• 한국콘텐츠학회논문지
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• 제19권5호
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• pp.588-601
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• 2019

본 연구는 비만클리닉을 내원하는 20~30대 여성의 사회부과 완벽주의와 이상섭식행동의 관계에서 자기자비와 신체수치심의 매개효과를 검증하고자 하였다. 이를 위해 서울시 반포구, 노원구, 마포구 그리고 동작구에 위치한 비만클리닉을 내원하는 만20세~만39세 여성 114명을 대상으로 한 연구 주요 결과를 요약하면 다음과 같다. 첫째, 사회부과 완벽주의는 신체수치심, 이상섭식행동과는 정적 상관을, 자기자비와는 부적 상관을 나타냈고, 자기자비는 신체수치심, 이상섭식행동과 부적 상관을 나타냈으며, 신체수치심은 이상섭식행동과 정적 상관을 나타냈다. 둘째, 비만클리닉을 내원하는 20~30대 여성의 사회부과 완벽주의와 이상섭식행동 간의 관계에서 자기자비와 신체수치심의 매개효과를 검증한 결과, 자기자비는 유의미한 영향을 나타내지 않은 반면, 신체수치심은 유의미한 매개효과가 나타났다. 셋째, 비만클리닉을 내원하는 20~30대 여성의 사회부과 완벽주의와 이상섭식행동 간의 관계에서 자기자비와 신체수치심은 이중매개 하는 것으로 나타났다. 즉, 신체수치심에 긍정적인 영향을 줄 수 있는 심리적 매개변인으로 자기자비의 영향이 밝혀진 점에서 의의가 있다. 본 연구의 결과는 비만클리닉을 내원하는 20~30대 여성의 이상섭식행동에 대한 이해를 높이고 이상섭식행동을 다루는 상담 장면에서 활용될 수 있을 것이다. 이러한 연구결과를 바탕으로 본 연구가 갖는 의의와 후속연구에 대한 제언을 논의하였다.

• 여성건강간호학회지
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• 제9권4호
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• pp.457-466
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• 2003

Purpose: To provide the epidemiological information for developing preventive programs encourage appropriate eating and weight control behaviors. Method: 349 college students in Seoul were administered self-report question- naires to examine eating habits, trend of disordered eating, weight reduction practice and body size evaluation from September to October 2002. Data were analyzed by SAS program for frequency, t-test, ANOVA with Scheff test. Result: The mean eating score was moderate and it differed by subjects' characteristics. The mean score of EAT-26 was relatively lowered, and 3.4% of the subjects score showed disordered eating behavior. It differed significantly by subjects' general characteristics. 30.4% of total sample were currently trying to lose weight and had interested in trying to lose weight. EAT-26 was significantly different by weight reduction practices and interest. Perceived body size differed by the score of eating habit and EAT-26. Conclusion: It can be suggested weight preoccupation have a relation to eating habits, weight control practice and disordered eating. Further study is recommended educational interventions targeting at-risk subjects.

• 대한불안의학회지
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• 제3권2호
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• pp.69-76
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• 2007

Anorexia nervosa is a physical and psychosocial disorder that occurs most frequently in adolescent girls and young adult women. A decade ago, anorexia nervosa was rare outside of the developed western countries. However, it is now becoming a common clinical problem among young women in Korea. It is not enough to merely focus on relieving patients from the symptoms of "not eating," which is a practice that has been adopted by some forms of hospital care. The evidence base to guide treatment is limited. Nevertheless, there is the hope that a better understanding of the factors that play a role in the initiation and maintenance of disordered eating behaviors may be lead to more sophisticated treatments. This review aims to look beyond the overt "not eating" phenotype of anorexia nervosa and considers eating disorder endophenotypes based on Treasure's model. The first part of the review sets the basis for a framework of potential eating disorder endophenotypes. A description of the evidence of disordered eating behaviors as well as the clinical and psychopathological features associated with the central control of appetite follow. Finally, we describe how endophenotypes can be translated into treatments.

