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Dergiler / Adıyaman Üniversitesi Sağlık Bilimleri Dergisi / 2024 / Cilt: 10 Sayı: 3

Tip 2 diyabet hastalarında ölüm kayısının otoreksiya nevroza eğilimleri üzerine etkisi

The effect of death anxiety on orthorexia nervosa tendencies in type 2 diabetes patients

Zeynep Öztürk(ERZURUM TEKNİK ÜNİVERSİTESİ)0000-0003-3368-4288
Gülcan Bahçecioğlu Turan(FIRAT UNIVERSITY)0000-0002-0061-9490
Meyreme Aksoy(SIIRT UNIVERSITY)0000-0001-7468-9822
Sayfa
236–245
Yayın Tarihi
2024-12-31
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Bulgular: Hastaların DAS puanı ortalaması 11,41±2,09, ORTO-11 puanı ortalaması ise 23,69±6,09 olarak belirlendi.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Amaç: Bu çalışma Tip 2 diyabetli hastalarında ölüm kaygısının ortoreksiya nervoza eğilimleri üzerine etkisini incelemek amacıyla yapıldı.
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Temel Bulgular & Veri:Gereç ve Yöntem: Bu çalışma, Türkiye'nin doğusunda yer alan Elazığ ilinde bir üniversite hastanesinin dahiliye polikliniğine başvuran 200 Tip 2 diyabet hastası ile gerçekleştirildi.
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Sonuç & Katkı:Bulgular: Hastaların DAS puanı ortalaması 11,41±2,09, ORTO-11 puanı ortalaması ise 23,69±6,09 olarak belirlendi.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Diabetes Mellitus · Ölüm · Beslenme ve Yeme Bozuklukları

Özet

Amaç: Bu çalışma Tip 2 diyabetli hastalarında ölüm kaygısının ortoreksiya nervoza eğilimleri üzerine etkisini incelemek amacıyla yapıldı. Gereç ve Yöntem: Bu çalışma, Türkiye'nin doğusunda yer alan Elazığ ilinde bir üniversite hastanesinin dahiliye polikliniğine başvuran 200 Tip 2 diyabet hastası ile gerçekleştirildi. Veriler “Tanımlayıcı Bilgi Formu”, “Ölüm Kaygısı Ölçeği (DAÖ)” ve “Ortoreksiya-11 Ölçeği (ORTO-11)” kullanılarak toplandı. Bulgular: Hastaların DAS puanı ortalaması 11,41±2,09, ORTO-11 puanı ortalaması ise 23,69±6,09 olarak belirlendi. DAS toplam puanının anlamlı ve negatif bir yordayıcı olduğu (β= -.540, p<0,001) ve ORTO-11 toplam puanının % 29'unu açıkladığı belirlendi. Sonuç: Tip 2 diyabetli hastaların yüksek düzeyde ölüm kaygısı ve orta düzeyde ortoreksiya nervoza eğilimine sahip oldukları belirlendi. Ölüm kaygısı arttıkça ortoreksiya nervoza eğiliminin arttığı belirlendi.

Abstract

Aim: This study was conducted to investigate the effect of death anxiety on orthorexia nervosa tendencies in patients with Type 2 diabetes. Materials and Methods: This study was conducted with 200 Type 2 diabetes patients who referred to internal medicine outpatient clinics of a university hospital in Elazığ, a city in the east of Turkey. The data were collected by using “Descriptive Information Form”, “Death Anxiety Scale (DAS)” and “Orthorexia-11 Scale (ORTO-11)”. Results: The mean DAS score of the patients was 11.41±2.09, while their mean ORTO-11 score was found as 23.69±6.09. It was found that DAS total score was a significant and negative predictor (β= -.540, p<0.001) and explained 29 % of ORTO-11 total score. Conclusion: Patients with Type 2 diabetes were found to have high level of death anxiety and moderate level of orthorexia nervosa tendency. It was found that orthorexia nervosa tendency increased as death anxiety increased.

