Bariatrik Cerrahi Adaylarında ve Cerrahi Geçiren Kişilerde Yeme Bağımlılığı Durumu Kişinin Kendine Uyguladığı Şiddet midir?

Yıl 2021, Cilt: 2 Sayı: 1, 39 - 68, 22.04.2021

Merve Işık Nermin Gürhan

Öz

Çalışmalar şeker, yağ ve katkı maddeleri içeren işlenmiş besinlerin aşırı tüketiminin bağımlılık davranışına yol açabileceği gibi yeme davranışındaki olumsuz değişimlerin obezite gibi önlenebilir sağlık sorunlarına neden olabileceğini vurgulamaktadır. Obezitenin artmasıyla birlikte çeşitli tedavi yöntemlerinin yanı sıra bariatrik cerrahi de önem kazanmış ve yeme bağımlılığı prevelansı bariatrik cerrahi isteyen kişilerde yüksek oranda bulunmuştur. İnsanlar fazla yiyerek kilo alırken diğer taraftan da diyetlerle ve cerrahi işlemlerle bu kilolardan kurtulma çabası içine girmektedir. Farkına varmadan aslında önce bedene fazla yük sonrada bu kilolardan kurtulmak için cerrahi işlemler yaptırmak sureti ile şiddet uygulamaktadırlar. Bu derleme çalışmasında bariatrik cerrahi ameliyatı geçiren ve cerrahi adaylarında yeme bağımlılığı durumu ile ilgili yapılan araştırmaların gözden geçirilmesi ve elde edilen verilerin değerlendirilmesi amaçlanmıştır. Konuyla ilgili 2009-2019 yılları arasında yayınlanmış 1974 çalışma incelenmiş ve dahil edilme kriterlerine uygun toplam 23 çalışma çalışmanın kapsamını oluşturmuştur. Yapılan literatür taraması sonrası obez bireylerde yeme bağımlılığı prevelansının yüksek olduğu, yeme bağımlılığının madde kullanım bozukluğu, yaş, cinsiyet gibi faktörlerden etkilenmediği ancak yeme bağımlılığının bireylerde depresyon, anksiyete, tıkanırcasına yeme bozuklukları, kaygı, endişe gibi psikiyatrik bozukluklara yol açabileceği görülmüştür. Yeme bağımlılığı psikiyatrik bozukluklara yol açmaktadır. Bu nedenle yeme bağımlılığı olan bireylerin saptanması ve bu bireylere konsültasyon liyezon psikiyatri hemşireleri tarafından ek psikososyal destek verilmesi önerilebilir.

Anahtar Kelimeler

Bariatrik cerrahi, obezite, yeme bağımlılığı

Food Addiction in Bariatric Surgery Candidates and People Undergoing Surgery as a Form of Violence

Öz

Studies emphasize that excessive consumption of processed foods containing sugar, fat and additives can lead to addictive behavior, as well as negative changes in eating behavior can cause preventable health problems such as obesity. With the increase of obesity, besides various treatment methods, bariatric surgery has also gained importance and the prevalence of food addiction has been found to be high in people who want bariatric surgery. While people gain weight by eating too much, they also try to get rid of these weights with diets and surgical procedures. Before realizing it, they actually use violence by making excessive burden on the body and then having surgical procedures to get rid of these weights. In this review study, it is aimed to review the researches about food addiction status in surgical candidates who have undergone bariatric surgery and to evaluate the data obtained. 1974 studies published on the subject between 2009-2019 were examined, and a total of 23 studies in compliance with the inclusion criteria constituted the scope of the study. After the literature review, it was observed that the prevalence of food addiction in obese individuals is high, food addiction is not affected by factors such as substance use disorder, age, and gender, but food addiction can lead to psychiatric disorders such as depression, anxiety, binge eating disorders, anxiety and anxiety. Food addiction leads to psychiatric disorders. Therefore, it may be recommended to identify individuals with food addiction and to provide additional psychosocial support to these individuals by consultation-liaison psychiatric nurses.

Anahtar Kelimeler

Bariatric surgery, obesity, food addiction

Kaynakça

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