Journals / Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi / 2020 / Cilt: 9 - Sayı: 3

The Relationship Between Depression and Anxiety Symptoms and Decreased Cognitive Flexibility in Morbidly Obese Individuals

Morbid Obez Bireylerde Depresyon ve Kaygı Belirtileri ile Bilişsel Esneklik Kaybı Arasındaki İlişki

Pages
211–220
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

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

Inclusion of cognitive flexibility and memory-related cognitive remediation programs in weight reduction strategies after bariatric surgery in individuals with depression and anxiety symptoms may be beneficial in increasing postoperative weight loss success.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The aim of this study was to investigate the relationship between depression and anxiety symptoms and decreased cognitive flexibility in morbidly obese participants who underwent bariatric surgery.
📊
Key Findings & Data:In this study, 35 morbidly obese individuals were evaluated with Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Wisconsin Card Sorting Test (WCST) and Öktem Verbal Memory Processes Test (OVMPT) before bariatric surgery.
💡
Conclusion & Impact:Inclusion of cognitive flexibility and memory-related cognitive remediation programs in weight reduction strategies after bariatric surgery in individuals with depression and anxiety symptoms may be beneficial in increasing postoperative weight loss success.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

The aim of this study was to investigate the relationship between depression and anxiety symptoms and decreased cognitive flexibility in morbidly obese participants who underwent bariatric surgery. In this study, 35 morbidly obese individuals were evaluated with Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Wisconsin Card Sorting Test (WCST) and Öktem Verbal Memory Processes Test (OVMPT) before bariatric surgery. A significant positive correlation was found between axiety and depressive scores and perseverative error. In addition, a significant positive correlation was found between BAE scores and number of perseverative error (r = 0,381, p= 0,024) and percentage of perseverative error (r = 0,3337, p= 0,048). There was a significant positive correlation between BDI scores and percentage of perseverative error (r = 0,3337, p= 0,048). According to hierarchical regression analysis, 20,6% anxiety scores were explained by instant and long-term memory and perseverative error scores (F = 3,94, p= 0,017). Inclusion of cognitive flexibility and memory-related cognitive remediation programs in weight reduction strategies after bariatric surgery in individuals with depression and anxiety symptoms may be beneficial in increasing postoperative weight loss success.

Özet

Bu araştırmanın amacı bariatrik cerrahi ameliyatına başvuran morbid obez katılımcılarda görülendepresyon ve kaygı belirtilerinin bilişsel esneklik kaybı ile olan ilişkisini araştırmaktır. Araştırmada 24-49yaş aralığında olan ve bariatrik cerrahi ameliyatı öncesi psikiyatri polikliniğine konsülte edilen 35 morbidobez birey Beck Depresyon Envanteri, Beck Anksiyete Envanteri, Wisconsin Kart Eşleme Testi ve ÖktemSözel Bellek Süreçleri Testi ile değerlendirildi. BAE skorları ile Perseveratif hata sayısı (r=0,381, p=0,024)ve Perseveratif hata yüzdesi (r=0,337, p=0,048) arasında anlamlı derecede pozitif ilişki olduğu bulundu.Buna ek olarak BDE skorları ve Perseveratif hata yüzdesi arasında anlamlı derecede pozitif ilişki (r=0,337,p=0,048) mevcuttu. Hiyerarşik regresyon analizine göre anksiyete belirtilerinin %20,6’sının anlık ve uzunsüreli bellek performansı ve perseveratif hata sayıları ile açıklandığı değerlendirildi (F=3,94, p=0,017).Depresyon ve anksiyete belirtileri eşlik eden bireylerde cerrahi sonrası takip döneminde, kilo azaltmayayönelik uygulanan stratejilere bilişsel esneklik ve bellekle ilgili bilişsel remediasyon programlarının dahiledilmesi cerrahi sonrası kilo verme başarısını arttırmada faydalı olabilir.

🔖

Cite This Article

ÖNEN, S., BUDAK, E. (2020). The Relationship Between Depression and Anxiety Symptoms and Decreased Cognitive Flexibility in Morbidly Obese Individuals. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi, Cilt: 9 - Sayı: 3, 211–220. https://ajindex.com/articles/352526

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (6)

  1. Alosco, M. L., Spitznagel, M. B., Strain, G., Devlin, M., Cohen, R., Crosby, R. D.,. ve Gunstad, J. (2015). Improved serum leptin and ghrelin following bariatric surgery predict better postoperative cognitive function. Journal of Clinical Neurology, 11(1), 48-56. https://doi.org/10.3988/jcn.2015.11.1.48
  2. Beck, A.T., Ward, C.H., Mendelson, M., Mock, J., ve Erbaugh, J. (1961). An inventory for measuring depression. Archives General Psychiatry, 4(6), 561-71. https://doi.org/10.1001/ archpsyc.1961.01710120031004 Beck, A.T., Epstein, N., Brown, G., Steer, R.A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. J Consult Clin Psychol, 56(6), 893-897. https://doi.org/10.1037/0022- 006x.56.6.893 Brumpton, B., Langhammer, A., Romundstad, P., Chen, Y., ve Mai, X. M. (2013). The associations of anxiety and depression symptoms with weight change and incident obesity: The HUNT Study. International Journal of Obesity, 37(9), 1268. https://doi. org/10.1038/ijo.2012.204 Brunault, P., Jacobi, D., Miknius, V., Bourbao-Tournois, C., Huten, N., Gaillard, P.,. ve Ballon, N. (2012). High preoperative depression, phobic anxiety, and binge eating scores and low medium-term weight loss in sleeve gastrectomy obese patients: a preliminary cohort study. Psychosomatics, 53(4), 363-370. https://doi.org/10.1016/j.psym.2011.12.008 Cañas, J. J., Fajardo, I., ve Salmeron, L. (2006). Cognitive flexibility. In: W. Karwowski (Ed.), International encyclopedia of ergonomics and human factors (2nd ed., pp. 297-301).
  3. Boca Raton, FL: CRC Press.
  4. Chelune, G. J., ve Baer, R. A. (1986). Developmental norms for the Wisconsin Card Sorting test. Journal of Clinical and Experimental Neuropsychology, 8(3), 219-228. https://doi. org/10.1080/01688638608401314 Cserjési, R., Molnár, D., Luminet, O., ve Lénárd, L. (2007). Is there any relationship between obesity and mental flexibility in children?. Appetite, 49(3), 675-678. https://doi.org/10.1016/j. appet.2007.04.001 Dennis, J.P., Vander Wal, J.S. (2010). The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cognitive Therapy and Research, 34(3), 241-253. https://doi.org/10.1007/s10608-009-9276-4
  5. Fossati, P., Ergis, A. M., ve Allilaire, J. F. (2002). Executive functioning in unipolar depression: a review. L’encéphale, 28(2), 97-107.
  6. Fox, C. K., Gross, A. C., Rudser, K. D., Foy, A. M., ve Kelly, A. S. (2016). Depression, anxiety, and severity of obesity in adolescents: is emotiona