Yetişkin bireylerde yeme bozuklukları ile uyku kalitesi, depresyon, anksiyete ve stres arasındaki ilişkinin değerlendirilmesi: Ankara İli Örneği

Yıl 2024, Cilt: 5 Sayı: 2, 201 - 214, 27.08.2024

Arzu Kabasakal Çetin , Öznur Aydın

https://doi.org/10.58605/bingolsaglik.1488160

Öz

Yeme bozuklukları fiziksel ve psikolojik morbidite ile mortaliteye yol açmaktadır. Dolayısıyla yeme bozuklukları ile ilişkili risk faktörlerinin belirlenmesi büyük önem taşımaktadır. Bu çalışma Ankara’da yaşayan yetişkin bireylerde yeme bozuklukları ile uyku kalitesi, depresyon, anksiyete ve stres arasındaki ilişkinin değerlendirilmesi amacıyla yapılmıştır. Bu kesitsel çalışma Ankara’da yaşayan 220 sağlıklı bireyin katılımı ile online olarak yürütülmüştür. Araştırma verileri Kasım 2023-Mart 2024 tarihleri arasında toplanmıştır. Katılımcılara google forms ile oluşturulmuş anket formu sosyal medya aracılığı ile ulaştırılmıştır. Anket formu sosyodemografik özellikler ile depresyon-anksiyete-stres 21 ölçeği, uykusuzluk şikayetleri ve uyku kalitesi temel ölçeği ve yeme bozukluğu değerlendirme ölçeğinden oluşmaktadır. Katılımcıların yaş ortalaması 27.65±10.83 yıl (18-63 yaş) olup, büyük kısmı (%85.9) kadınlardan oluşmaktadır. Araştırma sonucunda yeme bozuklukları ile uyku kalitesi, beden kütle indeksi, depresyon, anksiyete ve stres arasında pozitif korelasyon olduğu bulunmuştur. Çoklu doğrusal regresyon analizine göre uyanma sorunları, beden kütle indeksi ve anksiyete ile yeme bozuklukları arasında pozitif ilişki olduğu gösterilmiştir. Bu çalışma uyku kalitesindeki bozulma ile beden kültle indeksindeki artışın ve anksiyete durumunun yeme bozuklukları riskini arttırabileceğine dikkat çekmektedir. Dolayısıyla, yeme bozuklukları riskinin azaltılmasına yönelik öneri ve strateji geliştirmede bireylerin uyku kalitesi, beden kütle indeksi ve anksiyete durumları da göz önünde bulundurulmalıdır.

