Dergi Ara >>
Yıl:2008; Cilt: 1; Sayı: 1>> Özet
Türkiye Klinikleri Psikiyatri Özel Dergisi; 2008;1(1):27-31
Obezite ve Değişik Şekilleri
C Aksoy, İ Balcıoğlu
İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Psikiyatri AD, İSTANBUL
Obezite kronik seyirli, kişinin damgalanmasına yol açabilen ve sıklığı giderek artan önemli bir sağlık sorunudur. Obezitenin bazı akıl hastalıklarıyla birlikte görülme oranı oldukça yüksektir ancak bu birlikteliğin nedenleri iyi bilinmemektedir. Bunda ilaç kullanımı gibi iyatrojenik etmenlerin payı olabilir zira psikotik bozuklukların ve duygudurum bozukluklarının tedavisinde kullanılan ilaçların çoğu önemli ölçüde kilo artışına yol açabilmektedir. Öte yandan obeziteyle birlikte ortaya çıkan öteki hastalıkların tedavisinde kullanılan ilaçlar da psikiyatrik belirtilere yol açabilmektedir. Aile öyküsü, ikiz çalışmaları ve genetik çalışmalarından elde edilen bilgiler obezite ve bazı akıl hastalıklarının birden fazla gende görülen bozuklukla ilişkili olduğunu göstermektedir. Obezitenin bazı biçimleriyle bazı akıl hastalıklarının patolojisinde ortak kalıtsal etmenlerin rol oynayabileceği düşünülmektedir. Obezite ile akıl hastalıklarının sıklıkla birlikte görülmesinin nedenlerinin daha iyi anlaşılmasının tedaviye de büyük yardımı olacaktır, zira obezite akıl hastalıklarının özellikle de psikoz, duygudurum bozuklukları ve yeme bozukluklarının tedavisini güçleştirmektedir.
Different Clinic Presentations of Obesity
Obesity is a chronic, stigmatizing health problem with increasing prevalence. Obesity and mental disorders co-occur to a high degree, but the reasons for the overlap between obesity and mental disorders are not well understood. Iatrogenic factors like drugs may play a role; many of the drugs used to treat psychotic and mood disorders are associated with significant weight gain. Conversely, some of the drugs used to treat used medical conditions associated with obesity can cause psychiatric symptoms. Family history, twin and genetic studies suggest that obesity and many mental disorders are polygenic conditions. It is thought that certain forms of obesity and some of the mental disorders may share common inherited factors. Better understanding of the reasons for the overlap between obesity and mental disorders may contribute to to treatment because obesity frequently complicate the treatment of patients with mental disorders especially psychotic disorders, mood disorders and eating disorders.

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