바로가기메뉴

본문 바로가기 주메뉴 바로가기

The Korean Journal of Health Psychology

Effects of Thin-ideal Internalization and Physical Comparison on Disordered Eating Behavior : The Verification of the Mediating Effect on Body Shame

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2013, v.18 no.2, pp.345-362
https://doi.org/10.17315/kjhp.2013.18.2.006


Abstract

The aim of this research is to verify the mediated effects of body shame when thin-ideal internalization and physical comparison affect disordered eating behavior. For this research, a survey was conducted targeting female undergraduates of K-university in Chung-Nam and Dae-Jeon, South Korea. Data of 280 undergraduates were analyzed. In order to sort out female undergraduates who have a possibility of disordered eating behavior, the Korean Eating Attitude Test-26 (KEAT-26) was used which have been standardized what Garner and Garfinkel developed and amended. To measure the internalization of thin-ideal internalization, Sociocultural Attitudes toward Appearance Scale (SATAS) was used, which was a test that Jung-Shin Moon has adapted from what Cusumano and Thompson developed. To measure the physical comparison, Physical Appearance Comparison Scale(PACS), which was a test that Eun-Jung Son has adapted what Tantleff developed, and Specific Attributes Comparison Scale(SACS), which was a test that Eun-Jung Son adapted what Tiggermann and Mcgill developed, were used. To measure body shame, eight questions regarding body shame from the Objectified Body Consciousness Scale, developed by Mickinley and Hyde, were used, which were a test that Eun-Jung Son has adapted. A correlation analysis and a multiple regression analysis were conducted by the PASW 18.0 program using collected data. The consequences of this research are follows: First, thin-ideal internalization and physical comparison had a significantly positive correlation with disordered eating behavior, as well as with body shame. Body shame, also, had a significantly positive correlation with disordered eating behavior. These consequences show that disordered eating behaviors of female undergraduates could increase due to body shame particularly when they have a high level of thin-ideal internalization and physical comparison. Second, the body shame was partially mediated between the thin-ideal internalization and physical comparison and the disordered eating behavior. Consequently, it is crucial to decrease the level of thin-ideal internalization and physical comparison, however first step is to educate females about their physical appearance so that they can decrease the level of body shame, which implies that eating disorder caused by disordered eating behavior can finally decrease. Likewise, further discussion and proposals for following researches are proposed.

keywords
마른 이상적 체형의 내면화, 신체비교, 이상섭식행동, 신체 수치심, thin-ideal internalization, physical comparison, disordered eating behavior, body shame

Reference

1.

가인숙, 현명호 (2006). 역기능적 가정, 수치심, 사회적지지와 폭식의 관계. 한국심리학회지:건강,11(2), 209-223.

2.

강연하, 이경옥, 하은희, 김주영, 김화영 (2004). 여대생을 위한 단기복합 체중조절프로그램효과판정.한국영양학회지, 37(6), 493-501.

3.

강혜자 (2003). 신체상의 자기차이가 정서 및 신체증상및 섭식행동에 미치는 영향. 한국심리학회지:건강, 8(2), 355-374.

4.

공성숙 (2001). 폭식행동자의 인지행동치료 경험에 관한 연구. 정신간호학회지, 10, 148-163.

5.

김갑숙, 강연정 (2007). 여자청소년의 신체관련 변인, 자존감, 내적 통제력이 섭식장애 행동에 미치는영향. 한국가정관리학회지, 25(3), 77-87.

6.

김경혜, 김옥란, 정경옥, 정경순, 이은주 (2004). 여대생의 체중조절 경험과 비만도, 신체상, 스트레스대처에 관한 연구. 김천과학대학 논문집, 30,63-76.

7.

김영선, 양난미 (2010). 남녀 대학생의 자아존중감과 섭식억제간의 관계에서 신체비교와 신체불만족의매개효과 검증. 한국심리학회지: 일반, 4(29),791-815.

8.

김영신 (2011). 여자고등학생의신체불만족이대인관계문제에미치는영향 : ‘삼자영향모형’을중심으로. 경상대학교 석사학위논문.

9.

김옥수 (2002). 여대생들의 비만도, 신체에 대한 태도및 식이조절에 대한 연구. 성인간호학회지,14(2), 256-264.

10.

김완석, 김정식 (2007). 동아시아 여대생들의 신체가치관과 신체 존중감: 한국, 중국, 일본의 비교. 한국심리학회지:사회문제, 13(4), 113-134.

