Ergen kızlarda bulimia, depresyon ve kendine zarar verme davranışlarının birlikte görüldüğü durumların saptanması
Abstract
Kendine İntihar Niyeti Olmadan Yaralama (NSSI), intihar niyeti olmaksızın bedensel zarara neden olan kendine zarar verme davranışı olarak tanımlanmaktadır. NSSI diğer psikopatolojilerin öncüsü olabilir veya komorbidite olarak ortaya çıkabilir. Bu vaka serisinde, ilk başvurusu NSSI olan ve psikiyatrik değerlendirmede Major Depresif Bozukluk (MDB) tanısı alan 5 genç kızın takibinde Bulimia Nervoza (BN) gelişimini inceledik. Sonuç olarak, NSSI'nin BN gelişimi için bir öncül olabileceği hipotezini öne sürdük. Klinik görüşmeler, ergenlerin algıladıkları aile desteğinin düşük olduğunu ve annelerin duygularını düzenlemekte güçlük çektiğini ortaya koymuştur. Annelerden Toronto Aleksitimi Ölçeğini, ergenlerden ise Sosyal Destek Değerlendirme Ölçeğinin "aileden alınan destek" bölümünü doldurmalarını isteyerek bu değişkenleri ölçmeyi amaçladık. Ergenlerin zaman zaman çekingen olabildikleri ve sorulmadıkça bu tür yakınmaları dile getirmedikleri düşünüldüğünde, klinisyenlerin bu ilişkinin farkında olmaları ve koruyucu psikiyatri açısından görüşmeler sırasında belirtileri akılda tutmaları gerekmektedir.
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References
- van Eeden AE, van Hoeken D, Hoek HW. Incidence, prevalence and mortality of anorexia nervosa and bulimia nervosa. Curr Opin Psychiatry. 2021;34:515–24.
- Keshishian AC, Tabri N, Becker KR, Franko DL, Herzog DB, Thomas JJ et al. Eating disorder recovery is associated with absence of major depressive disorder and substance use disorders at 22-year longitudinal follow-up. Compr Psychiatry. 2019;90:49–51.
- Mischoulon D, Eddy KT, Keshaviah A, Dinescu D, Ross SL, Kass AE et al. Depression and eating disorders: treatment and course. J Affect Disord. 2011;130:470–7.
- Qian H, Shu C, Feng L, Xiang J, Guo Y, Wang G. Childhood maltreatment, stressful life events, cognitive emotion regulation strategies, and non-suicidal self-injury in adolescents and young adults with first-episode depressive disorder: direct and indirect pathways. Front Psychiatry. 2022;13:838693.
- Hovrud L, Simons R, Simons J, Korkow J. Non-suicidal self-ınjury and bulimia: the role of emotion dysregulation and body dissatisfaction. Eat Weight Disord. 2020;25:1089-97.
- Claes L, Muehlenkamp JJ. Non-suicidal self-ınjury and eating disorders: dimensions of self-harm. In Non-Suicidal Self-Injury in Eating Disorders: 3–18. Berlin, Springer, 2014.
- Güleç H, Yenel A. Psychometric properties of the Turkish version 20 item Toronto alexithymia scala: according to cut-off score. Klinik Psikiyatri Dergisi. 2010;13:108–12.
- Clapham R, Brausch A. Emotion regulation deficits across the spectrum of self-harm. Death Stud. 2022;46:2477–84.
- Gariépy G, Honkaniemi H, Quesnel-Vallée A. Social support and protection from depression: Systematic review of current findings in Western countries. Br J Psychiatry. 2016;209:284–93.
- Kellerman JK, Millner AJ, Joyce VW, Nash CC, Buonopane R, Nock MK et al. Social support and nonsuicidal self-injury among adolescent psychiatric inpatients. Res Child Adolesc Psychopathol. 2022;50:1351–61.
Abstract
Nonsuicidal Self-Injury (NSSI) is defined as self-inflicted behavior that causes bodily harm without suicidal intent. NSSI may be a precursor to other psychopathologies or co-occur as comorbidity. In this case series, we examined the development of Bulimia Nervosa (BN) in the follow-up of 5 young girls whose first presentation was NSSI and who were diagnosed with Major Depressive Disorder (MDD) at the psychiatric evaluation. As a result, we hypothesized that NSSI may be a precursor for the development of BN. Clinical interviews revealed that perceived family support by the adolescents were low and mothers had difficulty regulating emotions. We aimed to measure these variables by asking mother to fill out Toronto Alexithymia Scale and adolescents to fill out The Social Support Assessment Scale’s “support received from the family” part. Considering that adolescents can be timid at times and do not express such complaints unless asked, clinicians should be aware of this relationship and should keep the symptoms in mind during interviews in terms of preventive psychiatry.
Supporting Institution
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Project Number
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Thanks
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References
- van Eeden AE, van Hoeken D, Hoek HW. Incidence, prevalence and mortality of anorexia nervosa and bulimia nervosa. Curr Opin Psychiatry. 2021;34:515–24.
- Keshishian AC, Tabri N, Becker KR, Franko DL, Herzog DB, Thomas JJ et al. Eating disorder recovery is associated with absence of major depressive disorder and substance use disorders at 22-year longitudinal follow-up. Compr Psychiatry. 2019;90:49–51.
- Mischoulon D, Eddy KT, Keshaviah A, Dinescu D, Ross SL, Kass AE et al. Depression and eating disorders: treatment and course. J Affect Disord. 2011;130:470–7.
- Qian H, Shu C, Feng L, Xiang J, Guo Y, Wang G. Childhood maltreatment, stressful life events, cognitive emotion regulation strategies, and non-suicidal self-injury in adolescents and young adults with first-episode depressive disorder: direct and indirect pathways. Front Psychiatry. 2022;13:838693.
- Hovrud L, Simons R, Simons J, Korkow J. Non-suicidal self-ınjury and bulimia: the role of emotion dysregulation and body dissatisfaction. Eat Weight Disord. 2020;25:1089-97.
- Claes L, Muehlenkamp JJ. Non-suicidal self-ınjury and eating disorders: dimensions of self-harm. In Non-Suicidal Self-Injury in Eating Disorders: 3–18. Berlin, Springer, 2014.
- Güleç H, Yenel A. Psychometric properties of the Turkish version 20 item Toronto alexithymia scala: according to cut-off score. Klinik Psikiyatri Dergisi. 2010;13:108–12.
- Clapham R, Brausch A. Emotion regulation deficits across the spectrum of self-harm. Death Stud. 2022;46:2477–84.
- Gariépy G, Honkaniemi H, Quesnel-Vallée A. Social support and protection from depression: Systematic review of current findings in Western countries. Br J Psychiatry. 2016;209:284–93.
- Kellerman JK, Millner AJ, Joyce VW, Nash CC, Buonopane R, Nock MK et al. Social support and nonsuicidal self-injury among adolescent psychiatric inpatients. Res Child Adolesc Psychopathol. 2022;50:1351–61.
Details
| Primary Language | English |
|---|---|
| Subjects | Psychiatry |
| Journal Section | Letter to the Editor |
| Authors | |
| Project Number | - |
| Publication Date | December 29, 2023 |
| Acceptance Date | August 27, 2023 |
| Published in Issue | Year 2023 Volume: 48 Issue: 4 |
