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Üniversite Öğrencilerinde Çocukluk Çağı Travması ve Yeme Tutumları İlişkisi

Year 2019, Volume: 11 Number: Supplement 1 (Research Issue), 203 - 219, 29.12.2019
https://doi.org/10.18863/pgy.612616

Abstract

Bu çalışma çocukluk çağı travmasının ve bazı demografik özelliklerin yeme tutumları üzerindeki yordama etkisini incelemeyi amaçlamıştır. Bu kesitsel çalışmaya 612 üniversite öğrencisi katılmıştır. Veriler Çocukluk Çağı Travma Ölçeği,  Yeme Tutumu Ölçeği ve Demografik Bilgi Formu aracılığı ile toplanmıştır. Araştırmada test edilmesi planlanan hipotetik model ilişkisel tarama modeline göre tasarlanmıştır. Analiz sonuçlarına göre, çocukluk çağı travma biçimlerinden fiziksel ihmalin zayıflıkla aşırı uğraşma; cinsel istismarın ise diyet yapma tutumu üzerinde yordayıcı etkisi olduğu saptanmıştır. Ayrıca, kadın cinsiyetinin şişmanlık kaygısı ve sosyal baskı algılama; vücut kitle indeksinin şişmanlık kaygısı ve sosyal baskı algılama üzerinde anlamlı bir yordama etkisine sahip olduğu bulunmuştur. Sonuçlar, klinikte yeme bozukluğu gösteren bireylerde cinsel istismar ve fiziksel ihmalin değerlendirilmesi ve tedavide yer verilmesi muhtemel müdahalelerin hazırlanmasında yol gösterici olabileceğine işaret etmektedir.

References

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Relationship between Childhood Traumas and Eating Attitudes in College Students

Year 2019, Volume: 11 Number: Supplement 1 (Research Issue), 203 - 219, 29.12.2019
https://doi.org/10.18863/pgy.612616

Abstract

This study aimed to evaluate the predictive effect of childhood trauma and several sociodemographic features on eating attitudes.. 612 university students participated in this cross-sectional work. Data were gathered using the Childhood Trauma Scale, Eating Attitudes Test, and Demographic Information Form. The hypothetical model which was planned to be tested in the study was designed with respect to the relational scanning model. According to the analysis, physical neglect was found to have a predictor role over ‘thinness obsession’; and sexual abuse was found to have a predictor role over ‘dieting’. Obesity anxiety and feeling of social pressure was found to be prevalent among females. Body mass index was found to have a predictor role over obesity anxiet’ and feeling of social pressure. In conclusion, assessing sexual abuse and physical neglect might be instructive in planning possible interventions in eating disorder cases and should be considered in treatment.

