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Current Psychiatry Research and Reviews


ISSN (Print): 2666-0822
ISSN (Online): 2666-0830

Research Article

The Relationship Between Body Image, Demographics, and Medication Adherence Among Women with Psychiatric Conditions

Author(s): Isabel A. Yoon, Rosemary Busch Conn and David Galarneau*

Volume 19, Issue 1, 2023

Published on: 26 August, 2022

Page: [51 - 63] Pages: 13

DOI: 10.2174/2666082218666220518152339

Price: $65


Background: Given the side effect of weight gain in many psychiatric medications, a patient’s body image concerns may influence medication compliance, which can be critical in the psychiatric population.

Objective: The aim of this study was to investigate whether demographic factors, including age, race, and BMI, have specific associations with body image satisfaction and medication adherence among women with severe psychiatric disorders. Clinical factors, such as diagnosis and type of current psychiatric medications, were also examined.

Methods: Study participants included 112 women aged 18 to 88 who were admitted to a psychiatric inpatient unit in New Orleans, Louisiana. Participants completed a brief questionnaire on body image and medication adherence, specifically developed for this study. Collected data were analyzed using T-tests, analysis of variance, correlations, and multivariable regression analysis to compare differences in body image score and medication adherence score by demographic and clinical factors.

Results: Age was associated with significant differences in body image score (F(2, 109) = 5.736, p = 0.004). African American race was associated with higher average BMI (t(39.99) = 3.375, p = 0.002) and self-esteem subscore (t(106) = 2.254, p = 0.026), but not associated with differences in body image score or medication adherence. Regression analysis showed that body image score significantly predicted medication adherence (β = 0.208, p = 0.037).

Conclusion: Assessing how a patient feels about their weight while considering the potential differences in demographic groups may facilitate optimal medication selections and communication of treatment plans with psychiatric patients, which has implications in treatment adherence, disease course, and prognosis.

Keywords: Body mass index, body image, medication adherence, women, psychiatric illness, age, race.

