TY - JOUR T1 - Investigation of Psychiatric Comorbidity in Children and Adolescents with Obesity: A Single-Center Study TT - Obeziteli Çocuk ve Ergenlerde Psikiyatrik Komorbiditenin Araştırılması: Tek Merkezli Bir Çalışma AU - Adıgüzel Akman, Öznur AU - Kayış, Hakan AU - Bilici, Esra AU - Bıyıklı, Ceyda AU - Arıkan, Hacer AU - Mumcu, Elif AU - Özkan, Ezgi PY - 2025 DA - August Y2 - 2025 DO - 10.25048/tudod.1699401 JF - Turkish Journal of Diabetes and Obesity JO - Turk J Diab Obes PB - Zonguldak Bülent Ecevit Üniversitesi WT - DergiPark SN - 2587-0335 SP - 124 EP - 135 VL - 9 IS - 2 LA - en AB - Aim: This study aimed to investigate the frequency and distribution of psychiatric comorbidities in children and adolescents with obesity,as well as to identify potential risk factors between disease severity and the development of psychiatric disorders in obese children.Material and Methods: The study included 87 cases. Of these, 60 cases diagnosed with obesity were referred to the Child PsychiatryOutpatient Clinic between 2024 and 2025 through the Pediatric Endocrinology Clinic of Zonguldak Bülent Ecevit University Facultyof Medicine; 28 were classified as obese and 32 as severely obese. In addition, 27 healthy children served as the control group.Sociodemographic data form, K-SADS-PL, Children's Depression Inventory (CDI), and Pediatric Quality of Life Inventory (PedsQL)were applied to the cases. Group differences were analyzed using an independent samples t-test and one-way ANOVA, with post-hocTukey tests conducted when significant differences were observed. The relationships between the variables were examined with theSpearman correlation coefficient.Results: Psychiatric comorbidities were found in 37% of children and adolescent cases with obesity. The diagnoses that appeared mostfrequently were ADHD (12.1%), depression (8.1%), and anxiety disorders (6.5%). A significant positive relationship was observedbetween BMI and depressive symptom severity (Spearman’s rho = 0.387, p KW - obesity KW - children KW - adolescent KW - psychiatric comorbidity N2 - Amaç: Bu çalışmada, obeziteli çocuk ve ergenlerde psikiyatrik komorbidite sıklığı ve dağılımının araştırılması, aynı zamanda obeziteliçocuklarda hastalık şiddeti ile psikiyatrik hastalık gelişimi arasında olası risk faktörlerinin açığa kavuşturulması amaçlanmıştır.Gereç ve Yöntemler: Çalışmaya toplam 87 katılımcı dahil edildi. Bunlardan 60 olgu, Zonguldak Bülent Ecevit Üniversitesi Tıp FakültesiPediatrik Endokrinoloji Kliniği aracılığıyla 2024–2025 yılları arasında Çocuk Psikiyatrisi Polikliniğine yönlendirilen obezite tanılıhastalardı; 28’i obez, 32’si ise aşırı obez olarak sınıflandırıldı. Ayrıca, 27 sağlıklı çocuk kontrol grubu olarak yer aldı. Katılımcılarasosyodemografik veri formu, K-SADS-PL, Çocuklarda Depresyon Envanteri (ÇDE) ve Pediatrik Yaşam Kalitesi Envanteri (PedsQL)uygulandı. Gruplar arası farklar iki grup için t-testi ve tek yönlü varyans (ANOVA) analizi ile, anlamlı farklılık saptanan durumlardapost-hoc Tukey testi ile değerlendirildi. Değişkenler arası ilişkiler ise Spearman korelasyon katsayısı ile incelendi.Bulgular: Obeziteli çocuk ve ergenlerin %37’sinde psikiyatrik komorbiditeler saptanmıştır. En sık görülen tanılar dikkat eksikliği vehiperaktivite bozukluğu (%12,1), depresyon (%8,1) ve anksiyete bozuklukları (%6,5) olmuştur. Vücut kütle indeksi ile depresif belirtişiddeti arasında pozitif yönde anlamlı bir korelasyon belirlenmiştir (Spearman’s rho = 0,387, p CR - 1. Russell-Mayhew S, McVey G, Bardick A, Ireland A. Mental Health, Wellness, and Childhood Overweight/Obesity. Journal of Obesity. 2012 Jun 24;2012:e281801. CR - 2. Beynon C. Association between children living with obesity and Mental Health problems: a data analysis of the Welsh Health Survey, UK. BMC Public Health. 2023 Feb 23;23(1):383. CR - 3. Styne D. 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