Yeme Bozuklukları ve Duygular

Öz

Duygu, davranışsal, bilişsel, fenomenolojik ve fizyolojik kanalları bütünleştiren, bir uyaran olayına evrensel verilen bir tepkidir. Duygularımız mevcut duruma uygunluğumuzu arttırır ve çevreyi şekillendirir. Olaylara verdiğimiz tepkiler ve davranışlarımız duygularımızdan etkilenir. Mutluluk gibi duyguları yaşamak daha kolay, korku ve öfke gibi duyguları yaşamak ise daha zordur. Öfke, korku ve tiksinti gibi temel duygular genellikle toplum tarafından olumsuz görüldüğünden, insanlar bu duyguları hissetmekten kaçınırlar. Bununla birlikte, duyguları hissetmek ve ifade etmek, bilişsel veya davranışsal olarak nasıl davrandığımız üzerinde olumlu bir etkiye sahiptir. Bu nedenle uzun süreli duygulardan kaçınma ve bastırma, yeme bozuklukları gibi bazı psikopatolojilere neden olabilir. Araştırma sonuçlarına göre duygusal stres, yeme miktarında ve iştahta ortalama %30 artışa ve %48 azalmaya neden olur. Yeme bozukluklarında uyumsuz veya zor duygularla başa çıkma veya bu duygulardan kaçınma işlevi gören davranışlar görülür. Örneğin, kişi utanç, öfke, suçluluk duygusu yaşamak yerine kısıtlayıcı veya aşırı yeme gibi anormal yeme davranışları gösterebilir. Danışanı ve patolojiyi daha iyi anlamak ve terapinin etkinliğini artırmak için yeme bozukluklarında duyguların etkilerine yönelik araştırmaların çok önemli olduğuna inanılmaktadır. Bu nedenle, bu derlemede duygular ve yeme bozuklukları arasındaki ilişki açıklanacaktır.

Anahtar Kelimeler

• Duygular
• yeme bozuklukları
• anoreksiya
• bulimia
• tıkanırcasına yeme.

Eating Disorders and Emotions

Abstract

Emotion is a universal and effective reaction to an external stimuli event that combines phenomenological, cognitive, behavioral, and physiological channels. Our emotions increase our aptitude for the current situation and shape the environment. Our reactions to events and our behavior are influenced by our emotions. It is easier to experience emotions such as happiness and more difficult to experience emotions such as fear and anger. Because basic emotions such as anger, fear, and disgust are generally viewed as negative in society, people avoid feeling them. However, feeling and expressing emotions positively affects our cognitive and behavioral actions. For this reason, long-term avoidance and suppression of emotions can lead to some psychopathologies, such as eating disorders. Emotional stress leads to a certain extent increase and decrease in appetite and eating behaviors. In eating disorders, behaviors are observed that serve to cope with inappropriate or difficult emotions or to avoid these emotions. For example, instead of feelings of shame, anger, and guilt, the person may exhibit such abnormal eating behaviors as restrictive eating behaviors or binge eating. In order to better understand the patient and his or her disorder and to improve the effectiveness of treatment, research into the effects of emotions in eating disorders is crucial. In this context, the relationship between eating disorders and emotions will be discussed in depth in this review study.

