Obezitesi Olan Çocuk ve Ergenlerde Kendilik Algısı ve Psikiyatrik Belirtilerin Değerlendirilmesi

AMAÇ: Birçok araştırma obezitesi olan çocuk ve ergenlerde psikopatolojinin daha sık ortaya çıktığını ortaya koymasına rağmen, psikopatolojinin doğası ve boyutu ile ilgili anlaşmazlıklar sürmektedir. Bu araştırma 9 ve 18 yaş arası obezitesi olan çocuk ve ergenlerde kendilik algısı ve psikiyatrik belirtileri araştırmayı amaçlamaktadır.YÖNTEMLER: Çalışmanın örneklemini, Uludağ Üniversitesi Tıp Fakültesi Pediatrik Endokrinoloji Bölümü polikliniğine başvuran 47 obezitesi olan çocuk ve ergen oluşturdu. Psikiyatrik değerlendirme; yarı-yapılandırılmış psikiyatrik görüşme, Piers–Harris Çocuklarda Öz–Kavramı Ölçeği, Çocuklar İçin Kovacs Depresyon Ölçeği, Durumluk-Sürekli Kaygı Ölçeği ve Çok Yönlü Beden-Self İlişkisi Ölçeği ile yapıldı.BULGULAR: Çalışmaya 47 hasta (26 kız, 21 erkek) alındı. Ortalama yaş 13,1±2,63 tü (9-18). Durumluk anksiyete ortalama puanları daha obez olan grupta yüksekti (BKI>30; p0,05). Sürekli anksiyete ve depresyon ortalama puanları ise obezite derecesi, cinsiyet ya da çocuk-ergen farkı gözetmedi (p>0,05). Patolojik düzeydeki depresyon, durumluk ve sürekli kaygı oranları obezite derecesi arttıkça, cinsiyete ve çocuk-ergen olmaya göre değişmedi (p>0,05). Kendilik algısı sonuçları daha obez (BKI>30; p

Anahtar Kelimeler:

Obezite, kendilik algısı, depresyon, anksiyete, beden-self ilişkisi.

Assessment of Self Perception and Psychiatric Symptoms in Obese Children and Adolescents

OBJECTIVE: Although several studies have documented the existence of psychopathology in obese children and adolescents, disagreement remains regarding the extent and nature of this psychopathology. This study aimed to investigate self perception and psychiatric symptoms in obese children and adolescents aged between 9 and 18 years old.METHODS: The study sample consisted of 47 patients admitted to the outpatient unit of Endocrinology, Department of Pediatrics at the Uludag University School of Medicine. Psychological assessment was performed using a semi-structured psychiatric interview, The Piers–Harris Children's Self–Concept Scale, Kovacs Depression Scale for Children, State-Trait Anxiety Scale, and Multi–Dimensional Body–Self Relations Questionaire.RESULTS: Fortyseven patients (26 girls and 21 boys) were enrolled in the study. Mean age was 13,1±2,63 years (9-18). Mean results showed that state anxiety was higher in the more obese (BMI>30; p0,05); and that trait anxiety and depression did not differ for degree of obesity, gender or being a child or adolescent (p>0,05). Ratio of pathologically high depression, state or trait anxiety did not differ for degree of obesity, gender or being a child or adolescent (p>0,05). Self-concept results showed that the more obese (BMI>30; p

Keywords:

Obesity, self concept, depression, anxiety, body-self relation.,

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