• Korean Journal of Biological Psychiatry
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• v.20 no.3
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• pp.74-79
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• 2013

Objectives This paper aims to understand the emotional-biological pathogenesis of eating disorders, and translate the understanding into new brain directed treatments. Methods The first part of the review sets the eating behavior into the context of what is now understood about the central control of appetite and molecular biology. The second part of the review sees how emotion relates to the brain circuit involving eating disorders. Results In general, patients with anorexia nervosa restricting type were less sensitive to reward, whereas patients with bulimia nervosa and anorexia nervosa binge purging type were more sensitive to it. The emotional life of people with eating disorders centers on food, weight, and shape. The abnormalities in social and emotional functioning both precede and persist outside of eating disorders. Conclusions Research into understanding the biological framework of the brain in eating disorders suggests that abnormalities may exist in emotional and information processing. This aspect can be translated into novel brain-directed treatments, particularly in anorexia nervosa.

• Perspectives in Nursing Science
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• v.18 no.1
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• pp.1-9
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• 2021

Purpose: This study was undertaken for developing a cognitive behavioral therapy (CBT) program for adolescents with eating disorders. Methods: The specific process for the development of this program involved establishing a program goal, analyzing existing CBT programs, and constructing a CBT program. Results: The program consisted of 12 sessions, which is shorter than typical programs conducted for people with eating disorders, in order to reduce the dropout rate. Each session was 40~60 minutes long, and included the use of the psychoeducation, Dysfunctional Thought Record, and activity planning. The participants attended 5 sessions individually and 7 with their family members. Conclusion: This study presented a 12-session CBT program for adolescents with eating disorders. These results will provide valuable data for developing effective programs to improve the quality of life of these adolescents.

• Child Health Nursing Research
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• v.19 no.3
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• pp.228-237
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• 2013

Purpose: This study was done to test a hypothesized model, the Biobehavioral Family Model (BBFM), on the relationship of family emotional climate, security of parent-child relationship, depression symptoms and eating problems in adolescent girls, to further understanding of eating problems in this population. Methods: With a convenience sample of 647 girls, aged 15 to 18, a self-report survey was conducted which included the Korean form of the Eating Attitude Test (EAT-26) to assess eating problems. Results: The estimated results of the structural equation modeling indicated a good fit of data to the hypothesized model proposing that family emotional climate and security of parent-child relationship were associated with the risk of eating problems by way of depression symptoms. That is, negative family emotional climate and insecure parent-child relationship increased the risk of eating problems indirectly by way of depression symptoms. Conclusion: The findings are consistent with the BBFM, which suggests a psychobiologic influence of specific family processes on children's stress-sensitive physical disease activity by way of depression symptoms. Therefore, the applicability of the BBFM for understanding adolescent girls' eating problems is supported. The psychobiologic pathways from depression to eating pathology should be addressed in future studies.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.25 no.1
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• pp.20-27
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• 2014

Objectives : The aim of this study was to determine whether intervention using a multidisciplinary approach affects maternal mental health, parenting stress, and sense of parenting competence in children with feeding disorder and failure to thrive (FTT). Methods : Children with feeding disorder and FTT were randomized to the intervention group (N=11) or control group (N=8). We administered the Korean standardization of Parent Temperament Questionnaire for Children (K-PTQ) in both groups before intervention, and the Korean version of the Parenting Stress Index-Short Form (K-PSI-SF), Korean version of the Parenting Sense of Competence (K-PSOC), Korean version of the Beck's Depression Inventory (K-BDI), Korean version of the Beck Anxiety Inventory (K-BAI), and Korean version of the Mood Disorder Questionnaire (K-MDQ) in both groups before and after the intervention. Results : In the intervention group, the K-BDI (p=.068), K-BAI (p=.068), and K-MDQ (p=.066) scores tended to show a decline, the K-PSI-SF scores for stress related to child learning showed a significant decline, and the K-PSOC scores for sense of parenting competence showed significant improvement. However, no significant changes were observed in the control group. Conclusion : Use of a multidisciplinary approach improved maternal mental health, parenting stress, and sense of competence. Comparison of these results with those of normal control will be necessary in a future study.

• The Journal of the Korea Contents Association
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• v.22 no.5
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• pp.393-403
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• 2022

This study tried to derive implications by analyzing the literature related to food psychology to understand the psychological and emotional influence of food. The results of an exploratory study on food psychology are as follows. First, it was found that the perception of taste is related to an individual's state of mind. Second, as the theories for understanding the psychological aspects of food intake, the eating inhibition theory, the emotion regulation theory, and the escape model for binge eating based on the narcissistic theory were confirmed. Third, it was found that tools that can measure symptoms related to binge eating occupy a large portion of food-related diagnostic tools. Fourth, research on food-related psychological disorders was conducted on food cravings, binge eating disorder, bulimia nervosa, eating inhibition, and healthy food obsession. Fifth, it was found that studies related to the treatment of food-related psychological disorders were focused on the cognitive behavioral therapy approach. This study will serve as a basis for understanding and intervening in the emotional impact of food and psychological problems related to food.

