Kadınlarda Aleksitimi, Sezgisel Yeme ve Fiziksel Aktivite Öz Değeri Arasındaki İlişkinin Belirlenmesi: Kesitsel Araştırma

Abstract

Amaç: Bu çalışma, kadınlarda aleksitiminin fiziksel aktivite, öz değer ve sezgisel yeme ile ilişkisini ortaya koymak amacıyla yapılmıştır. Yöntem: Çalışma, Haziran 2021-Haziran 2022 tarihleri arasında Türkiye'nin doğusundaki bir aile sağlığı merkezine başvuran ve çalışmaya katılmayı kabul eden 573 kadın ile tamamlandı. Verilerin analizinde SPSS 25 programı kullanılmıştır. Bulgular: Araştırmaya katılan kadınların Toronto Aleksitimi Ölçeği toplam puan ortalaması 76,53±11,68, fiziksel aktivite öz-değer envanteri toplam puan ortalaması 82,74±9,63 ve sezgisel yeme ölçeği toplam puan ortalaması 45,37±.8,22'dir. Çalışmaya dahil edilen kadınların aleksitimi düzeyleri ile sezgisel yeme arasında negatif ve anlamlı bir ilişki bulunurken, aleksitimi düzeyleri ile fiziksel aktivite öz değerleri arasında pozitif yönde bir ilişki bulunmuştur. Çoklu doğrusal regresyon analizi sonucunda, Sezgisel Yeme Ölçeği ile Kadınların Fiziksel Aktivite Öz Değer Envanteri'nin aleksitimi ile orta düzeyde anlamlı bir ilişki olduğu bulunmuştur (R=0,64, R2=0,41, p<,01). Bu sonuçlara göre, sezgisel yeme ve fiziksel aktivite birlikte aleksitimi varyansının %41'ini açıklamaktadır. Sonuç: Bu bulgular, sezgisel yeme ve fiziksel aktivite süreçlerinin etkisini anlamak için aleksitiminin önemli olabileceğini düşündürmektedir.

Keywords

• Aleksitimi
• fiziksel aktivite
• kadın
• sezgisel yeme

Determining the Correlation between Alexithymia, Intuitive Eating and Physical Activity Self-Worth in Woman: A Cross-Sectional Study

Abstract

Objective: This study revealed the relationship of alexithymia with physical activity, self-worth, and intuitive eating in women. Method: The study was completed with 573 women referred to a family health center in eastern Turkey between June 2021 and June 2022 and agreed to participate. SPSS 25 was used to analyze the data. Results: The total mean score of the Toronto Alexithymia Scale of the women in the study was 76.53±11.68, while their mean physical activity self-worth inventory was 82.74±9.63, and they mean the intuitive eating scale total score was 45.37±.8.22. A negative and significant correlation was found between the alexithymia levels of the women included in the study and intuitive eating. In contrast, a positive correlation was found between their alexithymia levels and physical activity self-worth. As a result of multiple linear regression analysis, it was found that the Intuitive Eating Scale and the Women’s Physical Activity Self-Worth Inventory had a moderately significant relationship with alexithymia (R=0.64, R2=0.41, p<.01). According to these results, intuitive eating and physical activity together explain 41% of the alexithymia variance. Conclusion: These findings suggest that alexithymia may be important for understanding the effect of intuitive eating and physical activity processes.

Keywords

• Alexihymia
• intuitive eating
• physical activity
• Alexithymia in Women

References

1. Alzahrani, S. H., Coumaravelou, S., Mahmoud, I., Beshawri, J., & Algethami, M. (2020). Prevalence of alexithymia and associated factors among medical students at King Abdulaziz University: A cross-sectional study. Annals of Saudi Medicine, 40(1), 55-62.
2. Barchetta, S., Martino, G., Craparo, G., Salehinejad, M. A., Nitsche, M. A., & Vicario, C. M. (2021). Alexithymia is linked with a negative bias for past and current events in healthy humans. International Journal of Environmental Research and Public Health, 18(13), 6696.
3. Bas, M., Karaca, K. E., Saglam, D., Arıtıcı, G., Cengiz, E., Köksal, S., & Buyukkaragoz, A. H. (2017). Turkish version of the Intuitive Eating Scale-2: Validity and reliability among university students. Appetite, 114, 391-397.
4. Carrozzino, D., & Porcelli, P. (2018). Alexithymia in gastroenterology and hepatology: a systematic review. Frontiers in Psychology, 9, 470.
5. Casagrande, M., Boncompagni, I., Forte, G., Guarino, A., & Favieri, F. (2020). Emotion and overeating behavior: Effects of alexithymia and emotional regulation on overweight and obesity. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 25, 1333-1345.
6. Cascino, G., Monteleone, A. M., Marciello, F., Pellegrino, F., Ruzzi, V., & Monteleone, P. (2021). Alexithymia and cortisol awakening response in people with eating disorders. The World Journal of Biological Psychiatry, 22(7), 546-551.
7. Chalabaev, A., Sieber, S., Sander, D., Cullati, S., Maltagliati, S., Sarrazin, P., Boisgontier, M. P., & Cheval, B. (2022). Early-life socioeconomic circumstances and physical activity in older age: women pay the price. Psychological Science, 33(2), 212-223.
8. Cohen, J. (1992). Statistical power analysis. Current Directions in Psychological Science, 1(3), 98-101.

