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Assessment of Self Perception and Psychiatric Symptoms in Obese Children and Adolescents

Yıl 2014, Cilt: 47 Sayı: 3, 32 - 35, 01.12.2014
https://doi.org/10.5505/aot.2014.20592

Öz

OBJECTIVE: Although several studies have documented the existence of psychopathology in obese children and adolescents, disagreement remains regarding the extent and nature of this psychopathology. This study aimed to investigate self perception and psychiatric symptoms in obese children and adolescents aged between 9 and 18 years old.METHODS: The study sample consisted of 47 patients admitted to the outpatient unit of Endocrinology, Department of Pediatrics at the Uludag University School of Medicine. Psychological assessment was performed using a semi-structured psychiatric interview, The Piers–Harris Children's Self–Concept Scale, Kovacs Depression Scale for Children, State-Trait Anxiety Scale, and Multi–Dimensional Body–Self Relations Questionaire.RESULTS: Fortyseven patients (26 girls and 21 boys) were enrolled in the study. Mean age was 13,1±2,63 years (9-18). Mean results showed that state anxiety was higher in the more obese (BMI>30; p0,05); and that trait anxiety and depression did not differ for degree of obesity, gender or being a child or adolescent (p>0,05). Ratio of pathologically high depression, state or trait anxiety did not differ for degree of obesity, gender or being a child or adolescent (p>0,05). Self-concept results showed that the more obese (BMI>30; p

