• Title, Summary, Keyword: Eating Disorder

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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.

Effect of Weight-Related Concerns and Dietary Behavior on Eating Disorder Risk in Korean Women

  • Kim, Jung-Hyun;Lim, Yun-Sook;Jun, In-Kyung
    • International Journal of Human Ecology
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    • v.9 no.1
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    • pp.97-106
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    • 2008
  • This study investigated the relationships between eating disorder risk, body image perception, weight control, and dietary habits in Korean women. Body shape perception, the Eating Attitude Test (EAT-26) and dietary habit information were collected by a self-administered questionnaire to 373 adult women and the data were analyzed by the Chi-square test. 31.4% of the women were classified in the eating disorder group by a score of over 20 points on the EAT-26. Compared to the normal group, more women in the eating disorder risk group perceived that a thin body shape was the ideal body shape and were dissatisfied with their body shape. This group was also more interested in weight control and more likely to try weight control methods. The eating disorder risk group was more likely to skip meals and snacks than the normal group. In addition, they had a greater appetite and a higher frequency of overeating than the normal group. Over 30% of the Korean women surveyed were categorized at high risk of eating disorders. They were more likely to overestimate body weight and shape and tried to control their weight by inappropriate methods. To prevent eating disorders in adult women, nutrition education programs should incorporate strategies to change inaccurate self-body image and to disseminate information about healthy weight control methods.

Weight Control History according to Risk of Eating Disorder (일부 대학생의 식사 장애 위험 정도에 따른 체중 조절 방법)

  • Nam Hee-Jung;Kim Young-Soon
    • 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.

A Review Study on the Treatment of Eating Disorder in Traditional Chinese Medicine (섭식장애의 치료에 대한 임상연구 동향 -중의학 논문을 중심으로-)

  • Jo, Sang-Ho;Ahn, Young-Jun;Lee, Seung-Hwan;Lim, Jung-Hwa
    • Journal of Oriental Neuropsychiatry
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    • v.27 no.1
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    • pp.11-21
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    • 2016
  • Objectives: This study was performed to review the research trends in the treatment of eating disorder in traditional Chinese medicine (TCM). Methods: The CNKI database (China National Knowledge Infrastructure) was searched under the key words ‘Eating Disorder’, ‘Anorexia Nervosa’, and ‘Bulimia Nervosa’. Results: Thirteen articles were selected. These included 2 studies on bulimia nervosa, and 11 studies on anorexia nervosa. According to study design, studies were classified into 1 randomized controlled trial, 2 single group before-and-after studies, and 8 case reports. According to therapy method, they included 11 herbal medicine studies, and 2 complex treatment studies. The most common pattern identification was ‘liver qi depression’ (肝氣鬱結), and the most used herb was ‘Root of Bupleurum falcatum’ (柴胡). Most of the studies showed effective results. Conclusions: The results of our study indicated that TCM clinical studies on eating disorder were being conducted more actively than in Korean medicine. Korean medical treatment might be effective to relieve eating disorder symptoms. In the future, more scientifically designed clinical studies should be performed to prove the effectiveness of traditional Korean medicine treatment on eating disorder.

The Relationship between Eating disorder and Self-esteen in Female College Students (여자대학생들의 섭식장애와 자아존중감과의 관계)

  • Lee, Kyung-Hye;Kim, Sook-Kyung;Chun, Ki-Jeong;Han, Sook-Hee
    • Korean Journal of Women 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.

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The Relationship between Risk of Eating Disorder and Severity of State-Trait Anxiety (일부 대학생의 상태-특성 불안 정도와 식사 장애 위험 정도의 관계)

  • Nam Hee-Jung;Kim Young-Soon
    • The Korean Journal of Food And Nutrition
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    • v.18 no.3
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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.

