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Journals / Çukurova Anestezi ve Cerrahi Bilimler Dergisi / 2026 / Cilt: 9 Sayı: 3

Handgrip Strength in Individuals With Major Depressive Disorder: Associations With Psychosocial and Physical Factors

Depresyon Tanılı Bireylerde El Kavrama Gücü: Psikososyal ve Fiziksel Faktörlerin İlişkisi

Caner Yeşiloğlu(ÇUKUROVA ÜNİVERSİTESİ)0000-0002-9997-351X
Ömer Fettahlıoğlu(ÇUKUROVA ÜNİVERSİTESİ)0009-0008-6591-8783
Lut Tamam(ÇUKUROVA ÜNİVERSİTESİ)0000-0002-9750-7531
Mehmet Emin Demirkol(ÇUKUROVA ÜNİVERSİTESİ)0000-0003-3965-7360
Zeynep Namlı(ÇUKUROVA ÜNİVERSİTESİ)0000-0001-8954-5901
Mahmut Onur Karaytuğ(ÇUKUROVA ÜNİVERSİTESİ)0000-0002-6338-2195
Pages
664–675
Publication Date
2026-09-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Self-esteem appears to be the factor most strongly linked to reduced handgrip strength in this population.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Major depressive disorder (MDD) affects not only mood and cognition but also physical functioning.
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Key Findings & Data:Materials and Methods: In this cross-sectional study, 63 patients diagnosed with MDD and 50 healthy controls were included.
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Conclusion & Impact:Self-esteem appears to be the factor most strongly linked to reduced handgrip strength in this population.
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:Majör depresif bozukluk · benlik saygısı · el kavrama gücü

Abstract

Objective: Major depressive disorder (MDD) affects not only mood and cognition but also physical functioning. This study aimed to examine the associations of handgrip strength with depression severity, self-esteem, and orthorexic tendencies in individuals with MDD. Materials and Methods: In this cross-sectional study, 63 patients diagnosed with MDD and 50 healthy controls were included. Depression severity was assessed using the Hamilton Depression Rating Scale, self-esteem using the Rosenberg Self-Esteem Scale, and orthorexic tendencies using the Orthorexia Nervosa Inventory. Handgrip strength was measured with a digital hand dynamometer according to standard procedures. Results: Compared with controls, the MDD group had significantly higher depression scores and lower handgrip strength. Self-esteem was also significantly poorer in the MDD group, whereas orthorexic tendencies did not differ significantly between groups. In patients with MDD, handgrip strength was negatively correlated with depression severity and Rosenberg Self-Esteem Scale scores, but not with age or orthorexic tendencies. In multiple linear regression analysis, Rosenberg Self-Esteem Scale score was the only independent variable significantly associated with handgrip strength. Among patients with MDD, those with a history of suicide attempt had significantly lower self-esteem, while handgrip strength, depression severity, and orthorexic tendencies were similar. Conclusion: Handgrip strength may serve as an objective indicator of physical functioning associated with psychological vulnerability in MDD. Self-esteem appears to be the factor most strongly linked to reduced handgrip strength in this population.

Özet

Amaç: Majör depresif bozukluk (MDB), yalnızca duygudurum ve bilişsel süreçleri değil, fiziksel işlevselliği de etkileyen heterojen bir klinik tablodur. Bu çalışmada, MDB tanılı bireylerde el kavrama gücünün depresyon şiddeti, benlik saygısı ve ortorektik eğilimlerle ilişkisini incelemek amaçlandı. Gereç ve Yöntem: Bu kesitsel çalışmaya 63 MDB tanılı hasta ve 50 sağlıklı kontrol dahil edildi. Depresyon şiddeti Hamilton Depresyon Derecelendirme Ölçeği, benlik saygısı Rosenberg Benlik Saygısı Ölçeği ve ortorektik eğilimler Ortoreksiya Nervoza Envanteri ile değerlendirildi. El kavrama gücü standart ölçüm prosedürlerine uygun olarak dijital el dinamometresi ile ölçüldü. Bulgular: Kontrol grubuyla karşılaştırıldığında MDB grubunda depresyon puanları anlamlı düzeyde daha yüksek, el kavrama gücü ise anlamlı düzeyde daha düşüktü. Benlik saygısı da MDB grubunda daha olumsuz düzeyde bulundu; ortorektik eğilimler açısından ise gruplar arasında anlamlı fark saptanmadı. MDB grubunda el kavrama gücü, depresyon şiddeti ve Rosenberg Benlik Saygısı Ölçeği puanları ile negatif korelasyon gösterirken yaş ve ortorektik eğilimlerle anlamlı ilişki göstermedi. Çoklu doğrusal regresyon analizinde el kavrama gücü ile bağımsız olarak ilişkili tek değişken Rosenberg Benlik Saygısı Ölçeği puanıydı. İntihar girişimi öyküsü olan MDB hastalarında benlik saygısı anlamlı düzeyde daha düşüktü; buna karşın el kavrama gücü, depresyon şiddeti ve ortorektik eğilimler benzerdi. Sonuç: El kavrama gücü, MDB’de psikolojik kırılganlıkla ilişkili nesnel bir fiziksel işlevsellik göstergesi olabilir. Bu örneklemde el kavrama gücüyle en güçlü ilişkili değişken benlik saygısı olarak görünmektedir.

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Cite This Article

Yeşiloğlu, C., Fettahlıoğlu, Ö., Tamam, L., Demirkol, M. E., Namlı, Z., Karaytuğ, M. O. (2026). Handgrip Strength in Individuals With Major Depressive Disorder: Associations With Psychosocial and Physical Factors. Çukurova Anestezi ve Cerrahi Bilimler Dergisi, Cilt: 9 Sayı: 3, 664–675. https://doi.org/10.36516/jocass.1934861

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