• The Journal of Korean Academy of Sensory Integration
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• v.21 no.3
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• pp.79-102
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• 2023

Objective : Autistic Spectrum Disorders(ASD) is a developmental disorder characterized by atypical sensory adaptation, communication problem, stereotyped behavior, and feeding disorders. The reasons for ASD feeding disorders are oral sensory motor, cognitive, behavioral, and social problems. Major symptoms include picky eating, selective eating, food refusal, food neophobia, limited food variety, and food aversion. ASD feeding disorders could be accompanied by various problems such as health and nutrition intake problems, feeding development, eating-related sociability, and family and caregiver stress. Feeding problems and disorders in ASD can present from birth. However, ASD is diagnosed by the age of 3, and there might be an appropriate treatment gap. Usually, symptoms of feeding disorders tend to decrease with age. However, the symptoms often remain, so early evaluation, intervention, and periodic checking are necessary. In this study, the general information about the feeding disorder characteristics of ASD, influencing factors, and intervention were described through a literature review. Conclusion : Sensory-based therapy and behavior-based therapies are generally used for feeding disorders in ASD. Sensory-based therapy is effective for food sensitivity and behavior-based therapy for food selection. As the symptoms of feeding disorders in ASD are diverse, a comprehensive approach includes play and participation, oral motor exercise, diet, and daily life. However, appropriate evaluation, intervention protocol, and guidelines for the treatment of feeding disorders in ASD are limited. Therefore, a complex approach based on a more systematic understanding is needed. Feeding rehabilitation specialists, such as occupational therapists, should provide appropriate evaluation and intervention.

• Korean Journal of Psychosomatic Medicine
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• v.25 no.2
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• pp.185-192
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• 2017

Objectives : The aims of present study was to investigate clinical characteristics of male patients with eating disorders. Methods : The present study included 32 male patients with eating disorders and 75 female patients with eating disorders, recruited from an eating disorders specialized clinic in a university hospital, Seoul, Korea. We compared clinical characteristics of eating disorders and comorbid conditions of depression and anxiety between men and women with eating disorders. Correlations between eating disorders psychopathology in men with eating disorders and their weight suppression(WS) were investigated. Results : There was no difference in age at presentation, age of onset, illness duration, and body mass index at presentation between genders. Male patients with eating disorders had higher rates of premorbid overweight or obesity than female patients with eating disorders had. WS in the male patients was associated with the severity of their eating disorders. Conclusions : The present study provides grounds for improved understanding for clinical features of eating disorders in males.

• Journal of the Korean Data and Information Science Society
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• v.28 no.6
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• pp.1403-1414
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• 2017

The purpose of this study is to examine the factors that affect eating disorder of female adolescents. Collecting data from 297 female adolescents, we carried out logistice regression on SPSS Win 20.0. The significant predictors of eating disorder for female adolescents were BMI, body-shape satisfaction, subjective body-fatness, experience weight control (diet control and exercise), self-control, and body esteem. The results of this study may help to design a school health nursing program which treats female adolescents eating disorder.

• 한국체육학회지인문사회과학편
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• v.54 no.1
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• pp.619-629
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• 2015

The purpose of this study was to identify the characteristics between athletes and non-athletes with eating disorders (ED)/disordered eating(DE) and to investigate predictors for ED/DE. 376 female collegiate athletes and 567 college women participated in the study. After using subject selection criteria to detect ED/DE, 243 athletes were considered as either ED (n=22) or DE (n=221). In the non-athletes group, 37 cases of ED and 242 cases of DE were detected. Along with the EDEQ and EDI-2, participants completed a demographic questionnaire, SATAQ, and RSES. The results indicated that the mean seperation between the two groups with ED existed in seven variables including BMI perceived, BMI ideal, EDEQ mean, eating scale, weight scale, perfectionism, and self-esteem. In addition, the means of six variables including BMI perceived, BMI ideal, perfectionism, SATAQ score, awareness, and self-esteem were significantly different between the two groups with DE. Significant predictors for ED/DE were drive for thinness and self-esteem in the non athletes while drive for thinness, body dissatisfaction, self-esteem, internalization, and perfectionism were the predictors in the athletes within the ED/DE group. The results suggest that drive for thinness and self-esteem were the essential predictors for ED/DE in the two groups. in the athletes with ED/DE, the predictors were more complicated than those in the non-athletes with ED/DE.

