• Title, Summary, Keyword: 섭식장애

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Clinical Characteristics of Korean Male Patients with Eating Disorders (남성 섭식장애 환자의 섭식장애 병리의 특징)

  • Kim, Sung-Soo;Im, Su Geun;Hwang, Boin;Kim, Youl-Ri
    • 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.

The effect of female adolescent body-relation variables, body esteem, and self-control on eating disorder behavior (여자 청소년의 신체관련변인, 자기통제, 신체자존감이 섭식장애 행동에 미치는 영향)

  • Jung, Sun Young
    • 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.

A path analysis of factors influencing eating problem among young female adults (성인초기여성의 섭식장애에 영향을 미치는 요인에 관한 경로 분석)

  • Cha, Bo-Kyoung
    • 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 Korean version of Eating Disorder Diagnostic Scale DSM-5 (K-EDDS DSM-5) : A Reliability and Validity Study (한국판 DSM-5 섭식장애진단척도(Korean version of the Eating Disorder Diagnostic Scale DSM-5, K-EDDS DSM-5) : 신뢰도와 타당도 연구)

  • Bang, Eun Byul;Han, Cho Long;Joen, Yae Lim;Kim, Youl-Ri
    • Anxiety and mood
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    • v.14 no.2
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    • pp.127-134
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    • 2018
  • Objective : The aim of this study was to examine the psychometric features of the Korean version of the Eating Disorder Diagnostic Scale-the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (K-EDDS DSM-5). Methods : A total of 72 patients diagnosed with eating disorders participated in the study. The diagnosis was based on the Korean version of the Eating Disorder Examination (KEDE) interview. All participants completed the K-EDDS and the Eating Disorder Examination Questionnaire version 6.0 (EDE-Q 6.0) for this study. The psychometric features of the K-EDDS were examined using exploratory factor analysis, convergent validity of agreement between the K-EDDS and the KEDE, and internal consistency. Results : The exploratory factor analysis initially extracted 6-factor structures which were reconstructed into 4 factors of body dissatisfaction, binge behavior, binge frequency, and compensatory behavior based on appropriateness of the items. The internal consistency of the K-EDDS was fairly acceptable (Cronbach's alpha=0.72). The diagnostic agreement between the K-EDDS and the KEDE was high (98.61%). The 4 factors of the K-EDDS showed significant correlation with the 4 subscales of the EDE-Q 6.0. Conclusion : Our data suggests that the K-EDDS is a reliable and valid tool for the diagnosis of eating disorders based on the DSM-5.

Qualitative Case Study on Theraplay Application of Children with Eating Disorder : Focusing on Polyvagal Theory (섭식장애아동의 치료놀이 적용에 대한 질적 사례 연구 : Polyvagal 이론을 중심으로)

  • Kim, Seyoung;Yoo, Meesook
    • 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.

Relations between Multidimensional Perfectionism and Eating Disorder in High School and College Students Majoring in Dance (무용전공 고등학생과 대학생들의 다차원적 완벽주의와 섭식장애의 관계)

  • Hong, Go-Eun;Kim, Dong-Hee
    • 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.

Correlation Between Sensory Processing Ability and Characteristics of Eating for Children With Pervasive Developmental Disorders (전반적 발달장애아동의 감각처리능력과 섭식 특성의 상관관계)

