Yıl: 2018 Cilt: 10 Sayı: 4 Sayfa Aralığı: 357 - 363 Metin Dili: İngilizce DOI: 10.4274/jcrpe.0101 İndeks Tarihi: 24-09-2019

Perceived Expressed Emotion, Emotional and Behavioral Problems and Self-Esteem in Obese Adolescents: A Case-Control Study

Öz:
Objective: Obesity is a chronic disease which leads to medical and psychiatric complications. Family climate is a critical factor in thetreatment of obesity and comorbid psychiatric disorders. In our study, perceived expressed emotion (EE), psychopathology, self-esteemand emotional and behavioural problems (BP) among obese adolescents were investigated and compared with their non-obese peers.Methods: The subjects were 49 obese adolescents and 47 non-obese adolescents served as the control group. All participants wererequested to fill out the Socio-demographic Data Form, Shortened Level of Expressed Emotion Scale, Rosenberg Self-Esteem Scale,Strength and Difficulties Questionnaire-Adolescent Form.Results: In our study, obese adolescents showed a significant difference in perceived EE (p<0.001). Subscales of EE, such as Lack ofEmotional Support (p<0.001), intrusiveness (p<0.001), irritability (p<0.001), self-esteem (p<0.001), emotional and BP (p<0.001),attention deficit-hyperactivity disorder (p<0.001), problems in peer relationships (p<0.001) and social skills (p<0.001) were significantlyworse when compared with the control group. There was a strong relationship between EE and emotional and BP and self-esteem.Conclusion: The higher rate of perceived EE, psychopathology and low self-esteem among obese adolescents showed that obesityprevention and treatment are also crucial for good mental health in adolescents. The important role of the family in mental health ofobese adolescents was emphasized. It was shown that identification of risk factors in childhood that promote obesity should be done sothat targeted intervention and prevention programs can be developed.
Anahtar Kelime:

Konular: Endokrinoloji ve Metabolizma Pediatri
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Lobstein T, Jackson-Leach R, Moodie ML, Hall KD, Gortmaker SL, Swinburn BA, James WP, Wang Y, McPherson K. Child and adolescent obesity: part of a bigger picture. Lancet 2015;385:2510-2520. Epub 2015 Feb 19
  • Shin NY, Shin MS. Body dissatisfaction, self-esteem, and depression in obese Korean children. J Pediatr 2008;152:502-506. Epub 2007 Nov 7
  • Nigg JT, Johnstone JM, Musser ED, Long HG, Willoughby MT, Shannon J. Attention-deficit/hyperactivity disorder (ADHD) and being overweight/ obesity: New data and meta-analysis. Clin Psychol Rev 2016;43:67-79. Epub 2015 Dec 2
  • Topçu S, Orhon FŞ, Tayfun M, Uçaktürk SA, Demirel F. Anxiety, depression and self-esteem levels in obese children: a case-control study. J Pediatr Endocrinol Metab 2016;29:357-361.
  • Foucart J, De Buck C, Verbanck P. Factorial study of the psychopathological factors of morbid obesity in the adolescent. Encephale 2012;38:310-317. Epub 2011 Aug 30
  • Upton P, Taylor C, Erol R, Upton D. Family-based childhood obesity interventions in the UK: a systematic review of published studies. Community Pract 2014;87:25-29.
  • Hale WW, Crocetti E, Nelemans SA, Branje SJ, van Lier PA, Koot HM, Meeus WH. Mother and adolescent expressed emotion and adolescent internalizing and externalizing symptom development: a six-year longitudinal study. Eur Child Adolesc Psychiatry 2016;25:615-624. Epub 2015 Sep 29
  • Di Paola F, Faravelli C, Ricca V. Perceived expressed emotion in anorexia nervosa, bulimia nervosa, and binge-eating disorder. Compr Psychiatry 2010;51:401-405. Epub 2009 Dec 21
  • Munsch S, Dremmel D, Kurz S, De Albuquerque J, Meyer AH, Hilbert A. Influence of Parental Expressed Emotions on Children’s Emotional Eating via Children’s Negative Urgency. Eur Eat Disord Rev 2017;25:36- 43. Epub 2016 Oct 27
  • Kinston W, Miller L, Loader P, Wolff OH. Revealing sex differences in childhood obesity by using a family systems approach. Family Systems Medicine 1990;8:371-386.
