Üniversite Öğrencilerinde Yeme Bozukluğu Riskinin Lojistik Regresyon ile Belirlenmesi

Yıl 2019, Cilt: 3 Sayı: 6, 149 - 163, 31.12.2019

Seda Kermen , Umut Kermen , Feyza Dinçer , Mücahit Muslu

https://doi.org/10.31461/ybpd.593436

Cited By: 2

Öz

Bu araştırmanın amacı üniversite
öğrencilerinde yeme bozukluğu riski üzerinde etkili olan değişkenleri incelemektir.
Araştırma İstanbul'da yer alan bir devlet ve bir vakıf üniversitesinde öğrenim
gören 784 kadın, 296 erkek toplam 1080 katılımcı ile yürütülmüştür. Kişisel
bilgiler formu, Rezzy Yeme Bozuklukları Ölçeği ve anket formu ile veriler
toplanmıştır. Verilerin analizinde grubu tanımlamak için yüzde ve frekans,
değişkenler arasındaki ilişkileri açıklamak için lojistik regresyon
kullanılmıştır. Araştırmada yeme bozukluğu riskini açıklamaya yönelik 16
değişken bulunmaktadır. Sonuçlara göre tüm grup için risk faktörleri cinsiyetin
kadın olması, daha küçük yaş, artan beden kütle indeksi, aile ile düzenli yemek
yememe, yediklerini kısıtlama, fastfood yeme, yediği miktarı kontrol edememe,
yemek anındaki duyguya göre yenilen miktarın değişmesi, kaygılı bir insan olma,
rekabetçi bir insan olma, duyguların hızlı değişmesi, kendini başarılı biri
olarak görmeme ve romantik ilişkiye sahip olmadır. Kadınlarda, yeme
bozuklukları riskini en çok arttıran değişkenler yediklerini kısıtlama
davranışı (2.75 kat) ve sigara kullanma (2.02 kat); erkeklerde yediklerini
kısıtlama davranışı (3.81 kat) ve kaygılı bir insan olma (3.08 kat); ve tüm
grup için  yediklerini kısıtlama
davranışı (3.04 kat) ve cinsiyetin kadın olması (1.81 kat) olarak bulunmuştur.
Yeme bozukluğu riski için açıklanan varyans oranları kadınlar için %31,
erkekler için %42,6 ve tüm grup için %33,2’dir. Beslenme ve psikoloji ile
ilişkili çeşitli değişkenler yeme bozukluğu riski üzerinde etkili
olabilmektedir. Yeme bozukluğu riski taşıyan üniversite öğrencilerinin belirlenerek
psikolojik danışma hizmeti ve beslenme danışmanlığına ulaşımı sağlanmalıdır.

Anahtar Kelimeler

Üniversite öğrencileri, Yeme bozukluğu riski, Lojistik regresyon

Determination of Eating Disorder Risk in University Students By Logistic Regression

Öz

The aim of this study is to investigate the
variables affecting the risk of eating disorder among university students. The
study was conducted with a total of 1080 people, 784 women and 296 men, at a
state and aprivate university in Istanbul. Datas were collected by personal
information form, Rezzy Eating Disorders Scale and questionnaire form. In the
analysis of the data, logistic regression was used to describe the relationship
between variables; percentage and frequency was used to define the group. Risk
factors for the whole group are being female, younger age, increased body mass
index, not eating regularly with the family, the presence of restrictive eating
habits, eating fast food, not being able to control the amount of food eaten,
in the amount eaten according to the feeling at the time of the meal, being a
worried person, being a competitive person, changing emotions quickly, not
seeing oneself as a successful person and having a romantic relationship. In
women, the variables that increase the risk of eating disorders most are the
restriction of eating (2.75 times) and smoking (2.02 times). In men, the
variables that most increase the risk of eating disorders are restrictive
behavior (3.81 times) and being an anxious person (3.08 times).  For the whole group, the variables that most
increased the risk of eating disorders are restrictive eating (3.04 times) and
being female (1.81 times). Variances explained for women, man and the whole
group are %31, %42,6 and %33,2, respectively. Various variables associated with
nutrition and psychology may have an impact on the risk of eating disorder.
University students at risk of eating disorders should be identified and be
provided psychological counseling and nutrition counseling for them.

