Dikkat Eksikliği Hiperaktivite Bozukluğu Olan Ergenlerde Yeme Davranışı ve Yaşam Kalitesinin İncelenmesi

Amaç: Çalışmamızın amacı, Dikkat Eksikliği Hiperaktivite Bozukluğu (DEHB) olan ergenlerde yeme davranışı ve yaşam kalitesini araştırmaktır. Gereç ve Yöntemler: Çalışmaya DEHB tanısı alan 100 ergen olgu ve yaş, cinsiyet açısından olgu grubu ile eşleştirilmiş 100 sağlıklı ergen dahil edilmiştir. “Okul Çağı Çocukları için Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi” (ÇDŞG) kullanılarak klinik görüşmeler yapılmış, Hollanda Yeme Davranışı Anketi (HYDA), Çocuklar İçin Yaşam Kalitesi Ölçeği (ÇİYKÖ) özbildirim ve ebeveyn bildirimleri, Conners Anne-Baba Derecelendirme Ölçeği (CADÖ) uygulanmıştır. Bulgular: DEHB grubunda kontrol grubuna göre, ÇİYKÖ öz bildirim ve anne-baba bildirimlerinde tüm ölçek puanlarında DEHB grubunda anlamlı düşük (p<0,05), duygusal ve dışsal yeme alt ölçek puanları istatistiksel olarak anlamlı yüksek tespit edilmiştir (sırasıyla, p=0,006, p=0,001). DEHB grubunda duygusal yeme puanları ile CADÖ dikkat eksikliği (p=0,038), hiperaktivite (p=0,001), karşıt olma karşı gelme (p=0,002) alt ölçek puanları arasında ve dışsal yeme puanı ile hiperaktivite puanı arasında pozitif anlamlı korelasyonlar bulunmuştur (p=0,024). ÇİYKÖ öz bildirim puanlarından duygusal işlevsellik (p=0,05), psikososyal sağlık toplam puanı (p=0,036) ile duygusal yeme alt ölçek puanı arasında anlamlı negatif korelasyon bulunmuştur. ÇİYKÖ yaşam kalitesi anne baba bildirimlerinde ise sadece psikososyal sağlık toplam puanı (p=0,034) ile duygusal yeme alt ölçek puanı arasında anlamlı negatif korelasyon bulunmuştur. Sonuç: Çalışmamızın sonuçları DEHB takip ve tedavisinde, DEHB belirtileri ile birlikte yeme tutumlarının ve yaşam kalitesinin de değerlendirmesinin koruyucu ruh sağlığı kapsamında önem taşıdığına işaret etmektedir.

Anahtar Kelimeler:

DEHB, duygusal yeme, dışsal yeme, yaşam kalitesi

Eating Behaviours and Quality of Life in Adolescents with Attention Deficit Hyperactivity Disorder

Aim: Our study aims to investigate eating behaviour and quality of life in adolescents with Attention Deficit Hyperactivity Disorder (ADHD). Material and Methods: This study included 100 adolescents diagnosed with ADHD and age-gender matched 100 healthy adolescents. Clinical interview was conducted using “Schedule for Affective Disorders and Schizophrenia for School-Aged Children (K-SADS)” and Dutch Eating Behavior Questionnaire (DEBQ), Pediatric Quality of Life Scale (PedsQL) self and parent reports, Conners Parent Rating Scale (CPRS) were administered. Results: In ADHD group compared to control group, all subscales were found to be significantly lower in PedsQL self-report and parent-reports (p<0.05), while emotional and external eating subscale scores were found to be statistically significantly higher (p = 0.006, p = 0.001, respectively). In the ADHD group, positive significant correlations were found between emotional eating subscale scores and CPRS inattention (p = 0.038), hyperactivity (p = 0.001), and oppositional behaviour (p = 0.002), and also between the external eating subscale and hyperactivity score (p = 0.024). Regarding self reports of quality of life, significant negative correlations were found between emotional eating subscale score and both emotional functionality (p = 0.05) and psychosocial health total score (p = 0.036). In PedsQL parent reporting, a significant negative correlation was found only between psychosocial health total score (p = 0.034) and emotional eating subscale score. Conclusion: The results of our study indicate the importance of evaluating eating behaviours and quality of life in follow up and treatment of ADHD in terms of preventive strategies for mental health.

Keywords:

ADHD, emotional eating, external eating, quality of life,

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