Dikkat eksikliği hiperaktivite bozukluğu olan hastalarda yeme tutumları ve dürtüsellik arasındaki ilişki

Rukiye Ay; Oğuzhan Kılınçel

TR EN

Dikkat eksikliği hiperaktivite bozukluğu olan hastalarda yeme tutumları ve dürtüsellik arasındaki ilişki

Öz

Amaç: Bu çalışmada dikkat eksikliği ve hiperaktivite bozukluğu (DEHB) olan hastalarda yeme tutumları ve dürtüsellik ilişkisinin araştırılması amaçlanmıştır. Gereç ve Yöntem: DEHB tanısıyla tedavi görmekte olan 56 erişkin hasta DEHB grubunu oluşturmuştur. Kontrol grubu olarak 56 sağlıklı yetişkin çalışmaya alınmıştır. DEHB ve kontrol grubuna Sosyodemografik ve klinik özellikler değerlendirme formu, Erişkin Dikkat Eksikliği Hiperaktivite Bozukluğu Kendi Bildirim Ölçeği (ASRS), Yeme Tutum Ölçeği (YTÖ), Beck Depresyon Envanteri (BDE) ve Barrat dürtüsellik ölçeği (BDÖ) uygulanmıştır. Bulgular: Sağlıklı gruba kıyasla hasta grubunda ASRS-A, ASRS-B, ASRS toplam, BDE, YTÖ, BDÖ Dikkat, Motor, Planlama ve toplam puanları istatistiksel olarak anlamlı derecede daha yüksek, YTÖ ˃30 olanların oranı istatistiksel olarak anlamlı derecede daha yüksek saptandı. Bununla birlikte hasta grubunda YTÖ ˂30 olanlara kıyasla YTÖ ˃30 olanlarda önlisans/lisans mezunu olanlar daha düşük oranda iken lise mezunu olanlar, ailede intihar, ailede ruhsal hastalık istatistiksel olarak anlamlı derecede daha yüksek oranda, ASRS-A, ASRS-B, ASRS toplam, BDÖ Planlama ve toplam puanları istatistiksel olarak anlamlı derecede daha yüksek saptandı. Sonuç: DEHB olan hastalarda yeme bozukluğu ve dürtüselliğin de eşlik olabileceği göz önünde bulundurulmalıdır. Bu fenomenlerin artan farkındalığı, DEHB olan bireyler için klinik yönetimi ve tedavi seçeneklerini geliştirebilir.

Anahtar Kelimeler

Dikkat Eksikliği Hiperaktivite Bozukluğu , Dürtüsellik , Yeme bozukluğu

The relationship between eating attitudes and impulsivity in patients with attention deficit hyperactivity disorder

Abstract

Purpose: The aim of this study was to investigate the relationship between eating attitudes and impulsivity in patients with attention deficit and hyperactivity disorder (ADHD). Materials and Methods: The ADHD group consisted of 56 adult patients. Fifty-six healthy adults without psychiatric disorders were included in the control group. Sociodemographic and clinical characteristics assessment form, Adult Attention Deficit Hyperactivity Disorder Self-Report Scale (ADHD), Eating Attitude Scale (EAS), Beck Depression Inventory (BDI) and Barrat Impulsivity Scale (BDS) were applied to ADHD and the control group. Results: Compared to the healthy group, ADHD-A, ADHD-B, ADHD total, BDI, EAS, BDS Attention, Motor, Planning and total scores were statistically significantly higher in the patient group, and the ratio of those with EAS ˃30 was statistically significantly higher. However, in the patient group with EAS >30, compared to those with EAS, associate / bachelor's degree graduates were lower, while high school graduates, family suicide, family mental illness were significantly higher, ADHD-A, ADHD-B, ADHD total, BDS Planning and total scores were statistically significantly higher. Conclusion: It could be kept in mind that in ADHD patients with ED comorbidity, inattention and impulsivity may be more pronounced. We think that the clinical management and treatment options of the patients could be developed according to these findings.

