Ergen kızlarda bulimia, depresyon ve kendine zarar verme davranışlarının birlikte görüldüğü durumların saptanması

Year 2023, , 1416 - 1419, 29.12.2023

Aslı Begüm Can Aydın Nihal Serdengeçti

https://doi.org/10.17826/cumj.1318195

Abstract

Kendine İntihar Niyeti Olmadan Yaralama (NSSI), intihar niyeti olmaksızın bedensel zarara neden olan kendine zarar verme davranışı olarak tanımlanmaktadır. NSSI diğer psikopatolojilerin öncüsü olabilir veya komorbidite olarak ortaya çıkabilir. Bu vaka serisinde, ilk başvurusu NSSI olan ve psikiyatrik değerlendirmede Major Depresif Bozukluk (MDB) tanısı alan 5 genç kızın takibinde Bulimia Nervoza (BN) gelişimini inceledik. Sonuç olarak, NSSI'nin BN gelişimi için bir öncül olabileceği hipotezini öne sürdük. Klinik görüşmeler, ergenlerin algıladıkları aile desteğinin düşük olduğunu ve annelerin duygularını düzenlemekte güçlük çektiğini ortaya koymuştur. Annelerden Toronto Aleksitimi Ölçeğini, ergenlerden ise Sosyal Destek Değerlendirme Ölçeğinin "aileden alınan destek" bölümünü doldurmalarını isteyerek bu değişkenleri ölçmeyi amaçladık. Ergenlerin zaman zaman çekingen olabildikleri ve sorulmadıkça bu tür yakınmaları dile getirmedikleri düşünüldüğünde, klinisyenlerin bu ilişkinin farkında olmaları ve koruyucu psikiyatri açısından görüşmeler sırasında belirtileri akılda tutmaları gerekmektedir.

Keywords

depresyon, bulimia

Project Number

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Unveiling co-occurrence of bulimia, depression, and self-injury in adolescent girls

Abstract

Nonsuicidal Self-Injury (NSSI) is defined as self-inflicted behavior that causes bodily harm without suicidal intent. NSSI may be a precursor to other psychopathologies or co-occur as comorbidity. In this case series, we examined the development of Bulimia Nervosa (BN) in the follow-up of 5 young girls whose first presentation was NSSI and who were diagnosed with Major Depressive Disorder (MDD) at the psychiatric evaluation. As a result, we hypothesized that NSSI may be a precursor for the development of BN. Clinical interviews revealed that perceived family support by the adolescents were low and mothers had difficulty regulating emotions. We aimed to measure these variables by asking mother to fill out Toronto Alexithymia Scale and adolescents to fill out The Social Support Assessment Scale’s “support received from the family” part. Considering that adolescents can be timid at times and do not express such complaints unless asked, clinicians should be aware of this relationship and should keep the symptoms in mind during interviews in terms of preventive psychiatry.

Keywords

Bulimia Nervosa, Nonsuicidal Self Injury, Depressive Disorder

Supporting Institution

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Project Number

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Thanks

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