Kaynakça

  • Arman AR, Yılmaz S. Obezite ve Çocuk Psikiyatrisi. Ed: Ayla Soykan, Yasemen Taner. Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları. İstanbul Asimetrik Paralel, 2007. 587-603
  • Reilly JJ. Obesity in childhood and adolescence: evidence perspectives. Postgrad Med J 2006;82:429-37 and public health
  • Chinn S, Rona RJ. Prevalence and trends in overweight and obesity in three cross sectional studies 2001;322:24-6 1974–94. BMJ
  • Musaiger AO. Overweight and obesity in the Eastern Mediterranean Region: can we control it? East Mediterr Health J 2004;10:789-93
  • Speiser PW, Rudolf MCJ, Anhalt H, Camacho- Hubner C, Chiarelli F, Eliakim A, et al. Obesity Consensus Working Group: Childhood obesity. J Clin Endocrinol Metab 2005;90:1871-87
  • Styne DM. Childhood and adolescent obesity. Prevalence and significance. Pediatr Clin North Am 2001;48:823-54
  • Lissau I, Overpeck MD, Ruan WJ, Due P, Holstein BE, Hediger ML. Body mass index and overweight in adolescents in 13 European countries, Israle, and United 2004;158:27-33 Pediatr Adolesc Med
  • Mohammadpour-Ahranjani B, Rashidi A, Karandish M, Eshraghian MR, Kalantari N. Prevalence of overweight and obesity in adolescent Tehrani students, 2000–2001: an epidemic health problem. Public Health Nutr 2004;7:645-8
  • Salazar-Martinez E, Allen B, Fernandez-Ortega C, Torres-Mejia G, Galal O, Lazcano-Ponce E. Overweight and obesity status among adolescents from Mexico and Egypt. Arch Med Res 2006;37:535- 42
  • Al-Sendi AM, Shetty P, Musaiger AO. Body weight perception among Bahraini adolescents. Child Care Health Dev 2004;30:369-76
  • Oner N, Vatansever U, Sari A, and al. Prevalence of underweight, overweight and obesity in Turkish adolescents. Swiss Med Wkly 2004;134:529-33
  • Uckun-Kitapci A, Tezic T, Firat S, et al. Obesity and type 2 diabetes mellitus: a population- based study of adolescents. 2004;17:1633-40 Endocrinol Metab
  • Sur H, Kolotourou M, Dimitriou M, et al. Biochemical and behavioral indices related to BMI in schoolchildren 2005;41:614-21 Turkey. Prev Med
  • Krassas GE, Tsametis C, Baleki V, et al. Balkan Group for the Study of Obesity: Prevalence of overweight and obesity among children and adolescents in Thessaloniki-Greece and Kayseri- Turkey. Pediatr Endocrinol Rev 2004;1(Suppl 3):460-4
  • Parlak A., Çetinkaya Ş. Çocuklarda Obezitenin Oluşumunu Etkileyen Faktörler. Fırat Sağlık Hizmetleri Dergisi 2007;5:24-35
  • Wadden TA. Obesity. In Comprehensive Textbook of Psychiatry/VI sixth edition. Edited by: Kaplan HI, Sadock BJ. Baltimore: Williams & Wilkins; 1995:1481-90
  • French SA, Story M, Perry CL. Self-esteem and obesity in children and adolescents: a literature review. Obes Res 1995;3:479-90
  • Pastore DR, Fisher M, Friedman SB. Abnormalities in weight status, eating attitudes, and eating behaviours among urban high school students correlation with self-esteem and anxiety. J Adolesc Health 1996;18:312-19
  • Buddeberg–Fischer B, Klaghofer R, Reed V. Associations between body weight, psychiatric disorders and body image in female adolescents. Psychother Psychosom 1999;68:325-32
  • Baum CG, Forehand R. Social factors associatedwith adolescent obesity.J Pediatric Psychol 1984;9:293- 302
  • Strauss CC, Smith K, Frame C, Forehand R. Personal and interpersonal characteristics associated with childhood obesity. J Pediatric Psychol 1985;10:337- 43 22. Friedman MA, Brownell KD. Psychological correlates of obesity: moving to the next research generation. Psych Bull 1995;117:3-20
  • Spitzer RL, Stunkard A, Yanovski S. Binge eating disorder should be included in DSM-IV: a reply to Fairburn et al.’s “The classification of recurrent overeating: the binge eating disorder proposal”. Int J Eat Disord 1993;13:161-9
  • Öner N. Piers–Harris’in çocuklarda öz–kavramı ölçeği el kitabı. Türk Psikologlar Derneği Kızılay, Ankara, 1996
  • Kovacs M. The Children’s Depression Inventory (CDI), Psychopharmacology Bülletin 1981;21:995-8
  • Spielberger CD, Gorsuch RL, Lushene RE. Manual for the state–trait anxiety inventory. California, Consulting Psychologist Press, 1970
  • Cash TF. The multidimensional Body–Self Relations Qestionnaire. (Yayınlanmamış Ölçek El Kitabı). Norfolk, VA, Old Dominion University 1990
  • Özmen D, Özmen E, Ergin D, et al. The association of self–esteem, depression and body satisfaction with obesity among Turkısh adolescents. BMC Public Health 2007;7:80
  • Berg IM, Simonsson B, Brantefors B, Ringqvist I. Prevalence of overweight and obesity in children and adolescents in a county in Sweden. Acta Paediatr 2001;90:671-6
  • Janssen I, Katzmarzyk PT, Boyce WF, King MA, Pickett W. Overweight and obesity in Canadian adolescents and their associations with dietary habits and physical activity patterns. J Adolesc Health 2004;35:360-7
  • Page RM, Lee CM, Miao NF. Assessing prevalence of overweight and obesity through self-reports of height and weight by high school students in Taipe, Taiwan. J Sch Health 2004;74:401-7
  • Karayiannis D, Yannakoulia M, Terzidou M, Sidossis LS, Kokkevi A. Prevalence of overweight and obesity in school-aged children and adolescents. Eur J Clin Nutr 2003;57:1189-92
  • Needham BL, Crosnoe RC. Overweight status and depressive symptoms during adolescence. J Adolesc Health 2005;36:48-55
  • Klein-Platat C, Wagner A, Haan MC, Arveiler D, Schlienger JL, Simon C. Prevalence and Caputi P. socioeconomic status, weight, age and gender, and body image and weight control practices of 6- to 19- year-old children and adolescents. Health Educ Res 2001;16:521-32 Association between
  • Erermiş S, Çetin N, Tamar M, Bukusoglu N, Akdeniz F, Goksen D. Is obesity a risk factor for psychopathology among adolescents? Pediatrics International 2004;46:296-301
  • Çataklı M. Transliteral equivalance and reliability of the Turkish version of the Piers Harris Children’s Self Concept Scale (Yayınlanmamış Yüksek Lisans Tezi). İstanbul: Boğaziçi Üniversitesi; 1985
  • Faith MS, Matz PE, Jorge MA. Obesity-depression associations in the population. J Psychosom Res 2002;53:935-42
  • Kim O, Kim K. Body weight, self-esteem, and depression Adolescence 2001, 36:315-322 Female Adolescents.
  • Wardle J, Williamson S, Johnson F, Edwards C. Depression in adolescent obesity: cultural moderators of the association between obesity and depressive symptoms. Int J Obes (Lond) 2006;30:634-43
  • Fabricatore AN, Wadden TA. Psychological aspects of obesity. Clin Dermatol 2004;22:332-7
  • Friedman KE, Reichmann SK, Costanzo PR, Musante GJ. Body image partially mediates the relationship between obesity and psychological distress. Obes Res 2002;10:33-41
  • Renman C, Engström I, Silfverdal SA, Aman J. Mental health and psychosocial characteristics in adolescents in adolescent obesity: a population-based case control study. Acta Paediatr 1999;88:998-1003
  • Pesa JA, Syre TR, Jones. Psychosocial differences associated with body weight among female adolescents: the importance of body image. J Adolesc Health 2000;26:330-7
  • Öy B. Çocuklar için depresyon ölçeği: Geçerlik ve güvenirlik çalışması. Türk Psikiyatri Dergisi 1991;2:132-7
  • Le Compte A, Öner N. Durumluk–Sürekli Kaygı Envanteri El Kitabı, İstanbul. Boğaziçi Üniversitesi Yayınları, 1985
  • Doğan O, Doğan S. Çok yönlü beden–self ilişkileri ölçeği el kitabı. Sivas Cumhuriyet Üniversitesi Yayınları, birinci baskı. 1992

