Sema Nur TÜRKOĞLU DİKMEN, Şengül İLKAY, Yasir ŞAFAK

Bariatrik cerrahi öncesi ve sonrası benlik saygısı, duygusal yeme, yeme tutumu, depresyon ve anksiyete düzeylerinin değerlendirilmesi: Bir yıllık takip çalışması

Bariatrik cerrahinin kilo ve metabolik değişkenler üzerine etkisi konusunda literatürde görüş birliği olmakla birlikte, psikolojik değişkenler üzerine etkisi halen net değildir. Araştırmanın amacı; bariatrik cerrahinin benlik saygısı, duygusal yeme, yeme tutumları, depresyon, durumsal ve süregen kaygı üzerine etkisini incelemektir. Araştırmada tek gruplu ön test-son test ölçümlü bir model kullanılmıştır. Araştırmanın örneklem grubunu; Aksaray Üniversitesi Eğitim ve Araştırma Hastanesi Obezite kliniğine bariatrik cerrahi için başvuran gönüllü hastalar oluşturmuştur. Araştırma verileri, ameliyat öncesi ve sonrası birinci yılda Sosyodemografik form, Rosenberg benlik saygısı ölçeği, Duygusal iştah ölçeği, Yeme tutum testi, Beck depresyon envanteri, Durumluluk süreklilik kaygı ölçeği veri toplama araçları kullanılarak toplanmıştır. Veriler SPSS 24.0 paket programıyla analiz edilmiştir. Bu araştırma sonucunda; bariatrik cerrahi sonrası birinci yılsonunda BKİ (Beden Kitle İndeksi) ve olumlu-olumsuz duygusal yeme isteğinde istatistiksel olarak anlamlı azalma olmuştur. Ayrıca istatistiksel olarak anlamlı olmasa da benlik saygısında artış; depresyon, sürekli ve durumlu kaygı düzeylerinde düşüş bulunmuştur. Yapılan korelasyon analizleri sonucu BKİ’nin azalması ile sadece depresyon puanı arasında ilişki olduğu gözlenmiştir. Bariatrik cerrahi sonrası 1 yıllık takip araştırmasında BKİ ve olumlu ve olumsuz duygusal yeme anlamlı azalma gösterilmiştir. Duygusal yemenin bariatrik cerrahi ile değişiminin daha net anlaşılabilmesi için daha fazla sayıda katılımcı içeren ve uzun süreli izlem çalışmalarına ihtiyaç vardır. Ayrıca bu sonuç kilo alma ve verememe ile ilişkisi bilinen duygusal yemeyi odağa alan psikoterapi müdahalelerine önem verilmesinin obezite tedavisine katkıda bulunabileceğini düşündürmektedir.

Anahtar Kelimeler:

bariatrik cerrahi, benlik saygısı, duygusal iştah, yeme tutumu, depresyon, anksiyete

Evaluation of self-esteem, emotional eating, eating attitude, depression and anxiety levels before and after bariatric surgery: A one-year follow-up study

Although there is a consensus in the literature about the effect of bariatric surgery on weight and metabolic variables, its effect on psychological variables is still unclear. Purpose of the research; To examine the effects of bariatric surgery on self-esteem, emotional eating, eating attitudes, depression, situational and chronic anxiety. A single-group pre-test-post-test measurement model was used in the study. The sample group of the research; Volunteer patients who applied to Aksaray University Training and Research Hospital Obesity Clinic for bariatric surgery were formed. Research data were collected using the Sociodemographic form, Rosenberg self-esteem scale, Emotional appetite scale, Eating attitude test, Beck depression inventory, State trait anxiety scale data collection tools before and after surgery. The data were analyzed with the SPSS 24.0 package program. As a result of this research; At the end of the first year after bariatric surgery, there was a statistically significant decrease in BMI (Body Mass Index) and positive-negative emotional eating desire. In addition, although not statistically significant, an increase in self-esteem; depression, trait and state anxiety levels were decreased. As a result of the correlation analysis, it was observed that there was a relationship between the decrease in BMI and only the depression score. A 1-year follow-up study after bariatric surgery showed significant reductions in BMI and positive and negative emotional eating. Long-term follow-up studies with larger numbers of participants are needed to better understand the change in emotional eating with bariatric surgery. In addition, this result suggests that giving importance to psychotherapy interventions focusing on emotional eating, which is known to be associated with weight gain and loss, may contribute to the treatment of obesity.

Keywords:

bariatric surgery, self esteem, emotional eating, eating attitude, depression, anxiety,

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