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Yıl:2020; Cilt: 21; Sayı: 4>> Özet
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Anadolu Psikiyatri Dergisi; 2020;21(4):417-422
Psikiyatrik belirtileri olan fazla kilolu/obez ergenler için bilişsel davranışçı terapi
RHB Çağlayan, DD Seçinti
İstanbul Üniversitesi, İstanbul
Amaç: Bu çalışmanın amacı bilişsel davranışçı terapi müdahalesinin ruhsal ve obezite parametrelerinde iyileşme-ye yol açıp açmadığını araştırmaktır. Yöntem: On katılımcı (dokuz kadın ve bir erkek) iki farklı bilişsel davranışçı terapi (BDT) gruplarına atanmıştır. Ergenlerin yaş ortalaması 14.10±1.79 yıl, beden kitle indeksi ortalaması 29.95±4.18 kg/m2’dir. Bu çalışmada, dokuz BDT oturumunun ardından bir anne-baba oturumu yapıldı. Katılımcı-lara haftalık ağırlık kontrolleri, diyet ve egzersizler içeren yaşam tarzı müdahaleleri uygulandı. Bulgular: Dokuz BDT oturumunun değerlendirmelerine göre depresif belirtilerde, sosyal anksiyetede, sosyal fobide anlamlı bir düşme; öz saygıda anlamlı bir yükselme saptanmıştır. Beden kitle indeksinde herhangi bir değişme saptanma-mıştır. Tartışma: Bu çalışma Türkiye’de depresif belirtileri olan ergenler üzerinde grup BDT oturumlarının etkisini değerlendiren ilk çalışmadır. Elde edilen bulgulara göre, hastaların kilo vermesine ve mevcut kilolarını sağlıklı bir düzeyde koruyabilmelerine yardımcı olabilecek bilişsel-davranışçı müdahaleler geliştiren daha fazla çalışmaya gerek vardır.
Cognitive behavior therapy for overweight and obese adolescents with psychiatric symptoms: a pilot stud
Objective: The aim of this study is to investigate whether cognitive behavioral therapy intervention lead to im-provement in psychological parameters and obesity parameters. Methods: Ten participants, nine females and one male, were assigned to two different cognitive behavioral therapy (CBT)-based groups. The adolescents’ mean age was 14.10±1.79 years and their mean body mass index was 29.95±4.18 kg/m2. The CBT comprised of nine sessions followed by one parent session. The participants also received lifestyle interventions which include weekly weight checks, diet, and exercise. Results: The evaluations of the nine CBT sessions showed a signifi-cant reduction in depressive symptoms, social anxiety, social phobia, and a significant improvement in self-es-teem, but the BMI scores remained unchanged which was a deviation from our expectation. Discussion: This is the first study in Turkey to evaluate the impact of group-based CBT on depressed adolescents. The results demonstrate that further researches are needed, with the objective of developing cognitive-behavioral interven-tions that help patients to lose weight and maintain their weight at a healthy level.

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