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Yıl:2021; Cilt: 24; Sayı: 3>> Özet
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Klinik Psikiyatri Dergisi; 2021;24(3):334-341
Bariatrik cerrahi adaylarında D Tipi kişilik ve vücut kitle indeksinin yordayıcı faktörleri
İ Yağcı, Y Taşdelen, O Koç, Y Kıvrak
Kars Harakani Devlet Hastanesi, Kars
Amaç: Çalışmamızın amacı bariatrik cerrahi adaylarında depresyon-anksiyete düzeylerinin, cinsel yaşantılarının, çocukluk çağı travmatik yaşantılarının, benlik saygıları, yeme tutumları ile D Tipi kişilik özelliklerinin araştırılmasıdır. Yöntem: Çalışmamız Haziran 2019- Aralık 2019 tarihleri arasında yapılmış olup 50 bariatrik cerrahi adayı ile 50 sağlıklı kişi olmak üzere toplam 100 kişi alınmıştır. Çalışmamızda sosyodemografik veri formu, Beck Depresyon Ölçeği, Beck Anksiyete Ölçeği, Çocukluk Çağı Travmaları Ölçeği, D Tipi Kişilik Ölçeği, Arizona Cinsel Yaşantılar Ölçeği, Rosenberg Benlik Saygısı Ölçeği, Yeme Tutum Testi kullanılmıştır. Bulgular: Obezite grubunda kontrol grubuna göre daha sık D tipi kişilik örüntüsü, cinsel yaşantılarda ve benlik saygısında bozukluk, yaşam kalitesinde bozulma ve daha sık çocukluk çağı travmaları görülmüş olup anksiyete ve depresyon skorları arasında istatistiksel olarak anlamlı olarak farklılık tespit edilmemiştir. Ayrıca Vücut Kitle İndeksi’nin yordayıcı faktörlerinin eğitim, benlik saygısı, yeme tutumu, çocukluk çağı travmaları olduğu, varyansın %63.5’ini açıkladığı tespit edilmiştir. D tipi kişiliğin ise yordayıcı faktörlerden olmadığı tespit edilmiştir. Sonuç: Bariatrik cerrahi adayları rutin olarak operasyonları öncesinde psikiyatrik muayeneleri yapılmakta olup ameliyat sonrası dönemde de bu kişilerin psikiyatrist ile kontrol görüşmelerinin yapılmasının önemli olduğu düşünmekteyiz.
Type D personality and predictive factors of body mass index in bariatric surgery candidates
Objective: This study aimed to investigate depressionanxiety levels, sexual lives, childhood traumatic experiences, self-esteem, eating attitudes, and Type D personality traits in bariatric surgery candidates. Method: Our study was conducted between June 2019 and December 2019 and included a total of 100 individuals, 50 bariatric surgery candidates and 50 healthy people. A sociodemographic data form, the Beck Depression Inventory, the Beck Anxiety Inventory, the Childhood Trauma Questionnaire, the Type D Personality Scale, the Arizona Sexual Experiences Scale, the Rosenberg Self-Esteem Scale, and the Eating Attitudes Test were used in our study. Results: The scores of Type D Personality, Arizona sexual experiences, childhood trauma, eating attitude, and self-esteem scales were significantly higher in the patient group than in the control group. There was no statistically significant difference between the anxiety and depression scores of both groups. In addition, it was found that the predictive factors of the Body Mass Index were education, self-esteem, eating attitude, and childhood traumas, explaining 63.5% of the variance. Type D personality, on the other hand, was not found to be one of the predictive factors. Discussion: Bariatric surgery candidates undergoe routine psychiatric examinations prior to their operations, and preoperative follow-up interviews with a psychiatrist is believed to be important for these individuals.

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