Sağlık Bilimleri Dergisi 1018-3655 3108-6667 Erciyes University 10.34108/eujhs.1550532 Child and Adolescent Psychiatry Adolescent Health Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Ergen Sağlığı INVESTIGATION OF THE DISEASE-AFFECTING FACTORS IN ADOLESCENTS WITH EATING DISORDERS YEME BOZUKLUĞU OLAN ERGENLERDE HASTALIĞI ETKİLEYEN FAKTÖRLERİN ARAŞTIRILMASI https://orcid.org/0000-0002-4509-6275 Bayraktar Sema İstanbul University, Faculty of Nursing https://orcid.org/0000-0001-7709-7021 Şensoy Özlem İstanbul University, Faculty of Nursing https://orcid.org/0000-0002-4808-5870 Coşkun Murat ISTANBUL UNIVERSITY, İSTANBUL FACULTY OF MEDICINE https://orcid.org/0000-0002-2995-361X Aydın Ayfer İstanbul University, Faculty of Nursing https://orcid.org/0000-0001-5464-2891 Karayağmurlu Ali ISTANBUL UNIVERSITY, İSTANBUL FACULTY OF MEDICINE https://orcid.org/0000-0003-0639-4787 Güldiken Gökçe Ministry of Health, Reyhanlı Public Hospital, Child and Adolescent Psychiatry https://orcid.org/0000-0002-9986-6159 Özdemir Yahya Esad ISTANBUL UNIVERSITY, İSTANBUL FACULTY OF MEDICINE https://orcid.org/0009-0003-3736-596X Ulutaş Emine Republic of Türkiye, Ministry of National Education 08 15 2025 34 2 230 236 09 17 2024 05 23 2025 Copyright © 1993, Journal of Health Sciences 1993 Journal of Health Sciences

This study was designed to investigate peer bullying, psychological issues, and dissociative behavior, which are some of the factors that may influence the condition in adolescents with eating disorders. The study consists of persons diagnosed with eating disorders (ED) (n:29) and undiagnosed adolescents (n:52). In collecting the data, the sociodemographic characteristics form, the Eating Attitudes Test (EAT-40) scale, the Peer Bullying Identification Scale, the Strengths and Difficulties Questionnaire (SDQ), and the Adolescent Dissociative Experiences Scale (ADES) were used to provide extensive literature support for the field. Eighty percent of the ED group had anorexia, while twenty percent had bulimia. The eating attitudes of adolescents in the ED group were substantially higher than those in the control group (Z:-3.947, p<0.05). At the same time, the differences in the victim and bully sub-dimensions of the peer bullying identification scale were not statistically significant (p>0.05). The EAT-40 showed a strong positive correlation with the total score of the SDQ and the SDQ-Peer sub-dimension (r:0.700, r:0.642, p<0.01). A substantial correlation was also found between the EAT-40 and the total score of the ADES (r=0.442, p<0.05), although no strong correlation with peer bullying was established. This study highlights the impact of dissociative experiences and behavioral and emotional problems on eating attitudes in adolescents. Factors influencing the severity of the disorder should be considered in the ED treatment. These factors should be considered when establishing treatment protocols for adolescents with eating disorders. Furthermore, health professionals should engage in the treatment by offering awareness training to families.

Bu çalışma, yeme bozukluğu olan ergenlerde durumu etkileyebilcek faktörler arasında olan akran zorbalığı, ruhsal sorunlar ve dissosiyasyon davranışlarıaraştırmak amacıyla tasarlanmıştır. Bu çalışmayı yeme bozukluğu (YB) tanısı alan (n:29) ve almayan (n:52) ergenler oluşturmuştur. Verilerin toplanmasında sosyodemografik özellikler bilgi formu ve Yeme Tutum Testi (EAT-40) Ölçeği, Akran Zorbalığını Tanımlama Ölçeği, Güçlü Yönler ve Zorluklar Anketi (SDQ) ve Ergen Dissosiyatif Deneyimleri Ölçeği (ADES) alana litertür desteği sağlamak için kullanılmıştır. YB grubunun %80'inde anoreksiya ve %20'sinde blumia vardı. YB grubundaki hastaların yeme tutumları kontrol grubuna göre anlamlı düzeyde yüksek bulunurken (Z:-3.947, p<0.05), akran zorbalığını tanımlama ölçeğinin mağdur ve zorba alt boyutlarında istatistiksel olarak anlamlı değildi (p >0.05). YYT-40'ın SDQ toplam puanı ve SDQ-Akran sorunları alt boyutu ile pozitif yönde yüksek düzeyde korelasyon gösterdiği belirlendi (r:0.700, r:0.642 p<0.01). YYT-40 toplam puanı ile ADES toplam puanı arasında anlamlı bir korelasyon mevcuttu (r=0.442, p<0.05) ve akran zorbalığı ile güçlü bir korelasyon bulunmadı. Çalışma, dissosiyatif deneyimlerin ve davranışsal ve duygusal sorunların ergenlerde yeme tutumları üzerindeki etkisini göstermektedir. Yeme bozukluklarının tedavisinde bozukluğun şiddetini etkileyen faktörler dikkate alınmalıdır. Yeme bozukluğu olan ergenlere yönelik tedavi protokolleri belirlenirken bu faktörler dikkate alınmalıdır. Ayrıca sağlık profesyonellerinin de ailelere farkındalık eğitimleri vererek tedavinin bir parçası olmaları gerekmektedir.

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