title: Concordance between measured and self-perceived weight status of persons with serious mental illness.
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.
authors.affiliation: University Behavioral HealthCare, University of Medicine and Dentistry of New Jersey, 151 Centennial Ave., Suite 1500, Piscataway, NJ 08855, USA. minsky@umdnj.edu
authors.forename: Shula
authors.initials: S
authors.lastname: Minsky
authors.forename: Betty
authors.initials: B
authors.lastname: Vreeland
authors.forename: Michele
authors.initials: M
authors.lastname: Miller
authors.forename: Michael
authors.initials: M
authors.lastname: Gara
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001828:Body Image / Q000523:psychology*; D015992:Body Mass Index; D001835:Body Weight; D016001:Confidence Intervals; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000523:psychology*; D008875:Middle Aged; D016017:Odds Ratio; D012720:Severity of Illness Index; D055815:Young Adult