Çocuklarda ve ergenlerde beden kitle indeksi, duygusal-davranışsal sorunlar ve prososyal davranışlar arasındaki ilişki
Date
2022-06-09
Authors
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Publisher
Bursa Uludağ Üniversitesi
Abstract
Çocuk ve ergen psikiyatrisi polikliniklerine başvuran çocuk ve ergenlerin beden kitle indekslerinin araştırılması ve bunların prososyal özellikler, duygusal ve davranışsal sorunlar ile olası ilişkisinin araştırılması, bir halk sağlığı sorunu olan obezitenin eşlik eden olumsuz etkilerini daha iyi anlamak ve çözümü için öneriler sunmak için önemlidir. Çalışmamızın amacı, çocuk ve ergen psikiyatrisi polikliniğine başvuran çocuk ve ergenlerin BKİ z-skoru ile prososyal becerileri, duygusal davranış sorunları arasındaki ilişkileri incelemektir. Çalışmamıza Bursa Uludağ Üniversitesi Tıp Fakültesi Hastanesine Haziran 2021-Eylül 2021 ayları arası Çocuk ve Ergen Psikiyatrisi polikliniğine başvurmuş 130 çocuk ve ergen hasta dâhil edilmiştir. Çalışma prosedürü, yazılı bilgilendirilmiş onam veren tüm katılımcılara sözlü olarak da anlatılmıştır. Çalışmanın etik kurul kararı Uludağ Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu’ndan alınmıştır. Hastalara tanısı; Okul Çağı Çocukları İçin Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi-Şimdi ve Yaşam Boyu Şekli (ÇDŞG-ŞY) DSM-5 yarı yapılandırılmış görüşmesi Türkçe formu ile konulmuştur. Bireylerin duygusal güçlükleri ve prosoyal özellikleri, Güçler-güçlükler Anketi–Ebeveyn ölçeği ile değerlendirilmiştir. Hastaların BKİ ise aynı hemşire tarafından boy ve kilo ölçümleri ile yapılacaktır. Çalışmaya katılan çocuk ve ergenlerin yaş ortalaması 11.9+-3.74’dır.Cinsiyetlere göre bakıldığında katılımcıların %53,4 kız (n:63) kız cinsiyetindeydi. Çalışmaya katılanların %5,9 (n=7) obez, %12,7’i (n=15) aşırı kilolu, %12,7’si (n=42) normal kilolu, %37,3’ü (n=44) zayıf, %8.5’u (n=10) aşırı zayıf,olarak saptanmıştır. Cinsiyetler arasında obezite açısından fark izlenmedi (p=0,72). Çalışmamız pandemi döneminde başvuran ergenlerin prososyal özelliklerinin ve beden kitle indeksi ve, duygusal davranışsal sorunlar ve hastalıkları arasındaki ilişkiyi inceleyen bir çalışma olması bakımından önemlidir. Çocuk ve ergenlerde obezitenin yol açtığı olası sorunların tanınması eşlik edebilecek ruhsal sorunların öngörülmesi ve erken müdahalenin yapılması açısından önemlidir. Ayrıca uygun gereksinimlerin tanınması ve karşılanması koruyucu ruh sağlığı açısından önem taşımaktadır. Bu anlamda risk faktörlerini tanımlayan ve araştıran çalışmaların artması toplum sağlığı açısından önemli yer tutar.
