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Hemşirelik Öğrencilerinin İçselleştirilmiş Kilo Önyargılarının Depresyon ve Yeme Davranışlarıyla İlişkisinin Belirlenmesi

Year 2018, Volume: 5 Issue: 3, 220 - 229, 23.12.2018
https://doi.org/10.31125/hunhemsire.500796

Abstract

Amaç: Bu çalışmada hemşirelik bölümü öğrencilerinin içselleştirilmiş kilo önyargı düzeyinin
depresyon ve yeme davranışlarıyla ilişkisinin değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntem: Tanımlayıcı tipteki araştırmada 329 öğrenciye ulaşılmıştır. Veri toplamak
amacıyla Soru Formu, İçselleştirilmiş Kilo Önyargı Ölçeği, Beck Depresyon Envanteri ve
Hollanda Yeme Davranışı Anketi kullanılmıştır. Verilerin analizinde sayı, yüzdelik dağılımları,
ortalama, standart sapma, t testi, Pearson Korelasyon testi kullanılmıştır.
Bulgular: Araştırmaya katılanların %73.5’inin kız, %15.1’inin beden kitle indeksi <18.5, %
61.7’sinin 18.5-24.9 ve %23.2’sinin 25.0-40.0 arasında olduğu belirlenmiştir. Öğrencilerin
cinsiyet durumuna göre, yeme davranışı toplam puan ortalamaları ve alt boyutlarında duygusal
yeme arasında istatistiksel olarak anlamlı fark olduğu, kız öğrencilerin puan ortalamasının daha
yüksek olduğu saptanmıştır. Beden kitle indeksi ve kilo önyargıları toplam puan ortalamaları
arasında istatistiksel olarak anlamlı fark olduğu, sadece kilolu-obez bireylerin değil zayıf
bireylerinde kilolarından dolayı kendilerini damgaladıkları belirlenmiştir. Öğrencilerin kilo
önyargı ile depresyon ölçeği ve yeme davranışı toplam puanı, alt boyutlarından duygusal yeme
ve kısıtlayıcı yeme arasında pozitif yönde ve anlamlı düzeyde bir ilişki olduğu saptanmıştır.Sonuç: Çalışmamızda içselleştirilmiş kilo önyargı düzeyi ile depresyon, duygusal ve kısıtlayıcı
yeme davranışları arasında pozitif yönde istatistiksel olarak anlamlı ilişki belirlenmiştir.
İçselleştirilmiş kilo önyargı düzeyinin sadece kilolu-obez bireylerde değil aşırı zayıf bireylerde
de yüksek düzeyde olduğu belirlenmiştir. Bu sonuçlar doğrultusunda; toplumdaki kiloya
yönelik önyargılarla beslenen içselleştiriLmiş önyargı düzeyinin kilo ile mücadelede göz ardı
edilmemesi gerektiği düşünülmektedir.