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Bu Makaleye Atıf Yap

Öztürk, Z., Turan, G. B., Aksoy, M. (2024). Tip 2 diyabet hastalarında ölüm kayısının otoreksiya nevroza eğilimleri üzerine etkisi. Adıyaman Üniversitesi Sağlık Bilimleri Dergisi, Cilt: 10 Sayı: 3, 236–245. https://doi.org/10.30569/adiyamansaglik.1517008

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Kaynakça (54)

  1. Deshpande AD, Harris-Hayes M, Schootman M. Epidemiology of diabetes and diabetes-related complications. Physical Therapy. 2008;88(11):1254-1264.
  2. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2014;37(1):81-90.
  3. WHO. Diabetes, https://www.who.int/news-room/fact-sheets/detail/diabetes Access date: January 2023.
  4. Singh C. An analytic study of death anxiety among type 2 diabetes. Mediterranean Journal of Social Sciences. 2013;4(11):205-217.
  5. Doğan R, Arslantas D, Ünsal A. Assessment of depression and death anxiety level in diabetic patients in Eskisehir, Turkey. International Journal of Diabetes in Developing Countries. 2015;35(3):242-149.
  6. Rahrovi G, Nouhi S, Khastar H. The comparison of self-concept and death anxiety between women affected by Type 1 and 2 diabetes and healthy women. International Journal of Health Studies. 2018;3(4):11-15.
  7. Karakuş G, Öztürk Z, Tamam L. Ölüm ve ölüm kaygısı. Arşiv Kaynak Tarama Dergisi. 2012;21(1):42-79.
  8. Bickett A, Tapp H. Anxiety and diabetes: innovative approaches to management in primary care. Experimental Biology and Medicine. 2016;241(15):1724-1731.
  9. Masmoudi J, Damak R, Zouari H, et al. Prevalence and impact of anxiety and depression on type 2 diabetes in Tunisian patients over sixty years old. Depression Research and Treatment. 2013;(1):1-6.
  10. Ackley BJ, Ladwig GB, Makic MBF, Martinez-Kratz M, Zanotti M. Nursing diagnosis handbook E-book: An evidence-based guide to planning care. Elsevier Health Sciences; 2019.
  11. Abdelhafiz AH, Sinclair AJ. Diabetes, nutrition, and exercise. Clinics in Geriatric Medicine. 2015;31(3):439-51.
  12. Franz MJ, Powers MA, Leontos C, et al. The evidence for medical nutrition therapy for type 1 and type 2 diabetes in adults. Journal of the American Dietetic Association. 2010;110(12):1852-1889.
  13. Grammatikopoulou MG, Gkiouras K, Polychronidou G, et al. Obsessed with Healthy Eating: A Systematic Review of Observational Studies Assessing Orthorexia Nervosa in Patients with Diabetes Mellitus. Nutrients. 2021;13(11):3823-3837.
  14. Taş D, Mengen E, Kocaay P, Uçaktürk SA. The Effects of Risk Behaviors and Orthorexic Behavior on Glycemic Control in Adolescents with Type 1 Diabetes. Journal of Clinical Research in Pediatric Endocrinology. 2020;12(3):233-240.
  15. Kamanlı B. Assessment of Relationship Between The Nutritional Status and Orthorexia Nervosa of Patients with Type 2 Diabetes. Ankara: Institute of Health Sciences,The Community Nutrition Program M.Sc., Hacettepe University; 2017.
  16. Özdemir A. Less known eating disorders. International Journal of Caring Sciences. 2015;8(3):853-859.
  17. Arusoğlu G, Kabakçi E, Köksal G, Merdol TK. Orthorexia Nervosa and Adaptation of ORTO-11 into Turkish. Turkish Journal of Psychiatry. 2008;19(3):283-291.
  18. American Psychiatric Association. Diagnostic and statistical manual of mental disorders DSM-5. Washington, DC: American Psychiatric Association; 2013.
  19. Donini LM, Marsili D, Graziani MP, Imbriale M, Cannella C. Orthorexia nervosa: validation of a diagnosis questionnaire. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2005;10(2):28-32.
