Araştırma Makalesi
BibTex RIS Kaynak Göster

Yıl 2025, Cilt: 7 Sayı: 3, 664 - 70, 09.09.2025
https://doi.org/10.37990/medr.1717920

Öz

Kaynakça

  • Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000;894:i-xii, 1-253.
  • Barlow SE, Dietz WH. Obesity evaluation and treatment: expert Committee recommendations. The Maternal and Child Health Bureau, Health Resources and Services Administration and the Department of Health and Human Services. Pediatrics. 1998;102:E29.
  • Girgin E. Effect of emotional eating behavior on nutritional status in obese individuals. Master's thesis; Medipol University, İstanbul, 2018.
  • Schwimmer JB, Burwinkle TM, Varni JW. Health-related quality of life of severely obese children and adolescents. JAMA. 2003;289:1813-9.
  • de Beer M, Hofsteenge GH, Koot HM, et al. Health-related-quality-of-life in obese adolescents is decreased and inversely related to BMI. Acta Paediatr. 2007;96:710-4.
  • Britz B, Siegfried W, Ziegler A, et al. Rates of psychiatric disorders in a clinical study group of adolescents with extreme obesity and in obese adolescents ascertained via a population based study. Int J Obes Relat Metab Disord. 2000;24:1707-14.
  • Liu J, Hay J, Joshi D, et al. Sleep difficulties and obesity among preadolescents. Can J Public Health. 2011;102:139-43.
  • Robberstad L, Dyb G, Hagen K, et al. An unfavorable lifestyle and recurrent headaches among adolescents: the HUNT study. Neurology. 2010;75:712-7.
  • Palmer AJ, Poveda JL, Martinez-Laguna D, et al. Childhood overweight and obesity and back pain risk: a cohort study of 466 997 children. BMJ Open. 2020;10:e036023.
  • Phatak UP, Pashankar DS. Prevalence of functional gastrointestinal disorders in obese and overweight children. Int J Obes (Lond). 2014;38:1324-7.
  • Hestetun I, Svendsen MV, Oellingrath IM. Associations between overweight, peer problems, and mental health in 12-13-year-old Norwegian children. Eur Child Adolesc Psychiatry. 2015;24:319-26.
  • Pulgarón ER. Childhood obesity: a review of increased risk for physical and psychological comorbidities. Clin Ther. 2013;35:A18-32.
  • Harriger JA, Thompson JK. Psychological consequences of obesity: weight bias and body image in overweight and obese youth. Int Rev Psychiatry. 2012;24:247-53.
  • Zametkin AJ, Zoon CK, Klein HW, Munson S. Psychiatric aspects of child and adolescent obesity: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry. 2004;43:134-50.
  • Vander Wal JS, Mitchell ER. Psychological complications of pediatric obesity. Pediatr Clin North Am. 2011;58:1393-401, x.
  • Cornette R. The emotional impact of obesity on children. Worldviews Evid Based Nurs. 2008;5:136-41.
  • Chambers WJ, Puig-Antich J, Hirsch M, et al. The assessment of affective disorders in children and adolescents by semistructured interview. Test-retest reliability of the schedule for affective disorders and schizophrenia for school-age children, present episode version. Arch Gen Psychiatry. 1985;42:696-702.
  • Kaufman J, Birmaher B, Brent D, et al. Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry. 1997;36:980-8.
  • Gökler B, Ünal F, Pehlivantürk B, et al. Reliability and validity of Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version-Turkish Version (K-SADS-PL-T). Journal of Child and Adolescent Mental Health. 2004;11:109-16.
  • Rosenberg M. Society and The Adolescent Self-Image. New Jersey: Princeton University Press. 1965.
  • Rezan A, Erogul Ç. Psychometric properties of Turkish version of Childhood Trauma Questionnaire among adolescents with gender differences. Psychology. 2012;3:916-22.
  • Önder A, Kavurma C, Çelmeli G, et al. Assessment of psychopathology, quality of life and parental behaviours of children and adolescents with obesity. İzmir Dr. Behçet Uz Pediatrics Journal. 2018;8:51-8.
  • Lindberg L, Hagman E, Danielsson P, et al. Anxiety and depression in children and adolescents with obesity: a nationwide study in Sweden. BMC Med. 2020;18:30.
  • Salvy SJ, Bowker JC. Peers and obesity during childhood and adolescence: a review of the empirical research on peers, eating, and physical activity. J Obes Weight Loss Ther. 2014;4:207.
  • Pearce MJ, Boergers J, Prinstein MJ. Adolescent obesity, overt and relational peer victimization, and romantic relationships. Obes Res. 2002;10:386-93.
  • Decaluwé V, Braet C, Fairburn CG. Binge eating in obese children and adolescents. Int J Eat Disord. 2003;33:78-84.
  • Moradi M, Mozaffari H, Askari M, Azadbakht L. Association between overweight/obesity with depression, anxiety, low self-esteem, and body dissatisfaction in children and adolescents: a systematic review and meta-analysis of observational studies. Crit Rev Food Sci Nutr. 2022;62:555-70.
  • Tirlea L, Bonham M, Dordevic A, et al. Measuring self-esteem changes in children and adolescents affected by overweight or obesity: a scoping review of instruments currently used in multicomponent weight-management interventions. Child Obes. 2019;15:485-501.
  • Dragoumani K, Troumbis A, Bacopoulou F, Chrousos G. Childhood and adolescent obesity with somatic indicators of stress, inflammation, and dysmetabolism before and after intervention: a meta-analysis. J Pers Med. 2023;13:1322.
  • Hassan H, Paulis WD, Bindels PJE, et al. Somatic complaints as a mediator in the association between body mass index and quality of life in children and adolescents. BMC Fam Pract. 2021;22:214.
  • Roberts RE, Duong HT. Is there an association between adolescent sleep restriction and obesity. J Psychosom Res. 2015;79:651-6.
  • Widome R, Lenk KM, Laska MN, et al. Sleep duration and weight-related behaviors among adolescents. Child Obes. 2019;15:434-42.
  • Chao AM, Wadden TA, Berkowitz RI. Obesity in adolescents with psychiatric disorders. Curr Psychiatry Rep. 2019;21:3.
  • Zhou J, Song Y, Ying J, et al. Effects of lifestyle interventions on mental health in children and adolescents with overweight or obesity: a systematic review and meta-analysis. EClinicalMedicine. 2025;81:103121.