9. Craven, M. P., & Fekete, E. M. (2019). Weight-related shame and guilt, intuitive eating, and binge eating in female college students. Eating Behaviors, 33, 44-48.
10. Gödde, J. U., Yuan, T. Y., Kakinami, L., & Cohen, T. R. (2022). Intuitive eating and its association with psychosocial health in adults: A cross-sectional study in a representative Canadian sample. Appetite, 168, 105782.
11. Harmancı, H., Akdeniz, S., & Ahçı, Z. G. (2021). Prevalence of Eating Disorders: Its Relationship with Alexithymia and Mental Complaints. Cyprus Turkish Journal of Psychiatry & Psychology (CTJPP), 3(1).
12. Hawkins, J. L., Mercer, J., Thirlaway, K. J., & Clayton, D. A. (2013). “Doing” gardening and “being” at the allotment site: Exploring the benefits of allotment gardening for stress reduction and healthy aging. Ecopsychology, 5(2), 110-125.
13. Hazzard, V. M., Telke, S. E., Simone, M., Anderson, L. M., Larson, N. I., & Neumark-Sztainer, D. (2021). Intuitive eating longitudinally predicts better psychological health and lower use of disordered eating behaviors: findings from EAT 2010–2018. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 26, 287-294.
14. Huberty, J., Vener, J., Gao, Y., Matthews, J. L., Ransdell, L., & Elavsky, S. (2013). Developing an instrument to measure physical activity related self-worth in women: Rasch analysis of the Women's Physical Activity Self-Worth Inventory (WPASWI). Psychology of Sport and Exercise, 14(1), 111-121.
15. Jurić Vukelić, D., Kušević, Z., & Horvatić, J. (2019). Alexithymia and psychological distress among women undergoing in vitro fertilization. Psychiatria Danubina, 31(4), 473-477.
16. Kaya, A., H.S. Aksu, and F. Arslan. (2021). Investigation of physical activity self-esteem perceptions of women who regularly and irregulary participate in physical activites. Sportive, 4 (2):57-76. Khasteganan, N., Lycett, D., Furze, G., & Turner, A. P. (2019). Health, not weight loss, focused programmes versus conventional weight loss programmes for cardiovascular risk factors: a systematic review and meta-analysis. Systematic reviews, 8(1), 1-18. Kiliç, Y., & Yildirim, E. (2020). Investigation of the Physical Activity Self-Worth of Women Who Study in University. World Journal of Education, 10(1), 110-116.
17. Korkmaz, N. H., & Demir, F. (2020). The Effect of Some Socio-Demographic Features on Physical Activity Levels of Women of Turkish Nationality and Foreign Nationality. Journal of Sports Education, 4(2):1422.
18. Lee, M. F., Madsen, J., Williams, S. L., Browne, M., & Burke, K. J. (2022). Differential effects of intuitive and disordered eating on physical and psychological outcomes for women with young children. Maternal and Child Health Journal, 1-8.
19. Linardon, J., Tylka, T. L., & Fuller‐Tyszkiewicz, M. (2021). Intuitive eating and its psychological correlates: A meta‐analysis. International Journal of Eating Disorders, 54(7), 1073-1098.
20. Luminet, O., Bagby, R. M., & Taylor, G. J. (2018). Alexithymia: advances in research, theory, and clinical practice.
21. Lyvers, M., Ryan, N., & Thorberg, F. A. (2022). Alexithymia, negative moods, and fears of positive emotions. Current Psychology, 1-10.
22. Martino, G., Caputo, A., Vicario, C. M., Feldt-Rasmussen, U., Watt, T., Quattropani, M. C., Benvenga, S., & Vita, R. (2021). Alexithymia, emotional distress, and perceived quality of life in patients with hashimoto’s thyroiditis. Frontiers in Psychology, 12, 667237.
23. Motan, İ., & Gençöz, T. (2007). The Relationship of dimensions of alexithymia with the intensity of depression and anxiety. Turk J Psychiatry, 18(4):333-343.
24. Preece, D. A., Becerra, R., Robinson, K., Allan, A., Boyes, M., Chen, W., Hasking, P., & Gross, J. J. (2020). What is alexithymia? Using factor analysis to establish its latent structure and relationship with fantasizing and emotional reactivity. Journal of Personality, 88(6), 1162-1176.
25. Ramalho, S. M., Saint-Maurice, P. F., Félix, S., & Conceição, E. (2022). Intuitive eating Scale-2: Factor structure and associations with disordered eating, impulsivity and quality of life in adolescents with overweight/obesity. Eating Behaviors, 44, 101593.
26. Schuch, F. B., Vancampfort, D., Firth, J., Rosenbaum, S., Ward, P. B., Silva, E. S., Hallgren, M., Ponce De Leon, A., Dunn, A. L., & Deslandes, A. C. (2018). Physical activity and incident depression: a meta-analysis of prospective cohort studies. American Journal of Psychiatry, 175(7), 631-648.
27. Taş, E., & Kabaran, S. (2020). Sezgisel yeme, duygusal yeme ve depresyon: Antropometrik ölçümler üzerinde etkileri var mı. Sağlık ve Toplum, 20(3), 127-139.
28. Taylor, G.J., Ryan, D., & Bagby, M. (1985). Toward the development of a new self-report alexithymia scale. Psychotherapy and Psychosomatics, 44(4), 191-199.
29. Tribole, E., & Resch, E. (2020). Intuitive eating: A revolutionary anti-diet approach. St. Martin's Essentials.
30. Tylka, T. L., & Kroon Van Diest, A. M. (2013). The Intuitive Eating Scale–2: Item refinement and psychometric evaluation with college women and men. Journal of Counseling Psychology, 60(1), 137.
31. Yurtçiçek, S., & Kömürcü, N. (2019). Investigation of Physical Activity Self-Esteem Perceptions of Women Who Regularly and Irregulary Participate in Physical Activites Validity and reliability study of the Turkish Form HEAD. Koç Üniversitesi Hemşirelikte Eğitim Ve Araştirma Dergisi, 16(3),205-209.