Anahtar Kelimeler

Yeme bozuklukları, uyku kalitesi, depresyon, anksiyete, stres

Kaynakça

• Brandsma L. Eating disorders across the life span. Journal of women & aging. 2007;19(1-2):155-72.
• van Hoeken D, Hoek HW. Review of the burden of eating disorders: mortality, disability, costs, quality of life, and family burden. Current opinion in psychiatry. 2020;33(6):521-7.
• Le LK-D, Barendregt JJ, Hay P, Mihalopoulos C. Prevention of eating disorders: A systematic review and meta-analysis. Clinical psychology review. 2017;53:46-58.
• Jebeile H, Lister NB, Baur LA, Garnett SP, Paxton SJ. Eating disorder risk in adolescents with obesity. Obesity Reviews. 2021;22(5):e13173.
• Rø Ø, Reas DL, Rosenvinge J. The impact of age and BMI on Eating Disorder Examination Questionnaire (EDE-Q) scores in a community sample. Eating behaviors. 2012;13(2):158-61.
• Escolar-Llamazares M-C, Martínez-Martín M-Á, Medina-Gómez M-B, González-Alonso M-Y, Mercado-Val E, Lara-Ortega F. Sociodemographic variables and body mass index associated with the risk of eating disorders in Spanish university students. European Journal of Investigation in Health, Psychology and Education. 2023;13(3):595-612.
• Andreeva VA, Tavolacci M-P, Galan P, Ladner J, Buscail C, Péneau S, et al. Sociodemographic correlates of eating disorder subtypes among men and women in France, with a focus on age. J Epidemiol Community Health. 2019;73(1):56-64.
• Tan EJ, Raut T, Le LK-D, Hay P, Ananthapavan J, Lee YY, et al. The association between eating disorders and mental health: an umbrella review. Journal of Eating Disorders. 2023;11(1):51.
• Ulfvebrand S, Birgegård A, Norring C, Högdahl L, von Hausswolff-Juhlin Y. Psychiatric comorbidity in women and men with eating disorders results from a large clinical database. Psychiatry research. 2015;230(2):294-9.
• Sander J, Moessner M, Bauer S. Depression, anxiety and eating disorder-related impairment: moderators in female adolescents and young adults. International journal of environmental research and public health. 2021;18(5):2779.
• Bodell LP, Hames JL, Holm-Denoma JM, Smith AR, Gordon KH, Joiner TE. Does the stress generation hypothesis apply to eating disorders?: An examination of stress generation in eating, depressive, and anxiety symptoms. Journal of affective disorders. 2012;142(1-3):139-42.
• Lim MC, Parsons S, Goglio A, Fox E. Anxiety, stress, and binge eating tendencies in adolescence: a prospective approach. Journal of Eating Disorders. 2021;9(1):94.
• Fragkos KC, Frangos CC. Assessing eating disorder risk: the pivotal role of achievement anxiety, depression and female gender in non-clinical samples. Nutrients. 2013;5(3):811-28.
• Eck KM, Byrd‐Bredbenner C. Disordered eating concerns, behaviors, and severity in young adults clustered by anxiety and depression. Brain and behavior. 2021;11(12):e2367.
• Allison KC, Spaeth A, Hopkins CM. Sleep and eating disorders. Current psychiatry reports. 2016;18:1-8.
• Ohayon M, Wickwire EM, Hirshkowitz M, Albert SM, Avidan A, Daly FJ, et al. National Sleep Foundation's sleep quality recommendations: first report. Sleep health. 2017;3(1):6-19.
• Degasperi G, Meneo D, Curati S, Cardi V, Baglioni C, Cellini N. Sleep quality in eating disorders: A Systematic Review and Meta-Analysis. Sleep Medicine Reviews. 2024:101969.
• da Luz FQ, Sainsbury A, Salis Z, Hay P, Cordas T, Morin CM, et al. A systematic review with meta-analyses of the relationship between recurrent binge eating and sleep parameters. International Journal of Obesity. 2023;47(3):145-64.
• Baglioni C, Nanovska S, Regen W, Spiegelhalder K, Feige B, Nissen C, et al. Sleep and mental disorders: A meta-analysis of polysomnographic research. Psychological bulletin. 2016;142(9):969.
• Barnes RD, Palmer B, Hanson SK, Lawson JL. Sleep is the best medicine: assessing sleep, disordered eating, and weight-related functioning. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2023;28(1):98.
• Goel NJ, Sadeh-Sharvit S, Trockel M, Flatt RE, Fitzsimmons-Craft EE, Balantekin KN, et al. Depression and anxiety mediate the relationship between insomnia and eating disorders in college women. Journal of American college health. 2021;69(8):976-81.
• Christodoulou E, Markopoulou V, Koutelidakis AE. From Mind to Plate to Pillow: Examining the Interplay of Mental Health, Eating Disorders, and Sleep Quality. International Journal of Translational Medicine. 2024;4(2):278-85.
• Weir CB, Jan A. BMI classification percentile and cut off points. 2019.
• Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour research and therapy. 1995;33(3):335-43.
• Sarıçam H. The psychometric properties of Turkish version of Depression Anxiety Stress Scale-21 (DASS-21) in health control and clinical samples. 2018.
• Allen Gomes A, Ruivo Marques D, Meia-Via AM, Meia-Via M, Tavares J, Fernandes da Silva C, et al. Basic Scale on Insomnia complaints and Quality of Sleep (BaSIQS): reliability, initial validity and normative scores in higher education students. Chronobiology international. 2015;32(3):428-40.
• Irem A, Malakcioğlu C, Mutlu Hh. Uykusuzluk Şikayetleri Ve Uyku Kalitesi Temel Ölçeği’nin Türkçe Geçerlilik Ve Güvenirliği. Turkish Journal Of Family Medicine And Primary Care. 2021;15(4):846-52.
• Lev-Ari L, Bachner-Melman R, Zohar AH. Eating Disorder Examination Questionnaire (EDE-Q-13): expanding on the short form. Journal of eating disorders. 2021;9(1):57.
• Esin K, Ayyıldız F. Validity and reliability of the Turkish version of the Eating Disorder Examination Questionnaire (EDE-Q-13): short-form of EDE-Q. Journal of Eating Disorders. 2022;10(1):1-9.
• Maxwell M, Thornton LM, Root TL, Pinheiro AP, Strober M, Brandt H, et al. Life beyond the eating disorder: Education, relationships, and reproduction. International Journal of Eating Disorders. 2011;44(3):225-32.
• Trace SE, Thornton LM, Runfola CD, Lichtenstein P, Pedersen NL, Bulik CM. Sleep problems are associated with binge eating in women. International Journal of Eating Disorders. 2012;45(5):695-703.
• Çiftçi S, Kızıl M. Is there a Link between Sleep Quality and a tendency for eating disorders? Beslenme ve Diyet Dergisi. 2023;51(2):34-44.
• Fan Y, Li Y, Liu A, Hu X, Ma G, Xu G. Associations between body mass index, weight control concerns and behaviors, and eating disorder symptoms among non-clinical Chinese adolescents. BMC Public Health. 2010;10:1-12.
• Haines J, Neumark-Sztainer D. Prevention of obesity and eating disorders: a consideration of shared risk factors. Health education research. 2006;21(6):770-82.
• Burrows A, Cooper M. Possible risk factors in the development of eating disorders in overweight pre-adolescent girls. International Journal of Obesity. 2002;26(9):1268-73.
• Jacobi C, Hayward C, de Zwaan M, Kraemer HC, Agras WS. Coming to terms with risk factors for eating disorders: application of risk terminology and suggestions for a general taxonomy. Psychological bulletin. 2004;130(1):19.
• Jahrami H, Saif Z, Faris MeA-I, Levine MP. The relationship between risk of eating disorders, age, gender and body mass index in medical students: a meta-regression. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2019;24:169-77.
• Tekin T, Bağlam N. Body weight gain in adolescents can increase the risk of developing an eating disorder. Mediterranean Journal of Nutrition and Metabolism. 2023;16(3):213-22.
• Donofry SD, Roecklein KA, Wildes JE, Miller MA, Erickson KI. Alterations in emotion generation and regulation neurocircuitry in depression and eating disorders: A comparative review of structural and functional neuroimaging studies. Neuroscience & Biobehavioral Reviews. 2016;68:911-27.
• Garcia SC, Mikhail ME, Keel PK, Burt SA, Neale MC, Boker S, et al. Increased rates of eating disorders and their symptoms in women with major depressive disorder and anxiety disorders. International Journal of Eating Disorders. 2020;53(11):1844-54.
• Fusco SdFB, Amancio SCP, Pancieri AP, Alves MVMFF, Spiri WC, Braga EM. Anxiety, sleep quality, and binge eating in overweight or obese adults. Revista da Escola de Enfermagem da USP. 2020;54:e03656.