Abstract
This report describes the development of a new questionnaire designed to capture and quantify the psychosocial impact of weight gain associated with psychotropic drug use, and presents results of a preliminary validation study. Based on a review of literature, consultations with experts, interviews with individual patients and focus groups, themes relevant to weight gain and its psychosocial consequences were identified. A 12-item self-report questionnaire was designed and administered to a heterogeneous group of psychiatric outpatients (n = 141) receiving antipsychotic and other adjunctive medications. The scale could be self-administered in 2-3 min with minimal assistance. Correlational analysis showed a high internal consistency (Cronbach's alpha 0.79) and fair split half reliability (Spearman-Brown coefficient of 0.76). The total scores were able to distinguish groups of people with higher and lower body mass index (BMI) (chi(2) = 16.4, p < 0.001), suggestive of good discriminant validity. Repeated administration of the scale in 56 subjects on 2 occasions with a gap of 1 week in between revealed a test-retest reliability coefficient of 0.81 (p < 0.001). These preliminary findings indicate that body weight, image and self-es...Continue Reading
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