바로가기메뉴

본문 바로가기 주메뉴 바로가기

The Korean Journal of Health Psychology

The effect of Overvaluation of Shape and Weight on Binge Eating

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2011, v.16 no.4, pp.739-757
https://doi.org/10.17315/kjhp.2011.16.4.007


Abstract

The purpose of this study was to clarify the relationships among overvaluation of shape and weight, depression, body dissatisfaction and binge eating and to verify the mediating effect of the depression and body dissatisfaction in relation to the overvaluation of shape and weight and binge eating. For this study, 336 female undergraduate students were asked to complete Shape and Weight Based Slef-Esteem Scale, Weight and Shape Based Self Value Test, Body Shape Questionnaire, Bulimia Test Revised and Beck Depresson Inventory. The results of this study are summarized as follows: First, overvaluation of shape and weight, depression and body dissatisfaction had positive relationships with binge eating. Second, a stepwise strategy in multiple regression showed that body dissatisfaction, depression and Shape and Weight Based Self Esteem(SAWBS) predicted binge eating. Third, mediating effect of depression and body dissatisfaction between overvaluation of shape and weight and binge eating by structure equation modeling was significant. Fully mediating model of depression and body dissatisfaction was more fitted to the data than partially mediating model of depressoin and body dissatisfaction. Fourth, t-test and chi-square analysis showed that among the people with high level of overvaluation of shape and weight, participants with high level of depression and low level of body dissatisfaction were different from those with low level of depression and high level of body dissatisfaction in the body mass index and restraint eating which are risk factors of binge eating. Finally, the clinical implications and several limitations of the present study were discussed.

keywords
overvaluation of shape and weight, depression, body dissatisfaction, binge eating, mediative effect, 체형 및 체중의 과대평가, 폭식행동, 신체불만족, 우울

Reference

1.

배병렬 (2007). (Amos 7에 의한)구조방정식모델링 : 원리와 실제. 서울: 청람.

2.

송혜정, 손정락 (2011). 수용-전념 집단 프로그램이 폭식장애 경향이 있는 대학생의 분노, 스트레스및 폭식행동에 미치는 효과. 한국심리학회지건강, 16(1), 15-27.

3.

안소연 (1994). 폭식 행동 집단의 신체 불만족과 자아존중감 및 우울간의 관계. 연세대학교 석사학위논문.

4.

윤화영 (1996). 여대생의 폭식행동, 우울 및 귀인양식간의 관계. 가톨릭대학교 석사학위 논문.

5.

이상선 (1994). 여대생의 식사행동과 심리적 요인들의 관계. 연세대학교 석사학위 논문.

6.

이상선 (2004). 거식 행동과 폭식 행동에 자기 평가의 신체 비중, 신체 불만족, 완벽주의, 충동성이미치는 영향. 연세대학교 박사학위 논문.

7.

이상선 (2007). 폭식 행동의 이중-경로 모형에 관한 검증: 부적 정서 경험 측정과 부정 정서 조절 기대 구분의 필요성. 한국심리학회지 임상, 26(4), 883-902.

8.

이영호, 송종용 (1991). BDI , SDS , MMPI-D 척도의 신뢰도 및 타당도에 대한 연구. 한국심리학회지 임상, 10(1), 98-113.

9.

현명호, 유제민, 이수현 (2002). 여중생의 비만, 신체상불만족 및 폭식행동이 우울에 미치는 영향: 구조방정식 모델의 검증. 한국임상심리학회, 21(3), 565-580.

10.

홍세희 (2000). 구조방정식 모형의 적합도 지수 선정과 그 근거. 한국심리학회지: 임상, 19(1), 161-177.

11.

Anderson, D. A., & Maloney, K. C. (2001). The efficacy of cognitive-behavioral therapy on the core symptoms of bulimia nervosa. Clinical Psychology Review, 21, 971-988.

12.

American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental disorders, 4th ed. Washington,DC:AmericanPsychiatricAssociation.

13.

Bearman, S. K., Stice, E., & Chase, A. (2003). Evaluation of an intervention targeting both depressive and bulimic pathology: a randomized prevention trial, Behavior Therapy, 34(3), 277-293.

14.

Burton, E., Stice, E., Bearman, S. K., & Rohde, P. (2007). Experimental test of the affectregulation theory of bulimic symptoms and substance use: A randomized trial. International Journal of Eating Disorders, 40, 27-36.

15.

Byrne, S., & McLean, N. (2001). Eating disorders in athletes; A review of the literature. Journal of Science and Medicine Sport. 4(2), 145-159.

16.

Cole, D. A., Martin, J. M., Peeke, L. G., Seroczynski, A. D., & Hoffman, K. (1998). Are cognitive errors of underestimation predictive or reflective of depressive symptoms in children: a longitudinal study. Journal of Abnormal Psychology, 107, 481-496.