Evaluation of Sociodemographic Characteristics, Psychiatric Comorbidities, and Self-Esteem in Adolescents Diagnosed with Obesity and Comparison with Control Group

Yıl 2025, Cilt: 7 Sayı: 3, 664 - 70, 09.09.2025
https://doi.org/10.37990/medr.1717920

Öz

Aim: The primary objective of this research was to investigate the sociodemographic profiles, prevalence of psychiatric comorbidities, and self-esteem levels among adolescents diagnosed with obesity, and to contrast these findings with those of a control group.
Material and Method: This study employed a cross-sectional design involving 30 obese adolescents and 28 age- and gender-matched participants without obesity, all between the ages of 11 and 18. Data collection instruments included a structured sociodemographic questionnaire, the Schedule for Affective Disorders and Schizophrenia for School-Age Children–Present and Lifetime Version (K-SADS-PL), and the Rosenberg Self-Esteem Scale (RSES). Group comparisons were made using independent samples t-tests and chi-square tests, with statistical significance defined as p<0.05.
Results: No statistically significant differences were identified between the groups regarding age, sex distribution, school grade level, or academic achievement. However, the body mass index (BMI) was markedly elevated in the obese group compared to controls (p<0.001). Psychiatric diagnoses were significantly more frequent in the obesity group (60%) relative to the control group (32.1%) (p=0.034), with mood disorders and multiple psychiatric diagnoses being notably prevalent. Despite this, there were no significant group differences in mean RSES scores or self-reported self-esteem levels (p=0.290 and p=0.793, respectively).
Conclusion: The findings underscore a higher rate of psychiatric comorbidity among adolescents living with obesity, suggesting that mental health evaluation and psychological support should be integral components of adolescent obesity prevention and intervention strategies.

