossRef

  18. 18
    Tanya Park, Kim Usher, Kim Foster, Description of a healthy lifestyle intervention for people with serious mental illness taking second-generation antipsychotics, International Journal of Mental Health Nursing, 2011, 20, 6
    Direct Link:
  19. 19
    Nick Verhaeghe, Jan De Maeseneer, Lea Maes, Cornelis Van Heeringen, Lieven Annemans, Effectiveness and cost-effectiveness of lifestyle interventions on physical activity and eating habits in persons with severe mental disorders: A systematic review, International Journal of Behavioral Nutrition and Physical Activity, 2011, 8, 1, 28

    CrossRef

  20. 20
    Fernando Chacón, Fernando Mora, Alicia Gervás-Ríos, Inmaculada Gilaberte, Efficacy of lifestyle interventions in physical health management of patients with severe mental illness, Annals of General Psychiatry, 2011, 10, 1, 22

    CrossRef

  21. 21
    Seren Haf Roberts, Jois Elisabeth Bailey, Incentives and barriers to lifestyle interventions for people with severe mental illness: a narrative synthesis of quantitative, qualitative and mixed methods studies, Journal of Advanced Nursing, 2011, 67, 4
    Direct Link:
  22. 22
    Rohan Ganguli, Martin Strassnig, Prevention of Metabolic Syndrome in Serious Mental Illness, Psychiatric Clinics of North America, 2011, 34, 1, 109

    CrossRef

  23. 23
    Andrea McCloughen, Kim Foster, Weight gain associated with taking psychotropic medication: An integrative review, International Journal of Mental Health Nursing, 2011, 20, 3
    Direct Link:
  24. 24
    Aricca D. Citters, Sarah I. Pratt, Kenneth Jue, Gail Williams, Patricia T. Miller, Haiyi Xie, Stephen J. Bartels, A Pilot Evaluation of the In SHAPE Individualized Health Promotion Intervention for Adults with Mental Illness, Community Mental Health Journal, 2010, 46, 6, 540

    CrossRef

  25. 25
    Lawrence Maayan, Christoph U Correll, Management of antipsychotic-related weight gain, Expert Review of Neurotherapeutics, 2010, 10, 7, 1175

    CrossRef

  26. 26
    C. IGLESIAS-GARCÍA, A. TOIMIL-IGLESIAS, M. J. ALONSO-VILLA, Pilot study of the efficacy of an educational programme to reduce weight, on overweight and obese patients with chronic stable schizophrenia, Journal of Psychiatric and Mental Health Nursing, 2010, 17, 9
    Direct Link:
  27. 27
    Betty Vreeland, Shula Minsky, Michael A. Gara, Anna Marie Toto, Christopher O. Kosseff, Marie Verna, Loriann A. Haytas, Solutions for Wellness: Results of a Manualized Psychoeducational Program for Adults with Psychiatric Disorders, American Journal of Psychiatric Rehabilitation, 2010, 13, 1, 55

    CrossRef

  28. 28
    L. B. Dixon, F. Dickerson, A. S. Bellack, M. Bennett, D. Dickinson, R. W. Goldberg, A. Lehman, W. N. Tenhula, C. Calmes, R. M. Pasillas, J. Peer, J. Kreyenbuhl, The 2009 Schizophrenia PORT Psychosocial Treatment Recommendations and Summary Statements, Schizophrenia Bulletin, 2010, 36, 1, 48

    CrossRef

  29. 29
    A. S. Young, N. Niv, A. N. Cohen, C. Kessler, K. McNagny, The Appropriateness of Routine Medication Treatment for Schizophrenia, Schizophrenia Bulletin, 2010, 36, 4, 732

    CrossRef

  30. 30
    J. Karagianis, L. Grossman, J. Landry, V.A. Reed, L. de Haan, G.A. Maguire, V.P. Hoffmann, R. Milev, A randomized controlled trial of the effect of sublingual orally disintegrating olanzapine versus oral olanzapine on body mass index: The PLATYPUS Study, Schizophrenia Research, 2009, 113, 1, 41

    CrossRef

  31. 31
    Chih-Ken Chen, Yi-Chih Chen, Yu-Shu Huang, Effects of a 10-week weight control program on obese patients with schizophrenia or schizoaffective disorder: A 12-month follow up, Psychiatry and Clinical Neurosciences, 2009, 63, 1
    Direct Link:
  32. 32
    Maria Skouroliakou, Ifigenia Giannopoulou, Christina Kostara, James C. Hannon, Effects of nutritional intervention on body weight and body composition of obese psychiatric patients taking olanzapine, Nutrition, 2009, 25, 7-8, 729