Obezitesi Olan Çocuk ve Ergenlerde Kendilik Algısı ve Psikiyatrik Belirtilerin Değerlendirilmesi

Yıl 2014, Cilt: 47 Sayı: 3, 32 - 35, 01.12.2014
https://doi.org/10.5505/aot.2014.20592

Öz

AMAÇ: Birçok araştırma obezitesi olan çocuk ve ergenlerde psikopatolojinin daha sık ortaya çıktığını ortaya koymasına rağmen, psikopatolojinin doğası ve boyutu ile ilgili anlaşmazlıklar sürmektedir. Bu araştırma 9 ve 18 yaş arası obezitesi olan çocuk ve ergenlerde kendilik algısı ve psikiyatrik belirtileri araştırmayı amaçlamaktadır.YÖNTEMLER: Çalışmanın örneklemini, Uludağ Üniversitesi Tıp Fakültesi Pediatrik Endokrinoloji Bölümü polikliniğine başvuran 47 obezitesi olan çocuk ve ergen oluşturdu. Psikiyatrik değerlendirme; yarı-yapılandırılmış psikiyatrik görüşme, Piers–Harris Çocuklarda Öz–Kavramı Ölçeği, Çocuklar İçin Kovacs Depresyon Ölçeği, Durumluk-Sürekli Kaygı Ölçeği ve Çok Yönlü Beden-Self İlişkisi Ölçeği ile yapıldı.BULGULAR: Çalışmaya 47 hasta (26 kız, 21 erkek) alındı. Ortalama yaş 13,1±2,63 tü (9-18). Durumluk anksiyete ortalama puanları daha obez olan grupta yüksekti (BKI>30; p0,05). Sürekli anksiyete ve depresyon ortalama puanları ise obezite derecesi, cinsiyet ya da çocuk-ergen farkı gözetmedi (p>0,05). Patolojik düzeydeki depresyon, durumluk ve sürekli kaygı oranları obezite derecesi arttıkça, cinsiyete ve çocuk-ergen olmaya göre değişmedi (p>0,05). Kendilik algısı sonuçları daha obez (BKI>30; p