References

  • 1. Beck AR. Psychosocial Aspects of Obesity. NASN School Nurse. 2016;31(1):23-7. 2. White MA, O’neil PM, Kolotkin RL, Byrne TK. Gender, Race, and Obesity‐Related Quality of Life at Extreme Levels of Obesity. Obesity Research. 2004;12(6):949-55. 3. Friedman KE, Ashmore JA, Applegate KL. Recent experiences of weight based stigmatization in a weight loss surgery population: psychological and behavioral correlates. Obesity. 2008;16(S2). 4. Puhl RM, Moss‐Racusin CA, Schwartz MB. Internalization of weight bias: Implications for binge eating and emotional well‐being. Obesity. 2007;15(1):19-23. 5. Stevens SD, Herbozo S, Morrell HE, Schaefer LM, Thompson JK. Adult and childhood weight influence body image and depression through weight stigmatization. Journal of health psychology. 2016:1359105315624749. 6. Thompson KA, Kelly NR, Schvey NA, Brady SM, Courville AB, Tanofsky-Kraff M, et al. Internalization of appearance ideals mediates the relationship between appearance-related pressures from peers and emotional eating among adolescent boys and girls. Eating behaviors. 2017;24:66-73. 7. Snoek HM, van Strien T, Janssens JM, Engels RC. Restrained eating and BMI: a longitudinal study among adolescents. Health Psychology. 2008;27(6):753. 8. Reilly A, NA. R. Is internalized homonegativity related to body image. Fam Consum Sci Res J 2006;35:58- 73. . 9. Schey N.A., White M.A. The internalization of weight bias associated with severe eating pathology among lean individuals. Eating behaviors. 2015;17:1-5. 10. Schwartz MB, Neal H, Brownell KD, Blair S, Billington C. Weight bias among health professionals specializing in obesity. Obes Res. 2003;11:1033-9. 11. Schamer T, Johns M., Forbes C. An integrated process model of stereotype threat effects on performance. psychological rewiew. 2008;115:336-56. 12. Pervanidou P, Bastaki D, Chouliaras G, Papanikolaou K, Laios E, Kanaka-Gantenbein C, et al. Circadian cortisol profiles, anxiety and depressive symptomatology, and body mass index in a clinical population of obese children. Stress. 2013;16(1):34-43. 13. Crister G. FatLand:HowAmericansBecametheFattestPeople in the World. New York: Houghton Mifflin Company;2004. 14. Pearl R.L, Puhl R.M. Measuring internalized weight attitudes across body weight categories: Validation of the Weight Bias Internalization Scale. Body Image. 2014;11(1):89-92. 15. Wee CC, Davis RB, Chiodi S, Huskey KW, . HM. Sex, Race, and the Adverse Effects of Social Stigma vs. Other Quality of Life Factors Among Primary Care Patients with Moderate to Severe Obesity. Society of General Internal Medicine. 2014. 16. Apay SE, Yılmaz E, Aksoy M, Akalın H. Turkish Validity and Reliability Study of Modified Weight Bias Internalization Scale. 18th Conference of the International Society of Psychosomatic Obstetrics and Gynaecology (2016), Book of abstracts, Malaga, Spain. 17. Akdemir A, Örsel S, Dağ İ ve ark. (1996) Hamilton depresyon derecelendirme ölçeği (HDDÖ)’nin geçerliliği, güvenilirliği ve klinikte kullanımı. Psikiyatri Psikoloji Psikofarmakoloji Dergisi, 4:251-9. 18. Van Strein T, Frijters J, Bergers G, Defares P. The Dutch eating behaviour questionnaire (DEBQ) for assesment of restrained, emotional and external eating behaviour. International Journal of Eating Disorder, 1986;5: 295-315 19. Bozan N, Baş M, Aşçı H. Pscyhometric properties of Turkish version of Dutch eating behaviour questionnaire (DEBQ). A preliminary results. Appetite, 56, 564-566. 20. Braet C, Claus L, Goossens L, Moens E, Van Vlierberghe L, Soetens B. Differences in eating style between overweight and normal-weight youngsters. Journal of health psychology. 2008;13(6):733-43. 21. Ashmore JA, Friedman KE, Reichmann SK, Musante GJ. Weight-based stigmatization, psychological distress, & binge eating behavior among obese treatment-seeking adults. Eating Behaviors. 2008;9(2):203-9. 22. Puhl R, KD B. Bias, discrimination, and obesity. Obes Res. 2001;9:788-805. 23. Puhl RM, CA. H. Obesity stigma: important considerations for public health. Am J Public Health. 2010;100:1019-28. 24. Puhl RM, Latner JD. Stigma, obesity, and the health of the nation’s children. Psychol Bull 2007;133:557- 80. 25. Puhl RM, Moss-Racusin CA, Schwartz MB. Internalization of weight bias: Implications for binge eating and emotional well-being. Obesity (Silver Spring). 2007;15(19-23). 26. Lillis J, Levin ME, Hayes SC. Exploring the relationship between body mass index and health-related quality of life: A pilot study of the impact of weight self-stigma and experiential avoidance. Journal of Health Psychology. 2011;16(5):722-7. 27. Major B, Hunger JM, Bunyan DP, Miller CT. The ironic effects of weight stigma. Journal of Experimental Social Psychology. 2014;51:74-80. 28. Wott CB, Carels RA. Overt weight stigma, psychological distress and weight loss treatment outcomes. Journal of health psychology. 2010;15(4):608-14. 29. Salwen JK, Hymowitz GF, Bannon SM, O’Leary KD. Weight-related abuse: perceived emotional impact and the effect on disordered eating. Child abuse & neglect. 2015;45:163-71.
Year 2018, Volume: 5 Issue: 3, 220 - 229, 23.12.2018
https://doi.org/10.31125/hunhemsire.500796

