ASLIHAN ÖZLEM POLAT IŞIK, Hatice SODAN TURAN, NERMİN GÜNDÜZ, Firdevs ALİOĞLU, Ümit TURAL

Predictors of psychosocial functionality in obese women

Objective: The aim of this study is to determine the level of depression, self-esteem, body satisfaction and quality of life in obese women as well as the predictors of psychosocial functionality. Methods: The study group consisted of 110 obese women participating in a diet and exercise program held in Kocaeli University Faculty of Medicine. Beck Depression Inventory, Rosenberg Self Esteem Scale, Body Satisfaction Scale and Obesity Related Problems Scale were used. Weight and height measurements were done using a calibrated digital scale and a height scale. Results: Psychosocial functionality of the study group was found to be moderately deteriorated and it showed signi- ficant relationship with depression, self-esteem and body dissatisfaction but not with BMI. In the linear regression model, in addition to self-esteem and body dissatisfaction, educational status of the obese women were determined as the predictors for psychosocial functionality. Discussion: Self-esteem, depression and body satisfaction are all concepts that are intertwined in obese individuals. In conclusion this study shows that body satisfaction and self- esteem were more important for psychosocial function of obese women, rather than BMI per se. The severe deterio- ration of psychosocial functionality of obese women with a higher educational status might well be related to more exposure to stigmatization and discrimination as a result of taking a more active role in society. There is a need for future studies where stigmatization is also investigated as a triggering cause of body dissatisfaction and low esteem, thus leading to a decrease in quality of life. (Anatolian Journal of Psychiatry 2019; 20(2):145-152)

Şişman kadınlarda ruhsal-toplumsal işlevselliğin yordayıcıları

Bu araştırmanın amacı, şişman kadınların depresyon, benlik saygısı, beden hoşnutluğu ve yaşam kalitesi düzeylerini belirlemek ve aynı zamanda ruhsal-toplumsal işlevselliğin yordayıcılarını saptamaktır. Yöntem: Çalışma örneklemi Kocaeli Üniversitesi Tıp Fakültesi Hastanesi’nde diyet ve egzersiz ile kilo verme programına katılan 110 şişman kadından oluşmuştur. Beck Depresyon Ölçeği, Rosenberg Benlik Saygısı Ölçeği, Beden Bölgelerinden ve Özelliklerinden Hoşnut Olma Ölçeği ve Şişmanlıkla İlgili Sorunlar Ölçeği kullanılmıştır. Kalibrasyonu yapılmış dijital tartı ve boy ölçerle, kilo ve boy ölçümü yapılmıştır. Sonuçlar: Katılımcıların ruhsal-toplumsal işlevselliğinin orta düzeyde bozuk olduğu görülmüştür. Ruhsal-toplumsal işlevsellik depresyon, benlik saygısı ve beden hoşnutluğu ile anlamlı bir ilişki içindeyken BKG ile arasında bir ilişki saptanmamıştır. Lineer regresyon modelinde benlik saygısı ve beden hoşnutluğuna ek olarak şişman kadınların öğrenim durumunun ruhsal-toplumsal işlevselliği yordadığı saptanmıştır. Tartışma: Şişman kadınlarda benlik saygısı ve beden imgesi iç içe geçmiş kavramlardır. Sonuç olarak bu çalışma beden kitle göstergesinden çok, beden hoşnutluğu ve öz saygının ruhsal-toplumsal işlevsellik açısından daha önemli olduğunu göstermiştir. Eğitim durumu daha yüksek şişman kadınlarda ruhsal-toplumsal işlevselliğin daha bozuk olması toplumdaki aktif rolleri nedeniyle daha fazla damgalama ve ayrımcılığa maruz kalmayla ilişkili olabilir. Damgalamanın beden imgesi ve düşük benlik saygısını tetikleyerek yaşam kalitesinde düşmeye neden olup olmayacağını araştıran ileri çalışmalara gerek vardır. (Anadolu Psikiyatri Derg 2019; 20(2):145-152)

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