  20. Templer DI. The construction and validation of a death anxiety scale. The Journal of General Psychology 1970;82(2):165-177.
  21. Akça F, Köse İA. Ölüm Kaygısı Ölçeğinin Uyarlanması: Geçerlik ve Güvenirlik Çalışması. Klinik Psikiyatri Dergisi. 2008;11(1):7-16.
  22. Karahan FŞ, Hamarta E. Geriatrik olgularda kronik hastalıkların ve polifarmasinin ölüm kaygısı ve anksiyete üzerine etkisi. Ege Tıp Bilimleri Dergisi. 2019;2(1):8-13.
  23. Khawar M, Aslam N, Aamir S. Perceived social support and death anxiety among patients with chronic diseases. Pakistan Journal of Medical Research. 2013;52(3):75-79.
  24. Ezazi BE, Ghadampour S, Moradı SA. Predicting corona anxiety based on cognitive emotion regulation strategies, health hardiness and death anxiety in diabetic patients. Iranian Journal of Psychiatric Nursing. 2020;(2):34-44.
  25. Missler M, Stroebe M, Geurtsen L, Mastenbroek M, Chmoun S, Van Der Houwen K. Exploring death anxiety among elderly people: A literature review and empirical investigation. OMEGA-Journal of Death and Dying. 2012;64(4):357-379.
  26. Sun N, Lou P, Shang Y, et al. Prevalence and determinants of depressive and anxiety symptoms in adults with type 2 diabetes in China: a cross-sectional study. BMJ Open. 2016;6(8):012540.
  27. Russac R, Gatliff C, Reece M, Spottswood D. Death anxiety across the adult years: An examination of age and gender effects. Death Studies. 2007;31(6):549-561.
  28. Edwards LE, Mezuk B. Anxiety and risk of type 2 diabetes: evidence from the Baltimore Epidemiologic Catchment Area Study. Journal of Psychosomatic Research. 2012;73(6):418-423.
  29. Kastenbaum R, Moreman C. Death, Society, and Human Experience. Routledge; 2018.
  30. Hanif R, Jami H, Masood S, Zubair A, Kamal A. Psychosocial Explorations of Gender in Society. Cambridge Scholars Publishing; 2020.
  31. Walter T. Why different countries manage death differently: a comparative analysis of modern urban societies 1. The British Journal of Sociology. 2012;63(1):123-145.
  32. Bjelland I, Krokstad S, Mykletun A, Dahl AA, Tell GS, Tambs K. Does a higher educational level protect against anxiety and depression? The HUNT study. Social Science & Medicine. 2008;66(6):1334-1345.
  33. Ganasegeran K, Renganathan P, Manaf RA, Al-Dubai SAR. Factors associated with anxiety and depression among type 2 diabetes outpatients in Malaysia: a descriptive cross-sectional single-centre study. BMJ Open. 2014;4(4):e004794.
  34. Petroni ML, Barbanti FA, Bonadonna R et al. Dysfunctional eating in type 2 diabetes mellitus: a multicenter Italian study of socio-demographic and clinical associations. Nutr Metab Cardiovasc Di.s 2019;29:983-990.
  35. Jalali N, Taghavi Kojidi H, Badrfam R, Zandifar A. The relationship between personality disorder, depression and eating disorder with treatment adherence in patients with type 2 diabetes; a cross-sectional study in diabetic patients in Iran. J Diabetes Metab Disord. 2021;20:153-159.
  36. Winston AP. Eating disorders and diabetes. Curr Diab Rep. 2020;20:32.
  37. Nieto-Martínez R, González-Rivas JP, Medina-Inojosa JR, Florez H. Are eating disorders risk factors for type 2 diabetes? A systematic review and meta-analysis. Curr Diab Rep. 2017;17:138.
  38. Kamarli Altun H, Özyildirim C, Koç Ş, Aksoy HN, Sağir B, Bozkurt MS, Karasu, H. The factors associated with orthorexia nervosa in type 2 diabetes and their effect on diabetes self-management scores. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2023;28(1):22-31.