• 한국심리학회지 : 문화 및 사회문제
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• 제23권4호
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• pp.475-495
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• 2017

본 연구는 섭식장애 유병률이 가장 높게 나타나는 초기 성인기 여성을 대상으로 이들의 이상섭식 행동과 물질주의 그리고 기존 미디어 소비에 비해 적극적이지만 병리적인 미디어 소비 형태인 연예인 숭배와의 관련성을 검증하기 위해 실시되었다. 구체적으로 본 연구에서는 초기 성인기 여성의 물질주의 추구와 이상섭식행동의 관계에서 연예인 숭배와 외모에 대한 사회문화적 규범의 내재화가 순차적으로 매개할 것이라 가정하였다. 이를 검증하기 위해 서울 소재 대학에서 모집한 초기 성인기 여성 601명을 대상으로 설문을 실시하였고 그 결과 본 연구의 가설은 지지되었다. 초기 성인기 여성의 물질주의 추구 성향이 높을수록 연예인을 병리적으로 추구하는 경향성이 커지고, 병리적 연예인 숭배 경향성이 클수록 외모에 대한 사회문화적 규범을 더 내재화하여 결국 사회문화적으로 인정받는 규범으로서의 외모에 도달하기 위해 자신의 신체를 통제하려는 시도인 이상섭식행동을 더 보이는 것으로 나타났다. 본 연구는 초기 성인기 여성의 이상섭식행동을 사회문화적 변인인 물질주의와 연예인 숭배를 통해 설명하여 이상섭식행동을 여성 개인 내적 문제로 접근하기보다 하나의 사회문화적 현상으로 접근한 의의가 있다.

• 한국사회복지학회:학술대회논문집
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• 한국사회복지학회 2007년도 국제학술대회
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• pp.497-503
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• 2007

• 정신신체의학
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• 제6권2호
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• pp.155-175
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• 1998

The purpose of this study was to test a reliability and validity of the Korean version of Eating Attitudes Test-26(KEAT-26). Using multi-stage sampling, we finally got 3,496 subjects(1422 males and 2074 females) who were available for analysis from target 4,400 Korean adults over 18 in the nationwide areas of9 kus, 10 middle or small cities, and 17 kuns. We tried to make T score norm of the KEAT-26 as a cutoff score and STEN score norm as a index of severity for disordered eating behaviors. For the male group, Cronhach's internal consistency was .83 and Spearman-Brown split half correlation coefficiency was .75. For the female group, each of them was .81 and .75, and .81, .75 for the grand total group respectively. Validity test was performed by construct validation analysis. By a iterated principal axis factoring, 4 factors were extracted. There were some differences in the factors of the KEAT-26 by sex. In the male group, factor I was 'self-control of eating and bulimic symptom', factor II was 'food preoccupation and dieting', factor III was 'preoccupation with being thinner', factor N was 'avoidance of sweet foods'. In contrast with the male group, factor I was 'self-control of eating and bulimic symptom', factor II was 'preoccupation with being thinner', factor III was 'food preoccupation' and factor N was 'dieting' in the female group. We used T score 65 as a cutoff score. T score 65 corresponded to raw score 19 in the male group, 22 in the female group and 21 in the grand total group. Severity of disordered eating behaviors was measured by a STEN score. In the male group, each of the score range of 0-10, 11-14, 15-18, 19-22 and over 23 represented the degree of none, subclinical, manifest, moderate and severe severity respectively. Each of the score range of 0-13, 14-17, 18-21, 22-26 and over 27 in the female group, and the score range of 0-12, 13-16, 17-20, 21-25 and over 26 in the grand total group also represented the same degree of severity as like in the male group. These results support that KEAT-26 is a reliable and valid scale for evaluating disordered eating behaviors and eating problems.