  • Kang, Hyun-Jin;Chang, Moon-Young;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.9 no.2
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    • pp.41-49
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    • 2011
  • Objective : This study aims to compare children with and without pervasive developmental disorders in terms of the sensory processing ability and behavioral characteristic of oral feeding. This study also aims to identify correlation between sensory processing and characteristics of eating. Methods : The subjects of this research were normal children and those who have diagnosis of a pervasive developmental disorder, aged from 4 to 6. The research instruments were composed of Short Sensory Profile (SSP), Brief Autism Mealtime Behavior Inventory (BAMBI) and Food Items of the Sensory Checklist. Data collection was done by a professional survey institute located in 10 cities including Busan, South Korea. The survey questionnaires were distributed to 455 parents of children with and without pervasive developmental disabilities through the survey institutes. Total 263 answers were collected out of 455 questionnaires (62%) and 154 answers were used in data analysis. Out of 154 answers, 45 were for children with pervasive developmental disabilities and 109 were for normal children. Data analysis was done to identify correlations between sensory processing and characteristics of eating such as eating behavior and oral feeding. Results : 1. There was a significant difference between children with and without pervasive developmental disorders in all area of sensory processing ability (p<.05). 2. There was no difference between children with and without pervasive developmental disorders in eating behavior (p=0.881) and oral feeding (p=0.324). 3. In the group of children with a pervasive developmental disorders, it is found that there is negative correlation between sensory processing, eating behavior and oral feeding (r=-0.384, p<.01). 4. A remarkable significant correlation was found between sensory processing and eating behavior especially in taste/smell sensitivity (r=-0.6, p<.01) and auditory filtering (r=-0.326, p<.05). The correlation between sensory processing and oral feeding was most significant in under responsiveness/seeking sensation (r=-0.372, p<.05) and auditory filtering (r=-0.382, p<.05). Conclusion : This study found that there are significant correlations between sensory processing ability and some characteristics of eating behaviors for children with pervasive developmental disorders. This information can be useful to develop a program to intervene eating behavior problems of children with pervasive developmental disorders.

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A Reliability and Validity Study of the Korean versions of the Eating Disorder Examination Questionnaire version 6.0 (EDE-Q version 6.0) and the Clinical Impairment Assessment Questionnaire (CIA) (한국판 섭식장애검사-자기보고형 6.0 (EDE-Q version 6.0) 및 한국판 임상손상평가(CIA)의 신뢰도와 타당도 연구)

  • Bang, Eun Byul;Han, Cho Long;Kim, Yu Ri;Kim, Mirihae;Lee, Young Ho;Heo, Si Young;Kim, Youl-Ri
    • 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.

The differences of dietary and health-related habits, depression, eating disorder and nutrient intake according to the life stress in nursing college students (간호학과 대학생들의 생활 스트레스 정도에 따른 식습관, 건강관련습관, 우울, 섭식장애 및 영양소섭취량의 차이 조사)

  • Park, Myung-Sook;Park, Kyung-Ae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.1
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    • pp.344-355
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    • 2014
  • The purpose of this study was to investigate the stress level and dietary and health-related habits, depression, eating disorder and nutrient intake according to the life stress level among nursing college students. The mean score for life stress was 61. A total of 282 subjects participated in the study and were divided into two group: high stress group(HS) and low stress group(LS). The data were analyzed with t- and $x^2$-test using the SPSS statistical package program. The scores for depression and eating disorder of HS were significantly higher than those of LS. HS were more frequent in skipping, overeating meals and having no exercise than LS. There was no difference in intake of nutrient, but in both group, intakes of vitamin $B_2$ and C, folate, calcium, iron and potassium were very deficient. Therefore, development of counseling and education program to decrease stress and to maintain health of nursing student is recommended.

Influence of Depression and Eating Disorder on College Adjustment in Female Freshmen (일개대학 여자신입생의 우울, 섭식장애가 대학생활적응에 미치는 영향)

  • Wang, Hee-Jung;Jung, Sun-A
    • The Journal of the Korea Contents Association
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    • v.16 no.11
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    • pp.683-692
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    • 2016
  • The study was conducted to identify the influence of depression and eating disorder on college adjustment in female freshmen. Two hundred twenty one subjects completed a structured questionnaire in March to April 2016. Data were analyzed using IBM SPSS 21.0 program. The results of this study were as follows: college adjustment in female freshmen was 106.14, depression was 10.22, bulimia nervosa was 61.84, anorexia nervosa was 10.46. Depression (r=-0.409, p<.001) and bulimia nervosa(r=-0.133, p<.048) were negatively related with college adjustment and bulimia nervosa(r=0.391, p<.001) and anorexia nervosa(r=0.302, p<.001) were positively related with depression. Female freshmen with high depression and eating disorder had lower college adjustment. The results of this study suggest that it needs to do a screening test for depression and eating disorders, predict maladaptation and help their college adjustment in freshmen.