17.

David, M. D., & Grilo, C. M. (2007). Self-criticism, low self-esteem, depressive symptoms, and over-evaluation of shape and weight in binge eating disorder patients. Behaviour Research and Therapy, 45(1), 139-149.

18.

Fairburn, C. G. (1997). Eating Disorders. In Clark.D.M. & Fairburn.C.G.(EDs.), Science and practice of cognitive behavior therapy.(pp.209-2410). London; Oxford University Press.

19.

Fairburn, C. G. (2007). Transdiagnostic CBT for Eating Disorder I. 한국 인지행동치료학회 추계 학술대회 발표자료.

20.

Fairburn, C. G., & Harrison, P. J. (2003). Eating disorders. Lancet, 361, 407-416.

21.

Fairburn, C. G., Welch, S. I., Doll, H. A., Davies, B. A., & O'Connor, M. E. (1997). Risk Factors for bulimia nervosa - A community-based case-control study. Archieves of General Psychiatry, 54, 509-517.

22.

Field, A. E., Camargo, C. A., Taylor, C. B., Berkey, C. S., & Colditz, G. A. (1999). Relation of peer and media influences to the development of purging behaviors among preadolescent and adolescent girls. Archieves of Pediatrics of Adolescents Medication, 153, 1184-1189.

23.

Graber, J.A., Grooks-Gunn, J., Paikoff, R. L., & Warren, M. P. (1994). Prediction of Eating Problems; An 8-year Study of Adolescent Girls. Developmental Psychology, 30. 823-834.

24.

Greenberg, B. R., & Harvey, P. D. (1986). The prediction of binge eating over time. Addictional Behavior, 11, 383-388.

25.

Halmi, K. A., Mitchell, J., & Agras, S. (1996). Anorexia nervosa: Prevention of relapse. Biological Psychiatry, 39, 666.

26.

Heatherton, T. F., & Baumeister, R. F. (1991). Binge eating as escape from self-awareness. Psychological Bulletin, 110(1), 86-108.

27.

Hrabosky, J. I., White, M. A., Masheb, R. M., & Grilo, C. M. (2007). Physical activity and its correlates in treatment-seeking obese patients with binge eating disorder. International Journal of Eating Disorders, 40(1), 72-76.

28.

Joiner, T. E., Wonderlich, S. A., Metalsky, G. I., & Schmidt, N. B. (1995) Body dissatisfaction: A feature of bulimia, depression, or both? Journal of Social and Clinical Psychology, 14, 339-355.

29.

Keel, P. K., Fulkerson, J. A., & Leon, G. R. (1997). Disordered eating precursors in pre-and early adolescent girls and boys. Journal of Youth and Adolescents, 26, 203-216.

30.

Killen, J. D., Taylor, C. B., Hayward, C., Wilson, D., Haydel, K., Hammer, L., Simmonds, B., Robinson, T., Litt, I., Varady, A., & Kraemer, H. (1994). Pursuit of thinness and onset of eating disorder symptoms in a community sample of adolescent girls: a three-year prospective analysis. International Journal of Eating Disorders. 16, 227-238.

31.

Leon, G. R., Fulkerson, J. A., Perry, C. L., & Early-Zaid, M. B. (1995). Prospective analysis of personality and behavioral vulnerabilities and gender influences in the later development of disordered eating. Journal of Abnormal Psychology, 104, 140-149.

32.

Lowe, M. R. (1993). The effects of dieting on eating behavior: a three-factor model. Psychological Bulletin, 114, 100-121.

33.

Lowe, M. R., Gleaves, D. M., & Murphy-Eberenz, K. P. (1998). On the Relation of Dieting and Bingeing in Bulimia Nervosa. Journal of Abnormal Psychology, 107(2), 263-271.

34.

McCabe, M. P., & Vincent, M. A. (2003). The role of biodevelopmental and psychological factor in disordered eating among adolescent males and female. European Eating Disorders Review, 11(4), 315-328.

35.

McCarthy, M. (1990). The thin ideal, depression, and eating disorders in women. Behavior Research and Therapy, 28, 205-215.

36.

Polivy, J., & Herman, C. P. (1985). Dieting and Binging: A Causal Analysis. American Psychologist, 40(2), 193-201.

37.

Polivy, J., Heatherton, T. F., & Herman, C. P. (1988). Self-Esteem, Restraint, and Eating Behavior Original Research Article. Journal of Abnormal Psychology, 97, 354-356.

38.

Ricciardelli, L. A., Tate, D., & Williams, R. J. (1997). Body dissatisfaction as a mediator of the relationship between dietary restraint and bulimic eating patterns. Appetite, 29, 43-54.