Keywords

• Emotions, eating disorders, anorexia, bulimia, binge eating

Kaynakça

1. American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders: DSM-5. American Psychiatric Association.
2. American Psychiatric Association. (2006). Treatment of patients with eating disorders, American Psychiatric Association. The American journal of psychiatry, 163(7 Suppl), 4-54.
3. Ainscough, C., & Toon, K. (2000). Surviving childhood sexual abuse: Practical self-help for adults who were sexually abused as children. Da Capo Press.
4. Andrews, B. (1997). Bodily shame in relation to abuse in childhood and bulimia: A preliminary investigation. British Journal of Clinical Psychology, 36, 41–49.
5. Bell, K., Coulthard, H., & Wildbur, D. (2017). Self‐disgust within eating disordered groups: Associations with anxiety, disgust sensitivity and sensory processing. European Eating Disorders Review, 25(5), 373-380.
6. Berends, T., Boonstra, N., & Van Elburg, A. (2018). Relapse in anorexia nervosa: a systematic review and meta-analysis. Current Opinion in Psychiatry, 31(6), 445-455.
7. Blair, A. J., Lewis, V. J., & Booth, D. A. (1990). Does emotional eating interfere with success in attempts at weight control? Appetite, 15(2), 151-157.
8. Blinder, B. J., Cumella, E. J., & Sanathara, V. A. (2006). Psychiatric comorbidities of female inpatients with eating disorders. Psychosomatic medicine, 68(3), 454-462.

