ERGEN SAĞLIĞI ÜNİTESİNE BAŞVURAN ADOLESAN OBEZLERDE KİTLE İLETİŞİM ARAÇ BAĞIMLILIKLARI VE UYKU DÜZENİNİN PSİKİYATRİK SEMPTOMLARLA İLİŞKİSİNİN DEĞERLENDİRİLMESİ
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Y. Durmaz. The Evaluation of the Relationship Between Mass Media Tool Dependencies and Sleep Patterns and Psychiatric Symptoms in Obese Adolescents Applying to the Division of Adolescent Medicine. Hacettepe University. Graduated School of Health Science. Adolescent Health Program Ph.D. Thesis, Ankara, 2021. Adolescents aged 12-20, who were followed at Hacettepe University Faculty of Medicine, Division of Adolescent Medicine outpatient clinic due to obesity or overweight, who did not have a psychiatric disorder and voluntarily accepted participating in the study were included. The control group was comprised of normal weigh adolescents who were in a similar age range without a chronic or psychiatric disease. The study was conducted between January 2018 and December 2019. The demographic information form and the results of the questionnaire including Life Quality Scale, Brief Symptom Inventory, Smartphone Addiction Scale, Young Internet Addiction Scale, Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index, and International Physical Activity Scale were evaluated. The number of participants from each group was 67 in the obese group, 41 in the overweight group, and 141 in the control group. (Total 249). Their age ranged from 12-20 years and the average was 16.02 years. Of the respondents 84% had internet at home, 98% had a mobile phone and 99.2% were smartphones. The group that was most involved with their mobile phone during the day was the overweight group. Phone replacement frequency was close between groups, with an average of 3.35 years. Of the obese group 76.9% of the overweight group 90.2% and of the normal weight group 81.2% did not turn off their mobile phones while they were asleep. The Quality of Life Scale scoring was not different between the groups (p>0.05). In terms of the brief symptom inventory, the psychiatric symptoms of the overweight group were found to be more pronounced and the obsessive group was the most prominent. The control group was more hostile, whereas the obese group were more anxious. The highest smartphone addiction scale score was found in the overweight group which was followed by the control group and obese group although there was no statistical difference. Scale scores were lower in the obese group. Internet addiction scores of the obese patients were found to be statistically significantly lower than that of the overweight and control group (p <0.05). The control group had more daytime sleepiness compared to the obese group (p<0.05). The obese patients reported better sleep quality when compared with the other groups. In terms of sleep duration, 99% of the overweight patients were sleeping less than 7 hours a day (p<0.05). In the control group, daily dysfunction was higher than those of the obese and overweight groups (p<0.05) The value above 5 points is an indicator of sleep disturbance and was seen in 81.5% of overweight, 77% of average weight and 63% of obese adolescents. In terms of physical activity, it was observed that obese patients tried to be more physically active (p <0.05). There was a correlation in some subsections of the brief symptom inventory with the Smartphone Addiction score, the Internet Addiction Test score, and the tests evaluating sleep.