39.

Rierdan, J., Korr, E., & Stubbs, M. L. (1989). A longitudinal analysis of body image as a preidctor of the onset and persistence of adolescent girls's depression. Journal of Early Adolescents, 9, 454-466.

40.

Rosen, J. C., Cado, S. Silberg, N. T., Srebnick, D., & Wendt, S. (1990). Cognitive behaviora therapy with and without size perceptin training for women with body image disturbance. Behavior Therapy, 21, 481-498.

41.

Rosen, J. C., Reiter, J., & Orosan, P. (1995). Assessment of body image in eating disorders with the Body Dysmorphic Disorder Examination Original Research Article. Behavior Research and Therapy, 33, 77-84.

42.

Russel, D. W., Kahn, J. H., Spoth, R., & Altmaier, E. M. (1998). Analyzing data from experimental studies: A latent variable structural equation modeling approach. Journal of Counseling Psychology. 45. 18-29.

43.

Shepherd, H., & Ricciardelli, L. A. (1998). Test of Stice's dual pathway model: dietary restraint and negative affect as mediators of bulimic behavior. Behavior Response Therapy, 36, 345-352.

44.

Smith, M. C., & Thelen, M. H. (1984). Development and validation of a test for bulimia. Journal of Consulting and Clinical Psychology. 52. 863-872.

45.

Smolak, L., & Levine, M. P. (1996). Adolescent transitions and the development of eating problems. In Smolak, L., Levine, M. P., & Striegel-Moore, R.,(Eds.), The developmental psychopathology of eating disorders: implications for research, prevention, and treatment. (pp. 207-234). Mahweh: LawrenceErlbaum.

46.

Stein, K. F., & Corte, C. (2003). Reconceptualizing causative factors and intervention strategies in the eating disorders: A shift from body image to self-concept impairments. Archieves of Psychiatric Nursing, XVII(2), 57-66.

47.

Stice, E. (2001). A prospective test of the dual pathway model of bulimic pathology: mediating effects of dieting and negative affect. Journal of Abnormal Psychology, 110, 124-135.

48.

Stice, E., & Bearman, S. K. (2001). Body image and eating disturbances prospectively predict growth in depressive symptoms in adolescent girls: a growth curve analysis. Developmental Psychology, 37, 597-607.

49.

Stice, E.. & Shaw, H. E. (2002). Role of body dissatisfaction in the onset and maintenance of eating pathology : A synthesis of research findings. Journal of Psychosomatic Research, 53(5), 985-993.

50.

Stice, E., & Shaw, H. E. (2003). Body image and eating disturbances predict smoking onset in adolescent girls: how Virginia slims. Journal of Consulting and Clinical Psychology, 71(1), 129-135.

51.

Stice, E., Hayward, G., Cameron, R., Killen, J. D., & Taylor, C. B. (2000). Body image and eating related factors predict onset of depression in female adolescents; a longitudinal study. Journal of Abnormal Psychology, 109, 438-444.

52.

Stice, E., Presnell, K., & Spangler, D. (2002). Risk Factors for Binge Eating Onset in Adolescent Girls: A 2-Year Prospective Investigation. Health Psychology, 21, 131-138.

53.

Striegel-Moore, R. H., Silberstein, L. R., & Rodin, J. (1986). Toward an understanding of risk factors for bulimia. American Psychologist, 41, 246-263.

54.

Thelen. M. H., Farmer, J., Wonderlich, S., & Smith, M. (1991). A Revision of the Bulimia Test: The BULIT-R. Psychological Assessment, 3, 119-124.

55.

Thompson, J. K., Heimberg, L. J., Altabe, M., &Tantleff-Dunn, S. (1999). Exacting beauty: theory, assessment, and treatment of body image disturbance. Washington, DC; American Psychological Association.

56.

Vogeltanz-Holm, N. D., Wonderlich, S. A., Lewis, B. A., Wilsnack, S. C., Harris, T. R., Wilsnack, R. W., & Kristjanson, A. F. (2000). Longitudinal predictors of binge eating, intense dieting, and weight concerns in a national sample of women. Behavioral Therapy, 31, 221-235.

57.

Vohs, K. D., Bardone, A. M., Joiner, T. E., Abramson, L. Y., & Heatherton, T. F. (1999). Perfectionism, perceived weight status, and self-esteem interact to predict bulimic symptoms: a model of bulimic symptom development. Journal of Abnormal Psychology, 108, 695-700.

58.

Wolff, G. G., Crosby, R. D., Roberts, J. A., & Wittrock, D. A. (2000). Differences in daily stress, mood, coping, and eating behavior in binge eating and non binge eating college women. Addictive Behaviors, 25(2), 205-216.

The Korean Journal of Health Psychology