• Korean Journal of Psychosomatic Medicine
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• v.9 no.2
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• pp.153-163
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• 2001

This study was attempted to investigate the discriminant validity of Korean version of Eating Attitude Test-26(KEAT-26) and to provide the sensitivity, specificity and efficiency according to cutting score, which may be useful to determine the optimal cutoff point on various purposes. The KEAT-26 was administered to 108 female patients with eating disorders, 179 female participants in body slimming center, 120 female athletic college students, 227 female college students, and 183 healthy normal women. Validity was tested by ANOVA and ROC curve analysis. The results revealed that the total score of the KEAT-26 showed a statistically significance between groups and that the score of the KEAT-26 of eating disorders group was significantly higher than that of the other groups in post hoc test. In comparison of the 4 subfactor score of the KEAT-26 between groups, significant differences in main effect within groups were found in all subfactors except factor IV. ROC curve analysis showed 80% of efficiency to discriminate eating disorders group from normal control group using cutoff score on maximum discriminant efficiency and 69% of efficiency to discriminate eating disorders group from high risk groups for eating disorders. Each cutoff score on maximum in efficiency was as follows ; 25 between eating disorders group and participants in body slimming center, 19 between eating disorders group and healthy normal woman, 23 between eating disorders group and athletic college students, 21 between eating disorders group and college students. Using 22(T score 65) of the KEAT-26 as the cutoff score, sensitivity was 54%, specificity was 84%, and overall efficiency was 80%. These results indicate that the KEAT-26 has a good discriminant validity in Korean population and also suggest that the KEAT-26 may be useful assessment tool to screen the disordered eating problems on clinical and epidemiological purposes.

• Sleep Medicine and Psychophysiology
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• v.18 no.1
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• pp.5-9
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• 2011

Sleep-related eating disorder (SRED) is a newly recognized parasomnia that describes a clinical condition of compulsive eating under an altered level of consciousness during sleep. Recently, it is increasingly recognized in clinical practice. The exact etiology of SRED is unclear, but it is assumed that SRED might share features of both sleepwalking and eating disorder. There have been also accumulating reports of SRED related to the administration of various psychotropic drugs, such as zolpidem, triazolam, olanzapine, and combinations of psychotropics. Especially, zolpidem in patients with underlying sleep disorders that cause frequent arousals, may cause or augment sleep related eating behavior. A thorough sleep history is essential to recognition and diagnosis of SRED. The timing, frequency, and description of food ingested during eating episodes should be elicited, and a history of concurrent psychiatric, medical, sleep disorders must also be sought and evaluated. Interestingly, dopaminergic agents as monotherapy were effective in some trials. Success with combinations of dopaminergic and opioid drugs, with the addition of sedatives, has also been reported in some case reports.

• The Korean Journal of Community Living Science
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• v.20 no.2
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• pp.157-168
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• 2009

This study was carried out to investigate the effect of eating behavior, physical status and tendency of eating disorder on the right eating habit. The subjects of this study were 324 middle school students and 340 high school students in Osan city GyeongGi province. The average of weight and height in the middle and high school students were 48.7kg, 160.0cm and 56.8kg, 164.8cm respectively. In PIBW values, 92.9% of middle school students and 99.1% of high school students were almost close to the average. The 28.5% of high school and 21.5% of middle school students were aware of themselves as overweight. The risk of eating disorders in high school students(16.4%) were higher than that in middle school students(4.9%). Moreover, the risk of eating disorders in girls high school students(19.3%) was significantly higher than those of middle school students(5.2%) (p<0.001). The thought of food problems were realized in 57.4% of in high school students and in 39.9% of in middle school students. The intake of food group frequency, middle school students ate more fruit than high school students(p<0.01). Boys ate more frequently soy beans (p<0.05) and algae(p<0.1) than girls in high school students. The meat intake was more frequent in high school students, but the eggs and milk were more in middle school students. The boys' intakes of fish and milk were more often than the girls' in high school students. Eating disorders and food intake frequency scores were closely correlated with weights(PIBW and the gap of ideal. weight with real weight). In conclusion, the education about realizing exact healthy body shape and how to modify behavior to prevent eating disorders should be planned since junior high school. Especially in high school girls, the variety food intake education would be needed. Proper recognition of the weight is required for good food intake and for prevent eating disorders.

