ISSN 1302-6631
 

Original Research (Original Article) Open Access


Relationship between body mass index to depression severity, eating attitude and impulsivity among the patients with major depressive disorder

Mehmet Öztürk, İsmail Volkan Şahiner, Şafak Şahiner, Ali Çayköylü.

Abstract
Objective: Major depressive disorder and obesity has been rapidly increasing worldwide, and overlapping related factors has been discussed more and more. Especially, it is stated that depression is the leading psychological factor which is affecting eating attitude, and accordingly body mass index (BMI) is increased. It is also thought that, impulsivity is higher with the severity of depression, which negatively affects eating attitude and may cause change on BMI. In this study, we aimed to determine whether BMI affects eating attitude and impulsivity in case of presence of depression, and if so, to determine other related factors. Methods: To this cross-sectional study, 120 patients were included, who were diagnosed major depression first time according to DSM-5, and who do not have any other psychological or physical illness. Sociodemographic Data Form, Eating Attitude Scale, Barrat Impulsivity Scale-11 (BIS-11) and Beck Depression Scale (BDS) were applied to participants. Results were analyzed using SPSS 22.0. Results: The severity of major depression was found to be related with high BMI (particularly obesity). Positive relationship was found between BMI and lower education level, being married, having children and smoking. Increase in BMI has no effect on impulsivity. However, there was a relationship between severity of depression and impulsivity independent from BMI. It was found that patients with eating attitude disorder have significantly higher BMI, BDS, BIS-11 total scores and attention, non-planning sub-dimensional scores compared to patients with normal eating attitude. Discussion: Hence, BMI with high major depression severity may be related with obesity. However, our findings suggest that rather than BMI, depression severity affects impulsivity more. It should be considered that, for depressive and obese individuals, with the increase in depression severity, eating attitude may be affected and impulsivity may be higher.

Key words: Major depression, body mass index, eating attitude, impulsivity.



Majör depresif bozukluk tanısı ile başvuran hastalarda beden kitle indeksinin depresyon şiddeti, yeme tutumu ve dürtüsellikle ilişkisi

Özet
Amaç: Dünya genelinde, majör depresif bozukluk ve obezite hızla artış göstermekte, örtüşen ilişkili etkenleri daha fazla tartışılmaktadır. Özellikle depresyonun yeme tutumunu etkileyen ruhsal etkenlerin başında geldiği ve buna bağlı olarak beden kitle indeksinde (BKİ) de artış olduğu belirtilmiştir. Ayrıca depresyon şiddeti ile birlikte dürtüselliğin daha fazla olup bunun yeme tutumunu olumsuz etkilediği ve BKİ üzerinde değişikliğe neden olabileceği ileri sürülmüştür. Biz bu çalışmada depresyon varlığında BKİ’nin yeme tutumu ve dürtüselliği etkileyip etkilemediğini, varsa diğer ilişkili etkenleri belirlemeyi amaçladık. Yöntem: Kesitsel desendeki bu çalışmaya, DSM-5’e göre ilk kez majör depresyon tanısı konan, başka ruhsal ve fiziksel hastalığı olmayan 120 hasta katıldı. Katılımcılara Sosyodemografik Veri Formu, Yeme Tutumu Testi (YTT), Barrat Dürtüsellik Ölçeği-11 (BIS-11), Beck Depresyon Ölçeği (BDÖ) uygulandı. Sonuçlar SPSS 22.0 kullanılarak analiz edildi. Sonuçlar: Majör depresyonun şiddetinin yüksek BKİ (özellikle obezite) ile ilişkili olduğu bulundu. BKİ ile düşük eğitim düzeyi, evli olma, çocuk sahibi olma, sigara kullanma arasında pozitif bir ilişki saptandı. BKİ’deki artışın dürtüsellik üzerinde bir etkisi bulunmadı, ancak depresyon şiddetinin BKİ’den bağımsız bir şekilde dürtüsellikle ilişkilisi vardı. Yeme tutumu bozulmuş olan hastaların BKİ, BDÖ, BIS-11 toplam puanı ve dikkat, plan yapmama alt boyut puanları yeme tutumu normal olan hastalardan anlamlı düzeyde yüksek olarak saptandı. Tartışma: Majör depresyon şiddeti yüksek BKİ, dolayısıyla obezite ile ilişkili olabilir. Bulgularımız, BKİ’den çok, depresyonun şiddetinin dürtüselliği daha çok etkilediğini düşündürmektedir. Depresyonlu ve obez bireylerde depresyon şiddeti artıkça yeme tutumunun bozulabileceği ve bu bireylerde dürtüselliğin daha fazla olabileceği göz önünde bulundurulmalıdır.