Kaynakça

  • Arman AR, Yılmaz S. Obezite ve Çocuk Psikiyatrisi. Ed: Ayla Soykan, Yasemen Taner. Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları. İstanbul Asimetrik Paralel, 2007. 587-603
  • Reilly JJ. Obesity in childhood and adolescence: evidence perspectives. Postgrad Med J 2006;82:429-37 and public health
  • Chinn S, Rona RJ. Prevalence and trends in overweight and obesity in three cross sectional studies 2001;322:24-6 1974–94. BMJ
  • Musaiger AO. Overweight and obesity in the Eastern Mediterranean Region: can we control it? East Mediterr Health J 2004;10:789-93
  • Speiser PW, Rudolf MCJ, Anhalt H, Camacho- Hubner C, Chiarelli F, Eliakim A, et al. Obesity Consensus Working Group: Childhood obesity. J Clin Endocrinol Metab 2005;90:1871-87
  • Styne DM. Childhood and adolescent obesity. Prevalence and significance. Pediatr Clin North Am 2001;48:823-54
  • Lissau I, Overpeck MD, Ruan WJ, Due P, Holstein BE, Hediger ML. Body mass index and overweight in adolescents in 13 European countries, Israle, and United 2004;158:27-33 Pediatr Adolesc Med
  • Mohammadpour-Ahranjani B, Rashidi A, Karandish M, Eshraghian MR, Kalantari N. Prevalence of overweight and obesity in adolescent Tehrani students, 2000–2001: an epidemic health problem. Public Health Nutr 2004;7:645-8
  • Salazar-Martinez E, Allen B, Fernandez-Ortega C, Torres-Mejia G, Galal O, Lazcano-Ponce E. Overweight and obesity status among adolescents from Mexico and Egypt. Arch Med Res 2006;37:535- 42
  • Al-Sendi AM, Shetty P, Musaiger AO. Body weight perception among Bahraini adolescents. Child Care Health Dev 2004;30:369-76
  • Oner N, Vatansever U, Sari A, and al. Prevalence of underweight, overweight and obesity in Turkish adolescents. Swiss Med Wkly 2004;134:529-33
  • Uckun-Kitapci A, Tezic T, Firat S, et al. Obesity and type 2 diabetes mellitus: a population- based study of adolescents. 2004;17:1633-40 Endocrinol Metab
  • Sur H, Kolotourou M, Dimitriou M, et al. Biochemical and behavioral indices related to BMI in schoolchildren 2005;41:614-21 Turkey. Prev Med
  • Krassas GE, Tsametis C, Baleki V, et al. Balkan Group for the Study of Obesity: Prevalence of overweight and obesity among children and adolescents in Thessaloniki-Greece and Kayseri- Turkey. Pediatr Endocrinol Rev 2004;1(Suppl 3):460-4
  • Parlak A., Çetinkaya Ş. Çocuklarda Obezitenin Oluşumunu Etkileyen Faktörler. Fırat Sağlık Hizmetleri Dergisi 2007;5:24-35
  • Wadden TA. Obesity. In Comprehensive Textbook of Psychiatry/VI sixth edition. Edited by: Kaplan HI, Sadock BJ. Baltimore: Williams & Wilkins; 1995:1481-90
  • French SA, Story M, Perry CL. Self-esteem and obesity in children and adolescents: a literature review. Obes Res 1995;3:479-90
  • Pastore DR, Fisher M, Friedman SB. Abnormalities in weight status, eating attitudes, and eating behaviours among urban high school students correlation with self-esteem and anxiety. J Adolesc Health 1996;18:312-19
  • Buddeberg–Fischer B, Klaghofer R, Reed V. Associations between body weight, psychiatric disorders and body image in female adolescents. Psychother Psychosom 1999;68:325-32
  • Baum CG, Forehand R. Social factors associatedwith adolescent obesity.J Pediatric Psychol 1984;9:293- 302
  • Strauss CC, Smith K, Frame C, Forehand R. Personal and interpersonal characteristics associated with childhood obesity. J Pediatric Psychol 1985;10:337- 43 22. Friedman MA, Brownell KD. Psychological correlates of obesity: moving to the next research generation. Psych Bull 1995;117:3-20
  • Spitzer RL, Stunkard A, Yanovski S. Binge eating disorder should be included in DSM-IV: a reply to Fairburn et al.’s “The classification of recurrent overeating: the binge eating disorder proposal”. Int J Eat Disord 1993;13:161-9
