Evaluation of Executive Functions, Obesity and Self-Esteem in Adolescents with Attention Deficit Hyperactivity Disorder

Yıldırım, Murat; Özaslan, Ahmet

doi:10.30733/std.2022.01564

Evaluation of Executive Functions, Obesity and Self-Esteem in Adolescents with Attention Deficit Hyperactivity Disorder

Ahmet ÖZASLAN, (Gazi Üniversitesi Tıp Fakültesi, Çocuk ve Ergen Bölümü Psikiyatri, Ankara, Türkiye)

Murat YILDIRIM (Ağrı İbrahim Çeçen Üniversitesi, Fakülte Fen-Edebiyat Fakültesi Psikoloji, Ağrı, Türkiye)

Selçuk Tıp Dergisi

7 3

Yıl: 2022 Cilt: 38 Sayı: 4 Sayfa Aralığı: 165 - 173 Metin Dili: İngilizce DOI: 10.30733/std.2022.01564 İndeks Tarihi: 18-05-2023

Evaluation of Executive Functions, Obesity and Self-Esteem in Adolescents with Attention Deficit Hyperactivity Disorder

Öz:

Aim: Executive function deficits are very common in attention deficit hyperactivity disorders (ADHD). Recent studies suggest that common mechanisms in the pathophysiology of obesity and ADHD may be related to impulse control and executive functions. This study aimed to compare the executive functions and self-esteem levels of children and adolescents with ADHD with and without overweight/obesity. The study also aimed to examine the relationships between overweight/obesity, executive functions, ADHD and self-esteem in children and adolescents. Patients and Method: Participants included 71 children/adolescents (mean age = 16.12±1.71; age range= 12-18 years; 71.83% males) with ADHD who applied to Gazi University Child and Adolescent Psychiatry outpatient clinics between March 2021 and April 2022 and did not use any medication. Participants completed the Executive Functions Behavior Evaluation Inventory Scale (parent form), Conners Parent Rating Scale-Revised Short Form and Rosenberg Self-Esteem Scale. Results: Results showed that hyperactivity symptoms and working memory function were significant predictors of self-esteem in adolescents with ADHD. In addition, when adolescents with ADHD were compared according to their overweight/obesity level, significant differences were found between the groups in working memory and planning/organization functions. However, no difference was found between the groups in terms of self-esteem and ADHD severity. Conclusion: The findings suggest that working memory and hyperactivity symptom severity may play an important role in understanding the self-esteem of adolescents with ADHD. While no difference was found in terms of self-esteem and ADHD clinic in adolescents diagnosed with ADHD according to overweight/ obesity status, differences in working memory and planning/organization skills suggest that executive functions play a critical role in overweight/obesity in ADHD.

Anahtar Kelime:

Dikkat Eksikliği Hiperaktivite Bozukluğu Tanılı Ergenlerde Yönetici İşlevler, Obezite ve Benlik Saygısının Değerlendirilmesi

Öz:

