Evaluating the efficacy of psychdrama group therapy on BMI-SDS and eating-exercise behaviors among adolescents with obesity PSİKODRAMA YÖNELİMLİ GRUP TERAPİSİNİN, OBEZİTESİ OLAN ERGENLERİN STANDARDİZE BEDEN KİTLE İNDEKSİ VE YEME-EGZERSİZ DAVRANIŞLARI ÜZERİNE ETKİSİNİN DEĞERLENDİRİLMESİ
Journal of Kirikkale University Faculty of Medicine, cilt.24, sa.3, ss.564-573, 2022 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 24 Sayı: 3
- Basım Tarihi: 2022
- Doi Numarası: 10.24938/kutfd.1163152
- Dergi Adı: Journal of Kirikkale University Faculty of Medicine
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.564-573
- Anahtar Kelimeler: adolescence, eating behavior, obesity, Psychodrama
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: The aim of the study is to investigate the effect of psychodrama group therapy on body mass index standard deviation (BMI-SDS), eating and nutrition-exercise behaviors among adolescents with obesity. Material and Methods: In this quasi-experimental study, 16 adolescents aged 12-19 years [10 girls (62.5%)] attended 8-week psychodrama group therapy. The following variables were collected at baseline and at the end of the intervention: BMI-SDS, BMI percentile, waist and hip circumferences, weekly physical exercise and computer/internet usage time, the Three Factors Eating Questionnaire (TFE-Q), and Nutrition-Exercise Behavior Scale (NEBS). Results: We found a significant decrease in BMI-SDS value [t(15)=3.446, p=0.04], waist [t(13)=2.806, p=0.01] and hip circumferences [t(11)=4.690, p=0.001], NEBS-psychological/addicted eating [t(15)=3.301, p=0.005] and NEBS-unhealthy nutrition-exercise behavior scores [t(15)=3.408, p=0.004]; a significant increase in weekly physical activity time [t(12)=-2.586, p=0.02] and TFE-Q-cognitive eating restrain score [t(15)=-3.093, p=0.007]; and no significant change in computer/internet usage time, TFE-Q-emotional and uncontrolled eating, NEBS-meal plan and NEBS-health nutrition-exercise behavior scores in post-intervention compared to pre-intervention. The increase in the TFE-Q-cognitive eating restrain score was the only variable associated with a decrease in the SDS-BMI score. Conclusion: The findings showed that psychodrama group therapy could be effective not only in decreasing BMI-SDS, psychological eating, and unhealthy nutrition-exercise behaviors but also in increasing cognitive eating restrain and physical activity time among obese adolescents. If our results can be verified with randomized controlled studies, psychodrama group therapy can be used as an intervention to provide lifestyle changes among adolescents with obesity.