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The Study for Development of Day Hospital Program of Eating Disorders  

공성숙 (순천향대학교 의과대학 간호학과)
Publication Information
Journal of Korean Academy of Nursing / v.34, no.1, 2004 , pp. 25-34 More about this Journal
Abstract
Purpose: The purpose of this study was to develop the day hospital program for Korean eating disorders patients and to examine the effect of the day hospital program on improving frequency of binging and purging, eating disorders symptoms, self-esteem, and depression. Method: The subjects were 24 binge eaters visited at eating disorders clinic 'M'. They participated in a modified day hospital program based on the Toronto Day Hospital Program. All subjects completed the Eating Disorders Inventory(EDI)-2, Rosenberg Self-Eesteem Scale, Beck Depression Inventory(BDI) at pre and post intervention, and recorded daily food records. Results: In paired t-test analysis, frequency of binging and purging, self-esteem, depression, and 11 sub-scales of EDI-2(drive for thinness, bulimia, body dissatisfaction, ineffectiveness, interoceptive awareness, perfectionism, interpersonal distrust, maturity fear, asceticism, impulse regulation, social insecurity) were significantly improved after treatment. Conclusion: The results of this study suggest that the day hospital program for Korean eating disorders patients may be an effective initial approach to overcoming various eating disorders symptoms. Further studies should investigate longer term outcome data using a larger sample.
Keywords
Eating disorder; Day Hospital Program; Outcome; Depression; Self-esteem;
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1 Everenz, K.P., & Gleaves, D.H.(1994). An examination of the internal consistency and factor structure of the eating disorder inventory-2 in a clinical sample. Int J Eat Disord, 16, 371-379   DOI   ScienceOn
2 Gamer, D. M., & Garfinkle, P. E. (1985). Handbook of psychotherapy of for anorexia nervosa and bulimia nervosa. New York, Guilford Press
3 Jeon, B. J. (1972). Review for theory of self-esteem. J Liberal Arts, 27, 107-118
4 Kong, S. S., Kim, J. K., & Bae, J. H. (2000). Effects of cognitive behavioral group therapy for binge eating. J Korean Neuropsychiatr Assoc, 39, 1072-1082
5 Park, S. (2001). A study on dieting behaviors and related factors among normal or low-weight middle school girls in Seoul. J Korean Soc School Health, 14(1), 115-128
6 Zipfel, S., Reas, D. L., Thornton, C. E., Olmsted, M. P., Williamson, D. A., Gerlinghoff, M., Herzog, W., & Beumont, P. J. V. (2002). Day hospitalization programs for eating disorders: a systemic review of the literature. Int J Eat Disord, 31, 105-117   DOI   ScienceOn
7 Olmsted, M. P., Kaplan, A. S., & Rockert, W. (1994). Rate and prediction of relapse in bulimia nervosa. Am J Psychiatry, 151, 738-743
8 Piran, N., & Kaplan, A. S. (1990). A day hospital group treatment program for anorexia nervosa and bulimia nervosa. New York: Brunner Mazel
9 Gamer, D. M., & Garfinkel, P. E. (1997). Handbook of treatment for eating disorders(2nd. ed). Guilford Press. NY. London. 25-33
10 Gamer, D. M. (1991). Eating Disorders Inventory Ⅱ Odessa, FL: Psychological Assessment Resources
11 Mansfield, J. L., & Wade, T. (2000). Assessing the relevance of the hopelessness theory of depression to women with disorders eating. Int J Eat Disord, 28, 113-119   DOI   ScienceOn
12 Woodside, D.B., & Kaplan, A.S.(1994). Day hospital treatment in males with eating disorders-response and comparison to females. J Psychosom Res, 38(5), 471-475
13 Woodside, D. B., Lackstorm, J. B., & Shekter-Wolfson, L.(2000). Marriage in eating disorders comparisons between patients and spouses and changes over the course of treatment. J Psychosom Res, 49, 165-168   DOI   ScienceOn
14 Fairburn, C. G., Marcus, M. D., & Wilson, G. T. (1993). Cognitive-behavioral therapy for binge eating and bulimia : A comprehensive treatment manual. In C.G. Fairburn & G.T. Wilson(Eds.), Binge eating: nature, assessment and treatment(pp.361-404). Guilford Press, N.Y
15 Kim, N. S., & Lee, K. E. (1998). The relationship between eating disorder, physical symptoms and mood status among college women. J Korean Acad Women Health Nursing, 4(3), 388-401
16 Polivy, J., & Herman, C. P. (1993). Etiology of binge eating: Psychological mechanisms. In C.G. Fairburn & G.T. Wilson(Eds.), Binge eating : nature, assessment and treatment (pp.173-205). Guilford Press, N.Y.
17 Oh, K. J., & Ahn, S. S. (1995). Effect of body dissatisfaction on self-esteem and depression in binge eater group. Korean J Clin Psychol, 14, 29-40
18 Fairburn, C. G., & Beglin, S. J. (1990). Studies of epidemiology of bulimia nervosa. Am J Psychiatry, 147(3), 401-408
19 Hahn, H.M., Yurn, T.H., Shin, Y.W., Kim, K.H., Yoon, D.J., & Chung, K.J.(1986). A standardization study of Beck Depression Inventory in Korea. J Korean Neuropsychiatr Assoc, 25, 487-502
20 Lee, Y. H., & Song, J. Y. (1991). A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales. Korean J Clin Psychol, 10, 98-113
21 Thornton, C., Beumont, P., & Touyz, S. (2002). The Australian experience of day programs for patients with eating disorders. Int J Eat Disord, 32, 1-10   DOI   ScienceOn
22 Lyle, R. M. (1996). Translation of Eating Disorders Inventory ll-Korean. Odessa, FL: Psychological Assessment Resources
23 Gerlinghoff, M., Backmund, H., & Franzen, D.(1998). Evaluation of a day treatment program for eating disorders. Eur Eat Disorders Rev, 6, 96-106   DOI   ScienceOn
24 Mitchell, J. E., Pyle, R. L., Hatsukami, D., Goff, G., Glotter, D., & Harper, J. (1989). A 2-5 year follow-up study of patients treated for bulimia. Int J Eat Disord, 8(2), 157-165
25 Pike, K. M. (1998). Long-term course in anorexia nervosa: response, relapse, remission, and recovery. Clin Psychol Rev, 18, 447-475   DOI   PUBMED   ScienceOn
26 Beck, A. T. (1961). Beck Depression Inventory. San Antonio, TX: The Psychological Corporation
27 Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press
28 Hahn, O. S., Yoo, H. J., Kim, C. Y., Lee, C., Min, B. K., Park, I. H. (1990). The epidemiology and personality characteristics of eating disorders in Korea. The Seoul J Psychiatry, 15(4), 270-287
29 Keller, M. B., Herzog, D. B., Lavori, P. W., Bradburn, I. S., & Mahoney, E. M. (1992). The naturalistic history of bulimia nervosa: extraordinarily high rates of chronicity, relapse, recurrence, and psychosocial morbidity. Int J Eat Disord, 12, 1-9   DOI
30 Noh, H. (1995). A study of binge eating disorder and bulimia among Korean high school students. Mental Health and Social Work, 2, 74-97