Öz
Purpose: The aim of this study was to determine the relation between metabolic syndrome and anger in obese women. Material and Methods: The study included 78 obese women presenting to the diet outpatient clinic of Kahramanmaraş Onikişubat Public Health Center between 1 June and 30 August 2014. Results: The mean age of the participants was 38.1±11.1 years (min=18, max=62). Forty-two participants (53.8%) were diagnosed as metabolic syndrome, but 36 (46.2%) did not fulfill the criteria for the diagnosis of metabolic syndrome. Forty-six participants (59.0%) had obesity, 16 (20.5%) had severe obesity and 16 (20.5%) had morbid obesity. The participants diagnosed as metabolic syndrome had 21.1±5.4 and those without metabolic syndrome had 22.7±6.4 for the subscale of continuous anger. The participants with metabolic syndrome got significantly higher scores for continuous anger (p=0.011). The participants with metabolic syndrome and those without metabolic syndrome had similar scores for the subscale anger-in (p=0.058) and the subscale anger control (p=0.196). The participants with metabolic syndrome got significantly lower scores for the subscale anger-out (p=0.004). Conclusion: The study revealed that obese women diagnosed as metabolic syndrome had lower scores for Continuous Anger-Anger Manner Scale. Offering social and psychological support for people treated for obesity is important for mental health of these people. Follow-up of the patients offered treatment for obesity by a team including a psychiatrist can increase these patients’ compliance with their diet and help to prevent comorbid psychopathologies.
Anahtar Kelimeler
Kaynakça
- Araz NÇ, Balat A, Araz M. Metabolic syndrome
- prevalence in childhood obesity and assesment of obesity related conditions. Med-Science. 2012;1:271- 82.
- Tatar BT, Ersoy C, Kacan T, Kirhan E, Sarandol E, Sigirli D et al. Neck and wrist circumferences propose a reliable approach to qualify obesity and ınsulin resistance. Med-Science. 2014;3:1013-25.
- Simon GE, Von Korff M, Saunders K, Miglioretti DL, Crane PK, van Belle G et al. Association between obesity and psychiatric disorders in the US adult population. Arch Gen Psychiatry. 2006;63:824-30.
- Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002. JAMA. 2004;291:2847-50.
- Faith MS, Matz PE, Jorge MA. Obesity-depression associations in Psychosomatic Research. 2002;53:935-42. Journal of
- Çetin F, Güneş G, Özer A. Malatya il merkezinde
- yaşayan kadınlarda metabolik sendrom prevalansı ve öfke ve sosyodemografik özellikler ile ilişkisi: Enine- kesitsel gözlemsel bir araştırma. Anadolu Kardiyol Derg. 2012;12:53-9.
- Erem C, Hacıhasanoğlu A, Değer O, Topbaş M,
- Hoşver I, Ersöz HO et al. Prevalence of metabolic syndrome and associated risk factors among Turkish adults: Trabzon MetS study. Endocrine. 2008;33:9- 20.
- Vitaliano PP, Scanlan JM, Zhang J, Savage MV, Hirsch IB, Siegler IC. A path model of chronic stress, the metabolic syndrome, and coronary heart disease. Psychosom Med. 2002;64:418-35.
- Januzzi JL Jr, Stern TA, Pasternak RC, DeSanctis RW. The influence of anxiety and depression on outcomes of patients with coronary artery disease. Arch Intern Med. 2000;160:1913-21.
- Rozanski A, Blumenthal JA, Davidson KW, Saab L. pathophysiology, and management of psychosocial risk factors in cardiac practice: the emerging field of behavioral 2005;45:637-51. The epidemiology, cardiology. Am Coll Cardiol.
- Räikkönen K, Matthews KA, Kuller LH. The relationship between psychological risk attributes and the metabolic syndrome antecedent 2002;51:1573-7.
- in healthy women: or consequence? Metabolism.
- Henry JP. Stress, salt and hypertension. Soc Sci Med. 1988;26:293-302.
- Vitaliano PP, Russo J, Niaura R. Plasma lipids and their relationships with psychosocial factors in older adults. J Gerontol B Psychol Sci Soc Sci. 1995;50:18-24.
- Henry JP, Stephens PM. Psychosocial stress induces high blood pressure in a population of mammals on a low-salt diet. J Hypertens. 1988;6:139-44.
- Spilberger CD, Johnson EH, Russel FS, Crane RS, Jacobs GA, Worden TJ. The experience and expression of anger: Construction and validation of an Anger Expression Scale. In: Chesney MA, Roseman RH, editors. Anger and Hostility in Cardiovascular and Behavioral Disorders. Mcgraw- Hill, New York, 1985;5-30.
- Özer AK. Sürekli Öfke (SL-ÖFKE) ve Öfke İfade Tarzı (ÖFKE-TARZ) ölçekleri ön çalışması. Türk Psikoloji Dergisi. 1994;31:26-35.