Amaç: Yönetici işlevlerde bozukluklar dikkat eksikliği hiperaktivite bozukluğu (DEHB) kliniğinde oldukça sık görülmektedir. Güncel çalışmalarda obezite ve DEHB'nin patofizyolojisindeki ortak mekanizmaların dürtü kontrolü ve yönetici işlevlerle ilişkili olabileceği öne sürülmektedir. Bu çalışma, aşırı kiloluluk / obezitesi olan ve olmayan DEHB tanılı çocuk ve ergenlerin yönetici işlevleri ve benlik saygısı düzeylerinin karşılaştırılması amaçlanmıştır. Ayrıca, çocuk ve ergenlerde aşırı kiloluluk / obezite, yönetici işlevler, DEHB ve benlik saygısı arasındaki karmaşık ilişkinin incelenmesi amaçlanmıştır. Hastalar ve Yöntem: Mart 2021- Nisan 2022 arasında Gazi Üniversitesi Çocuk ve Ergen Psikiyatrisi polikliniklerine başvuran DEHB tanılı herhangi bir ilaç kullanmayan 71 ergenin dahil edildiği örneklemin yaş ortalaması 16.12±1.71 (yaş aralığı= 12-18 yıl) yıl olup, %71.83’ü erkeklerden oluşmaktadır. Katılımcılara Yönetici İşlevlere Yönelik Davranış Değerlendirme Envanteri Ölçeği (anne baba formu), Rosenberg Benlik Saygısı Ölçeği ve Conners Ana baba Derecelendirme Ölçeği- Yenilenmiş Kısa Formu verilmiştir. Bulgular: DEHB tanılı ergenlerde hiperaktivite belirtilerinin ve çalışma belleği fonksiyonunun benlik saygısının en önemli yordayıcıları olduğu saptanmıştır. Ayrıca aşırı kiloluluk / obezite durumuna göre DEHB’li ergenler karşılaştırıldığında çalışma belleği ve planlama/örgütleme fonksiyonları açısından gruplar arası farklılık bulunmuştur. Ancak gruplar arasında benlik saygısı ve DEHB şiddeti açısından bir farklılık saptanmamıştır. Sonuç: Çalışmamızın sonuçları değerlendirildiğinde DEHB’li ergenlerin benlik saygısında çalışma belleği ve hiperaktivite belirti şiddetinin önemli rol oynayabileceğini göstermektedir. Aşırı kiloluluk/obezite durumuna göre DEHB tanılı ergenlerde benlik saygısı ve DEHB kliniğini açısından farklılık saptanmazken çalışma belleği ve planlama/örgütleme becerilerinde farklılık saptanması, DEHB’de yönetici işlevlerin aşırı kiloluk/obezite için kritik bir rol oynadığını düşündürmektedir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Özaslan A, Yıldırım M (2022). Evaluation of Executive Functions, Obesity and Self-Esteem in Adolescents with Attention Deficit Hyperactivity Disorder. , 165 - 173. 10.30733/std.2022.01564
Chicago	Özaslan Ahmet,Yıldırım Murat Evaluation of Executive Functions, Obesity and Self-Esteem in Adolescents with Attention Deficit Hyperactivity Disorder. (2022): 165 - 173. 10.30733/std.2022.01564
MLA	Özaslan Ahmet,Yıldırım Murat Evaluation of Executive Functions, Obesity and Self-Esteem in Adolescents with Attention Deficit Hyperactivity Disorder. , 2022, ss.165 - 173. 10.30733/std.2022.01564
AMA	Özaslan A,Yıldırım M Evaluation of Executive Functions, Obesity and Self-Esteem in Adolescents with Attention Deficit Hyperactivity Disorder. . 2022; 165 - 173. 10.30733/std.2022.01564
Vancouver	Özaslan A,Yıldırım M Evaluation of Executive Functions, Obesity and Self-Esteem in Adolescents with Attention Deficit Hyperactivity Disorder. . 2022; 165 - 173. 10.30733/std.2022.01564
IEEE	Özaslan A,Yıldırım M "Evaluation of Executive Functions, Obesity and Self-Esteem in Adolescents with Attention Deficit Hyperactivity Disorder." , ss.165 - 173, 2022. 10.30733/std.2022.01564
ISNAD	Özaslan, Ahmet - Yıldırım, Murat. "Evaluation of Executive Functions, Obesity and Self-Esteem in Adolescents with Attention Deficit Hyperactivity Disorder". (2022), 165-173. https://doi.org/10.30733/std.2022.01564

APA	Özaslan A, Yıldırım M (2022). Evaluation of Executive Functions, Obesity and Self-Esteem in Adolescents with Attention Deficit Hyperactivity Disorder. Selçuk Tıp Dergisi, 38(4), 165 - 173. 10.30733/std.2022.01564
Chicago	Özaslan Ahmet,Yıldırım Murat Evaluation of Executive Functions, Obesity and Self-Esteem in Adolescents with Attention Deficit Hyperactivity Disorder. Selçuk Tıp Dergisi 38, no.4 (2022): 165 - 173. 10.30733/std.2022.01564
MLA	Özaslan Ahmet,Yıldırım Murat Evaluation of Executive Functions, Obesity and Self-Esteem in Adolescents with Attention Deficit Hyperactivity Disorder. Selçuk Tıp Dergisi, vol.38, no.4, 2022, ss.165 - 173. 10.30733/std.2022.01564
AMA	Özaslan A,Yıldırım M Evaluation of Executive Functions, Obesity and Self-Esteem in Adolescents with Attention Deficit Hyperactivity Disorder. Selçuk Tıp Dergisi. 2022; 38(4): 165 - 173. 10.30733/std.2022.01564
Vancouver	Özaslan A,Yıldırım M Evaluation of Executive Functions, Obesity and Self-Esteem in Adolescents with Attention Deficit Hyperactivity Disorder. Selçuk Tıp Dergisi. 2022; 38(4): 165 - 173. 10.30733/std.2022.01564
IEEE	Özaslan A,Yıldırım M "Evaluation of Executive Functions, Obesity and Self-Esteem in Adolescents with Attention Deficit Hyperactivity Disorder." Selçuk Tıp Dergisi, 38, ss.165 - 173, 2022. 10.30733/std.2022.01564
ISNAD	Özaslan, Ahmet - Yıldırım, Murat. "Evaluation of Executive Functions, Obesity and Self-Esteem in Adolescents with Attention Deficit Hyperactivity Disorder". Selçuk Tıp Dergisi 38/4 (2022), 165-173. https://doi.org/10.30733/std.2022.01564