Factors Affecting Peroperative Bleeding Amount and Need for Blood Transfusion in Retropubic Radical Prostatectomy Operation

Öz

Orthorexia Nervosa (ON) describes the excessive devotion to healthy eating and lifestyle or obsessive selection of healthy foods. Although it has been reported that there is overlap between ON and obsessive-compulsive disorder (OCD) and eating disorders (ED), it is not clear which disease spectrum ON symptoms overlap more. In this study, we aimed to examine ON symptoms in adolescents diagnosed with OCD and ED and to compare ON symptoms in both groups. Our study was conducted on 38 adolescents between the ages of 12-18 diagnosed with OCD or ED. To evaluate the patients' eating attitudes, the "Eating Attitudes Test (EAT-40)", to measure orthorexia symptoms, the "Ortho-11 Scale" and to measure anxiety/depression and obsessive-compulsive disorder symptoms, the "Anxiety and Depression Scale in Children-Revised (RCADS) child form" were filled out. The parents of the adolescents filled out the "Sociodemographic Data Form" and the "RCADS parent form". ORTO-11 score was found to be significantly lower and EAT-40 score was found to be higher in adolescents with ED compared to adolescents with OCD. A negative moderate correlation was found between the EAT-40 scale and the ORTO-11 scale and was statistically significant (r=-0.613, p<0.001). In the logistic regression analysis, the most important predictor for orthorexia tendency was found to be the EAT-40 score (p=0.010). In the linear regression analysis of EAT-40 and ORTO-11 scales; EAT-40 score was found to be a significant predictor of ORTO-11 score. In our study, ON symptoms were investigated in adolescents and orthoretic tendencies were compared in two different disease groups. According to our results, we think that there is more and stronger evidence for the classification of ON within eating disorders.

Anahtar Kelimeler

• Orthorexia Nervosa
• Adolescent
• Feeding and Eating Disorders
• Obsessive Compulsive Disorder
• Anorexia Nervosa

Obsesif Kompulsif Bozukluk ve Yeme Bozukluğu Tanısı ile İzlenen Ergenlerde Ortoreksiya Nervoza Belirtilerinin Karşılaştırılması

Öz

Ortoreksiya Nervoza (ON) sağlıklı beslenme ve sağlıklı yaşam tarzına aşırı düşkünlük veya takıntılı bir biçimde sağlıklı yiyecekler seçme durumunu tanımlamaktadır. ON ile obsesif kompulsif bozukluk (OKB) ve yeme bozukluğu (YB) arasında örtüşmeler olduğu bildirilse de ON belirtilerinin hangi hastalık spektrumuyla daha fazla örtüşme sağladığı net değildir. Biz bu çalışmamızda; OKB ve YB tanısı olan ergenlerde ON belirtilerini incelemeyi ve iki grup arasında karşılaştırmayı amaçladık. Çalışmamız OKB veya YB tanılı 12-18 yaş aralığındaki 38 adölesan üzerinde gerçekleştirilmiştir. Hastaların yeme tutumunu değerlendirmek için “Yeme Tutum Testi (YTT-40)”, ortoreksiya belirtilerini ölçmek için “Orto-11 Ölçeği” ve anksiyete/depresyon ve obsesif kompulsif bozukluk belirtilerini ölçmek için “Çocuklarda Anksiyete ve Depresyon Ölçeği-Yenilenmiş (ÇADÖ-Y) çocuk formu” doldurtuldu. Adolesanların ebeveynlerine ise “Sosyodemografik Veri Formu”, “ÇADÖ-Y ebeveyn formu” doldurtuldu. YB’li ergenlerde OKB’li ergenlere göre anlamlı şekilde ORTO-11 skoru düşük, YTT-40 skoru yüksek saptandı. YTT-40 ölçeği ile ORTO-11 ölçeği arasında negatif orta derecede bir korelasyon saptandı ve istatistiksel olarak anlamlıydı (r=-0.613, p<0.001). Lojistik regresyon analizinde ortoreksiya eğilimi için en önemli prediktörün YTT-40 skoru olduğu saptandı (p=0.010). YTT-40 ve ORTO-11 ölçeklerinin lineer regresyon analizinde; YTT-40 puanının, ORTO-11 skorunun anlamlı bir yordayıcısı olduğu saptandı. Çalışmamızda ON belirtileri adölesanlar üzerinde araştırılmış ve iki farklı hastalık grubunda ortoretik eğilimler karşılaştırılmıştır. Sonuçlarımıza göre ON’nin yeme bozukluklarının içerisinde sınıflandırılması için daha fazla ve güçlü kanıt olduğunu düşünmekteyiz.

Anahtar Kelimeler

• Ortoreksiya Nervoza
• Adölesan
• Beslenme ve Yeme Bozuklukları
• Obsesif Kompulsif Bozukluk
• Anoreksiya Nervoza

Kaynakça

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