ARDA KARAGÖL, GAMZE ÖZÇÜRÜMEZ BİLGİLİ, Nilgün TAŞKINTUNA, ASLI NAR

Beden kitle indeksinin depresyon ve aleksitimi ile i lişkisi

Amaç: Beden kitle indeksi (BKİ) ile ruhsal bozukluklar arasındaki ilişki uzun süredir araştırılmaktadır. Bulgular, özellikle obezite ile depresif duygudurum ve depresyon arasında bir ilişki olduğu yönündedir. Diğer yandan aleksitimi de artmış obezite riski ile ilişkilendirilmektedir. Çalışmamızın amacı, normal, fazla kilolu ve obez erişkinlerde BKİ ile depresyon ve aleksitimi arasında nasıl bir ilişki olduğunu incelemektir. Yöntem: Araştırmaya, endokrinoloji bölümü obezite polikliniğine başvuran, 18-67 yaşları arasında, tiroid işlev testleri normal olan 100 hasta katılmıştır. BKİ açısından üç gruba ayrılan hastalar (BKİ=18.5-24.99 arası normal, BKİ=25-29.99 arası fazla kilolu ve BKİ=30 ve üstü obez) Uluslararası Bileşik Tanı Görüşmesi'nin depresyon bölümü, Toronto Aleksitimi Skalası-26 (TAS-26) ve Beck Depresyon Ölçeği (BDÖ) ile değerlendirilmiştir. Bulgular: BKİ ile şimdiki depresyon arasında pozitif yönlü bir ilişki bulunmuştur ve bu ilişki kadın cinsiyette daha güçlüdür. Yaşam boyu depresyon tanısı ile BKİ arasında herhangi bir ilişki belirlenmemiştir. TAS-26 toplam ve alt ölçek puanları ile BKİ arasında ilişki belirlenmemiştir. BDÖ puanları arttıkça TAS-26 puanlarının arttığı görülmüştür. Depresyon ile aleksitimi arasında pozitif yönlü güçlü bir ilişki olduğu görülmüştür. Tartışma: Çalışmamız, BKİ'nin yüksek oluşunun şimdiki depresyon nöbeti tanısını artırdığını ortaya koymaktadır. Benzer ilişki yaşam boyu depresyon tanısı için belirlenmemiştir. BKİ ile aleksitimi arasında ilişki bulunamamıştır. Depresyon ve depresyon şiddeti aleksitimi ile güçlü biçimde ilişkilidir. Fazla kilolu ve obez bireylerin psikiyatrik yönden izlenmesi depresyonun olumsuz sonuçlarını engellemek açısından önemli görünmektedir

Association of body mass index with depression and alexithymia

Objective: Association between body mass index (BMI) and mental disorders had long been investigated. Recent researches declare a relation between obesity and depressed mood as well as clinical depression. On the other hand mental disorders such as alexithymia are also found to be correlated with an increased risk of obesity. Therefore we aimed to evaluate depression and alexithymia together among normal, overweight and obese adults in order to assess what kind of an association is there between BMI, depression and alexithymia. Methods: We enrolled 100 adults, aged between 18 to 67 from department of endocrinology outpatient clinic whom had normal levels of TSH, fT3 and fT4 thyroid hormones and formed three groups according to their Body Mass Index (BMI). Individuals who had had BMI between 18.5 and 24.99 formed the normal, BMI between 25 and 29.99 formed the overweight and BMI 30 and above formed the obese groups. All three groups were evaluated by Composite International Diagnostic Interview for clinical diagnosis and also given Toronto Alexithymia Scale-26 item (TAS26) as well as Beck Depression Inventory (BDI). Results: There was a positive relation between BMI and current depressive episode and this finding was stronger in women. There was no such relation with lifelong depression. TAS-26 total and subscale scores revealed no difference between three groups. As BDI total scores got higher TAS-26 scores were higher. Hence there was a strong positive relation between depression and alexithymia. Conclusion: Our findings indicate that higher BMI increases current depressive episode. No association is found 208 Beden kitle indeksinin depresyon ve aleksitimi ile ilişkisi between BMI and lifelong depression. Depression and depression severity are strongly associated with alexithymia. Contradictive with literature, alexithymia and its severity are not found to be related with BMI. Following overweight and obese individuals is important to offset the adverse outcomes of depression.

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