Keywords

impulsivity , ADHD , eating disorder

Kaynakça

1. Polanczyk GV, Willcutt EG, Salum GA, Kieling C, Rohde LA. ADHD prevalence estimates across three decades: an updated systematic review and meta-regression analysis. Int J Epidemiol 2014;43:434-42.
2. Ginsberg Y, Quintero J, Anand E, Casillas M, Upadhyaya HP. Underdiagnosis of attention-deficit/hyperactivity disorder in adult patients: a review of the literature. Prim Care Companion CNS Disord 2014;16.
3. Hinshaw SP. Attention Deficit Hyperactivity Disorder (ADHD): Controversy, Developmental Mechanisms, and Multiple Levels of Analysis. Annu Rev Clin Psychol 2018;14:291-316.
4. Joyce-Beaulieu D, Sulkowski ML. The diagnostic and statistical manual of mental disorders: (DSM-5) model of impairment. Assessing impairment: Springer; 2016:167-89.
5. Smink FR, van Hoeken D, Hoek HW. Epidemiology of eating disorders: incidence, prevalence and mortality rates. Curr Psychiatry Rep 2012;14:406-14.
6. Schaumberg K, Welch E, Breithaupt L, et al. The Science Behind the Academy for Eating Disorders' Nine Truths About Eating Disorders. Eur Eat Disord Rev 2017;25:432-50.
7. Shaw P, Sudre G. Adolescent Attention-Deficit/Hyperactivity Disorder: Understanding Teenage Symptom Trajectories. Biol Psychiatry 2020.
8. Pauli-Pott U, Albayrak O, Hebebrand J, Pott W. Association between inhibitory control capacity and body weight in overweight and obese children and adolescents: dependence on age and inhibitory control component. Child Neuropsychol 2010;16:592-603.
9. Nazar BP, Bernardes C, Peachey G, Sergeant J, Mattos P, Treasure J. The risk of eating disorders comorbid with attention-deficit/hyperactivity disorder: A systematic review and meta-analysis. Int J Eat Disord 2016;49:1045-57.
10. Seitz J, Kahraman-Lanzerath B, Legenbauer T, et al. The role of impulsivity, inattention and comorbid ADHD in patients with bulimia nervosa. PLoS One 2013;8:e63891.