9. Blythin, S. P., Nicholson, H. L., Macintyre, V. G., Dickson, J. M., Fox, J. R., & Taylor, P. J. (2020). Experiences of shame and guilt in anorexia and bulimia nervosa: A systematic review. Psychology and Psychotherapy: Theory, Research and Practice, 93(1), 134-159.
10. Bottera, A. R., Kambanis, P. E., & De Young, K. P. (2020). The differential associations of shame and guilt with eating disorder behaviors. Eating Behaviors, 39, 101427.
11. Bulik, C. M., Slof-Op't Landt, M. C., van Furth, E. F., & Sullivan, P. F. (2007). The genetics of anorexia nervosa. Annu. Rev. Nutr., 27, 263-275.
12. Cha, S., Ihongbe, T. O., & Masho, S. W. (2016). Racial and gender differences in dating violence victimization and disordered eating among US high schools. Journal of Women's Health, 25(8), 791-800.
13. Cooper, M. J., Wells, A., & Todd, G. (2004). A cognitive model of bulimia nervosa. British Journal of Clinical Psychology, 43(1), 1-16.
14. Davey, G. C. L. (1994). Self-reported fears to common indigenous animals in an adult UK population: The role of disgust sensitivity. British Journal of Psychology, 85(4), 541–554. doi:10.1111/j.2044-8295.1994.tb02540.x
15. Davey, G. C., Buckland, G., Tantow, B., & Dallos, R. (1998). Disgust and eating disorders. European Eating Disorders Review: The Professional Journal of the Eating Disorders Association, 6(3), 201-211.
16. Davey, G. C., & Chapman, L. (2009). Disgust and eating disorder symptomatology in a non‐clinical population: The role of trait anxiety and anxiety sensitivity. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice, 16(4), 268-275.
17. Dolhanty, J., & Greenberg, L. S. (2007). Emotion-focused therapy in the treatment of eating disorders. European Psychotherapy, 7(1), 97-116.
18. Erbay, L. G., & Seçkin, Y. (2016). Yeme bozuklukları. Güncel gastroenteroloji, 20(4), 473-477.
19. Ertaş, H. S. (2006). Yeme bozuklukları: anoreksiya, bulimia ve diğerleri. Timaş.
20. Espeset, E. M., Gulliksen, K. S., Nordbø, R. H., Skårderud, F., & Holte, A. (2012). The link between negative emotions and eating disorder behaviour in patients with anorexia nervosa. European Eating Disorders Review, 20(6), 451-460.
21. Espina, A. (2003). Alexithymia in parents of daughters with eating disorders. Journal of Psychosomatic Research, 55(6), 553–560.
22. Fairburn, C. G., & Brownell, K. D. (Eds.). (2005). Eating disorders and obesity: A comprehensive handbook. Guilford Press.
23. Fox, J. R. E. & Power, M. J. (2009). Eating disorders and multi-level models of emotion: An integrated model. Clinical Psychology and Psychotherapy, 16, 240-267.
24. Fox, J. R. E., Smithson, E., Baillie, S., Ferreira, N., Mayr, I., & Power, M. J. (2012). Emotion coupling and regulation in anorexia nervosa. Clinical Psychology and Psychotherapy, 20(4), 319-333
25. Frank, E. S. (1991). Shame and guilt in eating disorders. American Journal of Orthopsychiatry, 61(2), 303-306.
26. Galmiche, M., Déchelotte, P., Lambert, G., & Tavolacci, M. P. (2019). Prevalence of eating disorders over the 2000–2018 period: a systematic literature review. The American journal of clinical nutrition, 109(5), 1402-1413.
27. Geller, J., Cockell, S.J., Hewitt, P.L., Goldner, E.M., & Flett, G.L. (2000). Inhibited expression of negative emotions and interpersonal orientation in anorexia nervosa. International Journal of Eating Disorders, 28(1), 8–19.
28. Gilbert, P. (1998). What is shame? Some core issues and controversies. In P. Gilbert & B. Andrews (Eds), Shame: Interpersonal behaviour, psychopathology and culture (pp. 3–38). New York: Oxford University Press.
29. Goss, K., & Allan, S. (2009). Shame, pride and eating disorders. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice, 16(4), 303-316.
30. Gilbert, P., & Miles, J. (Eds.). (2002). Body shame: Conceptualisation, research, and treatment. Psychology Press. Gross, J. J. (2002). Emotion regulation: Affective, cognitive, and social consequences. Psychophysiology, 39(3), 281-291. Gross, J. J. (1998). The emerging field of emotion regulation: An i ntegrative review. Review of general psychology, 2(3), 271-299.
31. Gross, J. J. (1999). Emotion and emotion regulation. Handbook of personality: Theory and research, 2, 525-552.
32. Harvey, T., Troop, N. A., Treasure, J. L., & Murphy, T. (2002). Fear, disgust, and abnormal eating attitudes: A preliminary study. International Journal of Eating Disorders, 32(2), 213-218.
33. Hay, P., Girosi, F., & Mond, J. (2015). Prevalence and sociodemographic correlates of DSM-5 eating disorders in the Australian population. Journal of eating disorders, 3(1), 1-7.
34. Haynos, A. F., & Fruzzetti, A. E. (2011). Anorexia nervosa as a disorder of emotion dysregulation: Evidence and treatment implications. Clinical Psychology: Science and Practice, 18(3), 183.
