Ergen kızlarda bulimia, depresyon ve kendine zarar verme davranışlarının birlikte görüldüğü durumların saptanması

Abstract

Nonsuicidal Self-Injury (NSSI) is defined as self-inflicted behavior that causes bodily harm without suicidal intent. NSSI may be a precursor to other psychopathologies or co-occur as comorbidity. In this case series, we examined the development of Bulimia Nervosa (BN) in the follow-up of 5 young girls whose first presentation was NSSI and who were diagnosed with Major Depressive Disorder (MDD) at the psychiatric evaluation. As a result, we hypothesized that NSSI may be a precursor for the development of BN. Clinical interviews revealed that perceived family support by the adolescents were low and mothers had difficulty regulating emotions. We aimed to measure these variables by asking mother to fill out Toronto Alexithymia Scale and adolescents to fill out The Social Support Assessment Scale’s “support received from the family” part. Considering that adolescents can be timid at times and do not express such complaints unless asked, clinicians should be aware of this relationship and should keep the symptoms in mind during interviews in terms of preventive psychiatry.