References

  • Ackarda DM, Neumark-Sztainer D (2002) Date violence and date rape among adolescents: associations with disordered eating behaviors and psychological health. Child Abuse Negl, 26: 455-473.
  • Agras WS (2001) The consequences and costs of the eating disorders. Psychiatric Clinics of North America, 24(2): 371-379.
  • Altuğ A, Elal G, Slade P, et al. (2000) The eating attitudes (EAT) in Turkish university students: relationship with sociodemographic, social and individual variables. Eating Weight Dis, 5: 152-160.
  • Amerikan Psikiyatri Birliği (2013) Ruhsal bozuklukların tanısal ve sayımsal elkitabı, beşinci baskı (DSM-5), (E. Köroğlu, Çev.). Ankara: Hekimler Yayın Birliği.
  • Andrews B (1995) Bodily Shame As A Mediator Between Abusive Experiences and Depression. Journal of abnormal psychology, 104(2): 277-285.
  • Apfeldorfer G, Zermati JP (2001) Cognitive restraint in obesity. History of ideas, clinical description Presse Med, 30: 1575-80.Arnik ÇM (2009) Bir üniversite kampüsündeki öğrencilerin yeme yutum ve davranışlarının değerlendirilmesi (Yüksek Lisans Tezi).İstanbul, Marmara Üniversitesi.
  • Batur S (2004) Yeme Tutum Bozukluğu Gösterenlerde ve Göstermeyenlerde Temel Bilişsel Şemalar. (Doktora tezi). Ankara, Ankara Üniversitesi.
  • Bernstein DP, Fink L, Handelsman L, et al (1994) Initial reliability and validity of a new retrospective measure of child abuse and neglect. American Journal of Psychiatry, 151:1132-1136.
  • Brewerton TD (2007) Eating Disorder, trauma and comorbidity: focus on PTSD. Eat Disord, 15: 285-304.
  • Brewerton, T. D. (2006). Comorbid anxiety and depression and the role of trauma in children and adolescents with eating disorders. In T. Jaffa, & B. McDermott (Eds.), Eating disorders in children and adolescents (pp. 158–168). Cambridge, England: Cambridge University Press.
  • Brewerton TD (2005) Psychological trauma and eating disorders. Review of Eating Disorders,1: 137–154.
  • Brewerton TD (2004) Eating disorders, victimization and comorbidity: Principles of treatment. In T. D. Brewerton (Ed.), Clinical handbook of eating disorders: An integrated approach (pp. 509–545). New York: Marcel Dekker, Inc.
  • Brewerton TD (2002) Bulimia in children and adolescents. Child and Adolescent Psychiatry Clinics of North America, 11: 237–256.
  • Burns EE, Fischer S, Jackson JL, Harding HG (2012) Deficits in emotion regulation mediate the relationship between childhood abuse and latereating disorder symptoms. Child Abuse & Neglect, 36: 32–39.
  • Carter JC, Bewell C, Blackmore E, Woodside DB (2006) The impact of childhood sexual abuse in anorexia nervosa. Child Abuse Negl, 30: 257-269.
  • Caslini M, Bartoli F, Crocamo C, Dakanalis A, Clerici M, Carrà G (2016) Disentangling the association between child abuse and eating disorders. Psychosom Med 78:79–90.
  • Cook BJ, Hausenblas HA (2008) The role of exercise dependence for the relationship between exercise behavior and eating pathology: Mediator or moderator? J Health Psychol,13: 495– 502.
  • Cooley E, Toray T (2001) Body image and personality predictors of eating disorder symptoms during the college years. International Journal of Eating Disorders, 30: 28 –36.
  • Çam HH (2017) Ergenlerde yeme bozukluğu görülme sıklığı ve ruhsal semptomlarla ilişkisi. Turk J Public Health, 15(2).
  • Çelik S, Yoldaşcan EB, Okyay RA, Özenli Y (2016) Kadın üniversite öğrencilerinde yeme bozukluğunun yaygınlığı ve etkileyenetkenler. Anatolian Journal of Psychiatry/Anadolu Psikiyatri Dergisi, 17(1).
  • Dağlı T, İnanıcı M (2011) İhmal ve İstismara Uğrayan Çocuğa Bütüncül Yaklaşım: Hastane Temelli Çocuk Koruma Merkezleri İçin Başvuru Kitabı. Ankara: UNICEF Türkiye Ofisi.Dansky BS, Brewerton TD, Kilpatrick DG (2000) Comorbidity of bulimia nervosa and alcohol use disorders: results from the National Women's Study. Int J Eat Disord, 27: 180-190.
  • De Lauzon-Guillain B, Basdevant A, Romon M, Karlsson J, Borys JM, Charles MA (2006) Is restrained eating a risk factor for weight gain in a general population? Am J Clin Nutr, 83:132-8.
  • Donnelly CL (2003) Pharmacologic treatment approaches for children and adolescents with posttraumatic stress disorder. Child Adolesc Psychiatr Clin N Am, 2: 251-269.
  • Elal G, Altuğ A, Slade PD, Tekcan A (2000) The Factor Structure of the Eating Attitudes Test (EAT) in a Turkish University Sample. Eating and Weight Disorders. 5; 46-50.
  • Fairburn CG (2008) Eating disorders: The transdiagnostic view and cognivite behavioral theory. Cognitive Behavior Thearpy and Eating Disorders. New York: The Guilford Press, 7-22.Famularo R, Fenton T, Kinscherff R, Augustyn M (1996) Psychiatric comorbidity in childhood post traumatic stress disorder. Child Abuse Negl, 20: 953-961.
  • Field AE, Austin SB, Taylor CB, Malspeis S, Rosner B, Rockett, HR, ve et al. (2003) Relation between dieting and weight change among preadolescents and adolescents. Pediatrics, Oct;112(4):900-6.Garner D, Garfinkel P (1979) The Eating Attitudes Test: An Index of The Symptoms of Anorexia Nervosa. Psychological Medicine, 9: 273-279.
  • Gentile K, Raghavan C, Rajah V, Gates K (2007) It doesn’t happen here: Eating disorders in an ethnically diverse sample of economically disadvantaged,urban college students. Eating Disorders, 15, 405–425.
  • Gerke CK, Mazzeo SE, Kliewer W (2006) The role of depression and dissociation in the relationship between childhood trauma and bulimic symptomsamong ethnically diverse female undergraduates. Child Abuse & Neglect, 30:1161–1172.
  • Ghaderi A (2001) Review of risk factors for eating disorders: Implications for primary prevention and cognitive behavioral therapy. Scandinavian Journal of Behavior Therapy, 30: 57-74.
  • Gladstone GL, Parker GB, Mitchell PB ve ark. (2004) Implications of childhood trauma for depressed women: an analysis of pathways from childhood sexual abuse to deliberate self-harm and revictimization. Am J Psychiatry, 161(8): 1417- 1425.
  • Griffiths RA, Mallia-Blanco R, Bosenberg E, Ellis C, Fischer K, Taylor M, Wyndham J (2000) European Eating Disorders Review, 8: 394-402.
  • Grilo CM, Masheb RM (2001) Childhood psychological, physical and sexual maltreatment in outpatients with binge eating disorder: frequency and associations with gender, obesity and eating-related psychopathology. Obesity Research 9: 320–325.
  • Grilo CM, Masheb RM (2005) A randomized controlled comparison of guided self-help cognitive behavioral therapy and behavioral weight loss for binge eating disorder. Behav Res Ther, 43: 1509-1525.
  • Hamurcu P, Öner C, Telatar B, Yeşildağ Ş (2015) Obezitenin benlik saygısı ve beden algısı üzerine etkisi. Türk Aile Hek Derg,19 (3): 122-128.
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There are 82 citations in total.

Details

Primary Language Turkish
Subjects Applied and Developmental Psychology
Journal Section Research
Authors

Pervin Tunç 0000-0003-4938-0510

Publication Date December 29, 2019
Acceptance Date October 22, 2019
Published in Issue Year 2019 Volume: 11 Number: Supplement 1 (Research Issue)

Cite

AMA Tunç P. Üniversite Öğrencilerinde Çocukluk Çağı Travması ve Yeme Tutumları İlişkisi. Psikiyatride Güncel Yaklaşımlar - Current Approaches in Psychiatry. December 2019;11:203-219. doi:10.18863/pgy.612616

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