• 한국식품영양학회지
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• 제18권3호
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• pp.229-240
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• 2005

This quantitative study was investigated to examine the relationship between severity of state-trait anxiety and disordered eating patterns in some university students. This study used a cross-sectional study design. Total 347 students participated in this study (88 male and 259 female) among three universities. The assessment of eating disorder was conducted by Eating Attitudes Test (EAT-26), a score of >or=20 identified individuals likely to have an eating disorder, including anorexia nervosa and bulimia nervosa. Scores of healthy dietary behaviors were obtained by self-assessment instrument on healthy diet scale(20-item questionnaire), and severity of state-trait anxiety was calculated by state-trait anxiety inventory(Total 40- item questionnaire). In groups for each state anxiety and trait anxiety, there were divided between 50 percentile point of cumulatived scores of state anxiety and trait anxiety in all subjects. Linear regression analysis showed overall significant difference between dietary patterns(anorexia nervosa and healthy dietary behaviors) and severity of state-trait anxiety in all sex. Our results indicated that severity of state-trait anxiety may marked eating disorder symptomatology on dimensions of eating disorder prevention.

• 한국식품영양학회지
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• 제19권2호
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• pp.111-125
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• 2006

This quantitative study was conducted to examine the relationship between weight control behaviors and disordered eating patterns in some university students. This study used a cross-sectional study design. A total of 347 students from three universities participated in this study (88 male and 259 female) Eating disorders were assessed using the Eating Attitudes Test (EAT-26); a score of =20 identifies individuals who likely have an eating disorder, including anorexia nervosa and bulimia nervosa. A score for healthy dietary behaviors was obtained by self-assessment on a healthy diet scale (20-item questionnaire), and the severity of any state-trait anxiety was calculated by the state-trait anxiety inventory (40-item questionnaire). In the analyzed results, the percentage of participants with experience of weight control was 58% in male and 73% in female. The subjects with a high risk of an eating disorder (score of =20 of EAT-26) were 44.3% ($mean{\pm}S.D;\;18.9{\pm}13.4$) of the males, and 57.9% ($mean{\pm}S.D;\;23.2{\pm}11.6$) of the females. Higher Body Mass Index (BMI) was significantly related with an increased risk for an eating disorder in females, but not in males. In the group who had attempted weight control of all types, there was a severe risk of an eating disorder. Increased eating disorder risk was significantly related with weight control behaviors such as a higher number of attempts at weight control, having used medication, having experienced side effects, and having experienced disease for both sexes. Therefore, the results of this paper showed that detrimental behaviors of weight control are connected to an increased risk of eating disorders. Consequently, education regarding the correct, behaviors of weight control is necessary to prevent eating disorders in adolescents.

• Journal of the Korean Society for Industrial and Applied Mathematics
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• 제27권2호
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• pp.123-134
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• 2023

Disordered eating behaviors, such as overeating, are known to be contagious in the general population. The objective of our research is to find an optimal control strategy to reduce the social burden of unhealthy overeating behavior by establishing and analyzing a mathematical model for the social transmission dynamics of unhealthy overeating. We consider four compartments in the population: normal weight with normal eating behavior, normal weight with overeating behavior, overweight with normal eating behavior, and overweight with overeating behavior. Simulation results under various control scenarios show that integrated control measures may be necessary to reduce the growth rate of the overeating population.

• 한국식품영양학회지
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• 제18권2호
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• pp.115-126
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• 2005

This Quantitative study was investigated to examine the relationship between self-esteem on body image and disordered eating patterns in some university students. This study used a cross-sectional study design. Total 347 students participated in this study (88 male and 259 female) among three universities. The assessment of eating disorder was conducted by Eating Attitudes Test (EAT-26), a score of >or=20 identified individuals likely have an eating disorder, including anorexia nervosa and bulimia nervosa. Ideal body weight and current body weight were completed with self-evaluation. A distorted body image was independently related to the eating problem in the Logistic regression analysis. There were stronger relationships between their EAT-26 scores and their expected weight changes and weight control behaviors. Compared with the men, women showed highly wishful to loss for current body weight. In the relationship between score of EAT-26 and BMI distance by sex, levels of eating disorder showed linearly elevated toward increased BMI distance (Ideal BMI-Current BMI) (F-value=18.794, p<0.0001) in women, but there were not significant in men (F-value=2.028, p>0.05). In estimate on state-trait anxiety inventory according to quartile of BMI distance by sex, levels of state-trait anxiety were not significant difference by degree of body dissatisfaction in all sex. In addition, higher distorted body image was significantly increased numbers of weight control method and experience of side effects in female, but there were not showed significant relation between two variables in male.