35. Izard, C. E. (1977). Differential emotions theory. In Human emotions (pp. 43-66). Springer, Boston, MA. İnalkaç, S. & Arslantaş, H. (2018). Duygusal yeme. Arşiv Kaynak Tarama Dergisi, 27(1), 70- 82.
36. İnan, E., & Yücel, E. (2020). Psikoloji penceresinden duygular. Nobel yayınları. Kalat, J., & Shiota, M. (2010). Emotion. Nelson Education.
37. Keel, P. K. (2016). Eating disorders. Oxford University Press.
38. Kessler, R. C., Berglund, P. A., Chiu, W. T., Deitz, A. C., Hudson, J. I., Shahly, V., ... & Xavier, M. (2013). The prevalence and correlates of binge eating disorder in the World Health Organization World Mental Health Surveys. Biological psychiatry, 73(9), 904-914.
39. Kelly, A. C., & Tasca, G. A. (2016). Within-persons predictors of change during eating disorders treatment: An examination of self-compassion, self-criticism, shame, and eating disorder symptoms. International Journal of Eating Disorders, 49(7), 716–722.
40. Kelly, A. C., & Tasca, G. A. (2016). Within‐persons predictors of change during eating disorders treatment: An examination of self‐compassion, self‐criticism, shame, and eating disorder symptoms. International Journal of Eating Disorders, 49(7), 716-722.
41. Korkmaz, E. (2021). Duygu Odaklı Terapide Yeme Bozukluklarına Kapsamlı Bir Bakış. Türkiye Bütüncül Psikoterapi Dergisi, 4(8), 14-27.
42. Krebs, H., Macht, M., Weyers, P., Weijers, H. G., & Janke, W. (1996). Effects of stressful noise on eating and non-eating behavior in rats. Appetite, 26(2), 193-202.
43. Levine, M. P., & Smolak, L. (2007). Prevention of negative body image, disordered eating, and eating disorders. Annual Review of Eating Disorders Part 1, 1-14.
44. Macht, M. (2008). How emotions affect eating: A five-way model. Appetite, 50(1), 1-11.
45. Macht, M., Roth, S., & Ellgring, H. (2002). Chocolate eating in healthy men during experimentally induced sadness and joy. Appetite, 39(2), 147-158.
46. Maner, F., & Aydın, A. (2007). Bulimiya nervozada psikososyokültürel etmenler. Düşünen Adam: Psikiyatri ve Nörolojik Bilimler Dergisi, 20(1), 25-37.
47. Polivy, J., & Herman, C. P. (2002). Causes of eating disorders. Annual review of psychology, 53(1), 187-213.
48. Råstam, M., & Gillberg, C. (1991). The family background in anorexia nervosa: a population-based study. Journal of the American Academy of Child & Adolescent Psychiatry, 30(2), 283-289.
49. Robbins, T. W., & Fray, P. J. (1980). Stress-induced eating: fact, fiction or misunderstanding? Appetite, 1(2), 103-133.
50. Sanftner, J. L., Barlow, D. H., Marschall, D. E., & Tangney, J. P. (1995). The relation of shame and guilt to eating disorder symptomatology. Journal of Social and Clinical Psychology, 14(4), 315-324.
51. Santos, M., Richards, C. S., & Bleckley, M. K. (2007). Comorbidity between depression and disordered eating in adolescents. Eating behaviors, 8(4), 440-449.
52. Schmidt, U., Adan, R., Böhm, I., Campbell, I. C., Dingemans, A., Ehrlich, S., ... & Zipfel, S. (2016). Eating disorders: the big issue. The Lancet Psychiatry, 3(4), 313-315.
53. Selvi, K. (2020) Öfke. İnan, E., & Yücel, E. (Ed.), Psikoloji penceresinden duygular içinde (s. 240). Nobel yayınları. Shiota, M, N. & Kalat, J, W. (2012). Emotion (2nd ed.). Wadsworth, Cengage Learning.
54. Skårerud, F. (2007). Shame and pride in anorexia nervosa: A qualitative descriptive study. European Eating Disorders Review, 15(2), 81–97.
55. Smith, R. A. (2000). Linking goal attainment to happiness: A moderator of the media effects on eating disorders?. American University.
56. Stern, S. L., Dixon, K. N., Jones, D., Lake, M., Nemzer, E., & Sansone, R. (1989). Family environment in anorexia nervosa and bulimia. International Journal of Eating Disorders, 8(1), 25-31.
57. Swan, S., & Andrews, B. (2003). The relationship between shame, eating disorders and disclosure in treatment. British Journal of Clinical Psychology, 42(4), 367–378.
58. Stice, E., & Shaw, H.E. (1994). Adverse effects of the media portrayed thin-ideal on women and linkages to bulimic symptomatology. Journal of Social and Clinical Psychology, 13(3), 288-308.
59. Szmukler, G. I., Dare, C. E., & Treasure, J. E. (1995). Handbook of eating disorders: theory, treatment and research. John Wiley & Sons.
60. Toker, D. E., & Hocaoğlu, Ç. (2009). Yeme bozuklukları ve aile yapısı: Bir gözden geçirme. Düşünen Adam, 22(1-4), 36-42.
61. Treasure, J., Claudino, A. M., & Zucker, N. (2010). Eat disorders. Lancet, 375, 583-593.
62. Wade, T. D., Gillespie, N., & Martin, N. G. (2007). A comparison of early family life events amongst monozygotic twin women with lifetime anorexia nervosa, bulimia nervosa, or major depression. International Journal of Eating Disorders, 40(8), 679-686.
63. Waller, G., Babbs, M., Milligan, R., Meyer, C., Ohanian, V., & Leung, N. (2003). Anger and core beliefs in the eating disorders. International journal of eating disorders, 34(1), 118-124.