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Published on: April 4, 2025
Psychiatrists' perceptions and practices in treating patients' obesity
Christine Lichwala-Zyla1, James H Price, Joseph A Dake
1University of Toledo in Ohio, Toledo, OH 43606, USA.
Summary
Psychiatrists often lack adequate training in obesity management but feel confident using the 5As strategy. Integrating weight management into psychiatric education is crucial for effective patient care.
Area of Science:
- Medical Education
- Psychiatry
- Obesity Medicine
Background:
- Obesity is a significant public health concern with complex management needs.
- Psychiatrists play a role in addressing obesity, particularly when comorbid with mental health conditions.
Purpose of the Study:
- To investigate psychiatrists' perceptions and current practices concerning the advising and treatment of obese patients.
- To identify barriers and facilitators in providing weight management support within psychiatric practice.
Main Methods:
- A national random sample of 500 American Psychiatric Association (APA) members received questionnaires.
- A three-wave mailing strategy was employed to maximize response rates.
- The survey assessed weight management practices informed by the Stages of Change, Health Belief models, Self-Efficacy theory, and the 5As strategy.
Main Results:
- 236 psychiatrists responded, with most reporting inadequate formal training in obesity treatment during medical school and residency.
- The majority of psychiatrists regularly assisted obese patients with weight management and felt confident applying the 5As strategy.
- Key barriers identified included time constraints, poor patient compliance, lack of guidelines/tools, insufficient training, and fear of offending patients.
Conclusions:
- Current psychiatric training inadequately prepares professionals for obesity management.
- Enhanced training in weight management for psychiatric residents and continuing education is essential.
- Psychiatrists' role in obesity care requires more robust support and education to move beyond cursory assistance.
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