  • Öner N. Piers–Harris’in çocuklarda öz–kavramı ölçeği el kitabı. Türk Psikologlar Derneği Kızılay, Ankara, 1996
  • Kovacs M. The Children’s Depression Inventory (CDI), Psychopharmacology Bülletin 1981;21:995-8
  • Spielberger CD, Gorsuch RL, Lushene RE. Manual for the state–trait anxiety inventory. California, Consulting Psychologist Press, 1970
  • Cash TF. The multidimensional Body–Self Relations Qestionnaire. (Yayınlanmamış Ölçek El Kitabı). Norfolk, VA, Old Dominion University 1990
  • Özmen D, Özmen E, Ergin D, et al. The association of self–esteem, depression and body satisfaction with obesity among Turkısh adolescents. BMC Public Health 2007;7:80
  • Berg IM, Simonsson B, Brantefors B, Ringqvist I. Prevalence of overweight and obesity in children and adolescents in a county in Sweden. Acta Paediatr 2001;90:671-6
  • Janssen I, Katzmarzyk PT, Boyce WF, King MA, Pickett W. Overweight and obesity in Canadian adolescents and their associations with dietary habits and physical activity patterns. J Adolesc Health 2004;35:360-7
  • Page RM, Lee CM, Miao NF. Assessing prevalence of overweight and obesity through self-reports of height and weight by high school students in Taipe, Taiwan. J Sch Health 2004;74:401-7
  • Karayiannis D, Yannakoulia M, Terzidou M, Sidossis LS, Kokkevi A. Prevalence of overweight and obesity in school-aged children and adolescents. Eur J Clin Nutr 2003;57:1189-92
  • Needham BL, Crosnoe RC. Overweight status and depressive symptoms during adolescence. J Adolesc Health 2005;36:48-55
  • Klein-Platat C, Wagner A, Haan MC, Arveiler D, Schlienger JL, Simon C. Prevalence and Caputi P. socioeconomic status, weight, age and gender, and body image and weight control practices of 6- to 19- year-old children and adolescents. Health Educ Res 2001;16:521-32 Association between
  • Erermiş S, Çetin N, Tamar M, Bukusoglu N, Akdeniz F, Goksen D. Is obesity a risk factor for psychopathology among adolescents? Pediatrics International 2004;46:296-301
  • Çataklı M. Transliteral equivalance and reliability of the Turkish version of the Piers Harris Children’s Self Concept Scale (Yayınlanmamış Yüksek Lisans Tezi). İstanbul: Boğaziçi Üniversitesi; 1985
  • Faith MS, Matz PE, Jorge MA. Obesity-depression associations in the population. J Psychosom Res 2002;53:935-42
  • Kim O, Kim K. Body weight, self-esteem, and depression Adolescence 2001, 36:315-322 Female Adolescents.
  • Wardle J, Williamson S, Johnson F, Edwards C. Depression in adolescent obesity: cultural moderators of the association between obesity and depressive symptoms. Int J Obes (Lond) 2006;30:634-43
  • Fabricatore AN, Wadden TA. Psychological aspects of obesity. Clin Dermatol 2004;22:332-7
  • Friedman KE, Reichmann SK, Costanzo PR, Musante GJ. Body image partially mediates the relationship between obesity and psychological distress. Obes Res 2002;10:33-41
  • Renman C, Engström I, Silfverdal SA, Aman J. Mental health and psychosocial characteristics in adolescents in adolescent obesity: a population-based case control study. Acta Paediatr 1999;88:998-1003
  • Pesa JA, Syre TR, Jones. Psychosocial differences associated with body weight among female adolescents: the importance of body image. J Adolesc Health 2000;26:330-7
  • Öy B. Çocuklar için depresyon ölçeği: Geçerlik ve güvenirlik çalışması. Türk Psikiyatri Dergisi 1991;2:132-7
  • Le Compte A, Öner N. Durumluk–Sürekli Kaygı Envanteri El Kitabı, İstanbul. Boğaziçi Üniversitesi Yayınları, 1985
  • Doğan O, Doğan S. Çok yönlü beden–self ilişkileri ölçeği el kitabı. Sivas Cumhuriyet Üniversitesi Yayınları, birinci baskı. 1992
Toplam 45 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Emel Sarı Gökten Bu kişi benim