Anahtar Kelimeler: Major depresyon, beden kitle indeksi, yeme tutumu, dürtüsellik.


 
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Pubmed Style

Ozturk M, Sahiner IV, Sahiner S, Caykoylu A. [Relationship between body mass index to depression severity, eating attitude and impulsivity among the patients with major depressive disorder]. Anadolu Psikiyatri Derg. 2018; 19(2): 117-125. Turkish. doi:10.5455/apd.266257


Web Style

Ozturk M, Sahiner IV, Sahiner S, Caykoylu A. [Relationship between body mass index to depression severity, eating attitude and impulsivity among the patients with major depressive disorder]. http://www.anadolupsikiyatri.net/?mno=266257 [Access: February 22, 2018]. Turkish. doi:10.5455/apd.266257


AMA (American Medical Association) Style

Ozturk M, Sahiner IV, Sahiner S, Caykoylu A. [Relationship between body mass index to depression severity, eating attitude and impulsivity among the patients with major depressive disorder]. Anadolu Psikiyatri Derg. 2018; 19(2): 117-125. Turkish. doi:10.5455/apd.266257



Vancouver/ICMJE Style

Ozturk M, Sahiner IV, Sahiner S, Caykoylu A. [Relationship between body mass index to depression severity, eating attitude and impulsivity among the patients with major depressive disorder]. Anadolu Psikiyatri Derg. (2018), [cited February 22, 2018]; 19(2): 117-125. Turkish. doi:10.5455/apd.266257



Harvard Style

Ozturk, M., Sahiner, I. V., Sahiner, S. & Caykoylu, A. (2018) [Relationship between body mass index to depression severity, eating attitude and impulsivity among the patients with major depressive disorder]. Anadolu Psikiyatri Derg, 19 (2), 117-125. Turkish. doi:10.5455/apd.266257



Turabian Style

Ozturk, Mehmet, Ismail Volkan Sahiner, Safak Sahiner, and Ali Caykoylu. 2018. [Relationship between body mass index to depression severity, eating attitude and impulsivity among the patients with major depressive disorder]. Anatolian Journal of Psychiatry, 19 (2), 117-125. Turkish. doi:10.5455/apd.266257



Chicago Style

Ozturk, Mehmet, Ismail Volkan Sahiner, Safak Sahiner, and Ali Caykoylu. "[Relationship between body mass index to depression severity, eating attitude and impulsivity among the patients with major depressive disorder]." Anatolian Journal of Psychiatry 19 (2018), 117-125. Turkish. doi:10.5455/apd.266257



MLA (The Modern Language Association) Style

Ozturk, Mehmet, Ismail Volkan Sahiner, Safak Sahiner, and Ali Caykoylu. "[Relationship between body mass index to depression severity, eating attitude and impulsivity among the patients with major depressive disorder]." Anatolian Journal of Psychiatry 19.2 (2018), 117-125. Print.Turkish. doi:10.5455/apd.266257



APA (American Psychological Association) Style

Ozturk, M., Sahiner, I. V., Sahiner, S. & Caykoylu, A. (2018) [Relationship between body mass index to depression severity, eating attitude and impulsivity among the patients with major depressive disorder]. Anatolian Journal of Psychiatry, 19 (2), 117-125. Turkish. doi:10.5455/apd.266257





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