ISSN: 1308-5727 | E-ISSN: 1308-5735
Volume : 7 Issue : 1 Year : 2024
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Turkish Society for Pediatric Endocrinology and Diabetes
Social Anxiety, Depression and Self-Esteem in Obese Adolescent Girls with Acanthosis Nigricans [J Clin Res Pediatr Endocrinol]
J Clin Res Pediatr Endocrinol. 2015; 7(1): 63-68 | DOI: 10.4274/jcrpe.1515

Social Anxiety, Depression and Self-Esteem in Obese Adolescent Girls with Acanthosis Nigricans

Özgür Pirgon1, Gonca Sandal2, Cem Gökçen3, Hüseyin Bilgin4, Bumin Dündar5
1Süleyman Demirel University Faculty Of Medicine, Department Of Pediatric Endocrinology And Diabetes, Isparta, Turkey
2Süleyman Demirel University Faculty Of Medicine, Department Of Neonatology, Isparta, Turkey
3Gaziantep University Faculty Of Medicine, Department Of Child And Adolescent Psychiatry, Gaziantep, Turkey
4Konya Training And Research Hospital, Clinic Of Pediatrics, Konya, Turkey
5Katip Çelebi University Faculty Of Medicine, Department Of Pediatric Endocrinology And Diabetes, Izmir, Turkey

Objective: To assess the impact of acanthosis nigricans (AN) on depression symptoms, related quality of life and self-esteem scores in obese adolescent girls.
Methods: Fifty-nine obese adolescent girls (mean age: 13.19±1.3 years, age range: 12-17 years, mean body mass index: 29.89±3.30) were enrolled in this study. The obese adolescent girls were divided into two groups based on presence or absence of AN. Non-obese healthy adolescents constituted the control group (30 girls, mean age: 13.5±1.4 years). All subjects were evaluated using the Children’s Depression Inventory (CDI), the State-Trait Anxiety Inventory for Children (STAI-C), and the modified Rosenberg Self-Esteem Scale (SES). Higher scores indicated more severe depression and anxiety, as well as low self-esteem status.
Results: The AN and non-AN obese groups showed significantly higher CDI, STAI-C and SES scores than the control group, and the two obese groups demonstrated no significant differences for these scores. The AN obese group with higher total testosterone levels (>50 ng/dL) had higher scores for SES (2.55±1.8 vs. 1.42±1.2; p=0.03) than the AN obese group with low total testosterone levels. SES scores significantly correlated with total testosterone levels (r=0.362; p=0.03) and fasting insulin (r=0.462; p=0.03) in the AN obese group.
Conclusion: Higher SES scores (low self-esteem status) were determined in obese adolescents with acanthosis and were related to hyperandrogenism. This study also showed that a high testosterone level may be one of the important indicators of low self-esteem status in obese girls with AN.

Keywords: Self-esteem scores,acanthosis,obesity,adolescent,hyperandrogenism

Özgür Pirgon, Gonca Sandal, Cem Gökçen, Hüseyin Bilgin, Bumin Dündar. Social Anxiety, Depression and Self-Esteem in Obese Adolescent Girls with Acanthosis Nigricans. J Clin Res Pediatr Endocrinol. 2015; 7(1): 63-68
Manuscript Language: English
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