title: Body weight and self-esteem in patients with schizophrenia evaluated with B-WISE.
abstract: BACKGROUND
  Metabolic abnormalities and weight gain are an important problem in patients with schizophrenia. An instrument to evaluate body image and self-esteem related to weight has recently been developed (B-WISE). The first objective was to evaluate whether the findings of the original validation study could be confirmed in a European sample. The second objective was to explore the association of B-WISE scores with the metabolic syndrome and glucose abnormalities.
  
  
  METHODS
  A Dutch translation of B-WISE was tested in a large sample of patients with schizophrenia (n=300) who underwent an extensive metabolic screening.
  
  
  RESULTS
  The original findings with B-WISE were confirmed in an independent sample. Scores on B-WISE differed significantly as a function of BMI. Scores on B-WISE also differentiated patients with and without the metabolic syndrome and glucose abnormalities. Patients experiencing a recent weight gain had lower self-esteem and poorer psychosocial adaptation.
  
  
  CONCLUSIONS
  B-WISE could be a useful instrument to evaluate the subjective psychosocial consequences associated with current weight and weight gain in patients with schizophrenia.
authors.affiliation: University Psychiatric Center Katholieke Universiteit Leuven, Leuvense Steenweg 517, 3070 Kortenberg, Belgium. mark.de.hert@uc-kortenberg.be
authors.forename: Marc
authors.initials: M
authors.lastname: De Hert
authors.forename: Bie
authors.initials: B
authors.lastname: Peuskens
authors.forename: Ruud
authors.initials: R
authors.lastname: van Winkel
authors.forename: Dita
authors.initials: D
authors.lastname: Kalnicka
authors.forename: Linda
authors.initials: L
authors.lastname: Hanssens
authors.forename: Dominique
authors.initials: D
authors.lastname: Van Eyck
authors.forename: Sabien
authors.initials: S
authors.lastname: Wyckaert
authors.forename: Joseph
authors.initials: J
authors.lastname: Peuskens
mesh_terms: D000328:Adult; D014150:Antipsychotic Agents / Q000627:therapeutic use; D015992:Body Mass Index; D001835:Body Weight; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D007802:Language; D008297:Male; D011788:Quality of Life / Q000523:psychology; D015203:Reproducibility of Results; D012559:Schizophrenia / Q000188:drug therapy / Q000378:metabolism / Q000503:physiopathology; D012649:Self Concept; D011795:Surveys and Questionnaires
chemical_list: D014150:Antipsychotic Agents