• Journal of Nutrition and Health
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• v.50 no.6
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• pp.615-623
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• 2017

Purpose: The purpose of this study was to analyze factors influencing eating problems among young female adults. Methods: Participants were 193 young female adults aged 19 ~ 29 years who were recruited in August 2017. Four variables related to eating problems in young female adults, including body image dissatisfaction, self-esteem, trait anger, and depression, were measured using reliable instruments. Data were analyzed using the SPSS/WIN 21.0 program and Amos 24.0 for descriptive statistics, Pearson correlation coefficients, and path analysis. Results: The mean for eating problems in young female adults was 8.99, and 9.8% of subjects were classified as high risk with eating problems. Modified model demonstrated good model fit (${\chi}^2$/df 0.47, GFI 0.99, AGFI 0.99, NFI 0.99, SRMR 0.022, RMSEA 0.001). Path analysis showed that body image dissatisfaction had the greatest direct effect on eating problems. Depression did not have a direct effect on eating problems, whereas it had indirect effects on eating problems through body image dissatisfaction as the mediating factor. Self-esteem had direct effects on depression and indirect effects on eating problems through depression and body image dissatisfaction as mediating factors. Trait anger had direct effects on depression and body image dissatisfaction and indirect effects on eating problems through depression and body image dissatisfaction as mediating factors. These factors accounted for 46% of the total variance, and the fit indices of the model satisfied the criteria of fitness. Conclusion: The results of this study reveal the important role of body dissatisfaction and psychological factors such as self-esteem, trait anger, and depression on eating problems. These factors influencing eating problems should be considered when developing programs to improve eating problems in young female adults.

• The Journal of Korean Academy of Sensory Integration
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• v.19 no.1
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• pp.39-53
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• 2021

Objective : The purpose of this study was to systematically review dysphagia rehabilitation treatment for children with feeding disorders. Methods : The articles evaluated in this study were collected from the PubMed, Medline Complete, and CINAHL databases and subsequently reviewed using the PRISMA flow chart and PICOS approach. A total of 13 papers were analyzed for study quality, disease groups, evaluation tools, interventions, and post-intervention effects. Results : Of the reviewed papers, six (46.15%) related to autism spectrum disorder (ASD) and seven (53.85%) to cerebral palsy (CP) with age ranges of between 2 and 8 years for the ASD studies and between 12 months and 18 years for CP. In evaluating the types of feeding disorder involved, the ASD group exhibited predominantly behavioral conditions while the CP subjects had a larger number of functional oral and swallowing issues. In terms of interventions, behavior modifications were used most frequently with ASD while oral-sensory motor, texture modifications, and electrical stimulation were applied at the same frequency with children with CP. All interventions were found to be effective. Conclusion : In this study, research into children with feeding disorders was reviewed according to condition, evaluation tool, and method of intervention. It is expected that this review can be used as basic data for developing a protocol that will allow clinicians to efficiently apply condition-specific interventions for eating disorders without resorting to trial and error.

• Journal of Digital Convergence
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• v.19 no.2
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• pp.531-538
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• 2021

The purpose of this study is to investigate the effect of self-management of dance major high school students on eating attitudes and eating disorders. The subjects of this study were 239 dance major students at art high schools located in Seoul, Gyeonggi-do and Chungcheong-do, and a questionnaire was used as a survey tool. For data analysis, multiple regression analysis and hierarchical regression analysis were performed to derive the following results. First, interpersonal management of dance major high school students affects restrained eating, and body management affects external and emotional eating. Second, self-management of dance major high school students has a significant effect on anorexia. Third, the eating attitude of dance major high school students strongly mediates self-management and eating disorders. The above results indicate that the management of excessive body of dance major high school students has a high influence on eating attitude and anorexia. Accordingly, it is considered that leaders need careful guidance on correct eating behavior of students.