11.

김인혜 (2010). 사회 문화적 영향, 신체불만족, 대처방식및 이분법적 사고가 폭식행동과 절식행동에 미치는 영향. 가톨릭대학교 석사학위논문.

12.

김혜영 (2004). 체형관리와 영양. 대한영양사 협회, 38-53.

13.

문정신 (2002). 공적 자기의식 및 외모에 대한 사회․문화가치의 내재화와 신체상과의 관계. 이화여자대학교 석사학위논문.

14.

박임마누엘 (2008). 완벽주의와 사회문화적 외모가치 기준의 내면화 및 수치심과 신체존중감 그리고섭식태도 사이의 관계에 대한 경로분석. 이화여자대학교 석사학위논문.

15.

박정수, 이민규, 신희천 (2007). 여대생의 절식 및 폭식행동에 대한 자기-평가의 신체 중요성 지각모형. 한국심리학회지:임상, 26(1), 73-91.

16.

박지연 (2009). 내현적자기애 성향과 이상섭식행동의 관계에서 신체에 대한 수치심 매개효과 검증. 아주대학교 석사학위논문.

17.

박지연, 신민섭, 김은정 (2011). 내현적 자기애 성향과이상섭식행동의 관계에서 신체에 대한 수치심매개효과 검증. 한국심리학회지:임상, 30(3),663-.679.

18.

서희선 (2009). 식단 중재를 포함한 다이어트 프로그램이 직장인의 체중조절에 미치는 효과연구. 한양대학교 교육대학원 석사학위 논문.

19.

손은정 (2007). 공적 자기의식, 사회문화적 가치의 내면화 및 신체상에 대한 태도가 성형 의도에 미치는 영향. 한국심리학회지:여성, 12(1), 63-81.

20.

손은정 (2008). 여대생의 자아존중감, 신체비교, 마른 이상적 체형의 내면화, 신체불만족이 이상 섭식행동에 미치는 영향. 한국심리학회지:상담 및심리치료, 20(3), 885-901.

21.

손은정 (2010). 완벽주의가 폭식행동에 미치는 영향: 자기비난, 신체비교, 신체불만족의 매개효과. 한국심리학회지:상담 및 심리치료, 4(22), 1103-1122.

22.

우종민, 강태영 (2004). 비만 환자의 스트레스 관리 전략. 인지행동치료, 4(1), 67-77.

23.

이경아 (1996). 섭식장애 환자 가족개입에 있어서 미누친의 체계 모델의 적용 가능성에 대한 연구.숭실대학교 석사학위논문.

24.

이민규, 이영호, 백세현, 손창현, 정영조, 홍성국, 장필립, 윤애리 (1998). 한국판 식사태도 검사 표준화연구: 신뢰도 및 요인분석. 정신신체의학, 6(2),155-175.

25.

이상선, 오경자 (2004). 몸매와 체중에 근거한 자기평가와 신체불만족이 여대생의 이상섭식행동에 미치는 영향. 한국심리학회지:임상, 23(1), 91-106.

26.

이현정 (2001). 섭식절제, 부정적 정서 및 충동성이 폭식행동에 미치는 영향. 가톨릭대학교 석사학위논문.

27.

임숙희, 김교헌 (2009).날씬함에대한사회문화적얍력이여대생들의섭식행동에미치는영향:신체불만족의매개효과와행동접근체계의조절효과. 한국심리학회지:건강, 4(14),853-869.

28.

장은영 (2008). 건강섭식행동과 이상섭식행동을 예측하는 요인들, 확장된 계획된 행동이론 모형과 원형/행동경향 모형의 비교. 한국심리학회지:건강,13(3), 757-779.

29.

전미숙 (2003). 초등학교 비만아동을 위한 비만관리 프로그램의 개발 및 효과. 전북대학교 교육대학원 석사학위논문.

30.

정승교 (2001). 일부 여대생의 체중조절 실태 및 신체상. 보건교육․건강증진학회지, 18(3), 163-175.

31.

정은혜 (2010). 여자 청소년의 자기 대상화와 우울 및섭식간의 관계 : 신체 수치심의 중재효과. 서울여자대학교 특수치료전문대학원 석사학위논문.

32.

정현강 (2007). 다차원적 완벽주의성향과 정서조절양식이 이상섭식행동에 미치는영향. 연세대학교 석사학위논문.

33.

조희경 (2009). 외모에 대한 사회문화적영향과 여자청소년의 이상섭식행동의 관계:신체비교와 섭식관련 인지왜곡의 매개효과. 성신여자대학교 석사학위논문.