    CrossRef

  33. 33
    J. M. Gabriele, P. M. Dubbert, R. R. Reeves, Efficacy of behavioural interventions in managing atypical antipsychotic weight gain, Obesity Reviews, 2009, 10, 4
    Direct Link:
  34. 34
    David B. Allison, John W. Newcomer, Andrea L. Dunn, James A. Blumenthal, Anthony N. Fabricatore, Gail L. Daumit, Mark B. Cope, William T. Riley, Betty Vreeland, Joseph R. Hibbeln, Jonathan E. Alpert, Obesity Among Those with Mental Disorders, American Journal of Preventive Medicine, 2009, 36, 4, 341

    CrossRef

  35. 35
    Kim. A. Wright, Emma S. Everson-Hock, Adrian H. Taylor, The effects of physical activity on physical and mental health among individuals with bipolar disorder: A systematic review, Mental Health and Physical Activity, 2009, 2, 2, 86

    CrossRef

  36. 36
    Hans-Jürgen Möller, Michael Riedel, Schizophrenia, 2009,

    CrossRef

  37. 37
    The Maudsley Prescribing Guidelines, Tenth Edition, 2009,

    CrossRef

  38. 38
    Lauren Shin, Hallie Bregman, Jean Frazier, Nancy Noyes, An Overview of Obesity in Children with Psychiatric Disorders Taking Atypical Antipsychotics, Harvard Review of Psychiatry, 2008, 16, 2, 69

    CrossRef

  39. 39
    Sanil Rege, Antipsychotic induced weight gain in schizophrenia:mechanisms and management, Australian and New Zealand Journal of Psychiatry, 2008, 42, 5, 369

    CrossRef

  40. 40
    T. LOWE, E. LUBOS, Effectiveness of weight management interventions for people with serious mental illness who receive treatment with atypical antipsychotic medications. A literature review, Journal of Psychiatric and Mental Health Nursing, 2008, 15, 10
    Direct Link:
  41. 41
    Shelley WILKINSON, Kellie HIMSTEDT, Establishing an innovative model of nutrition and dietetic care for a mental health service through collaboration with non-nutrition healthcare workers, Nutrition & Dietetics, 2008, 65, 4
    Direct Link:
  42. 42
    Peter J Weiden, John W Newcomer, Antony D Loebel, Ruoyong Yang, Harold E Lebovitz, Long-Term Changes in Weight and Plasma Lipids during Maintenance Treatment with Ziprasidone, Neuropsychopharmacology, 2008, 33, 5, 985

    CrossRef

  43. 43
    Helen Millar, Management of physical health in schizophrenia: A stepping stone to treatment success, European Neuropsychopharmacology, 2008, 18, S121

    CrossRef

  44. 44
    M. Alvarez-Jimenez, S. E. Hetrick, C. Gonzalez-Blanch, J. F. Gleeson, P. D. McGorry, Non-pharmacological management of antipsychotic-induced weight gain: systematic review and meta-analysis of randomised controlled trials, The British Journal of Psychiatry, 2008, 193, 2, 101

    CrossRef

  45. 45
    Lora Humphrey Beebe, Obesity in Schizophrenia: Screening, Monitoring, and Health Promotion, Perspectives in Psychiatric Care, 2008, 44, 1
    Direct Link:
  46. 46
    Jamie Karagianis, Vicki Poole Hoffmann, Belen Arranz, Tamás Treuer, Gerald A. Maguire, Lieuwe de Haan, Bharat Chawla, Orally disintegrating olanzapine and potential differences in treatment-emergent weight gain, Human Psychopharmacology: Clinical and Experimental, 2008, 23, 4
    Direct Link:
  47. 47
    Scott D. Mendelson, Metabolic Syndrome and Psychiatric Illness, 2008,

    CrossRef

  48. 48
    Naomi Ellis, Diane Crone, Rachel Davey, Sarah Grogan, Exercise interventions as an adjunct therapy for psychosis: A critical review, British Journal of Clinical Psychology, 2007, 46, 1
    Direct Link:
  49. 49
    A. Tschoner, J. Engl, M. Laimer, S. Kaser, M. Rettenbacher, W. W. Fleischhacker, J. R. Patsch, C. F. Ebenbichler, Metabolic side effects of antipsychotic medication, International Journal of Clinical Practice, 2007, 61, 8
    Direct Link:
  50. 50
    N. Wareham, Physical activity and obesity prevention, Obesity Reviews, 2007, 8,
    Direct Link:
  51. 51
    Deanna L. Kelly, Douglas L. Boggs, Robert R. Conley, Reaching for Wellness in Schizophrenia, Psychiatric Clinics of North America, 2007, 30, 3, 453