Yeşim Taneli Bu kişi benim

Yayımlanma Tarihi 1 Aralık 2014
Yayımlandığı Sayı Yıl 2014 Cilt: 47 Sayı: 3

Kaynak Göster

APA Gökten, E. S. ., & Taneli, Y. . (2014). Obezitesi Olan Çocuk ve Ergenlerde Kendilik Algısı ve Psikiyatrik Belirtilerin Değerlendirilmesi. Acta Oncologica Turcica, 47(3), 32-35. https://doi.org/10.5505/aot.2014.20592
AMA Gökten ES, Taneli Y. Obezitesi Olan Çocuk ve Ergenlerde Kendilik Algısı ve Psikiyatrik Belirtilerin Değerlendirilmesi. Acta Oncologica Turcica. Aralık 2014;47(3):32-35. doi:10.5505/aot.2014.20592
Chicago Gökten, Emel Sarı, ve Yeşim Taneli. “Obezitesi Olan Çocuk Ve Ergenlerde Kendilik Algısı Ve Psikiyatrik Belirtilerin Değerlendirilmesi”. Acta Oncologica Turcica 47, sy. 3 (Aralık 2014): 32-35. https://doi.org/10.5505/aot.2014.20592.
EndNote Gökten ES, Taneli Y (01 Aralık 2014) Obezitesi Olan Çocuk ve Ergenlerde Kendilik Algısı ve Psikiyatrik Belirtilerin Değerlendirilmesi. Acta Oncologica Turcica 47 3 32–35.
IEEE E. S. . Gökten ve Y. . Taneli, “Obezitesi Olan Çocuk ve Ergenlerde Kendilik Algısı ve Psikiyatrik Belirtilerin Değerlendirilmesi”, Acta Oncologica Turcica, c. 47, sy. 3, ss. 32–35, 2014, doi: 10.5505/aot.2014.20592.
ISNAD Gökten, Emel Sarı - Taneli, Yeşim. “Obezitesi Olan Çocuk Ve Ergenlerde Kendilik Algısı Ve Psikiyatrik Belirtilerin Değerlendirilmesi”. Acta Oncologica Turcica 47/3 (Aralık 2014), 32-35. https://doi.org/10.5505/aot.2014.20592.
JAMA Gökten ES, Taneli Y. Obezitesi Olan Çocuk ve Ergenlerde Kendilik Algısı ve Psikiyatrik Belirtilerin Değerlendirilmesi. Acta Oncologica Turcica. 2014;47:32–35.
MLA Gökten, Emel Sarı ve Yeşim Taneli. “Obezitesi Olan Çocuk Ve Ergenlerde Kendilik Algısı Ve Psikiyatrik Belirtilerin Değerlendirilmesi”. Acta Oncologica Turcica, c. 47, sy. 3, 2014, ss. 32-35, doi:10.5505/aot.2014.20592.
Vancouver Gökten ES, Taneli Y. Obezitesi Olan Çocuk ve Ergenlerde Kendilik Algısı ve Psikiyatrik Belirtilerin Değerlendirilmesi. Acta Oncologica Turcica. 2014;47(3):32-5.