Understanding Women Veterans' Experiences With and Management of Weight Gain From Medications for Serious Mental Illness: A Qualitative Study

摘要

Objective: More women veterans than men use Veterans Health Administration (VHA) mental health services. Some psychiatric medications are associated with weight gain and other metabolic side effects, with women more susceptible and reporting more distress than men. We sought to explore how women experience and manage medication-induced weight gain to identify strategies for improving its prevention and management in women. Method: We completed semistructured, qualitative interviews with 30 female veterans with serious mental illnesses prescribed antipsychotic or mood stabilizer medications and 18 mental health prescribers. Interview transcripts were summarised and aided via principles of phenomenological inquiry to develop themes reflecting the study purpose. Results: We identified 5 themes related to females' experiences with medication-induced weight gain. Female veterans described considerable psychological and physical distress associated with weight gain. However, many expressed a willingness to accept weight gain as a trade-off for medications' therapeutic effects, a theme echoed by prescribers. Both described primarily using reactive rather than proactive or preventative weight management approaches and described the limited effectiveness of reactive approaches. Other contributing factors, including the multiple and uncertain causes of weight gain, uneven quality and quantity of weight lass intimation. lack of social support, and environmental barriers, add to the difficulty and complexity of their struggles. Conclusions and Implications for Practice: These findings improve our understanding of numerous veteran-. presaiber-, and environmental-level factors in the management of medication-associated weight gain in women that may be useful in designing gender-specific interventions.