- Brunner EJ, Hemingway H, Walker BR, Page M, Clarke P, Juneja M et al. Adrenocortical, autonomic, and inflammatory causes of the metabolic syndrome: nested 2002;106:2659–65. study. Circulation.
- Rosmond R. Role of stress in the pathogenesis of the metabolic syndrome. Psychoneuroendocrinology. 2005;30:1–10.
- Lamounier-Zepter V, Ehrhart-Bornstein M, Bornstein SR. Metabolic syndrome and the endocrine stress system. 2006:38:437–41. Metabolic Research.
- Henry JP, Grim CE. Psychosocial mechanisms of primary hypertension. Journal of Hypertension. 1990;8:783–93.
- Rosmond R, Lapidus L, Marin P, Bjorntorp P. Mental distress, obesity and body fat distribution in middle- aged men. Obesity Research. 1996;4:245–52.
- Yancura LA, Aldwin CM, Levenson MR, Spiro A. Coping, affect, and the metabolic syndrome in older men: how does coping get under the skin? The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2006;61:295–303.
- Raikkonen K, Matthews KA, Kuller LH. Depressive symptoms and stressful life events predict metabolic syndrome among middle-aged women: a comparison of World Health Organization, Adult Treatment Panel III, and International Diabetes Foundation definitions. Diabetes Care. 2007;30:872–7.
- Breslau N, Peterson EL, Schultz LR, Chilcoat HD, Andreski P. Major depression and stages of smoking. A longitudinal investigation. Archives of General Psychiatry. 1998;55:161–6.
- Roeloffs CA, Wells KB, Ziedonis D, Tang L, Unutzer J. Problem substance use among depressed patients in 2002;43:405–12. care. Psychosomatics.
- Cohen BE, Panguluri P, Na B, Whooley MA. Psychological risk factors and the metabolic syndrome in patients with coronary heart disease: findings from the Heart and Soul Study. Psychiatry Res. 2010;175:133-7.
Öz
Giriş: Bu çalışmada obez kadınlarda metabolik sendrom (MtS) ve öfke arasındaki ilişkinin belirlenmesi amaçlanmıştır. Materyal ve Metod: Bu çalışmaya Kahramanmaraş Onikişubat Toplum Sağlığı Merkezi diyetisyen polikliniğine 01.06.2014-30.08.2014 tarihleri arasında başvuran 78 obez kadın alındı. Bulgular: Katılımcıların yaş ortalaması 38.1±11.1 (min=18, max=62) olarak saptandı. Kadınların 42’sine (%53.8) MtS tanısı konulurken, 36’sı (%46.2) MtS tanı kriterlerini karşılamamaktaydı. Katılımcıların 46’sı (%59.0) obez, 16’si (%20.5) şiddetli obez, 16’sı (%20.5) morbid obez olarak saptandı. SÖÖTÖ alt bölümlerinde alınan puanlar incelendiğinde MtS tanısı konulan olguların sürekli öfke ölçek puanı 21.1±5.4, MtS tanısı konulmayan bireylerin ise 22.7±6.4 olarak saptandı. MtS tanılı olguların sürekli öfke ölçek puanı, MtS tanısı konulmayanlara göre anlamlı seviyede yüksekti (p=0.011). MtS tanılı ve tanısız kadınların öfke içe vurumu ölçek puanı (p=0.058) ve öfke kontrolü ölçek puanı (p=0.196) benzer olarak saptandı. Öfke-dışa vurumu ölçek puanı MtS’li bireylerde, MtS’siz bireylere göre anlamlı düzeyde düşük olarak belirlendi (p=0.004). Sonuç: Çalışmamızda MtS tanılı olan obez kadınların SÖÖTÖ puanlarının, MtS tanısı konulmayanlara göre düşük olduğu belirlendi. Obezite tedavisi olan bireylere sosyal ve psikolojik destek vermek, bireyin ruh sağlığı için çok önemlidir. Obezite tedavisi başlanan hastaların psikiyatri hekimlerinin de bulunduğu bir ekip tarafından takip edilmesi hastaların diyete uyumunu artırılabilir ve komorbid psikopatolojilerin önlenmesi sağlanabilir.
Anahtar Kelimeler
Kaynakça
- Araz NÇ, Balat A, Araz M. Metabolic syndrome
- prevalence in childhood obesity and assesment of obesity related conditions. Med-Science. 2012;1:271- 82.
- Tatar BT, Ersoy C, Kacan T, Kirhan E, Sarandol E, Sigirli D et al. Neck and wrist circumferences propose a reliable approach to qualify obesity and ınsulin resistance. Med-Science. 2014;3:1013-25.
- Simon GE, Von Korff M, Saunders K, Miglioretti DL, Crane PK, van Belle G et al. Association between obesity and psychiatric disorders in the US adult population. Arch Gen Psychiatry. 2006;63:824-30.
- Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002. JAMA. 2004;291:2847-50.
- Faith MS, Matz PE, Jorge MA. Obesity-depression associations in Psychosomatic Research. 2002;53:935-42. Journal of
- Çetin F, Güneş G, Özer A. Malatya il merkezinde
- yaşayan kadınlarda metabolik sendrom prevalansı ve öfke ve sosyodemografik özellikler ile ilişkisi: Enine- kesitsel gözlemsel bir araştırma. Anadolu Kardiyol Derg. 2012;12:53-9.
- Erem C, Hacıhasanoğlu A, Değer O, Topbaş M,
- Hoşver I, Ersöz HO et al. Prevalence of metabolic syndrome and associated risk factors among Turkish adults: Trabzon MetS study. Endocrine. 2008;33:9- 20.
- Vitaliano PP, Scanlan JM, Zhang J, Savage MV, Hirsch IB, Siegler IC. A path model of chronic stress, the metabolic syndrome, and coronary heart disease. Psychosom Med. 2002;64:418-35.
- Januzzi JL Jr, Stern TA, Pasternak RC, DeSanctis RW. The influence of anxiety and depression on outcomes of patients with coronary artery disease. Arch Intern Med. 2000;160:1913-21.
- Rozanski A, Blumenthal JA, Davidson KW, Saab L. pathophysiology, and management of psychosocial risk factors in cardiac practice: the emerging field of behavioral 2005;45:637-51. The epidemiology, cardiology. Am Coll Cardiol.
- Räikkönen K, Matthews KA, Kuller LH. The relationship between psychological risk attributes and the metabolic syndrome antecedent 2002;51:1573-7.
- in healthy women: or consequence? Metabolism.
- Henry JP. Stress, salt and hypertension. Soc Sci Med. 1988;26:293-302.
- Vitaliano PP, Russo J, Niaura R. Plasma lipids and their relationships with psychosocial factors in older adults. J Gerontol B Psychol Sci Soc Sci. 1995;50:18-24.
- Henry JP, Stephens PM. Psychosocial stress induces high blood pressure in a population of mammals on a low-salt diet. J Hypertens. 1988;6:139-44.
- Spilberger CD, Johnson EH, Russel FS, Crane RS, Jacobs GA, Worden TJ. The experience and expression of anger: Construction and validation of an Anger Expression Scale. In: Chesney MA, Roseman RH, editors. Anger and Hostility in Cardiovascular and Behavioral Disorders. Mcgraw- Hill, New York, 1985;5-30.
- Özer AK. Sürekli Öfke (SL-ÖFKE) ve Öfke İfade Tarzı (ÖFKE-TARZ) ölçekleri ön çalışması. Türk Psikoloji Dergisi. 1994;31:26-35.
- Brunner EJ, Hemingway H, Walker BR, Page M, Clarke P, Juneja M et al. Adrenocortical, autonomic, and inflammatory causes of the metabolic syndrome: nested 2002;106:2659–65. study. Circulation.
- Rosmond R. Role of stress in the pathogenesis of the metabolic syndrome. Psychoneuroendocrinology. 2005;30:1–10.
- Lamounier-Zepter V, Ehrhart-Bornstein M, Bornstein SR. Metabolic syndrome and the endocrine stress system. 2006:38:437–41. Metabolic Research.
- Henry JP, Grim CE. Psychosocial mechanisms of primary hypertension. Journal of Hypertension. 1990;8:783–93.
- Rosmond R, Lapidus L, Marin P, Bjorntorp P. Mental distress, obesity and body fat distribution in middle- aged men. Obesity Research. 1996;4:245–52.
- Yancura LA, Aldwin CM, Levenson MR, Spiro A. Coping, affect, and the metabolic syndrome in older men: how does coping get under the skin? The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2006;61:295–303.
- Raikkonen K, Matthews KA, Kuller LH. Depressive symptoms and stressful life events predict metabolic syndrome among middle-aged women: a comparison of World Health Organization, Adult Treatment Panel III, and International Diabetes Foundation definitions. Diabetes Care. 2007;30:872–7.
- Breslau N, Peterson EL, Schultz LR, Chilcoat HD, Andreski P. Major depression and stages of smoking. A longitudinal investigation. Archives of General Psychiatry. 1998;55:161–6.
- Roeloffs CA, Wells KB, Ziedonis D, Tang L, Unutzer J. Problem substance use among depressed patients in 2002;43:405–12. care. Psychosomatics.
- Cohen BE, Panguluri P, Na B, Whooley MA. Psychological risk factors and the metabolic syndrome in patients with coronary heart disease: findings from the Heart and Soul Study. Psychiatry Res. 2010;175:133-7.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Araştırma |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Eylül 2015 |
| Yayımlandığı Sayı | Yıl 2015 Cilt: 40 Sayı: 3 |