• Korean Journal of Psychosomatic Medicine
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• v.26 no.2
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• pp.152-163
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• 2018

Objectives : The Eating Disorder Examination Questionnaire, version 6.0 (EDE-Q version 6.0) and the Clinical Impairment Assessment Questionnaire (CIA) measure attitudes and behavioral features of eating disorders and impairments secondary to eating disorders, respectively. The aims of this study were to examine the reliability and the validity of the Korean versions of the EDE-Q version 6.0 and the CIA. Methods : Four hundred nineteen participants (370 female university students and 49 women with eating disorders) completed the EDE-Q version 6.0, the CIA, the Body Shape Questionnaire (BSQ) and the Weight Concern Scale (WCS). Results : Excellent internal consistencies were obtained for the EDE-Q version 6.0 (Cronbach's ${\alpha}=0.92$) and the CIA (Cronbach's ${\alpha}=0.91$). Exploratory factor analysis of CIA extracted the 3 factors of personal, social, and cognitive impairments, as the original CIA had. The EDE-Q version 6.0 and the CIA were well correlated with the BSQ and the WCS, in respect to their contextually concordant variables. Patients with eating disorders had higher scores both in the EDE-Q 6.0 and the CIA than university women had, supporting good discriminant validity. Conclusions : The EDE-Q version 6.0 and the Korean versions of the CIA had adequate reliability and validity. These data will help clinicians and researchers to use the EDE-Q and the CIA in diagnosis, prevention and intervention of eating disorders in Korea.

• 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 Korean Journal of Food And Nutrition
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• v.19 no.2
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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 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.

• Women's Health Nursing
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• v.6 no.1
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• pp.129-141
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• 2000

The purpose of this study is to investigate the relationship between eating disorders, body image, and self-esteem of high school girls. Data were analysed by SPSS/PC using frequency, percentage, mean, standard deviation, ANOVA, & Pearson correlation coefficient. The results of this study are as follows. 1. The mean of body weight and height of the subjects were 52.49kg, 161.16cm. As defined by BMI, the obese subjects were very rare(2.1%) and the rest(97.9%) was under weight or normal. 2. More than 53% of the subjects perceived their weight as overweight, while 2.1% of the women were obese as defined by BMI. Ninety-three percent of the subjects were not satisfied with their body shape. 3. For the need for weight control, subject's own judgement(70.8%) was the highest percentage. High percentages of the women reported a decrease in the amount of eating(22.9%), and an increase in the amount of exercise(52.8%) as effective methods of weight control. 4. The total mean score of anorexia nervosa was higher than bulimia nervosa. 5. The scores of eating disorders did not differ significantly by the BMI score : The score of eating disorders was highest in the group os the overweight. 6. The score s of body image did not differ significantly by the BMI score : The score of body image was highest in the group of the overweight. 7. No significant difference was found in over all self esteem scores according to the BMI scores. 8. There was high positive correlation between BMI and eating disorders(r=.2158, p=.0094), between self-esteem and body image(r=.4288, p=.0001), and positive correlation between BMI and self-esteem(r=.1569, p=.0604), and between BMI and body image(r=.1354, p=.1056).

• The Journal of the Korean dental association
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• v.56 no.5
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• pp.287-295
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• 2018

Eating-swallowing disorder (dysphagia) is a very important functional problem for the elderly, and it has a significant impact on the quality of their life. Because the eating and swallowing processes are affected by oral tissues including teeth, tongue, and oral muscles, it is natural that the dentist as a specialist in oro-facial region, intervenes in the diagnosis and treatment of the disorder. Nevertheless, Korean dentists still lack interest and understanding of dysphagia. In aged society, it is necessary that the dentists understand the functional disorders as well as oral diseases. The purpose of this study is to introduce the evaluation and treatment methods of eating and swallowing functional disorders in order to cope with eating-swallowing disordered patients who are frequently encountered in aged society.

• Fashion & Textile Research Journal
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• v.22 no.4
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• pp.469-480
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• 2020

The study investigated the effects of SNS usage on 20s and 30s female SNS users' internalization of thin body, body surveillance, appearance upper comparison, body dissatisfaction and eating disorders based on objectification theory and social comparison theory. The study examined differences on SNS usage and body image variables between high and low groups of SNS envy and self-compassion. Social Network Service (SNS) is used as a contemporary marketing tool for brands and companies. It also influences the body image of female SNS users. The survey used an online survey company for female SNS users in their 20s and 30s to analyze the effect of SNS usage. The results showed that SNS usage significantly impacted the internalization of a thin body, body surveillance and appearance upper comparison. The internalization of thin body also had a significant impact on body surveillance and appearance upper comparison. Appearance upper comparison positively affected body dissatisfaction and eating disorders. Finally, the group with higher SNS envy showed higher SNS usage, internalization of thin body, body surveillance, appearance upper comparison, body dissatisfaction and eating disorders. The group with higher self-compassion showed opposite results. This study provided a theoretical expansion for a SNS and female body image study with objectification theory and social comparison theory. It also suggests positive SNS marketing strategies use for brands. Lastly, this study emphasized the importance of the proper use of SNS to protect the body image of SNS users.