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Published Online: 1 January 2013

Concordance Between Measured and Self-Perceived Weight Status of Persons With Serious Mental Illness

Shula Minsky, Ed.D., Betty Vreeland, A.P.R.N., B.C., Michele Miller, M.S.N., and Michael Gara, Ph.D.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 64, Number 1
https://doi.org/10.1176/appi.ps.201100515
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Abstract

Objective:

This study investigated concordance between self-perceived and measured weight status for persons with serious mental illness.

Methods:

A total of 586 mental health clients assessed their weight as underweight, normal, overweight, or obese. The agreement between these self-assessments and the same categories based on measured body mass index was related to gender, ethnicity, education, age, and psychiatric diagnosis.

Results:

Three hundred consumers (51%) underestimated their weight (they thought they weighed less than they did); only 35 (6%) overestimated it. In logistic regression analyses, gender, education, and psychiatric diagnosis showed significant effects on accuracy of self-perception, but ethnicity and age did not.

Conclusions:

People with serious mental illness are more likely than others to have weight problems, which contribute to higher rates of morbidity and mortality. However, they also tend to underestimate their weight. This gap between reality and self-perception must be addressed.

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Information & Authors

Information

Published In

Go to Psychiatric Services
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Cover: Birdie and Joseph, by Larry Rivers, 1955. Oil on canvas; 13 × 25 inches. Museum of Fine Arts, Boston, Melvin Blake and Frank Purnell Collection (2003.44). Photograph © 2013, Museum of Fine Arts, Boston.
Psychiatric Services
Volume 64 • Number 1 • January 2013
Pages: 91 - 93
PubMed: 23280463

History

Published online: 1 January 2013
Published in print: January 2013

Authors

Affiliations

Shula Minsky, Ed.D.
The authors are with University Behavioral HealthCare, University of Medicine and Dentistry of New Jersey, 151 Centennial Ave., Suite 1500, Piscataway, NJ 08855 (e-mail: [email protected]).
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Betty Vreeland, A.P.R.N., B.C.
The authors are with University Behavioral HealthCare, University of Medicine and Dentistry of New Jersey, 151 Centennial Ave., Suite 1500, Piscataway, NJ 08855 (e-mail: [email protected]).
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Michele Miller, M.S.N.
The authors are with University Behavioral HealthCare, University of Medicine and Dentistry of New Jersey, 151 Centennial Ave., Suite 1500, Piscataway, NJ 08855 (e-mail: [email protected]).
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Michael Gara, Ph.D.
The authors are with University Behavioral HealthCare, University of Medicine and Dentistry of New Jersey, 151 Centennial Ave., Suite 1500, Piscataway, NJ 08855 (e-mail: [email protected]).
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