• Journal of Korean Academy of Nursing
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• v.38 no.1
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• pp.55-63
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• 2008

Purpose: The purpose of this study was to examine the relationship between eating disorders and parent-adolescent communication in middle school students. Method: There were 267 adolescents taken as participants from two middle schools in rural areas. Data were collected from June to July 2005, using the Eating Disorder Inventory-2 questionnaire (23 items) and Parent-Adolescent Communication Inventory (10 items for open family communication, 10 items for problem in family communication). The SPSS Win version 12.0 was used for descriptive analysis, t-test, and partial correlation coefficient. Result: The mean score on the eating disorder was 2.74 (range: 1-6). Meanwhile, the mean scores on the parent-adolescent communication was 3.37 (range: 1-5). There were significant differences in eating disorders according to gender, age, negative perception of the participant's body weight, family's perception of obesity, diet experiences, and BMI. Eating disorders showed a significant negative correlation with parent-adolescent communication. Conclusion: In this study, there was a significant negative correlation between eating disorders and parent-adolescent communication. In order to prevent an eating disorder, education and training to enhance communication skills should be provided to adolescents and their parents as well.

• Child Health Nursing Research
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• v.15 no.2
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• pp.127-135
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• 2009

Purpose: This cross-sectional study was designed to identify anger-expression types in late school-age children and to investigate the relation of anger and the anger-expression type to their eating disorders. Method: Two hundred fifty four children in elementary school were recruited from 14 to 25, April, 2008. The data were analyzed by using descriptive statistics, cluster analysis, t-test, ANOVA, and Tukey's multiple comparison test. Result: Three anger-expression types in late school-age children were found; Anger-in/out, Anger-control, and Low anger-expression types. Children frequently using the anger-out/in type among the three types and with a higher trait anger reported higher eating disorders. Particularly trait anger and unhealthy anger expression type were linked to eating disorders. Conclusion: This study suggests that a specific anger management program needs to be developed for late school-age children with high trait anger and frequently using the anger out/in expression type and Anger-control type than low anger-expression types. Further research needs to be done with large samples and discussed in terms of the role of gender in eating disorders.

• Child Health Nursing Research
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• v.11 no.3
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• pp.282-289
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• 2005

Purpose: The purpose of this study is to identify the relationship between BMI, eating disorders, physical symptoms and self-esteem. Methods: The research design was a descriptive correlation study. Data collection was done by using a constructive self-report questionnaire, a total 231 elementary school girls were measured. The instrument was a constructive questionnaire that consisted 115 items. Data analysis was done by SPSS WIN 10.0 using descriptive statistics, ANOVA, Pearson correlation coefncient. Results: The score of eating disorders differed significantly by the BMI : the score was highest in the group of obesity(F=4.53, p=.023). The score of physical symptoms differed significantly by the BMI : the score was highest in the group of obesity(F=3.16, p=.045). There was positive correlation between BMI and eating disorders(r=.247, p<.01), and BMI and physical symptoms(r=.186, p<.01). And there was positive correlation between eating disorders and physical symptoms(r=.253, p<.01). Conclusions: These results indicated that elementary school girls need more education and counseling on dietary. Also, to promote their normal growth development, the systematic efforts to reestablish the social standard of the beauty should be taken.

• Women's Health Nursing
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• v.15 no.4
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• pp.328-335
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• 2009

Purpose: The purpose of this study is to investigate the relationship between eating disorders, body image, and self-esteem of female university students. Methods: A total 123 university female students were recruited in April 2009. Data was collected by using questionnaires. The collected data was analysed by SPSS/WIN using frequency, percentage, mean, standard deviation, ANOVA, & Pearson correlation coefficient. Results: As defined by body mass index (BMI), the obese subjects were rare (8.9%) and the rest (91.1%) was under weight or normal. More than 51.2% of the subjects perceived their weight as overweight, while 8.9% of the women were obese as defined by BMI. Eighty-eight percent of the subjects were not satisfied with their body shape. The total mean score of anorexia nervosa was higher than bulimia nervosa. The scores of eating disorders did not differ significantly by the BMI score. The score of body image was highest in the group of the overweight. There was high positive correlation between self-esteem and body image. Conclusion: To ensure resonable body image and weight control behaviors in female university students, education should be reinforsed. Therefore, nursing intervention programs for cognitive changes correcting the understanding about body image need to be developed.

• Women's Health Nursing
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• v.9 no.4
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• pp.390-399
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• 2003

Purpose: The purpose of this study was to investigate the relationship between eating disorders, and self esteem in female college students. Method: The survey was carried out on convenience sample of 388 college female students. The questionnaire consisted of each scale for eating disorder, self-esteem. The data was analyzed by the SPSS/PC using frequency, percentage, mean, standard deviation. ANOVA, and Spearman correlation. coefficient. Result: More than 43% of the subjects perceived their weight as overweight, while 1.5% of the women were obese as defined by BMI. About 57.4% of subjects were not satisfied with their body shape. Frequency of eating disorder was 5.93%. The score of eating disorder was high when the subjecto had negative perception and low satisfaction with their body shape. The high scores of self-esteem were shown among the group who had high satisfaction on body shape. There was negative correlation between eating disorder and self-esteem (r=-.194, p=.000). Conclusion: This study suggests that the nursing intervention was necessary for female college students to recognize healthier eating habits and increased their self-esteem.