Anahtar Kelimeler

University students, Logistic regression, Eating Disorder Risk

Kaynakça

• Alantar, Z., & Maner, F. (2008). Bağlanma kuramı açısından yeme bozuklukları. Anadolu Psikiyatri Dergisi, 9, 97- 104.
• Amerikan Psikiyatri Birliği (2013). DSM-5 Tanı Ölçütleri Başvuru El Kitabı. Ankara: HYB Yayıncılık.
• Ansell, E. B., Grilo, C. M., & White, M. A. (2011). Examining the interpersonal model of binge eating and loss of control over eating in women. International Journal of Eating Disorders, 45(1), 43–50.
• Anzengruber, D., Klump, K. L., Thornton, L., Brandt, H., Crawford, S., Fichter, M. M., Bulik, C. M. & et al. (2006). Smoking in eating disorders. Eating Behaviors, 7(4), 291-299.
• Aydemir, Ö., Köksal, B., Yalın-Sapmaz, Ş., & Yüceyar, H. (2015). Kadın üniversite öğrencilerinde REZZY Yeme Bozuklukları Ölçeği Türkçe formunun güvenilirlik ve geçerliliği. Anadolu Psikiyatri Dergisi, 16, 31-35.
• Braithwaite, S., & Holt-Lunstad, J. (2017). Romantic relationships and mental health. Current Opinion in Psychology, 13, 120–125.
• Chao, A. M., Grilo, C. M., & Sinha, R. (2016). Food cravings, binge eating, and eating disorder psychopathology: Exploring the moderating roles of gender and race. Eating Behaviors, 21, 41-47.
• Cheng, Z. H., Perko, V. L., Fuller-Marashi, L., Gau, J. M., & Stice, E. (2019). Ethnic differences in eating disorder prevalence, risk factors, and predictive effects of risk factors among young women. Eating Behaviors, 32, 23-30.
• Çokluk, Ö., Şekercioğlu, G., & Büyüköztürk, Ş. (2012). Sosyal bilimler için çok değişkenli istatistik: SPSS ve Lisrel uygulamaları. Ankara: Pegem Akademi.
• Desai, M. N., Miller, W. C., Staples, B., & Bravender, T. (2008). Risk factors associated with overweight and obesity in college students. Journal of American College Health, 57(1), 109–114.
• Drieberg, H., McEvoy, P. M., Hoiles, K. J., Shu, C. Y., & Egan, S. J. (2019). An examination of direct, indirect and reciprocal relationships between perfectionism, eating disorder symptoms, anxiety, and depression in children and adolescents with eating disorders. Eating Behaviors, 32, 53-59.
• Erol, A., Toprak, G., Yazıcı, F., & Erol, S. (2000). Üniversite öğrencilerinde yeme bozukluğu belirtilerini yordayıcı olarak kontrol odağı ve benlik saygısının karşılaştırılması. Klinik Psikiyatri, 3, 147- 152.
• Fairburn, C. G., Cooper, Z., Doll, H. A., & Welch, S. L. (1999). Risk factors for anorexia nervosa: three integrated case-control comparisons. Archives of General Psychiatry, 56, 468– 476.
• Fairburn, C. G., Welch, S. L., Doll, H. A., Davies, B. A., & O’Connor, M. E. (1997). Risk factors for bulimia nervosa: a community-based casecontrol study. Archives of General Psychiatry, 54, 509– 517.
• Grilo, C. M. (2013). Why no cognitive body image feature such as overvaluation of shape/weight in the binge eating disorder diagnosis?. International Journal of Eating Disorders, 46(3), 208-211.
• Haines, J., Gillman, M. W., Rifas-Shiman, S., Field, A. E.,& Austin, S. B. (2010). Family dinner and disordered eating behaviors in a large cohort of adolescents. Eating Disorders, 18(1), 10–24.
• Hart, E., Chow, C. M., & Tan, C. C. (2017). Body talk, weight status, and pathological eating behavior in romantic relationships. Appetite, 117, 135–142.
• Hoek, W.H., & Hoeken, D. (2003). Review of the prevalence and incidence of eating disorders. International Journal of Eating Disorders, 34, 383-396.
• Holtom-Viesel, A., & Allan, S. (2014). A systematic review of the literature on family functioning across all eating disorder diagnoses in comparison to control families. Clinical Psychology Review, 34(1), 9-43.
• Kroplewski, Z., Szcześniak, M., Furmańska, J., & Gójska, A. (2019). Assessment of familyfunctioning and eating disorders-the mediating role of self-esteem. Frontiers in Psychology, 10, 1-13.
• Lafrance Robinson, A., Kosmerly, S., Mansfield-Green, S., & Lafrance, G. (2014). Disordered eating behaviours in an undergraduate sample: Associations among gender, body mass index, and difficulties in emotion regulation. Canadian Journal of Behavioural Science, 46(3), 320–326.
• Leedy, P. D. & Ormrod, J. E. (2010). Practical research: Planning and design. Boston: Pearson Educational International.
• Leon, G. R., Fulkerson, J. A., Perry, C. L., Keel, P. K., & Klump, K. L. (1999). Three to four year prospective evaluation of personality and behavioral risk factors for later disordered eating in adolescent girls and boys. Journal of Youth and Adolescence, 28(2), 181–196.
