Mediation Effect of Depression on the Association between Food Addiction and Body Image in Individuals with Obesity

Abstract

Objectives: This study aimed to examine the mediation effect of depression on the association between food addiction and body dissatisfaction in patients who seek for treatment for obesity. Methods: The study population consisted of 105 patients admitted to an obesity center in a university hospital. Data from were collected with the patient information form, the Yale Food Addiction Scale, the Beck Depression Inventory, and the Body Image Scale. The direct relationship between food addiction and body dissatisfaction and the mediating effect of depression in the relationship between these two constructs were examined using multi-group structural equation modeling analysis by gender. Results: The mean age of the patients was 50.22±10.05, 86.8% of them were females. The mean body mass index of the patients was calculated as 40.29±6.67. It was determined that 38.7% of the sample met the food addiction diagnosis criteria. It was found that 39.1% of females and 35.7% of males had food addiction. As a result of the modeling analysis, it was determined that there was no direct pathway between body dissatisfaction and food addiction, depression symptoms complete mediated the relationship between these two constructs. Results of multi-group analysis showed that the mediation model was consistent across gender. Conclusion: In the treatment of obesity cases in which food addiction and body image disorders coexist, examining the existence of depression and treating it can increase the success rate.

Keywords

• Food addiction
• Mediation
• Depression
• Obesity
• Body image

Obezite Sorunu Olan Bireylerde Yeme Bağımlılığı ile Beden İmajı Arasındaki İlişkide Depresyonun Aracılık Etkisi

Abstract

Amaç: Bu çalışmada, obezite sorunu olan ve tedavi programına başlamış hastalarda yeme bağımlılığı ile beden memnuniyetsizliği arasındaki ilişkide depresyonun aracılık etkisinin incelenmesi amaçlanmıştır. Gereç ve Yöntem: Çalışmanın örneklemini bir üniversite hastanesinin obezite merkezine başvuran 105 hasta oluşturdu. Veriler hasta bilgi formu, Yale Yeme Bağımlılığı Ölçeği, Beck Depresyon Envanteri ve Beden İmajı Skalası ile toplandı. Yeme bağımlılığı ile beden memnuniyetsizliği arasındaki direkt ilişki ve bu iki yapı arasındaki ilişkide depresyonun aracılık etkisi cinsiyetlere göre çoklu grup yapısal eşitlik modellemesi analizi ile incelendi. Bulgular: Çalışmaya katılan hastaların yaş ortalaması 50,22±10,05 ve %86,8’i kadındı. Hastaların beden kitle indeksi ortalaması 40,29±6,67 olarak hesaplandı. Örneklemin %38,7’sinin yeme bağımlılığı tanı kriterlerini karşıladığı belirlendi. Kadınların %39,1’inde, erkeklerin %35,7’sinde yeme bağımlılığı olduğu saptandı. Modelleme analizi sonucunda yeme bağımlılığı ile beden memnuniyetsizliği arasında doğrudan bir ilişkinin olmadığı, depresyonun bu iki yapı arasındaki ilişkiye tam aracılık ettiği tespit edildi. Çoklu grup analizinin sonuçları, aracılık etkisinin cinsiyetler arasında tutarlı olduğunu gösterdi. Sonuç: Yeme bağımlılığı ve beden imajı bozukluklarının bir arada olduğu obezite vakalarının tedavisinde depresyon varlığının incelenmesi ve tedavi edilmesi başarı oranını artırabilir.

Keywords

• Yeme bağımlılığı
• Beden imajı
• Depresyon
• Obezite
• Aracılık

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