Abstract

References

  • 1. Beck AR. Psychosocial Aspects of Obesity. NASN School Nurse. 2016;31(1):23-7. 2. White MA, O’neil PM, Kolotkin RL, Byrne TK. Gender, Race, and Obesity‐Related Quality of Life at Extreme Levels of Obesity. Obesity Research. 2004;12(6):949-55. 3. Friedman KE, Ashmore JA, Applegate KL. Recent experiences of weight based stigmatization in a weight loss surgery population: psychological and behavioral correlates. Obesity. 2008;16(S2). 4. Puhl RM, Moss‐Racusin CA, Schwartz MB. Internalization of weight bias: Implications for binge eating and emotional well‐being. Obesity. 2007;15(1):19-23. 5. Stevens SD, Herbozo S, Morrell HE, Schaefer LM, Thompson JK. Adult and childhood weight influence body image and depression through weight stigmatization. Journal of health psychology. 2016:1359105315624749. 6. Thompson KA, Kelly NR, Schvey NA, Brady SM, Courville AB, Tanofsky-Kraff M, et al. Internalization of appearance ideals mediates the relationship between appearance-related pressures from peers and emotional eating among adolescent boys and girls. Eating behaviors. 2017;24:66-73. 7. Snoek HM, van Strien T, Janssens JM, Engels RC. Restrained eating and BMI: a longitudinal study among adolescents. Health Psychology. 2008;27(6):753. 8. Reilly A, NA. R. Is internalized homonegativity related to body image. Fam Consum Sci Res J 2006;35:58- 73. . 9. Schey N.A., White M.A. The internalization of weight bias associated with severe eating pathology among lean individuals. Eating behaviors. 2015;17:1-5. 10. Schwartz MB, Neal H, Brownell KD, Blair S, Billington C. Weight bias among health professionals specializing in obesity. Obes Res. 2003;11:1033-9. 11. Schamer T, Johns M., Forbes C. An integrated process model of stereotype threat effects on performance. psychological rewiew. 2008;115:336-56. 12. Pervanidou P, Bastaki D, Chouliaras G, Papanikolaou K, Laios E, Kanaka-Gantenbein C, et al. Circadian cortisol profiles, anxiety and depressive symptomatology, and body mass index in a clinical population of obese children. Stress. 2013;16(1):34-43. 13. Crister G. FatLand:HowAmericansBecametheFattestPeople in the World. New York: Houghton Mifflin Company;2004. 14. Pearl R.L, Puhl R.M. Measuring internalized weight attitudes across body weight categories: Validation of the Weight Bias Internalization Scale. Body Image. 2014;11(1):89-92. 15. Wee CC, Davis RB, Chiodi S, Huskey KW, . HM. Sex, Race, and the Adverse Effects of Social Stigma vs. Other Quality of Life Factors Among Primary Care Patients with Moderate to Severe Obesity. Society of General Internal Medicine. 2014. 16. Apay SE, Yılmaz E, Aksoy M, Akalın H. Turkish Validity and Reliability Study of Modified Weight Bias Internalization Scale. 18th Conference of the International Society of Psychosomatic Obstetrics and Gynaecology (2016), Book of abstracts, Malaga, Spain. 17. Akdemir A, Örsel S, Dağ İ ve ark. (1996) Hamilton depresyon derecelendirme ölçeği (HDDÖ)’nin geçerliliği, güvenilirliği ve klinikte kullanımı. Psikiyatri Psikoloji Psikofarmakoloji Dergisi, 4:251-9. 18. Van Strein T, Frijters J, Bergers G, Defares P. The Dutch eating behaviour questionnaire (DEBQ) for assesment of restrained, emotional and external eating behaviour. International Journal of Eating Disorder, 1986;5: 295-315 19. Bozan N, Baş M, Aşçı H. Pscyhometric properties of Turkish version of Dutch eating behaviour questionnaire (DEBQ). A preliminary results. Appetite, 56, 564-566. 20. Braet C, Claus L, Goossens L, Moens E, Van Vlierberghe L, Soetens B. Differences in eating style between overweight and normal-weight youngsters. Journal of health psychology. 2008;13(6):733-43. 21. Ashmore JA, Friedman KE, Reichmann SK, Musante GJ. Weight-based stigmatization, psychological distress, & binge eating behavior among obese treatment-seeking adults. Eating Behaviors. 2008;9(2):203-9. 22. Puhl R, KD B. Bias, discrimination, and obesity. Obes Res. 2001;9:788-805. 23. Puhl RM, CA. H. Obesity stigma: important considerations for public health. Am J Public Health. 2010;100:1019-28. 24. Puhl RM, Latner JD. Stigma, obesity, and the health of the nation’s children. Psychol Bull 2007;133:557- 80. 25. Puhl RM, Moss-Racusin CA, Schwartz MB. Internalization of weight bias: Implications for binge eating and emotional well-being. Obesity (Silver Spring). 2007;15(19-23). 26. Lillis J, Levin ME, Hayes SC. Exploring the relationship between body mass index and health-related quality of life: A pilot study of the impact of weight self-stigma and experiential avoidance. Journal of Health Psychology. 2011;16(5):722-7. 27. Major B, Hunger JM, Bunyan DP, Miller CT. The ironic effects of weight stigma. Journal of Experimental Social Psychology. 2014;51:74-80. 28. Wott CB, Carels RA. Overt weight stigma, psychological distress and weight loss treatment outcomes. Journal of health psychology. 2010;15(4):608-14. 29. Salwen JK, Hymowitz GF, Bannon SM, O’Leary KD. Weight-related abuse: perceived emotional impact and the effect on disordered eating. Child abuse & neglect. 2015;45:163-71.
There are 1 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Emine Yılmaz This is me 0000-0002-8224-7300

Meryeme Aksoy

Publication Date December 23, 2018
Submission Date August 11, 2017
Published in Issue Year 2018 Volume: 5 Issue: 3

Cite

Vancouver Yılmaz E, Aksoy M. Hemşirelik Öğrencilerinin İçselleştirilmiş Kilo Önyargılarının Depresyon ve Yeme Davranışlarıyla İlişkisinin Belirlenmesi. JOHUFON. 2018;5(3):220-9.