    CrossRef

  52. 52
    Mauro Mauri, Silvia Castrogiovanni, Marly Simoncini, Nadia Iovieno, Mario Miniati, Andrea Rossi, Grazia Dell'Agnello, Andrea Fagiolini, Pietro Donda, Giovanni Battista Cassano, Effects of an Educational Intervention on Weight Gain in Patients Treated With Antipsychotics, Journal of Clinical Psychopharmacology, 2006, 26, 5, 462

    CrossRef

  53. 53
    Jenny-Kay Sharpe, Terry J. Stedman, Nuala M. Byrne, Connie Wishart, Andrew P. Hills, Energy expenditure and physical activity in clozapine use: implications for weight management, Australian and New Zealand Journal of Psychiatry, 2006, 40, 9
    Direct Link:
  54. 54
    Jenny-Kay Sharpe, Terry J. Stedman, Nuala M. Byrne, Connie Wishart, Andrew P. Hills, Energy expenditure and physical activity in clozapine use: implications for weight management, Australian and New Zealand Journal of Psychiatry, 2006, 40, 9, 810

    CrossRef

  55. 55
    Kimberly H Littrell, Richard G Petty, Nicole M Wolf, Olanzapine: a 5-year perspective, Expert Review of Neurotherapeutics, 2006, 6, 6, 811

    CrossRef

  56. 56
    Judith McDevitt, Marsha Snyder, Arlene Miller, JoEllen Wilbur, Perceptions of Barriers and Benefits to Physical Activity Among Outpatients in Psychiatric Rehabilitation, Journal of Nursing Scholarship, 2006, 38, 1
    Direct Link:
  57. 57
    Ronette L. Kolotkin, Ross D. Crosby, Patricia K. Corey-Lisle, Hong Li, Jodi M. Swanson, Performance of a Weight-related Measure of Quality of Life in a Psychiatric Sample, Quality of Life Research, 2006, 15, 4, 587

    CrossRef

  58. 58
    Tomohisa Shibuya, Takeshi Sassa, Practice of a lifestyle improvement program for mentally handicapped persons, International Congress Series, 2006, 1294, 147

    CrossRef

  59. 59
    Peter Falkai, Thomas Wobrock, Jeffrey Lieberman, Birte Glenthoj, Wagner F. Gattaz, Hans-Jürgen Möller, WFSBP Task Force on Treatment Guide, Peter Falkai, Thomas Wobrock, Jeffrey Lieberman, Birte Glenthoj, Wagner F. Gattaz, Hans-Jürgen Möller, WFSBP Task Force on Treatment Guide, World Federation of Societies of Biological Psychiatry (WFSBP) Guidelines for Biological Treatment of Schizophrenia, Part 2: Long-term treatment of schizophrenia, World Journal of Biological Psychiatry, 2006, 7, 1, 5

    CrossRef

  60. 60
    Roger S. McIntyre, Jakub Z. Konarski, Paul E. Keck, Obesity and Mental Disorders, 2006,

    CrossRef

  61. 61
    Susan L. McElroy, Renu Kotwal, Obesity and Mental Disorders, 2006,

    CrossRef

  62. 62
    Sherryn Evans, Richard Newton, Sally Higgins, Nutritional intervention to prevent weight gain in patients commenced on olanzapine: a randomized controlled trial, Australian and New Zealand Journal of Psychiatry, 2005, 39, 6
    Direct Link:
  63. 63
    Sherryn Evans, Richard Newton, Sally Higgins, Nutritional intervention to prevent weight gain in patients commenced on olanzapine: a randomizedcontrolled trial, Australian and New Zealand Journal of Psychiatry, 2005, 39, 6, 479

    CrossRef

  64. 64
    Nicholas J. Wareham, Esther M. F. van Sluijs, Ulf Ekelund, Physical activity and obesity prevention: a review of the current evidence, Proceedings of the Nutrition Society, 2005, 64, 02, 229

    CrossRef

  65. 65
    O. Ruetsch, A. Viala, H. Bardou, P. Martin, M.N. Vacheron, Prise de poids pharmaco-induite par les psychotropes et sa prise en charge : revue des données de la littérature, L'Encéphale, 2005, 31, 4, 507

    CrossRef

  66. 66
    The Maudsley 2005-2006 Prescribing Guidelines, 2005,

    CrossRef

  67. 67
    Guy Faulkner, Tony Cohn, Gary Remington, Interventions to reduce weight gain in schizophrenia, The Cochrane Library,
    Direct Link:
Get PDF (37K)