  • Gibson LY, Byrne SM, Davis EA, Blair E, Jacoby P, Zubrick SR. The role of family and maternal factors in childhood obesity. Med J Aust 2007;186:591-595.
  • Tullio ED, Gattoni E, Gramaglia C, Ruggiero V, Biroli G, andrea FD, Gili S, Gualano MR, Siliquini R, Zeppegno P. Obesity: The influence of expressed emotion, anxiety and life events. European Psychiatry 2016;33(Suppl):162.
  • Association AP. Diagnostic and statistical manual of mental disorders (DSM-5®): American Psychiatric Pub; 2013.
  • Kuczmarski RJ, Ogden CL, Guo SS, Grummer-Strawn LM, Flegal KM, Mei Z, Wei R, Curtin LR, Roche AF, Johnson CL. 2000 CDC Growth Charts for the United States: methods and development. Vital Health Stat 11 2002:1-190.
  • Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: International survey. BMJ 2000;320:1240-1246.
  • Nelis SM, Rae G, Liddell C. The level of expressed emotion scale: A useful measure of expressed emotion in adolescents? J Adolesc 2011;34:311-318. Epub 2010 Jun 8
  • Vural P, Sığırlı D, Şafak E, Ercan İ, Kılıç EZ. The Reliability and Validity Study of Shortened Level of Expressed Emotion Scale in Adolescentsı. Turkiye Klinikleri J Med Sci 2013;33:191-199.
  • Goodman R. Psychometric properties of the strengths and difficulties questionnaire. J Am Acad Child Adolescent Psychiatry 2001;40:1337- 1345.
  • Rosenberg M. Rosenberg self-esteem scale (RSE). Acceptance and commitment therapy Measures package. 1965;61.
  • Çuhadaroğlu F. Self-esteem in the adolescents. Ankara: Hacettepe University; 1986.
  • IBM Corp. IBM SPSS Statistics for Windows, Version 22.0. IBM Corp Armonk: New York, NY, USA, 2012.
  • Turkish Trade Union Confederation. (2015, November, 26). November 2015 Hunger and Poverty Limit. Avaible from: http://www.turkis.org.tr/ dosya/VJ2DA9G9d57X.pdf
  • Halliday JA, Palma CL, Mellor D, Green J, Renzaho AM. The relationship between family functioning and child and adolescent overweight and obesity: a systematic review. Int J Obes (Lond) 2014;38:480-493. Epub 2013 Nov 15
  • Johnson JG, Cohen P, Kasen S, Brook JS. Childhood adversities associated with risk for eating disorders or weight problems during adolescence or early adulthood. Am J Psychiatry 2002;159:394- 400.
  • Waring ME, Lapane KL. Overweight in children and adolescents in relation to attention-deficit/hyperactivity disorder: results from a national sample. Pediatrics 2008;122:1-6.
  • Hasler G, Pine DS, Kleinbaum DG, Gamma A, Luckenbaugh D, Ajdacic V, Eich D, Rössler W, Angst J. Depressive symptoms during childhood and adult obesity: the Zurich Cohort Study. Mol Psychiatry 2005;10:842-850.
  • Erermis S, Cetin N, Tamar M, Bukusoglu N, Akdeniz F, Goksen D. Is obesity a risk factor for psychopathology among adolescents? Pediatr Int 2004;46:296-301.
  • Cortese S, Tessari L. Attention-deficit/hyperactivity disorder (ADHD) and obesity: update 2016. Curr Psychiatry 2017;19:4.
  • Strauss RS. Childhood obesity and self-esteem. Pediatrics 2000;105:15.
  • Kaplan KM, Wadden TA. Childhood obesity and self-esteem. J Pediatr 1986;109:367-370.
  • Iannaccone M, D’Olimpio F, Cella S, Cotrufo P. Self-esteem, body shame and eating disorder risk in obese and normal weight adolescents: A mediation model. Eat Behav 2016;21:80-83.