• Lilenfeld, L. R. R., Wonderlich, S., Riso, L. P., Crosby, R., & Mitchell, J. (2006). Eating disorders and personality: A methodological and empirical review. Clinical Psychology Review, 26(3), 299–320.
• Long, J. S. (1997). Regression models for categorical and limited dependent variables. Thousand Oaks: Sage Publications.
• Martin, G. C., Wertheim, E. H., Prior, M., Smart, D., Sanson, A., & Oberklaid, F. (2000). A longitudinal study of the role of childhood temperament in the later development of eating concerns. International Journal of Eating Disorders, 27(2), 150–162.
• Mayhew, A. J., Pigeyre, M., Couturier, J., & Meyre, D. (2018). An evolutionary genetic perspective of eating disorders. Neuroendocrinology, 106(3), 292-306.
• Mikheeva, O. V., & Tragesser, S. L. (2016). Personality features, disordered eating, and alcohol use among college students: A latent profile analysis. Personality and Individual Differences, 94, 360-365.
• Mustelin, L., Latvala, A., Raevuori, A., Rose, R. J., Kaprio, J., & Keski‐Rahkonen, A. (2016). Risky drinking behaviors among women with eating disorders—A longitudinal community‐based study. International Journal of Eating Disorders, 49(6), 563-571.
• Müller, A., Loeber, S., Söchtig, J., Te Wildt, B., & De Zwaan, M. (2015). Risk for exercise dependence, eating disorder pathology, alcohol use disorder and addictive behaviors among clients of fitness centers. Journal of Behavioral Addictions, 4(4), 273–280.
• Nederkoorn, C., Braet, C., Van Eijs, Y., Tanghe, A., & Jansen, A. (2006). Why obese children cannot resist food: the role of impulsivity. Eating Behaviors, 7(4), 315-322.
• Neumark-Sztainer, D. (2009). Preventing obesity and eating disorders in adolescents: What can health care providers do? Journal of Adolescent Health, 44(3), 206–213.
• Neumark-Sztainer, D., Wall, M., Story, M., & Fulkerson, J. A. (2004). Are family meal patterns associated with disordered eating behaviors among adolescents?. Journal of Adolescent Health, 35(5), 350–359.
• OECD. (2013). Health at a Glance 2013 OECD indicators. https://www.oecd.org/els/health-systems/Health-at-a-Glance-2013.pdf., Erişim tarihi: 5.07.2019.
• Peden, J., Stiles, B. L., Vandehey, M., & Diekhoff, G. (2008). The effects of external pressures and competitiveness on characteristics of eating disorders and body dissatisfaction. Journal of Sport and Social Issues, 32(4), 415–429.
• Polivy, J., & Herman, C.P. (2002). Causes of eating disorders. Annual Review of Psychology, 53, 187- 213.
• Redman, L. M., Martin, C. K., Williamson, D. A., & Ravussin, E. (2008). Effect of caloric restriction in non-obese humans on physiological, psychological and behavioral outcomes. Physiology & Behavior, 94(5), 643–648.
• Scott, C. L., Haycraft, E., & Plateau, C. R. (2019). Teammate influences on the eating attitudes and behaviours of athletes: A systematic review. Psychology of Sport and Exercise, 43, 183–194.
• Smink, F. R., Van Hoeken, D., & Hoek, H. W. (2012). Epidemiology of eating disorders: incidence, prevalence and mortality rates. Current Psychiatry Reports, 14(4), 406-414.
• Şimşek, H., & Yıldırım, A. (2011). Sosyal bilimlerde nitel araştırma yöntemleri. Ankara: Seçkin Yayıncılık.
• Uskun, E., & Şabaplı, A. (2013). Lise öğrencilerinin beden algıları ile yeme tutumları arasındaki ilişki. TAF Preventive Medicine Bulletin, 12(5), 519- 528.
• Ünsal, A., Ayrancı, Ü., Arslan, G., Tozun, M., & Çalık, E. (2010). Kütahya, Türkiye’deki erkek ve kız öğrenciler arasındaki depresyon ve yeme bozuklukları arasındaki ilişki. Anatolian Journal of Psychiatry, 11, 112- 119.
• Vardar, E., & Erzengin, M. (2011). Ergenlerde yeme bozukluklarının yaygınlığı ve psikiyatrik eş tanıları: İki aşamalı toplum merkezli bir çalışma. Türk Psikiyatri Dergisi, 22, 205-212.
• Varnado, P. J., Williamson, D. A., Bentz, B. G., Ryan, D. H., Rhodes, S. K., O’Neil, P. M., Barker, S. E. ve diğ. (1997). Prevalence of binge eating disorder in obese adults seeking weight loss treatment. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 2(3), 117-123.
• Wade, T. D., Keski‐Rahkonen, A., & Hudson, J. I. (2011). Epidemiology of eating disorders. Textbook of Psychiatric Epidemiology, 343-360.
• WHO. (2014). Global status report on alcohol and health 2014. https://apps.who.int/iris/bitstream/handle/10665/112736/9789240692763_eng.pdf?sequence=1., Erişim tarihi: 5.07.2019.