Yazar "Sirin, Hande" seçeneğine göre listele

Listeleniyor 1 - 3 / 3
  • [ X ]
    Öğe
    Role of hyperandrogenism on disordered eating behaviors in adolescents with PCOS and interplay with insulin resistance
    (Walter De Gruyter Gmbh, 2026) Kaymaz, Nazan; Kara, Ozlem; Sirin, Hande; Kasap, Tolga; Uzun, Mehmet Erdem
    Objectives: This study examines the roles of hyperandrogenism (HA) and insulin resistance (IR) in eating behaviors among adolescents with polycystic ovary syndrome (PCOS). Methods: Fifty adolescents with PCOS (mean age 16.04 +/- 1.46 years, BMI 27.55 +/- 6.34) were assessed. IR was evaluated using HOMA-IR, and eating behaviors were measured with the Eating Attitudes Test (EAT) and the Eating Disorders Examination Questionnaire (EDE-Q). Results: IR was present in 46 % of participants, with obesity affecting 71 % of those with IR. While EAT scores showed no significant association with BMI, HA, or IR, the IR group had higher EDE-Q Total scores (p=0.05), particularly in Shape Concern (SC, p=0.003) and Weight Concern (WC, p=0.03). HA primarily influenced WC (p=0.04). BMI correlated more strongly with WC (r=0.579, p<0.001) than IR. ROC analysis indicated BMI>27.5 (AUC=0.967) and HOMA-IR>3.1 (AUC=0.961) as strong predictors of disordered eating. Conclusions: BMI and HOMA-IR are more reliable than HA for identifying disordered eating behaviors in PCOS adolescents. The EDE-Q is recommended for effective screening, emphasizing the need to monitor BMI and HOMA-IR in this population.
  • [ X ]
    Öğe
    The Impact of BMI on Self-Concept in Adolescents with Pubertal Gynecomastia
    (Galenos Publ House, 2025) Kaymaz, Nazan; Kara, Ozlem; Kasap, Tolga; Uzun, Mehmet Erdem; Sirin, Hande
    Introduction: Physiological changes in the body may result in anxiety and impaired self-concept during adolescence. Although temporary, pubertal gynecomastia (PG) may cause negative emotions that interrupt the development of self-concept by causing a physical appearance that does not fit the male gender. This paper aimed to identify whether the self-concept level of adolescents with PG is moderated by their anthropometrics. Materials and Methods: This case-control study included adolescent males, with pubertal stage assessed using the Marshall and Tanner criteria. PG was diagnosed by palpation of a subareolar glandular disc. Anthropometric measurements were obtained by trained pediatric endocrinology clinic staff, and self-concept was evaluated using the Piers-Harris Children's Self-Concept Scale (PHCSCS). To specify relationships correlation and regression analysis were examined. Results: The study included 38 adolescents with PG and 61 age-and pubertal stage-matched controls. BMI was significantly higher in the PG group, and self-concept scores declined with increasing BMI (p=0.044; r=-0.437, p=0.006). PG subjects at Tanner Stage 3 were shorter than controls (p=0.03) and had lower happiness and behavior subscale scores (p=0.01; p=0.04). PG duration was negatively correlated with total self-concept (r=-0.400, p=0.013) and the subscales of happiness (r=- 0.456), behavior (r=-0.334), and physical appearance (r=-0.354). Conclusion: Adolescents with PG demonstrated lower self-concept, particularly in relation to higher BMI, shorter stature at mid-puberty, and prolonged symptom duration. These findings highlight the need for early psychosocial support in affected individuals.
  • [ X ]
    Öğe
    The Impact of Lipomastia on Self-Esteem and Social Anxiety in Adolescents with Obesity
    (Canadian Acad Child & Adolescent Psychiatry, 2025) Kara, Ozlem; Kaymaz, Nazan; Sirin, Hande; Uzun, Mehmet Erdem
    Background: Obesity can negatively impact adolescents' self-esteem, and lipomastia can further complicate the situation. Objective: The current study endeavors to examine the influence of lipomastia on the levels of social anxiety and self-esteem in individuals with obesity. Methods: Seventy adolescent male outpatients with obesity completed a form of demographics, the SAS-A (Social Anxiety Scale for Adolescents), and the Rosenberg Self-Esteem Scale (RSES-10 item). Participants were stratified according to the presence of lipomastia, and correlation analyses were conducted to investigate the association between social anxiety and self-esteem in relation to lipomastia. Results: No significant difference was found between the lipomastia and non-lipomastia groups regarding self-esteem. While the lipomastia group had slightly higher overall social anxiety scores, significant differences were noted only in fear of negative evaluation. There was no relationship between the SAS-A total score and anthropometric measurements in both groups. However, a negative relationship was observed between self-esteem and anthropometric measurements in the lipomastia group, whereas such a relationship was not observed in the control group. Conclusion: Adolescents with lipomastia showed higher social anxiety, particularly fear of negative evaluation, despite similar demographic and anthropometric characteristics to their peers. Higher BMI correlated with lower self-esteem, highlighting the complex interplay between body image, self-esteem, and social anxiety. These findings underscore the need for targeted interventions to support adolescents with obesity and lipomastia.