APA ÇOLPAN M, Eray Ş, Eren E, VURAL A (2018). Perceived Expressed Emotion, Emotional and Behavioral Problems and Self-Esteem in Obese Adolescents: A Case-Control Study. , 357 - 363. 10.4274/jcrpe.0101
Chicago ÇOLPAN Merve,Eray Şafak,Eren Erdal,VURAL AYŞE PINAR Perceived Expressed Emotion, Emotional and Behavioral Problems and Self-Esteem in Obese Adolescents: A Case-Control Study. (2018): 357 - 363. 10.4274/jcrpe.0101
MLA ÇOLPAN Merve,Eray Şafak,Eren Erdal,VURAL AYŞE PINAR Perceived Expressed Emotion, Emotional and Behavioral Problems and Self-Esteem in Obese Adolescents: A Case-Control Study. , 2018, ss.357 - 363. 10.4274/jcrpe.0101
AMA ÇOLPAN M,Eray Ş,Eren E,VURAL A Perceived Expressed Emotion, Emotional and Behavioral Problems and Self-Esteem in Obese Adolescents: A Case-Control Study. . 2018; 357 - 363. 10.4274/jcrpe.0101
Vancouver ÇOLPAN M,Eray Ş,Eren E,VURAL A Perceived Expressed Emotion, Emotional and Behavioral Problems and Self-Esteem in Obese Adolescents: A Case-Control Study. . 2018; 357 - 363. 10.4274/jcrpe.0101
IEEE ÇOLPAN M,Eray Ş,Eren E,VURAL A "Perceived Expressed Emotion, Emotional and Behavioral Problems and Self-Esteem in Obese Adolescents: A Case-Control Study." , ss.357 - 363, 2018. 10.4274/jcrpe.0101
ISNAD ÇOLPAN, Merve vd. "Perceived Expressed Emotion, Emotional and Behavioral Problems and Self-Esteem in Obese Adolescents: A Case-Control Study". (2018), 357-363. https://doi.org/10.4274/jcrpe.0101
APA ÇOLPAN M, Eray Ş, Eren E, VURAL A (2018). Perceived Expressed Emotion, Emotional and Behavioral Problems and Self-Esteem in Obese Adolescents: A Case-Control Study. Journal of Clinical Research in Pediatric Endocrinology, 10(4), 357 - 363. 10.4274/jcrpe.0101
Chicago ÇOLPAN Merve,Eray Şafak,Eren Erdal,VURAL AYŞE PINAR Perceived Expressed Emotion, Emotional and Behavioral Problems and Self-Esteem in Obese Adolescents: A Case-Control Study. Journal of Clinical Research in Pediatric Endocrinology 10, no.4 (2018): 357 - 363. 10.4274/jcrpe.0101
MLA ÇOLPAN Merve,Eray Şafak,Eren Erdal,VURAL AYŞE PINAR Perceived Expressed Emotion, Emotional and Behavioral Problems and Self-Esteem in Obese Adolescents: A Case-Control Study. Journal of Clinical Research in Pediatric Endocrinology, vol.10, no.4, 2018, ss.357 - 363. 10.4274/jcrpe.0101
AMA ÇOLPAN M,Eray Ş,Eren E,VURAL A Perceived Expressed Emotion, Emotional and Behavioral Problems and Self-Esteem in Obese Adolescents: A Case-Control Study. Journal of Clinical Research in Pediatric Endocrinology. 2018; 10(4): 357 - 363. 10.4274/jcrpe.0101
Vancouver ÇOLPAN M,Eray Ş,Eren E,VURAL A Perceived Expressed Emotion, Emotional and Behavioral Problems and Self-Esteem in Obese Adolescents: A Case-Control Study. Journal of Clinical Research in Pediatric Endocrinology. 2018; 10(4): 357 - 363. 10.4274/jcrpe.0101
IEEE ÇOLPAN M,Eray Ş,Eren E,VURAL A "Perceived Expressed Emotion, Emotional and Behavioral Problems and Self-Esteem in Obese Adolescents: A Case-Control Study." Journal of Clinical Research in Pediatric Endocrinology, 10, ss.357 - 363, 2018. 10.4274/jcrpe.0101
ISNAD ÇOLPAN, Merve vd. "Perceived Expressed Emotion, Emotional and Behavioral Problems and Self-Esteem in Obese Adolescents: A Case-Control Study". Journal of Clinical Research in Pediatric Endocrinology 10/4 (2018), 357-363. https://doi.org/10.4274/jcrpe.0101