• The Journal of Korean Academic Society of Nursing Education
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• v.16 no.2
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• pp.265-271
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• 2010

Purpose: The purpose of this study was to identify the influencing factors on eating disorders in college students. Method: A descriptive correlational study design was used. Eight hundred fifty-nine college students were administered self-report questionnaires to examine eating habits, self-efficacy, depression, and parent-adolescent communication from May to June, 2010. Collected data were analyzed by the SPSS 15.0 program for t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression. Result: The level of an eating disorder in participants was moderate and it differed by gender, major, and type of living. The eating disorder showed a significant correlation with self-efficacy (r=-.28, p=<.000), depression (r=.23, p=.001), and parents-adolescent communication (r=-.13, p=.008). Self-efficacy (8.2%) and depression (2.1%) were significant predictors to explain the eating disorder. Conclusion: This study provides comprehensive understanding of the influencing factors on eating disorders in college students. It suggests that nursing interventions to improve self-efficacy and decrease depression for management of eating disorder are needed.

• Korean Journal of Psychosomatic Medicine
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• v.24 no.1
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• pp.54-60
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• 2016

Alexithymia is characterized by difficulties identifying and describing feelings, impoverished fantasy life, and concrete and poorly introspective thinking. Alexithymic patients have been reported to show a stable deficit with regard to processing and regulating emotions. Eating disorders are characterized by a persistent disturbance of eating or eating-related behavior that significantly impairs physical health or psychosocial functioning. Like alexithymic patients, patients with eating disorders show the impaired capacity to process and regulate emotions. There is a robust body of literature showing patients with eating disorders are more alexithymic than healthy controls. Specifically, patients with eating disorders experience difficulties identifying and describing emotions. Childhood maltreatment can increase the risk for depression and alexithymia, which can in turn lead to disordered eating symptoms. Also, higher levels of alexithymia are correlated with a less favorable clinical outcome in patients with eating disorder. Therefore, treatments to help processing and regulating emotions of eating disorder patients with pronounced alexithymic traits may seem to lead to a higher possibility of recovery.

• Korean Journal of Health Education and Promotion
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• v.19 no.4
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• pp.33-44
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• 2002

This study was conducted to investigate the relationship between an eating disorder, body image, depression and self-esteem amongst a subject group of 282 college women between Jan.,1st and 30th,2002, to provide base data for eating disorder levels of college women and to provide base data for health control. The evaluative instrument was a constructive questionnaire that consisted of 8 items of general characteristics and weight control questions, 24 questions relating to eating disorders, 17 questions pertaining to body image, 10 questions pertaining to depression and 10 questions pertaining to self-esteem. To identify the levels of an eating disorder, body image, depression and self-esteem perceived by subjects, the researcher used means and SDs. To test the significance of a subject's eating disorder, body image, depression and self-esteem according to the BMI, the researcher used the t-test. To test the correlation between the BMI, an eating disorder, body image, depression and self-esteem, the researcher used Pearson correlation coefficient. The results of this study are as follows. The mean score for anorexia nervosa was 31.52 and the mean score for bulimia nervosa was 24.12. Differences between the underweight group and the normal weight group in the level of eating disorders were significant (t=-6.94, p=.000). There were high positive correlations between the BMI and an eating disorder (r=.383, p<.01), between an eating disorder and depression (r=.161, p<.01), between body image and self-esteem (r=.653, p<.01). In addition, there were high negative correlations between an eating disorder and body image (r=-.214, p<01), between an eating disorder and self-esteem (r=-.196, p<.01), between depression and body image (r=-.541, p<.01), and between depression and self-esteem (r=-.537, p<.01). These results indicate that Korean college women need more education and counseling on dietary habits. Also, the systemic efforts reestablish the social standard of the beauty should be taken. Further empirical and experimental studies would be required for investigating for the factors influencing the eating attitude of the college women and discriminating the variables affecting the various specific dimensions of the eating attitude.

