Structured Wellness Program Helps Improve Psychiatric Symptoms and Indices of Physical Health in Mood Disorder Patients: Presented at CPA
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Structured Wellness Program Helps Improve Psychiatric Symptoms and Indices of Physical Health in Mood Disorder Patients: Presented at CPA

By Thomas S. May

VANCOUVER -- September 9, 2008 -- Patients with mood disorders such as major depression and bipolar disorder are at increased risk for a variety of physical illnesses, including diabetes and cardiovascular disease. However, a structured wellness program can help prevent some of these diseases, while also improving psychiatric symptoms, according to a study presented here at the 58th Annual Meeting of the Canadian Psychiatric Association (CPA).

The research was presented during a poster session on September 5 by investigator Valerie Taylor, MD, Department of Psychiatry and Behavioural Neuroscience, McMaster University, Hamilton, Ontario.

Dr. Taylor and colleagues created a structured wellness program for both patients and their families. The program was composed of a 16-week group educational component that focused on nutrition, activity, and behavioural activation, as well as individual training sessions in a public fitness facility.

Twenty adults 24 to 65 years old completed the program. The researchers obtained height and weight measurements, a fasting lipid profile, and glucose level, as well as scores on the Beck Depression Inventory (BDI) and the Rosenberg Self-Esteem Scale before and after the wellness intervention.

Analysis of the results showed that significant improvements occurred in patients' body mass index (P < .01), self-esteem (P < .05), and BDI score (P < .05). Numeric improvements were also observed in lipid profiles and glucose levels.

According to the investigators, these data indicate that structured wellness programs can positively affect the physical and psychiatric well-being of patients with mood disorder.

Dr. Taylor cautioned, however, that these results are preliminary, and the study is still ongoing.

"We are focused on long-term program development and implementation, and hope to change the way physicians practice," she explained. "We are focusing on patients with a mood disorder, with an aim of reducing medical illness and improving adherence to treatment."

"We are attempting to ultimately design a program that reduces physical illness in this population," she added.

The study was jointly funded by a Hamilton Community Health, Education, and Research Award, and an Eli Lilly Solutions for Wellness Neuroscience Award.

[Presentation title: Efficacy of a Structured Wellness Program on Indices of Physical Health and Psychiatric Symptoms in Patients With a Mood Disorder. Abstract P06]

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