  39. Barbanti FA, Trento M, Bruno G, Bonadonna R, Croci M, D’Eusebio C, Petroni ML. Prevalence of orthorexic traits in type 2 diabetes mellitus: at the crossroads between nutritional counseling and eating disorders. Acta Diabetologica. 2020;57:1117-1119.
  40. Le Marne KM, Harris LM. Death anxiety, perfectionism and disordered eating. Behaviour Change. 2016;33(4):193-211.
  41. Farber SK, Jackson CC, Tabin JK, Bachar E. Death and annihilation anxieties in anorexia nervosa, bulimia, and self-mutilation. Psychoanalytic Psychology 2007;24(2):289-305.
  42. Forrester, M., Sharpe, L., & Menzies, R. E. (2024). Starving off death: Mortality salience impacts women’s body image and disordered eating. Death Studies, 1-10.
  43. Wisting L, Skrivarhaug T, Dahl-Jørgensen K, Rø Ø. Prevalence of disturbed eating behavior and associated symptoms of anxiety and depression among adult males and females with type 1 diabetes. Journal of Eating Disorders. 2018;6:1-10.
  44. Papelbaum M, Appolinário JC, Moreira RDO, Ellinger VCM, Kupfer R, Coutinho WF. Prevalence of eating disorders and psychiatric comorbidity in a clinical sample of type 2 diabetes mellitus patients. Brazilian Journal of Psychiatry. 2005;27:135-138.
  45. Swinbourne J, Hunt C, Abbott M, Russell J, St Clare T, Touyz S. The comorbidity between eating disorders and anxiety disorders: Prevalence in an eating disorder sample and anxiety disorder sample. Australian & New Zealand Journal of Psychiatry. 2012;46(2):118-131.
  46. Fitzsimmons-Craft EE, Bardone-Cone AM, Brownstone LM, Harney MB. Evaluating the roles of anxiety and dimensions of perfectionism in dieting and binge eating using weekly diary methodology. Eat. Behav. 2012;13:418-422.
  47. Goebel-Fabbri A, Copeland P, Touyz S, Hay P. Eating disorders in diabetes: Discussion on issues relevant to type 1 diabetes and an overview of the Journal’s special issue. Journal of Eating Disorders. 2019;7:1-3.
  48. Dziewa M, Bańka B, Herbet M, Piątkowska-Chmiel I. Eating disorders and diabetes: Facing the dual challenge. Nutrients. 2023;15:3955.
  49. Menzies RE, Zuccala M, Sharpe L, Dar-Nimrod I. Subtypes of obsessive-compulsive disorder and their relationship to death anxiety. Journal of Obsessive-Compulsive and Related Disorders. 2020;27:100572.
  50. Abramowitz JS, Olatunji BO, Deacon BJ. Health anxiety, hypochondriasis, and the anxiety disorders. Behavior Therapy. 2007;38:86-94.
  51. Maner JK, Richey JA, Cromer K, Mallott M, Lejuez CW, Joiner TE, Schmidt NB. Dispositional anxiety and risk-avoidant decision-making. Pers. Individ. Differ. 2007;42:665-675.
  52. Hall PA, Rodin GM, Vallis TM, Perkins BA. The consequences of anxious temperament for disease detection, self-management behavior, and quality of life in Type 2 diabetes mellitus. Journal of Psychosomatic Research. 2009;67: 297-305.
  53. Ezaka ES, Nassif RN, Chibuike OP, Okeke S, Chukwubuzo OT. Relationship between death anxiety and health-related quality of life among diabetic patients: The predictive roles of experiential avoidance. Glob J Obes Diabetes Metab Syndr. 2022;9(1):011-019.
  54. Aliche CJ, Ifeagwazi CM, Ezaka ES. Moderating role of meaning in life in the relationship of death anxiety, experiential avoidance and health-related quality of life among type 2 diabetes patients. South African Journal of Psychology. 2023;00812463231186328.