• Proceedings of the KSCN Conference
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• 2004.12a
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• pp.13-16
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• 2004

• Korean Journal of Biological Psychiatry
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• v.5 no.2
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• pp.197-209
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• 1998

In mordern society, nutritional and appetite disorders occur in epidemic proportions and are serious health harzards. Obesity and diabetes affect over 30% of American population, while eating disorders, such as anorexia nervosa and bulimia nervosa occur in a growing number of adolescences and young adults. The changes in various sociocultural aspects with the introduction of Westernized culture have had the effect of increasing the risk of same problems in Korea. Disorderd eating patterns are a primary symptom of numerous psychiatric disorders and loss of appetite and cachexia, during illness or in the elderly, preclude proper medical treatment for restoring good health or preserving life. Increased understanding of the systems of the body and brain, related to energy and nutrient balance, may help us to treatment and ultimately prevent these commom disorders. In this review, the author highlights the psychobiological mechanisms or factors which are associated with eating behavior, especially in the view of intake psychobiology. This review would be concentrated on 1) the theoretical concepts and theories of eating behavior ; 2) the psychobiological determinants of food intake ; and 3) the psychobiological control of eating behavior.

• Journal of Korean Medicine for Obesity Research
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• v.15 no.1
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• pp.45-50
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• 2015

Eating disorders is a significant failure on the dietary behavior, can be distinguished by anorexia nervosa and bulimia nervosa. For the treatment of eating disorders, screening for medical conditions and hospitalizations are needed. Also, medications such as antidepressants may be helpful, and it should be considered a dynamic psychotherapy, cognitive behavioral therapy, and family therapy together. Recently we experienced a 24-year-old woman who was accompanied with binge eating at night, habitual vomiting, dizziness, anorexia, and general weakness. We applied Banhabaeckchulchunma-tang and acupunture treatment during 2 weeks. Through this program, patient's condition was improved on body mass index and Eating Attitude Test-26.

• Journal of Korean Medicine for Obesity Research
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• v.2 no.1
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• pp.1-12
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• 2002

Eating disorders are psychiatric disorders characterized by abnormal eating patterns and cognitive distortions related to food, weight and shape, which is in turn result in adverse effects on nutrition status, medical complications, and impaired health status and function. The American Psychiatric Association's DSMIVTR offers two diagnoses to describe disordered eating anorexia nervosa and bulimia nervosa. A third category, eating disorder not otherwise specified(EONOS) include binge eating disorder. The prevalence of eating disorder has greatly increased among adolescence and young adults since 1990's when rapid import of western culture took place. It is likely that patients who ask for weight loss are at high risk of having eating disorder. Severe dietary restriction for weight loss may cause eating disorder. Therefore it is recomendable for doctors to have appropriate understanding and guidelines of eating disorder to help their patients.

• The Journal of Korean Society for School & Community Health Education
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• v.6
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• pp.49-63
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• 2005

The purpose of this study was to investigate the weight control behaviors, the degree of fatness and dance major on behalf of finding the effects of eating disorders. 779 female high school students, 283 dance major students and 496 general major students, were participated in the study. A self-reporting type of questionnaire survey was conducted during the period from $6^{th}$ May to $18^{th}$ April of 2005. Collected data were processed using SPSSW in 12.0; they were analysed through frequencies, percentages, means and standard deviation, and stepwise multiple regression analysis. The results of this study are as follows : 1. With regard to the level of eating disorders(EAT-26), 33.9% of risk group of eating disorder female dance students, and 13.7% of risk group of eating disorder female general major students. Weight-control behaviors in this research were 1) weight control concerns, 2) weight control trial, 3) weight control methods (prescription of M.D., ways of weight control), 4) eating habits. First, 56.6% of subjects had high concerns about weight control, and 92% of subjects had tried weight control. Second, only 5.1% of subjects were prescribed by M.D. Third, subjects had been using wrong methods(25.7%) of weigh control such as fasting, using drugs, vomiting, wearing laps etc. Fourth, 42.7% of the subjects had bad eating habits. The degree of fatness was as follows: 1) BMI(Body Mass Index), 2) self report about weight 3) distorted body image. Depending upon the BMI, the subjects with obesity were not found in female dance students; Comparatively, 36.9% of dance students were fat and 1.4% of the students were very fat. In terms of distorted body image, only 14.9% of all subjects were the same between the subjective degree of fatness and the objective degree of fatness. 2. As a result of multiple regression, six variables were found significant($R^2=11.6%$, P < 0.01). Concerns about the weight control significantly influenced on eating disorders(EAT-26). At the same time, major(dance), wrong methods of weight control, distorted body image, prescription of M.D, and eating habits had significantly influenced on eating disorders. This results indicates that the risk of eating disorders among female dancer students was very high. Therefore, professional intervention is needed for female dance students to prevent the eating disorders.