Etik Beyan

Ethical clearance for this research was granted by the Non-Interventional Clinical Research Ethics Committee of Karabük University, Republic of Türkiye (Approval No: 2025/2226; Approval Date: April 16, 2025). Prior to participation, written informed consent was secured from all adolescents and their legal representatives.

Kaynakça

  • Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000;894:i-xii, 1-253.
  • Barlow SE, Dietz WH. Obesity evaluation and treatment: expert Committee recommendations. The Maternal and Child Health Bureau, Health Resources and Services Administration and the Department of Health and Human Services. Pediatrics. 1998;102:E29.
  • Girgin E. Effect of emotional eating behavior on nutritional status in obese individuals. Master's thesis; Medipol University, İstanbul, 2018.
  • Schwimmer JB, Burwinkle TM, Varni JW. Health-related quality of life of severely obese children and adolescents. JAMA. 2003;289:1813-9.
  • de Beer M, Hofsteenge GH, Koot HM, et al. Health-related-quality-of-life in obese adolescents is decreased and inversely related to BMI. Acta Paediatr. 2007;96:710-4.
  • Britz B, Siegfried W, Ziegler A, et al. Rates of psychiatric disorders in a clinical study group of adolescents with extreme obesity and in obese adolescents ascertained via a population based study. Int J Obes Relat Metab Disord. 2000;24:1707-14.
  • Liu J, Hay J, Joshi D, et al. Sleep difficulties and obesity among preadolescents. Can J Public Health. 2011;102:139-43.
  • Robberstad L, Dyb G, Hagen K, et al. An unfavorable lifestyle and recurrent headaches among adolescents: the HUNT study. Neurology. 2010;75:712-7.
  • Palmer AJ, Poveda JL, Martinez-Laguna D, et al. Childhood overweight and obesity and back pain risk: a cohort study of 466 997 children. BMJ Open. 2020;10:e036023.
  • Phatak UP, Pashankar DS. Prevalence of functional gastrointestinal disorders in obese and overweight children. Int J Obes (Lond). 2014;38:1324-7.
  • Hestetun I, Svendsen MV, Oellingrath IM. Associations between overweight, peer problems, and mental health in 12-13-year-old Norwegian children. Eur Child Adolesc Psychiatry. 2015;24:319-26.
  • Pulgarón ER. Childhood obesity: a review of increased risk for physical and psychological comorbidities. Clin Ther. 2013;35:A18-32.
  • Harriger JA, Thompson JK. Psychological consequences of obesity: weight bias and body image in overweight and obese youth. Int Rev Psychiatry. 2012;24:247-53.
  • Zametkin AJ, Zoon CK, Klein HW, Munson S. Psychiatric aspects of child and adolescent obesity: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry. 2004;43:134-50.
  • Vander Wal JS, Mitchell ER. Psychological complications of pediatric obesity. Pediatr Clin North Am. 2011;58:1393-401, x.
  • Cornette R. The emotional impact of obesity on children. Worldviews Evid Based Nurs. 2008;5:136-41.
  • Chambers WJ, Puig-Antich J, Hirsch M, et al. The assessment of affective disorders in children and adolescents by semistructured interview. Test-retest reliability of the schedule for affective disorders and schizophrenia for school-age children, present episode version. Arch Gen Psychiatry. 1985;42:696-702.
  • Kaufman J, Birmaher B, Brent D, et al. Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry. 1997;36:980-8.
  • Gökler B, Ünal F, Pehlivantürk B, et al. Reliability and validity of Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version-Turkish Version (K-SADS-PL-T). Journal of Child and Adolescent Mental Health. 2004;11:109-16.
  • Rosenberg M. Society and The Adolescent Self-Image. New Jersey: Princeton University Press. 1965.
  • Rezan A, Erogul Ç. Psychometric properties of Turkish version of Childhood Trauma Questionnaire among adolescents with gender differences. Psychology. 2012;3:916-22.
