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Yeme Tutumunun, Düşünce Beden Biçimi Kaynaşması, Cinsiyet ve Vücut Kitle İndeksi ile İlişkisinin Araştırılması

Year 2017, Volume: 1 Issue: 1, 59 - 65, 30.06.2017
https://doi.org/10.31461/ybpd.317730

Abstract

Belli psikopatolojilerin
belli bilişsel çarpıtmalar ile karakterize olduğu kabul edilir. Yeme
bozuklukları ve Obsesif-Kompulsif Bozukluklar (OKB), komorbidite, benzer
çarpıtmalar ve girici düşünceler  içermeleri sebebiyle ilişkillendirilirler. Beden
biçimi ve ağırlığına ilişkin çarpıtılmış düşünceler  yeme bozukluklarıyla ilişkilendirilir ve ‘Düşünce
Beden Biçimi Kaynaşması’ olarak kavramlaştırılmış bilişsel çarpıtma, OKB’de
yaygın olan Düşünce Eylem Kaynaşması’nın bir çeşitlemesidir. Tedavi  ve tanılamada potansiyel yararları açısından
bu çalışmada   yeme tutumu’nun,  düşünce beden biçimi kaynaşması, cinsiyet ve vücut
kitle indeksi ile ilişkisinin araştırılması amaçlanmıştır. Katılımcılar 18-28
yaşlarında,73 öğrencidir (58 erkek). Yeme Tutumu testi (YTT)  ve Düşünce Beden Biçimi Kaynaşması (DBBK) ölçekleri
ile veri toplanmıştır. DBBK ile YTT arasında (r= 0.53, P=0.01) ve VKİ arasında
(r=0,34, p=0,01) pozitif korelasyon saptanmıştır. Adımsal Regresyon bulgularına
göre DBBK’nin en önemli yordayıcısı, YTT puanlarıdır. YTT puanları DBBK
varyansının %28’ini,  VKİ, cinsiyet eklendiğinde
%47’sini açıklamaktadır. YTT puanları açısından kadınlar daha yüksek
ortalamalarla farklılaşmıştır. YTT puanları patolojik kesme noktasına (≥30) göre
ayrılan gruplar arasında 30 ve üzerinde puan alan grubun DBBK puanları
açısından daha yüksek ortalamalarla farklılaştığı saptanmıştır. Yeme bozukluklarının
karakteristiği olan yemeye, beden biçim ve ağırlığına aşırı değer biçmenin, OKB
benzeri girici düşüncelerin  bu
çarpıtmayla ifade bulmasıyla paralel bulgular saptanmıştır.Pratik ve teorik açıdan
anlamları olan bulgular elde edildiği düşünülmektedir. Bulguların, gelecek
araştırmalarla çalışıldıktan sonra, terapide hangi bilişlerin hedef alınacağı
konusunda yol gösterici bilgi birikimine katkı sağlayacağı umulmaktadır.  