Graphical Abstract
Bonafini BA, Pozzilli P. Body weight and beauty: The changing face of the ideal female body weight. Obes Rev 2011; 12(1): 62-5.
[] [PMID: 20492540]
Fallon A. Culture in the mirror: Sociocultural determinants of body imageBody images: Development, deviance, and change. New York, NY, US: Guilford Press 1990; pp. 80-109.
Derenne JL, Beresin EV. Body image, media, and eating disorders. Acad Psychiatry 2006; 30(3): 257-61.
[] [PMID: 16728774]
Sobal J. The size acceptance movement and the social construction of body weight Weighty Issues: Fatness and Thinness as Social Problems. New York: Routledge 2017; pp. 231-49.
McKinley NM. Resisting body dissatisfaction: Fat women who endorse fat acceptance. Body Image 2004; 1(2): 213-9.
[] [PMID: 18089154]
Kasardo AE, McHugh MC. From fat shaming to size acceptance: Challenging the medical management of fat womenThe wrong prescription for women: How medicine and media create a “need” for treatments, drugs, and surgery Santa Barbar. Praeger 2015; pp. 179-201.
Saguy AC, Riley KW. Weighing both sides: Morality, mortality, and framing contests over obesity. J Health Polit Policy Law 2005; 30(5): 869-921.
[] [PMID: 16477791]
Cafri G, Yamamiya Y, Brannick M, Thompson JK. The influence of sociocultural factors on body image: A meta-analysis. Clin Psychol Sci Pract 2005; 12(4): 421-33.
Grogan S. Body image and health: Contemporary perspectives. J Health Psychol 2006; 11(4): 523-30.
[] [PMID: 16769732]
Pan L, Galuska D, Sherry B, et al. Differences in prevalence of obesity among black, white, and Hispanic adults - United States, 2006-2008. MMWR Morb Mortal Wkly Rep 2009; 58(27): 740-4.
[PMID: 19609247]
Fitzgibbon ML, Blackman LR, Avellone ME. The relationship between body image discrepancy and body mass index across ethnic groups. Obes Res 2000; 8(8): 582-9.
[] [PMID: 11156434]
Demarest J, Allen R. Body image: Gender, ethnic, and age differences. J Soc Psychol 2000; 140(4): 465-72.
[] [PMID: 10981375]
Baruth M, Sharpe PA, Magwood G, Wilcox S, Schlaff RA. Body Size Perceptions among Overweight and Obese African American Women. Ethn Dis 2015; 25(4): 391-8.
[] [PMID: 26674119]
Caldwell MB, Brownell KD, Wilfley DE. Relationship of weight, body dissatisfaction, and self-esteem in African American and white female dieters. Int J Eat Disord 1997; 22(2): 127-30.
[<127:AID-EAT2>3.0.CO;2-H] [PMID: 9261649]
Lee E, Jang MH. The influence of body image, insight, and mental health confidence on medication adherence in young adult women with mental disorders. Int J Environ Res Public Health 2021; 18(8): 3866.
[] [PMID: 33917038]
Shroff H, Thompson JK. Peer influences, body-image dissatisfaction, eating dysfunction and self-esteem in adolescent girls. J Health Psychol 2006; 11(4): 533-51.
[] [PMID: 16769734]
Ålgars M, Santtila P, Varjonen M, et al. The adult body: How age, gender, and body mass index are related to body image. J Aging Health 2009; 21(8): 1112-32.
[] [PMID: 19897779]
Pingitore R, Spring B, Garfield D. Gender differences in body satisfaction. Obes Res 1997; 5(5): 402-9.
[] [PMID: 9385613]
Spitzer BL, Henderson KA, Zivian MT. Gender differences in population versus media body sizes: A comparison over four decades. Sex Roles 1999; 40(7): 545-65.
Agliata D, Tantleff-Dunn S. The impact of media exposure on males’ body image. J Soc Clin Psychol 2004; 23(1): 7-22.
Blond A. Impacts of exposure to images of ideal bodies on male body dissatisfaction: A review. Body Image 2008; 5(3): 244-50.
[] [PMID: 18424245]
Schwartz MB, Brownell KD. Obesity and body image. Body Image 2004; 1(1): 43-56.
[] [PMID: 18089140]
Furnham A, Badmin N, Sneade I. Body image dissatisfaction: Gender differences in eating attitudes, self-esteem, and reasons for exercise. J Psychol 2002; 136(6): 581-96.
[] [PMID: 12523447]
Henderson DC. Weight gain with atypical antipsychotics: Evidence and insights. J Clin Psychiatry 2007; 68 (Suppl. 12): 18-26.
[PMID: 17956152]
Schwartz TL, Nihalani N, Jindal S, Virk S, Jones N. Psychiatric medication-induced obesity: A review. Obes Rev 2004; 5(2): 115-21.
[] [PMID: 15086865]
Aronne LJ, Segal KR. Weight gain in the treatment of mood disorders. J Clin Psychiatry 2003; 64(8) (Suppl. 8): 22-9.
[PMID: 12892538]
Reyes SA, King TA, Fei K, Franco R, Bickell NA. Factors Affecting the Completion of Adjuvant Chemotherapy in Early-Stage Breast Cancer. Ann Surg Oncol 2016; 23(5): 1537-42.
[] [PMID: 26714953]
Koller A, Denhaerynck K, Moons P, Steiger J, Bock A, De Geest S. Distress associated with adverse effects of immunosuppressive medication in kidney transplant recipients. Prog Transplant 2010; 20(1): 40-6.
[] [PMID: 20397345]
Plankey M, Bacchetti P, Jin C, et al. Self-perception of body fat changes and HAART adherence in the Women’s Interagency HIV Study. AIDS Behav 2009; 13(1): 53-9.
[] [PMID: 18688706]
Gopinath S, Katon WJ, Russo JE, Ludman EJ. Clinical factors associated with relapse in primary care patients with chronic or recurrent depression. J Affect Disord 2007; 101(1-3): 57-63.
[] [PMID: 17156852]
Ascher-Svanum H, Zhu B, Faries DE, et al. The cost of relapse and the predictors of relapse in the treatment of schizophrenia. BMC Psychiatry 2010; 10(1): 2.
[] [PMID: 20059765]
Wing RR, Adams-Campbell LL, Marcus MD, Janney CA. Effect of ethnicity and geographical location on body weight, dietary restraint, and abnormal eating attitudes. Obes Res 1993; 1(3): 193-8.
[] [PMID: 16353354]
Jackson KL, Janssen I, Appelhans BM, et al. Body image satisfaction and depression in midlife women: The study of Women’s health across the nation (SWAN). Arch Women Ment Health 2014; 17(3): 177-87.
[] [PMID: 24623160]
Ciufolini S, Morgan C, Morgan K, et al. Self esteem and self agency in first episode psychosis: Ethnic variation and relationship with clinical presentation. Psychiatry Res 2015; 227(2-3): 213-8.
[] [PMID: 25868868]
Julius RJ, Novitsky MAJ Jr, Dubin WR. Medication adherence: A review of the literature and implications for clinical practice. J Psychiatr Pract 2009; 15(1): 34-44.
[] [PMID: 19182563]
Coleman CI, Limone B, Sobieraj DM, et al. Dosing frequency and medication adherence in chronic disease. J Manag Care Pharm 2012; 18(7): 527-39.
[] [PMID: 22971206]
Perry LA, Surowiec SM, Danso DA, Kerobo OI, Anugwom AA, Couvertier KP. Evaluation of administration time and adherence rates of morning vs. bedtime dosing of antihypertensive medications. J Contemp Pharm Prac 2020; 66(1): 11-6.
Teter CJ, Falone AE, Bakaian AM, Tu C, Ongür D, Weiss RD. Medication adherence and attitudes in patients with bipolar disorder and current versus past substance use disorder. Psychiatry Res 2011; 190(2-3): 253-8.
[] [PMID: 21696830]
Colizzi M, Carra E, Fraietta S, et al. Substance use, medication adherence and outcome one year following a first episode of psychosis. Schizophr Res 2016; 170(2-3): 311-7.
[] [PMID: 26718334]
Higashi K, Medic G, Littlewood KJ, Diez T, Granström O, De Hert M. Medication adherence in schizophrenia: Factors influencing adherence and consequences of nonadherence, a systematic literature review. Ther Adv Psychopharmacol 2013; 3(4): 200-18.
[] [PMID: 24167693]

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