• Korean Journal of Psychosomatic Medicine
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• v.28 no.2
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• pp.185-193
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• 2020

Objectives : The aim of this study was to develop and to verify the Korean version of the Eating Disorder Diagnosis Scale DSM-5 (K-EDDS) as a web-based diagnostic system, which enables rapid diagnosis of patients for early intervention. Methods : A total of 119 persons participated in the study, including patients with eating disorders (n=38) and college students (n=81). Along with the paper-and-pencil SCOFF, all participants completed the web-based K-EDDS, the Eating Disorder Examination-Questionaire (EDE-Q), and the Clinical Impairment Assessment Questionnaire (CIA). The semi-structured interview using the Eating Disorder Examination Interview (EDE) was conducted for participants with two or more SCOFF scores. Within two weeks, the web-based K-EDDS, the EDE-Q, and the CIA were re-tested. Results : In the exploratory factor analysis, four factors were extracted : body dissatisfaction, binge behaviors, binge frequency and compensatory behaviors. The four subscales of the web-based K-EDDS had significant correlation with each of the four subscales of the EDE-Q. The internal consistency of the web-based K-EDDS was highly satisfactory (Cronbach's alpha=0.93). The diagnostic agreement between the web-based K-EDDS and the EDE was excellent (96.83%), and the web-based K-EDDS's test-retest diagnostic agreement was fairly good (92.86%). The web-based K-EDDS and the CIA also showed significant differences between patients and general population, supporting discriminant validity. Conclusions : This study suggested that the web-based K-EDDS is a valid tool for assisting diagnosis of eating disorders based on DSM-5 in clinical and research fields.

• The Journal of the Korea Contents Association
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• v.18 no.4
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• pp.601-612
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• 2018

This study is a clinical single case study of the application of Theraplay approach for the treatment of children with eating disorder based on Polyvagal Theory. The first research question is how children with eating disorder change through Theraplay. The second research question is to analyze what the therapeutic factors are for changes in children with eating disorder. To do this, I used a qualitative case study method that explores a small number of cases closely and reveals the case deeply. As a result, the client has a sense of security in Theraplay session, expands the window of tolerance and develops a social engagement system. Through these, client become increasingly adaptable and overcome eating disorder. The results of this study can contribute to neuroscience validation of the counseling effect.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.6
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• pp.379-388
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• 2016

High school and college students majoring in dance have different types of stress because of their different circumstances and goals. The purpose of this study was to investigate the relation between multidimensional perfectionism and eating disorder in high school and college students who are majoring in dance. Questionnaires for eating disorder (Eating Disorder Inventory-2(EDI-2) made by Garner (1990) and adapted by Lee (1998)) and multidimensional perfectionism (Multidimensional Perfectionism Scale(F-MPS) made by Frost (1990) and translated by Hyun (1992) were utilized after the sentences in the questionnaires were partially revised and (rendered more appropriate for?) the purpose of this study. The questionnaires were completed by all of the subjects (n=250), but 32 of them were excluded due to insincere answers. Thus, a total of 218 questionnaires were analyzed using SPSS version 21.0. The results showed that the students with a higher education level and who were more career oriented were more likely to suffer from multidimensional perfectionism and eating disorder. In addition, multidimensional perfectionism (concern about mistakes, constant personal and parental expectation) resulted in the development and maintenance of eating disorder for the students majoring in dance. In conclusion, higher education level and greater career orientation induce greater stress in dance major students and cause them to have an incorrect physical image. Thus, these factors may cause higher psychological pressure leading to multidimensional perfectionism and eating disorder. Therefore, these students need to know how to correctly manage their body weight and how to prevent eating disorder.