The Relationship between Eating Disorders, Self-esteem and Depression among in College Women (여대생의 섭식장애행동과 자아존중감 및 우울간의 관계)

  • Sung Mi-Hae
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.11 no.1
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    • pp.59-66
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    • 2004
  • Purpose: The purpose of this study was to investigate the relationship between eating disorder, self-esteem and depression in college women. Method: Participants were 282 college women. Data were collected between Nov. 1st and 30th, 2003, and provide basic data on eating disorder levels in college women and basic data for health control programs. The instrument was a questionnaire consisting of 8 items on general characteristics and weight control, 24 on eating disorders, 10 on self-esteem and 10 on depression. Analysis of the data was done using numbers, percentages, means and standard deviations, t-test and Pearson correlation coefficients. SPSS WIN 10.0 was used in data analysis. Result: The greatest difference for eating disorders was between the group with normal body weight and the group with low body weight (t=-6.94, p=.000). There was a high positive correlation between Body Mass Index and eating disorder (r=.383, p<.01), between eating disorder and depression (r=.161, p<.01). There was a high negative correlation between eating disorder and self-esteem (r=-.196, p<.01), and between self-esteem and depression (r=-.537, p<.01). Conclusion: These results indicate that college women need more education and counseling on dietary concerns. Also, systematic efforts to establish a more health conscious social standard for beauty should be taken. Further empirical and experimental studies are required to investigate factors influencing attitudes towards eating held by college women and to determine variables which affect various specific dimensions of these attitudes.

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Understanding and Practice of Eating-Swallowing Disorder (섭식연하장애의 이해와 실제)

  • So, Jong-Seob;Ko, Sok-Min
    • 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.

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A Study of the Relationship between the Eating Attitude Influenced by Eating DDisorder and Body Shape, Nutritional Knowledge among Female College Students in Won Ju Province (원주지역 여대생들의 이상식이습관과 관련된 식행동과 체형, 영양지식과의 관련성)

  • 원향례
    • Korean Journal of Community Nutrition
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    • v.3 no.2
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    • pp.308-316
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    • 1998
  • This study was made to find out the relationship between the eating attitude influenced by an eating disorder and nutritional knowledge among 441 female college students. A self-report questionnaire was used, and the summary of the results are as follows : Almost all of the surveyed female college students were in criteria of standard weight, however they regard themselves more obese than what their actual body shape normally shows. The correlation between perceived body shape and the eating attitude influenced by an eating disorder turned out to be high(p<0.001). The significant level of correlation between the perceived body shape and the eating attitude test-26(EAT-26) scores showed much higher than that obtained between actual shape, degree of obesity and eating attitude test-26(EAT 26) scores(p<0.001). There was no significant level of correlation between the defree of obesity and the average score of nutritional knowledge obtained out of the total questionnaire, however it showed significant level of correlation between macronutrient and roughage(p<0.05), fat and calorie requirement(p<0.01). There was significant correlation among perceived body shape, actual weight and eating attitude influenced. by an eating disorder. Thus the correct perception of body shape turned out to be an important factor in obtaining the desirable eating attitude and adequate nutritional knowldege.

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Factors Related to Eating Disorder Behavior in University Students (대학생의 섭식장애 행동에 관련된 요인)

  • 김기남;김영희
    • Journal of the Korean Home Economics Association
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    • v.42 no.2
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    • pp.83-98
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    • 2004
  • The purpose of this study was to investigate the effects of body image, body dissatisfaction, and drive for slimness, as mediated by self-esteem and depression, on eating disorder behavior according to gender The subjects of this study were 243 male and 323 female university students from Chungbuk National university in Cheonju. On the basis of previous literature, the theoretical model was specified and estimated for the adequacy of statistical fit for male and female students separately. The proposed theoretical model was supported by the data and fitted adequately. As expected, body image, body dissatisfaction, and desire for thinness had a direct effect on self-esteem for female students. However, whereas body image and body dissatisfaction directly influenced on male students' self-esteem, while desire for gaining weight had no direct effect. Eating disorder behavior in female students was predicted by body dissatisfaction, body image, and self-esteem. For male students, desire for gaining weight and self-esteem strongly predicted eating disorder behavior. The results indicate that the influence of body image, body dissatisfaction, and desire for thinness on eating disorder behavior can be mediated not by depression but by self-esteem.