34.

최승희 (2009). 발레무용수의 다차원적 완벽주의성향,신체불만족, 섭식태도의 관계분석. 세종대학교석사학위논문.

35.

한오수, 유희정, 김성윤, 김창윤, 이철, 민병근, 박인호 (1990). 한국인의 식이장애의 역학 및 성격특성, 정신의학, 15(4), 270-287.

36.

현명호, 유제민, 이수현 (2002). 여중생의 비만, 신체상불만족 및 폭식행동이 우울에 미치는 영향: 구조 방정식모델의 검증. 한국심리학회지:임상,3(21), 565-580.

37.

Ackard, D. M., Croll, J., & Kearney-Cooke A. M. (2002). Dieting frequency among college women: Associations with disordered eating, body image, and related psychological variables while controlling for body mass index. Journal for Psychosomatic Research, 52, 129-136.

38.

Baron, R. M. & Kenny, D. A. (1986). The Moderator-Mediator Variable Distinction in Social Psychological Research: Conceptual, Strategic, and Statistical Considerations. Journal of Personality and Social Psychology, 51, 1173-1182.

39.

Cattarin, J.A., Thompson, J.K., Thomas, C., & Williams, R. (2000). Body image, mood, and televised images of attractiveness: The role of social comparison. Journal of Social and Clinical Psychology, 19, 220-239.

40.

Corning, A. F., Krumm, A. J., & Smitham, L. A. (2006). Differential social comparison processes in women with and without eating disorder symptoms. Journal of Counseling Psychology, 53, 338–349.

41.

Drewnowski, A., Yee, D. K., Kurth, C. L., & Krahn, D. D. (1994). Eating pathology and DSM-Ⅲ -R bulimia nervosa: A continuum of behavior. American Journal of Psychiatry, 151, 1217-1219.

42.

Festinger, L. (1954). A theory of social comparison process. Human Relations, 7, 117-140.

43.

Field, A. E., Camargo, C. A., Jr., Taylor, C. B., Berkey, C. S., Roberts, S. B., & Colditz, G. A. (2001). Peer, parent, and media influences on the development of weight concerns and frequent dieting among preadolescent and adolescent girls and boys. Pediatrics, 107, 54-60.

44.

Garner, D.M., Garfinkel, P.E., Schwartz, D., & Thompson, M. (1980). Cultural expectations of thinness in women. Psychological Reports, 47, 483-491.

45.

Geliebter, A., & Aversa, A. (2003). Emotional eating on overweight, normal weight, and underweight individuals. Eating Behaviors, 3, 314-347.

46.

Gilbert, N., & Meyer, C. (2003). Social anxiety and social comparison: differential links with restriction and bulimic attitudes among nonclinical women. Eating Behaviors, 4, 257-264.

47.

Gunewardene, A., Houn, G. F., & Zheng, R. (2001). Exposure to westernization and dieting: A cross-cultural study. International Journal of Eating Disorders, 29, 289-293.

48.

Heinberg, L.J., & Thompson, J.K. (1995). Body image and televised images of thinness and attractiveness: A controlled laboratory investigation. Journal of Social and Clinical Psychology, 14, 325-338.

49.

Heinberg, L.J., & Thompson, J.K. (1992). The effects of figure size feedback (positive vs. negative) and target comparison group (particularistic vs. universalistic) on body image disturbance. International Journal of Eating Disorders, 12, 441–448.

50.

Herman, C. P., & Polivy, J. (1993). Etiology of binge eating: Psychological mecharnism. In Binge Eating: Nature, assessment and treatment. New York: Guilford Press.

51.

Jones, D. C., Vigfusdottir, T. H., & Lee, Y. (2004). Body image and the appearance culture among adolescent girls and boys. Journal of Adolescent Research, 19, 323-339.

52.

Kanakis, D., & Thelen, M. (1995). Parental variables associated with bulimia nervosa. Addictive Behaviors, 20, 491-500.

53.

Keery, H., van den Berg, & Thompson, J. K. (2004). A test of the Tripartite Influence Model of Body Image and Eating Disturbance in adolescent girls. Body Image: An International Journal of Reseach, 1, 237-251.

54.

Lowe, M. R., Gleaves, D. H., DiSimone-Weiss, R. T., Furgueson, C., & Mickinley, S. (1996). Restraint, dieting, and the continuum model of bulimia nervosa. Journal of Abnormal Psychology, 4, 508-517.

