폭식은 비만과 섭식장애에서 쉽게 볼 수 있는 이상행동으로, 병원장면 뿐 아니라 일반지역사회나 학교 표본에서도 가끔 찾아볼 수 있다. 특별호의 취지에 따른 본 연구의 목적은 보건소, 클리닉, 학교 등 건강심리 현장에서 일하는 심리학자들에게 진단명과 체중을 초월한 폭식행동의 치료지침을 제공하는 것이다. 이를 위해 우선 기존연구에서 제시한 위험요인과 촉발원인 등 관련요인을 설명하고 폭식에 대한 치료연구를 간략히 개관함으로써 본 지침의 이론적 및 경험적 근거를 보여줄 것이다. 본 치료지침의 정수는 폭식에 대한 인지행동적 접근을 토대로 건강한 섭식을 추구하고 보다 풍요로운 삶을 영위하도록 돕는 것이다. 치료자로서 염두에 두어야 할 점은, 본 치료지침은 단지 지침일 뿐이며 개인의 상황과 이해수준, 그리고 단계와 태도 등에 맞추어 융통성 있게 치료가 진행되어야 한다는 점이다.
Binge eating is a component common to obesity, bulimia nervosa, binge eating disorder, anorexia nervosa, as well as subclinical eating issues and reported by not only patients in the eating disorders clinic or hospitals but also by individuals in general population in communities and schools. The purpose of this paper is to provide guidance to health psychologists in the field of clinics, schools, etc. in helping patients overcome binge eating regardless of their diagnosis or weight. Literature of treatments of binge eating was reviewed and contributing factors of the behavior were listed in order to provide underlying thesis and evidence of this guideline. The guideline is based on cognitive behavioral approach and focused on the pursuit of healthy eating and engaging in various activities in life. It was emphasized that specific treatment program and its protocol should be flexible and tailored to administer to different individuals and change stages.
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