References

  • American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, APA Publishing.
  • Beck, A.T. (1967). Depression: Clinical, experimental and theoritical aspects. New York, Harper and Row Press.
  • Beck, J.S. (2011). Cognitive Therapy: Basics and beyond. 2. Baskı. New York, The Guilford Press.
  • Beck, J. S. (2001). Bilişsel terapi - Temel ilkeler ve ötesi. (N. H. Şahin çev). Ankara, Türk Psikologlar Derneği Yayınları. (Orijinal çalışma basım tarihi 1995.)
  • Berle, D. ve Starcevic, V. (2005). Thought-action fusion: Review of the literature and future directions. Clinical Psychology Review, 25, 263-284.
  • Coelho, J. S., Baeyens, C., Purdon, C., Pitet, A. ve Bouvard, M. (2012). Cognitive distortions and eating pathology: Specificity of thought-shape fusion. Behaviour Research and Therapy, 50, 449–456.
  • Cooper, M., Cohen-Tove´e, E., Todd, G., Wells, A. ve Tove´e, M. (1997). The eating disorder belief questionnaire: Preliminary development. Behaviour Research and Therapy, 35, 381–388.
  • Demet, M.M., ve Taşkın, E.O. (2009). Obsesif-kompulsif bozukluk ve yeme bozuklukları ilişkisi. Noropsikiyatri Arşivi, 39, 9-19.
  • Elal, G., Altuğ, A., Slade, P. ve Tekcan, A. (2000). Factor structure of the Eating Attitudes Test (EAT) in a Turkish university sample. Eating and Weight Disorders, 5, 46-50.
  • Gagnon, J., Daelman, S. ve McDuff, P. (2013). Correlations of impulsivity with dysfunctional beliefs associated with borderline personality. North American Journal of Psychology, 15(1), 165-178.
  • Garner, D.M. ve Garfinkel,P.E. (1979). The eating attitudes test: An index of the symptoms of anorexia nervosa. Psychological Medicine, 12, 871-878.
  • Mizes, J. S., Christiano, B., Madison, J., Post, G., Seime, R. and Varnado, P. (2000). Development of the Mizes Anorectic Cognitions questionnaire-revised: Psychometric properties and factor structure in a large sample of eating disorder patients. International Journal of Eating Disorders, 28, 415–421.
  • O’Connor, O. J. ve Dowrick, P. W. (1987). Cognitions in normal weight, overweight, and previously overweight adults. Cognitive Therapy and Research, 3 (11), 315-326.
  • Rachman, S. ve Shafran, R. (1999).Cognitive distortions:Thought action fusion. Clinical Psychology and Psychotherapy, 6,80-85.
  • Radomsky, A. S., De Silva, P., Todd, G., Treasure, J., ve Murphy, T. (2002). Thought-shape fusion in anorexia nervosa: An experimental investigation. Behaviour Research and Therapy, 40, 1169–1177.
  • Richter, M.A., Summerfeldt, L.J., Antony, M.M. ve Swinson, R.P. (2003). Obsessive-compulsive spectrum conditions in obsessive-compulsive disorder and other anxiety disorders. Depression & Anxiety, 18,118-27.
  • Rothenberg , A. (1986). Eating disorders as a modern obsessive-compulsive syndrome. Psychiatry, 49, 45-53.
  • Savaşır, I. ve Erol N. (1989).Yeme tutumu testi: Anoreksiya nervoza belirtileri indeksi. Psikoloji Dergisi, 7(23),19-25.
  • Shafran, R., Teachman, B. A., Kerry, S. ve Rachman, S. (1999). A cognitive distortion associated with eating disorders: Thought-shape fusion. British Journal of Clinical Psychology, 38, 167-179.
  • Shafran,R. ve Robinson,P. (2004). Thought shape fusion in eating disorders. British Journal of Clinical Psychology, 43, 399-407.
  • Shafran, R .ve Rachman, S. (2004). Thought-action fusion: A review. Journal of Behavior Therapy and Experimental Psychiatry, 35, 87-107.
  • Swinbourne, J.M. ve Touyz, S.W. (2007). The Co-Morbidity of Eating Disorders and Anxiety Disorders: A Review. European Eating Disorders Review, 15, 253–274.
  • Varlık, E. ve Kabakçı, E. (2008). Yeme Tutumunun ‘Düşünce Eylem Kaynaşması’ ve ‘Düşünce Beden Biçimi Kaynaşması’ ile İlişkisi. Türk Psikoloji Dergisi, 23 (61), 1-12

Investigation of The Relationship of Eating Attitudes with Thought Shape Fusion, Gender and Body Mass Index

Year 2017, Volume: 1 Issue: 1, 59 - 65, 30.06.2017
https://doi.org/10.31461/ybpd.317730

Abstract

Certain patologies are accepted as characterized
with relevant certain cognitive distortions. Eating Disorders and Obssessive
Compulsive Disorders (OCD) are related in terms of comorbidite, existence of
similar distortions and intrusive thoughts. Distorted cognitions related with
body shape and weight are associated with eating disorders and the distorted
cognition which was conceptualised as thought shape fusion is accepted as a
version of  thought action fusion which
is commonly seen at OCD. Because of its practical and theoretical relevance the
aim of the present study is investigation of the relationship of eating
attitudes of individuals with thought shape fusion cognitive distortion and
gender and body mass index (BMI). Participants are 73 university students with
age range 18-28 (58 male). Eating Attitudes Test (EAT) and Thought Shape Fusion
Scale (TSFS) have been used for data collection. A positive correlation was
found between TSFS and EAT (r= 0.53, p=0.01) and  TSFS and BMI (r=0,34, p=0,01). According to
stepwise regression analysis primary predictor of TSFS scores are EAT scores;
%28 of the variance of the TSFS was explained by EAT scores and when BMI and
gender variables are added the explained variance is %47. Women differed with
significantly higher means in terms of EAT scores. Groups were formed according
to pathology cut point of EAT scale (≥30) and the group above the cut point
differed with significantly higher TSFS mean scores. Results of the present
study seems parallel with the claims which associates eating disorders with
distorted cognitions which are expressions of intrusive thoughts similar to OCD
and associated with characteristics of eating disorders as overrating of food,
body weight and shape. Findings are evaluated as having practical and
theoretical significance. It is hoped that after supported with future studies
the findings of the present study will be useful by adding to the existing
knowledge in the field which associated with the efforts about determination of
certain cognitive distortions to increase therapeutic outcome

