Obez Ve Fazla Kilolu Ergenlerde Yeme Davranışları ile Duygudurum Belirtileri Arasındaki İlişki

Abstract

In this cross-sectional study, adolescents with normal weight, overweight and obesity were evaluated and compared to each other with respect to eating behaviors and mood symptoms. The relationship between the mood symptoms and eating behaviors and important variables affecting this relationship were evaluated in obese and overweight adolescents. Total 145 (45 normal weight, 45 overweight, 55 obese) adolescents between 12-18 years of age were included in the study. In addition to the K-SADS-PL psychiatric diagnosis interview with the adolescents in all groups, Eating Disorder Examination Scale (EDE-Q), Emotional Eating Scale-Child and Adolescent Form (EES-C), Dutch Eating Behavior Questionnaire (DEBQ), the Children Depression Inventory (CDI), State-Trait Anxiety Inventory (STAI), Trait Anger and Anger Expression Style Scales (TAAES), Difficulty in Emotion Regulation Scale (DERS) and Rosenberg Self-Esteem Scale (RSES) were applied. For mothers, Dutch Eating Behavior Questionnaire (DEBQ), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Mood Disorders Inventory (MDI), Mood Disorders Inventory-Parent Form (MDI-P), Trait Anger and Anger Expression Style Scales (TAAES), and Difficulty in Emotion Regulation Scale (DERS) were applied. Overweight and obese adolescents had significantly higher EDE-Q, EES-C and DEBQ scores compared to normal weight adolescents. Overweight and obese adolescents had significantly higher CDI, STAI, TAAES, DERS and RSES scores compared to normal weight adolescents. Mothers of overweight and obese adolescents had significantly higher BDI, BAI, MDI, MDI-P, TAAES, DERS and DEBQ scores compared to mothers of normal weight adolescents. The rate of overweight and obese adolescents having at least one diagnosis of psychopathology (70 %), mood disorders (35 %) and anxiety disorders (31 %) were found to be significantly higher than the normal weight group. The rates of mood disorder symptoms, anxiety disorder symptoms, and eating disorder symptoms were significantly higher in overweight and obese adolescents compared to the normal weight group. The positive significant correlations were found between the CDI and MDI-P scores of overweight and obese adolescents and their EES-C scores. In the overweight and obese groups, EDE-Q, EES-C and DEBQ scores of those with mood disorders were found to be significantly higher than those without mood disorders. Overweight and obese girls had significantly higher EDE-Q, CDI, STAI, DERS and RSES scores than boys. A positive significant correlation was found between HYDA scores of overweight and obese adolescents and maternal HYDA scores. While a significant relationship was found between mood (depressive, hypomanic/manic, anxiety, anger) symptoms and eating (binge and emotional eating) behaviors in overweight and obese boys, a significant relationship was found between mood (depressive, anxiety and anger) symptoms and eating (restrictive and emotional eating) behaviors in overweight and obese girls. Gender was found as the moderator variable in the relationship between mood symptoms and emotional eating behaviors in the overweight and obese groups, while difficulties in emotion regulation was found as the mediator variable. Factors that directly predicted emotional eating behaviors in overweight and obese groups were hypomanic/manic symptoms, anger levels, and ADHD diagnosis status; indirect predictive factors were hypomanic/manic symptoms, anger levels, and self-esteem. In conclusion, it is thought that the relationship between mood symptoms and emotional eating behaviors in overweight and obese adolescents may be due to impaired emotion regulation skills. It will be useful to reach a larger sample in future studies and to examine the relationship of variations in genes related to emotion regulation with eating behaviors.