11. Steadman KM, Knouse LE. Is the Relationship Between ADHD Symptoms and Binge Eating Mediated by Impulsivity? J Atten Disord 2016;20:907-12.
12. Doğan S, Öncü B, Varol Saraçoğlu G, Küçükgöncü S. Erişkin dikkat eksikliği hiperaktivite bozukluğu kendi bildirim ölçeği (ASRS-v1. 1): Türkçe formunun geçerlilik ve güvenilirliği. Anadolu Psikiyatri Dergisi 2009;10:77-87.
13. Pazvantoğlu O, Akbaş S, Sarısoy G, Baykal S, Zabun Korkmaz I, Bekiroğlu K. DEHB tanılı çocukların ebeveynlerinde DEHB ile ilişkili bazı sorunlu yaşam olayları. Düşünen Adam 2014;27:61-8.
14. Garner DM, Garfinkel PE. The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychol Med 1979;9:273-9.
15. Savasir I, Erol N. Yeme tutum testi: Anoreksiya nevroza belirtileri indeksi. Psikoloji Dergisi 1989;7:19-25.
16. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561-71.
17. Hisli-Sahin N. Beck Depresyon Envanteri’nin gecerligi uzerine bir calisma. Türk Psikoloji Dergisi 1988;6:118-26.
18. Arkar H, Safak C. Exploring dimensions of the Beck Depression Inventory in a clinical sample. TURK PSIKOLOJI DERGISI 2004;19:117-+.
19. Dunkel D, Froehlich S, Antretter E, Haring C. Replication of a two-factor model of the Beck Depression Inventory in alcohol dependents and suicide attempters. Psychopathology 2002;35:228-33.
20. Helm HW, Jr., Boward MD. Factor structure of the Beck Depression Inventory in a university sample. Psychol Rep 2003;92:53-61.
21. Patton JH, Stanford MS, Barratt ES. Factor structure of the Barratt impulsiveness scale. J Clin Psychol 1995;51:768-74.
22. Tamam L, Gulec H, Karatas G. Short form of Barratt Impulsiveness Scale (BIS-11-SF) Turkish adaptation study/Barratt Durtusellik Olcegi kisa formu (BIS-11-KF) Turkce uyarlama calismasi. Archives of Neuropsychiatry/Noropsikiatri Arsivi 2013;50:130-5.
23. Kaisari P, Dourish CT, Higgs S. Attention Deficit Hyperactivity Disorder (ADHD) and disordered eating behaviour: A systematic review and a framework for future research. Clin Psychol Rev 2017;53:109-21.
24. Stulz N, Hepp U, Gachter C, Martin-Soelch C, Spindler A, Milos G. The severity of ADHD and eating disorder symptoms: a correlational study. BMC Psychiatry 2013;13:44.
25. Viborg N, Wångby-Lundh M, Lundh L-G. Reciprocal prospective associations between disordered eating and other psychological problems in a community sample of Swedish adolescent girls. Eating behaviors 2014;15:159-63.
26. Nazar BP, Suwwan R, de Sousa Pinna CM, et al. Influence of attention-deficit/hyperactivity disorder on binge eating behaviors and psychiatric comorbidity profile of obese women. Compr Psychiatry 2014;55:572-8.
27. Davis C, Cohen A, Davids M, Rabindranath A. Attention-deficit/hyperactivity disorder in relation to addictive behaviors: a moderated-mediation analysis of personality-risk factors and sex. Front Psychiatry 2015;6:47.
28. Reinblatt SP, Leoutsakos JM, Mahone EM, Forrester S, Wilcox HC, Riddle MA. Association between binge eating and attention-deficit/hyperactivity disorder in two pediatric community mental health clinics. Int J Eat Disord 2015;48:505-11.
29. Sonneville KR, Calzo JP, Horton NJ, et al. Childhood hyperactivity/inattention and eating disturbances predict binge eating in adolescence. Psychol Med 2015;45:2511-20.
30. Goldschmidt AB, Hipwell AE, Stepp SD, McTigue KM, Keenan K. Weight Gain, Executive Functioning, and Eating Behaviors Among Girls. Pediatrics 2015;136:e856-63.
31. Slane JD, Burt SA, Klump KL. The road less traveled: Associations between externalizing behaviors and eating pathology. International Journal of Eating Disorders 2010;43:149-60.
32. Rastam M, Taljemark J, Tajnia A, et al. Eating problems and overlap with ADHD and autism spectrum disorders in a nationwide twin study of 9- and 12-year-old children. ScientificWorldJournal 2013;2013:315429.
33. Bijlenga D, van der Heijden KB, Breuk M, et al. Associations between sleep characteristics, seasonal depressive symptoms, lifestyle, and ADHD symptoms in adults. J Atten Disord 2013;17:261-75.
34. Stein D, Keller S, Ifergan IS, et al. Extreme Risk-Taking Behaviors in Patients With Eating Disorders. Front Psychiatry 2020;11:89.
35. Ben Amor L, Lachal J. [Impulsivity and obesity in children with Attention Deficit Hyperactivity Disorder: A clinical, neuropsychological and magnetic resonance spectroscopy exploratory study]. Encephale 2019;45:494-500.
36. Nazar BP, Trindade AP, Leslie M, et al. Eating Disorders Impact on Vigilance and Decision Making of a Community Sample of Treatment Naive Attention-Deficit/Hyperactivity Disorder Young Adults. Front Psychiatry 2018;9:531.

Ayrıntılar

Birincil Dil

Türkçe

Konular

Psikiyatri

Bölüm

Araştırma Makalesi

Yazarlar

Rukiye Ay
0000-0003-2854-5128
Türkiye

Oğuzhan Kılınçel ^*
0000-0003-2988-4631
Türkiye

Yayımlanma Tarihi

31 Mart 2021

Gönderilme Tarihi

13 Eylül 2020

Kabul Tarihi

10 Ekim 2020

Yayımlandığı Sayı

Yıl 2021 Cilt: 46 Sayı: 1

IZ

https://izlik.org/JA65ET43LC

MLA

Ay, Rukiye, ve Oğuzhan Kılınçel. “Dikkat eksikliği hiperaktivite bozukluğu olan hastalarda yeme tutumları ve dürtüsellik arasındaki ilişki”. Cukurova Medical Journal, c. 46, sy 1, Mart 2021, ss. 255-6, https://izlik.org/JA65ET43LC.

Bu eser Creative Commons Atıf-Gayriticari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.

Dikkat eksikliği hiperaktivite bozukluğu olan hastalarda yeme tutumları ve dürtüsellik arasındaki ilişki

Öz

Anahtar Kelimeler

The relationship between eating attitudes and impulsivity in patients with attention deficit hyperactivity disorder

Abstract

Keywords

Kaynakça

Ayrıntılar

Birincil Dil

Konular

Bölüm

Yazarlar

Yayımlanma Tarihi

Gönderilme Tarihi

Kabul Tarihi

Yayımlandığı Sayı

IZ

Kaynak Göster