It is important to investigate the body mass indexes of children and adolescents who applied to child and adolescent psychiatry outpatient clinics and their possible relationship with prosocial characteristics, emotional and behavioral problems, to better understand the negative effects of obesity, which is a public health problem, and to offer suggestions for its solution. The aim of our study is to examine the relationship between BMI z-score, prosocial skills, and emotional behavior problems of children and adolescents who applied to the child and adolescent psychiatry outpatient clinic. Our study included 130 pediatric and adolescent patients who applied to the Child and Adolescent Psychiatry outpatient clinic of Bursa Uludağ University Medical Faculty Hospital between June 2021 and September 2021. The study procedure was also verbally explained to all participants who gave written informed consent. The permission of the study was obtained from Uludağ University Non-Interventional Clinical Research Ethics Committee. The diagnosis of the patients was made using the Turkish form of the DSM-5 semi-structured interview of the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Now and Lifetime Version (CDS-PL). Emotional difficulties and prosocial characteristics of individuals were evaluated with the Strengths-Difficulties Questionnaire-Parent scale. The BMI of the patients will be measured by the same nurse by measuring their height and weight. Results: The average age of the children and adolescents participating in the study is 11.9+-3.74 years. Considering the genders, 53.4% of the participants (n:63) were female. 5.9% (n=7) of the study participants were obese, 12.7% (n=15) were overweight, 12.7% (n=42) normal weight, 37.3% (n=44) underweight, 8.5% (n=10) extremely thin. There was no difference between the genders in terms of obesity (p=0.72). Our study is important as it is a study that examines the relationship between prosocial characteristics and body mass index, emotional-behavioral problems and diseases of adolescents who applied during the pandemic period. Recognition of possible problems caused by obesity in children and adolescents is important in terms of predicting mental problems that may accompany and making early intervention. In addition, recognizing and meeting appropriate needs is important in terms of preventive mental health. In this sense, the increase in studies defining and investigating risk factors has an important place in terms of public health.
It is important to investigate the body mass indexes of children and adolescents who applied to child and adolescent psychiatry outpatient clinics and their possible relationship with prosocial characteristics, emotional and behavioral problems, to better understand the negative effects of obesity, which is a public health problem, and to offer suggestions for its solution. The aim of our study is to examine the relationship between BMI z-score, prosocial skills, and emotional behavior problems of children and adolescents who applied to the child and adolescent psychiatry outpatient clinic. Our study included 130 pediatric and adolescent patients who applied to the Child and Adolescent Psychiatry outpatient clinic of Bursa Uludağ University Medical Faculty Hospital between June 2021 and September 2021. The study procedure was also verbally explained to all participants who gave written informed consent. The permission of the study was obtained from Uludağ University Non-Interventional Clinical Research Ethics Committee. The diagnosis of the patients was made using the Turkish form of the DSM-5 semi-structured interview of the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Now and Lifetime Version (CDS-PL). Emotional difficulties and prosocial characteristics of individuals were evaluated with the Strengths-Difficulties Questionnaire-Parent scale. The BMI of the patients will be measured by the same nurse by measuring their height and weight. Results: The average age of the children and adolescents participating in the study is 11.9+-3.74 years. Considering the genders, 53.4% of the participants (n:63) were female. 5.9% (n=7) of the study participants were obese, 12.7% (n=15) were overweight, 12.7% (n=42) normal weight, 37.3% (n=44) underweight, 8.5% (n=10) extremely thin. There was no difference between the genders in terms of obesity (p=0.72). Our study is important as it is a study that examines the relationship between prosocial characteristics and body mass index, emotional-behavioral problems and diseases of adolescents who applied during the pandemic period. Recognition of possible problems caused by obesity in children and adolescents is important in terms of predicting mental problems that may accompany and making early intervention. In addition, recognizing and meeting appropriate needs is important in terms of preventive mental health. In this sense, the increase in studies defining and investigating risk factors has an important place in terms of public health.
Description
Keywords
Obezite, Prososyal özellikler, Çocuk ve ergenler, Beden kitle indeksi, Duygusal ve davranışsal sorunlar, Obesity, Prosocial features, Child and adolescents, Body mass index, Emotional behavioral problems
Citation
Eray, Ş. vd. (2022). ''Çocuklarda ve ergenlerde beden kitle indeksi, duygusal-davranışsal sorunlar ve prososyal davranışlar arasındaki ilişki''. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 48(2), 131-136.