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Yıl:2015; Cilt: 52; Sayı: 4>> Özet
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Nöropsikiyatri Arşivi; 2015;52(4):367-370
Migren Hastalarında Yeme Tutumunun Değerlendirilmesi
K Demirci, S Demirci, A Akpınar, A Demirdaş, İM Atay
Süleyman Demirel Üniversitesi, Isparta
Amaç: Çalışmamızın amacı migren hastalarında yeme tutumlarının incelenmesidir. Yöntem: Çalışmaya Uluslararası Başağrısı Topluluğu’nun 2004 sınıflaması ölçütlerine göre migren tanısı olan hastalar (n=59; yaş ortalaması: 32,54±8,47) ve migren grubuyla yaş, cinsiyet, eğitim düzeyi açısından benzer özellikli sağlıklı bireyler (n=47; yaş ortalaması: 31,85±7,14) alınmıştır. Katılımcıların sosyodemografik bilgileri alınmış, boy ve kiloları ölçülerek beden kitle indeksleri hesaplanmıştır. Migren grubunda hastalık süresi, atak süresi, atak sıklığı, aura varlığı değerlendirilmiş, migren şiddeti için Migren yeti yitimi değerlendirme ölçeği (MİDAS) uygulanmıştır. Tüm katılımcılara Yeme tutumu testi (YTT), Beck anksiyete ölçeği (BAÖ), Beck depresyon ölçeği (BDÖ) uygulanmıştır. Bulgular: Migren grubunda YTT puanları, anksiyete ve depresyon düzeyleri kontrol grubuna göre anlamlı düzeyde yüksek bulunmuştur (p<0,01). Migren hastalarının %11,9’unda YTT’den 30 ve üzerinde puan alarak bozulmuş yeme davranışı olduğu, kontrol grubunda bu oranın %2,1 olduğu belirlenmiştir (p<0,05). Migren grubunda MİDAS puanı ile YTT puanı arasında (r=0,298, p<0,05) ve BDÖ puanı arasında (r=0,332, p=0,01) pozitif yönde anlamlı korelasyon bulunmuştur. Sonuç: Çalışmamızın sonucunda migrenli hastaların sağlıklı kontrollere göre anlamlı düzeyde yüksek bozulmuş yeme davranışı gösterdikleri, anksiyete ve depresif belirti düzeylerinin yüksek olduğu bulunmuştur. Çalışmamız migrenli hastalarda yeme davranışındaki bozulmayı göstermesi bakımından önemlidir.
Evaluation of Eating Attitude in Patients with Migraine
Introduction: This study aimed to investigate the eating attitudes in patients with migraine. Methods: Fifty-nine patients (mean age: 32.54±8.47 years) diagnosed with migraine according to the International Classification of Headache Disorder, 2004, and 47 age-, gender- and education-matched healthy controls (mean age: 31.85±7.14 years) were enrolled for this study. Sociodemographic data were recorded, and the body mass index was calculated as kilograms per meter squared. Data regarding the duration of illness and attack, frequency of migraine attacks, and the presence of aura were recorded. Migraine severity was assessed by Migraine Disability Assessment Score (MIDAS). Eating Attitudes Test (EAT), Beck Depression Inventory (BDI), and Beck Anxiety Inventory were applied to all participants. Results: The patients with migraine had significantly higher EAT scores, levels of anxiety, and depression than controls (p<.01). Furthermore, 11.9% of patients with migraine had an EAT score of 30 or higher, which is suggestive of a disordered eating attitude, whereas this rate was 2.1% in healthy controls (p<.05). The scores of EAT and BDI had positive correlation with the scores of MIDAS in patients with migraine (r=.298, p<.05; r=.332, p=.01, respectively). Conclusion: In our study, disordered eating attitudes and the levels of anxiety and depression were high in patients with migraine than controls. Our study is important to demonstrate the connection between migraine and disordered eating attitudes.

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