  • Önder A, Kavurma C, Çelmeli G, et al. Assessment of psychopathology, quality of life and parental behaviours of children and adolescents with obesity. İzmir Dr. Behçet Uz Pediatrics Journal. 2018;8:51-8.
  • Lindberg L, Hagman E, Danielsson P, et al. Anxiety and depression in children and adolescents with obesity: a nationwide study in Sweden. BMC Med. 2020;18:30.
  • Salvy SJ, Bowker JC. Peers and obesity during childhood and adolescence: a review of the empirical research on peers, eating, and physical activity. J Obes Weight Loss Ther. 2014;4:207.
  • Pearce MJ, Boergers J, Prinstein MJ. Adolescent obesity, overt and relational peer victimization, and romantic relationships. Obes Res. 2002;10:386-93.
  • Decaluwé V, Braet C, Fairburn CG. Binge eating in obese children and adolescents. Int J Eat Disord. 2003;33:78-84.
  • Moradi M, Mozaffari H, Askari M, Azadbakht L. Association between overweight/obesity with depression, anxiety, low self-esteem, and body dissatisfaction in children and adolescents: a systematic review and meta-analysis of observational studies. Crit Rev Food Sci Nutr. 2022;62:555-70.
  • Tirlea L, Bonham M, Dordevic A, et al. Measuring self-esteem changes in children and adolescents affected by overweight or obesity: a scoping review of instruments currently used in multicomponent weight-management interventions. Child Obes. 2019;15:485-501.
  • Dragoumani K, Troumbis A, Bacopoulou F, Chrousos G. Childhood and adolescent obesity with somatic indicators of stress, inflammation, and dysmetabolism before and after intervention: a meta-analysis. J Pers Med. 2023;13:1322.
  • Hassan H, Paulis WD, Bindels PJE, et al. Somatic complaints as a mediator in the association between body mass index and quality of life in children and adolescents. BMC Fam Pract. 2021;22:214.
  • Roberts RE, Duong HT. Is there an association between adolescent sleep restriction and obesity. J Psychosom Res. 2015;79:651-6.
  • Widome R, Lenk KM, Laska MN, et al. Sleep duration and weight-related behaviors among adolescents. Child Obes. 2019;15:434-42.
  • Chao AM, Wadden TA, Berkowitz RI. Obesity in adolescents with psychiatric disorders. Curr Psychiatry Rep. 2019;21:3.
  • Zhou J, Song Y, Ying J, et al. Effects of lifestyle interventions on mental health in children and adolescents with overweight or obesity: a systematic review and meta-analysis. EClinicalMedicine. 2025;81:103121.
Toplam 34 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Psikiyatri
Bölüm Özgün Makaleler
Yazarlar

Umut Balatacı 0000-0002-1562-1673

Bari Ay 0000-0002-9740-3716

Yayımlanma Tarihi 9 Eylül 2025
Gönderilme Tarihi 12 Haziran 2025
Kabul Tarihi 7 Temmuz 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 7 Sayı: 3

Kaynak Göster

AMA Balatacı U, Ay B. Evaluation of Sociodemographic Characteristics, Psychiatric Comorbidities, and Self-Esteem in Adolescents Diagnosed with Obesity and Comparison with Control Group. Med Records. Eylül 2025;7(3):664-70. doi:10.37990/medr.1717920

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Department of Thoracic Surgery, Ufuk University, Dr. Rıdvan Ege Hospital, Ankara, Türkiye

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Department of Cardiology, Ankara Lokman Hekim University, Ankara, Türkiye

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Department of Ear, Nose and Throat Diseases, Gazi University Faculty of Medicine, Ankara, Türkiye

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Department of Radiology, Erzincan Binali Yıldırım University Faculty of Medicine, Erzincan, Türkiye

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