The Predictors And Role Of Treatment Motivation In Eating Disorders

Yıl 2016, Cilt: 36 Sayı: 1, 41 - 64, 13.10.2016

Fatima Elif Ergüney Okumuş , Hanife Özlem Sertel Berk , Başak Yücel

Öz

Eating Disorders (ED) are one of the psychiatric problems that increasingly become
prevalent and include serious health risks. Low treatment motivation is a common and
prominent factor in the progress of ED and lately became the focus of many researches.
Therefore evaluating the patients’treatment motivation and related factors before planning
the treatment modality increase the efficiency of treatment. However studies including
these factors are rare.

The aim of this study is to evaluate the relations between treatment motivation symptom
severity, body image and depression. The study was conducted with 75 ED women with using; SCID-I, Eating Disorders Examination Questionnaire, Beck Depression Inventory,
Photographic Figure Rating Scale, Anorexia Nervosa Stages of Change Questionnaire and
Bulimia Nervosa Stages of Change Questionnaire.

According to the results of this study, with the consistence of previous studies; increasing
levels of eating disorders symptom severity, depression, body dissatisfaction were related
with decreasing levels of treatment motivation in the patients with ED. The best predictor
of treatment motivation was eating disorder symptom severity.

These results suggest the value of evaluating the level of treatment motivation and
related factors when planning ED treatment models focusing on symptom severity and
body dissatisfaction. 

Anahtar Kelimeler

Eating disorders, Treatment Motivation, Body Image, Depresssion

Yeme Bozukluklarında Tedavi Motivasyonu ve Yordayıcıları

Öz

Yeme Bozuklukları (YB) gittikçe yaygınlaşan ve tedavi edilmediğinde kronikleşen, çok
bileşenlisağlıksorunlarıdır.Vakalarıntedaviyebaşvuruoranlarınındüşük,tedaviyibırakma
oranlarının ise yüksek oluşu, son zamanlarda tedavi motivasyonu ile ilgili çalışmalara
dikkat çekmekte, tedaviyi planlarken vakaların tedavi motivasyonu ve ilgili faktörlerin
değerlendirilmesi tedavi etkinliğini arttırmaktadır. Ancak ülkemizde bu alanda yürütülen
araştırmalara rastlanmamaktadır.

Bu çalışmanın amacı YB vakalarında tedavi motivasyonu ve tedavi motivasyonunun
yordayıcıları olarak literatürde belirtilen yeme bozukluğu semptom düzeyi, beden imgesi
ve depresyon arasındaki ilişkileri incelemektir. Araştırma; 75 YB vakası kadın katılımcı
ile; SCID-I, Yeme Bozukluğunu Değerlendirme Ölçeği, Beck Depresyon Ölçeği, Kadınlar
için Fotoğraflı Figür Derecelendirme Ölçeği, Anoreksiya Nervoza Değişim Evreleri Ölçeği
ve Bulimiya Nervoza Değişim Evreleri Ölçeği kullanılarak yürütülmüştür.

Sonuçlar literatürdeki bilgilerle tutarlı olarak YB vakalarının semptom düzeyi, depresyon
düzeyi ve beden memnuniyetsizliği düzeylerindeki artışın tedavi motivasyonundaki düşüşle
ilişkili olduğunu, tedavi motivasyonunun en güçlü yordayıcısının ise yeme bozukluğu semp-
tom düzeyi olduğunu göstermiştir. Bu bulgular yeme bozukluğunun sağaltımına yönelik
çalışmalarda vakanın içerisinde bulunduğu motivasyonel düzeye göre tedavi planlanması
gerektiğini ve tedavi sürecinde vakaların depresyon ve beden memnuniyetsizliği düzeylerinin
de değerlendirilmesini düşündürmesi açısından önem taşımaktadır. 

Anahtar Kelimeler

Yeme Bozuklukları, Tedavi Motivasyonu, Beden İmgesi, Depresyon

Kaynakça

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