Değirmenci Taner, Kalkan-Oğuzhanoğlu Nalan, Sözeri-Varma Gülfizar, Özdel Osman, Fenkçi Semin
Clinic of Psychiatry, Denizli State Hospital, Denizli, Turkey.
Department of Psychiatry, Pamukkale University Faculty of Medicine, Denizli, Turkey.
Noro Psikiyatr Ars. 2015 Mar;52(1):42-46. doi: 10.5152/npa.2015.6904. Epub 2015 Mar 1.
This study aimed to investigate the relationship between levels of depression and anxiety symptoms and quality of life, self-esteem in obesity.
Fifty-two subjects whose Body Mass Index (BMI) is 30 kg/m and over and 43 control whose BMI is normal were recruited for this study. The socio demographic data form, Hamilton Depression Rating Scale (HAM-D17), Hamilton Anxiety Rating Scale (HAM-A), Quality of Life Scale Short Form (WHOQOL-Brief-TR), Coopersmith Self Esteem Scale (CSES), The Eating Attitudes (EAT), were applied to the participants.
In this study most of the patients are women, married, postgraduated and live in urban areas. It was determined to scores of HAM-D17, HAM-A and EAT are higher in obese group than control group; WHOQOL-Brief-TR physical field scores was lower in obese group than control group. CSES scores wasn't difference between obese and control group. In obese group, there was HAM-D17 and HAM-A scores a negative correlation between quality of life physical field score, negative correlation between CSES score, positive correlation between EAT scale score. There is no correlation between scores of HAM-D17 and HAM-A and BMI.
Our results suggest that depressive and anxiety levels are high in induvidual with obesity. They have problems in eating attitudes and their quality of life especially physical field is poor. The psychological symptoms have negative effects on the quality of life, self-esteem, and eating attitudes. Our results suggest that psychiatric support to improving positive effects quality of life and self-esteem in individual with obesity.
本研究旨在探讨肥胖人群中抑郁和焦虑症状水平与生活质量、自尊之间的关系。
招募了52名体重指数（BMI）为30kg/m及以上的受试者和43名BMI正常的对照组人员参与本研究。向参与者发放社会人口统计学数据表、汉密尔顿抑郁评定量表（HAM-D17）、汉密尔顿焦虑评定量表（HAM-A）、生活质量简表（WHOQOL-Brief-TR）、库珀史密斯自尊量表（CSES）、饮食态度量表（EAT）。
在本研究中，大多数患者为女性，已婚，研究生学历，居住在城市地区。结果显示，肥胖组的HAM-D17、HAM-A和EAT得分高于对照组；肥胖组的WHOQOL-Brief-TR身体领域得分低于对照组。肥胖组和对照组的CSES得分无差异。在肥胖组中，HAM-D17和HAM-A得分与生活质量身体领域得分呈负相关，与CSES得分呈负相关，与EAT量表得分呈正相关。HAM-D17和HAM-A得分与BMI之间无相关性。
我们的研究结果表明，肥胖个体的抑郁和焦虑水平较高。他们在饮食态度方面存在问题，生活质量尤其是身体领域较差。心理症状对生活质量、自尊和饮食态度有负面影响。我们的研究结果表明，精神支持有助于改善肥胖个体的生活质量和自尊的积极影响。