• Journal of the Korean Dietetic Association
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• v.15 no.3
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• pp.232-252
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• 2009

This study investigated dieting behavior, awareness of body shapes, and eating disorders in female adolescents according to age and BMI. The Eating Attitude Test for Korean Adolescents (EAT-26KA) and sociocultural standards were used to measure eating disorders and sociocultural attitudes related to appearance, respectively. In addition, the BDI (Beck Depression Inventory) scale was used to measure the correlation between disordered eating and depression. The data were collected from 390 female adolescents living in Seoul and were analyzed using SPSS15.0. The results indicated that subjects wanted to be thinner despite having a normal body weight (BMI 19.35${\pm}$2.73). They also thought of themselves as fat and with desires to be slimmer, and viewed "diet and exercise" as the best way to lose weight. About 67.4% of the respondents had tried a diet and had experienced dizziness, anorexia, and general exhaustion while dieting. Also, 5.1% of the subjects were classified as eating disorder and suffered from stress to be thin. In addition, 85.0% of the subjects with eating disorder had tried a diet due to "appearance". They thought that "being underweight" was an ideal body image and considered themselves fat, although their BMIs were in the normal range (19.94${\pm}$2.02). In terms of symptoms during dieting, many of the subjects dealing with an eating disorder felt dizzy, had low energy, and were depressed. In conclusion, we must educate young females about healthy eating and positive body image to prevent the development of adolescent eating disorders.

• Women's Health Nursing
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• v.8 no.4
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• pp.570-582
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• 2002

The purpose of this study was to investigate the relationship between eating disorders, depression, and body dissatisfaction of middle aged women. Data was collected from June 1 to June 30, 1999 by means of a structured questionnaire. The subjects for this study were 99 middle aged women between the ages of 35 and 59, recruited from Seoul, Kyungido. The instruments were the BDI(Beck Depression Inventory) developed by Beck(1973), Eating Disorder Inventory(1997) developed by Garner & Garfinkel, Halm, Falk& Schwartz, Shin Mi Young. The instruments were the Body Dissatisfaction(1997) developed by Garner, Olstead & Polivy, Han osoo, yoo hee jung, shin Mi Young. The data was analyzed by the SPSS/PC program using frequency, percentage, mean, standard deviation, t-test, ANOVA and Pearson correlation coefficient. The results of this study are as follows 1. The mean body weight and height of the subjects were 57.49kg, 158.62cm. 2. Depending upon BMI, the obesity subjects were 18.2% and the rest(81.8%) were under weight or normal. More than 70% of the normal weight subjects(71 subjects) perceived their weight as overweight. 3. The total mean scores of anorexia nervosa were higher than bulimia nervosa. The total mean scores of eating disorders was 2.13. 4. The total mean scores of depression was 1.50. 5. The total mean scores of body dissatisfaction was 3.30. 6. There was a positive correlation between depression and eating disorders(r=.267, p<0.01)and, between body dissatisfaction and eating disorders(r=.273, p<0.01).There was not a significant correlation between depression and body dissatisfaction. According to the present study eating disorders in middle aged women developed because of the tendency to have negative perceptions of their bodies.