References

  • American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, APA Publishing.
  • Beck, A.T. (1967). Depression: Clinical, experimental and theoritical aspects. New York, Harper and Row Press.
  • Beck, J.S. (2011). Cognitive Therapy: Basics and beyond. 2. Baskı. New York, The Guilford Press.
  • Beck, J. S. (2001). Bilişsel terapi - Temel ilkeler ve ötesi. (N. H. Şahin çev). Ankara, Türk Psikologlar Derneği Yayınları. (Orijinal çalışma basım tarihi 1995.)
  • Berle, D. ve Starcevic, V. (2005). Thought-action fusion: Review of the literature and future directions. Clinical Psychology Review, 25, 263-284.
  • Coelho, J. S., Baeyens, C., Purdon, C., Pitet, A. ve Bouvard, M. (2012). Cognitive distortions and eating pathology: Specificity of thought-shape fusion. Behaviour Research and Therapy, 50, 449–456.
  • Cooper, M., Cohen-Tove´e, E., Todd, G., Wells, A. ve Tove´e, M. (1997). The eating disorder belief questionnaire: Preliminary development. Behaviour Research and Therapy, 35, 381–388.
  • Demet, M.M., ve Taşkın, E.O. (2009). Obsesif-kompulsif bozukluk ve yeme bozuklukları ilişkisi. Noropsikiyatri Arşivi, 39, 9-19.
  • Elal, G., Altuğ, A., Slade, P. ve Tekcan, A. (2000). Factor structure of the Eating Attitudes Test (EAT) in a Turkish university sample. Eating and Weight Disorders, 5, 46-50.
  • Gagnon, J., Daelman, S. ve McDuff, P. (2013). Correlations of impulsivity with dysfunctional beliefs associated with borderline personality. North American Journal of Psychology, 15(1), 165-178.
  • Garner, D.M. ve Garfinkel,P.E. (1979). The eating attitudes test: An index of the symptoms of anorexia nervosa. Psychological Medicine, 12, 871-878.
  • Mizes, J. S., Christiano, B., Madison, J., Post, G., Seime, R. and Varnado, P. (2000). Development of the Mizes Anorectic Cognitions questionnaire-revised: Psychometric properties and factor structure in a large sample of eating disorder patients. International Journal of Eating Disorders, 28, 415–421.
  • O’Connor, O. J. ve Dowrick, P. W. (1987). Cognitions in normal weight, overweight, and previously overweight adults. Cognitive Therapy and Research, 3 (11), 315-326.
  • Rachman, S. ve Shafran, R. (1999).Cognitive distortions:Thought action fusion. Clinical Psychology and Psychotherapy, 6,80-85.
  • Radomsky, A. S., De Silva, P., Todd, G., Treasure, J., ve Murphy, T. (2002). Thought-shape fusion in anorexia nervosa: An experimental investigation. Behaviour Research and Therapy, 40, 1169–1177.
  • Richter, M.A., Summerfeldt, L.J., Antony, M.M. ve Swinson, R.P. (2003). Obsessive-compulsive spectrum conditions in obsessive-compulsive disorder and other anxiety disorders. Depression & Anxiety, 18,118-27.
  • Rothenberg , A. (1986). Eating disorders as a modern obsessive-compulsive syndrome. Psychiatry, 49, 45-53.
  • Savaşır, I. ve Erol N. (1989).Yeme tutumu testi: Anoreksiya nervoza belirtileri indeksi. Psikoloji Dergisi, 7(23),19-25.
  • Shafran, R., Teachman, B. A., Kerry, S. ve Rachman, S. (1999). A cognitive distortion associated with eating disorders: Thought-shape fusion. British Journal of Clinical Psychology, 38, 167-179.
  • Shafran,R. ve Robinson,P. (2004). Thought shape fusion in eating disorders. British Journal of Clinical Psychology, 43, 399-407.
  • Shafran, R .ve Rachman, S. (2004). Thought-action fusion: A review. Journal of Behavior Therapy and Experimental Psychiatry, 35, 87-107.
  • Swinbourne, J.M. ve Touyz, S.W. (2007). The Co-Morbidity of Eating Disorders and Anxiety Disorders: A Review. European Eating Disorders Review, 15, 253–274.
  • Varlık, E. ve Kabakçı, E. (2008). Yeme Tutumunun ‘Düşünce Eylem Kaynaşması’ ve ‘Düşünce Beden Biçimi Kaynaşması’ ile İlişkisi. Türk Psikoloji Dergisi, 23 (61), 1-12
There are 23 citations in total.

Details

Primary Language Turkish
Subjects Psychology
Journal Section Volume:1, Issue:1 June
Authors

Sultan Okumuşoğlu

Publication Date June 30, 2017
Published in Issue Year 2017 Volume: 1 Issue: 1

Cite

APA Okumuşoğlu, S. (2017). Yeme Tutumunun, Düşünce Beden Biçimi Kaynaşması, Cinsiyet ve Vücut Kitle İndeksi ile İlişkisinin Araştırılması. Yaşam Becerileri Psikoloji Dergisi, 1(1), 59-65. https://doi.org/10.31461/ybpd.317730