55.

McKinley, N. M., & Hyde, J. S. (1996). The objectified body consciousness scale: Development and validation. Psychology of Women Quarterly, 20, 181-215.

56.

Mitchell, J. E., Hatsukami, D., Pyle, R. L. & Eckert, E. D. (1986). The bulimia syndrome: Course of the illness and associated problems. Comprehensive Psychiatry, 27, 165-179.

57.

Morrison, T. G., Kalin, R., & Morrison, M. A. (2004). Body-image evaluation and body-image investment among adolescents: A test of sociocultural and social comparison theories. Adolescence, 39, 571-592.

58.

Noll, S. M., & Fredrickson, B. L. (1998). A mediational model linking self-objectification, body shame, and disordered eating. Psychology of Women Quarterly, 22, 623-636.

59.

Polivy, J., & Herman, C. P. (1985). Dieting and binge eating: A causal analysis. American Psychologist, 40, 193-201.

60.

Polivy, J., & Herman, C. P. (2002). Cause of eating disorders. Annual Review of psychology, 53, 187-213.

61.

Polivy, J., & Herman, C. P. (1987). Diagnosis and treatment of normal eating. Journal of Consulting and Clinical Psychology, 55, 635-644.

62.

Polivy, J., & Herman, C. P. (2004). Sociocultural idealization of thin female body shapes: An introduction to the special issue on body image and eating disorders. Journal of Social & Clinical Psychology, 23, 1-6.

63.

Polivy, J., & Herman, P. (1985). Dieting and binging: A casual analysis. American Psychologist, 40, 193-201.

64.

Polivy, J., Herman. C. P. (2002). Causes of eating disorders. Journal of Abnormal Psychology, 53, 187-213.

65.

Rosenbaum, M., Leibel, R. L., & Hirsch, J. (1997). Obesity. New England Journal of Medicine, 337, 396-407.

66.

Schlundt, D. G., & Johnson, W. G. (1990). Eating disorders: Assessment and treatment. Boston: Allyn & Bacon.

67.

Seymour, M., Hoerr, S. L., & Huang, Y. L. (1997). Inappropriate dieting behaviors and related lifestyle factors in young adults: Are college students different. Journal of Nutrition Education, 29, 21-26.

68.

Shisslak, C. M., Crago, M., Estes, L. S. (1995). The spectrum of eating disturbances. International Journal of Eating Disorders, 18, 209-19.

69.

Shroff, H., & Thompson, J. K. (2006). The tripartite influence model of body image and eating disturbance: A replication with adolescent girls. Body image, 3, 17-23.

70.

Smolak, L., Levine, M. P., & Schermer, F. (1999). Parental input and weight concerns among elementary school children. International Journal of Eating Disorders, 25, 263-271.

71.

Sobel, M. E. (1982). "Asymptotic confidence intervals for indirect effects in structural equation models". Sociological Methodology 13: 290– 312

72.

Stice E., & Shaw H. E. (1994). Adverse effects of the media portrayed thin-ideal on women and linkages to bulimic symptomatology. Journal of Social and Clinical Psychology, 13, 288– 308.

73.

Stice, E., & Shaw, H. E.(1994). Adverse effects of the media portrayed thin-ideal on women and linkages to bulimic symptomatology. Journal of Social and Clinical Psychology, 13, 836-840.

74.

Stice, E., Mazotti, L., Krebs, M., & Martin, S. (1998). Predictors of adolescent dieting behaviors: A longitudinal study. Psychology of Addictive Behaviors, 12, 195-205.

75.

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

76.

Stice, E. (2002). Risk and maintenance factors for eating pathology: A meta-analytic review. Psychological Bulletin, 128, 825-848.

77.

Stormer S. M., & Thompson J. K. (1996). Explanations of body image disturbance: a test of maturational status, negative verbal commentary, social comparison, and sociocultural hypothesis. International Journal of Eating Disorders, 19, 193-202.

78.

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

79.

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

80.

Thompson, J. K., & Stice, E. (2001). Thin-ideal internalization: Mounting evidence for a new risk factor for body image disturbance and eating pathology. Current Directions in Psychological Science, 10, 181-183.

81.

Thompson, J. K., van den Berg, P., Roehring, M., Guarda, A., & Heinberg, I. J. (2004). The Sociocultural Attitudes Towards Appearance Questionnaire03. International Journal of Eating Disorders, 35, 293-304.

82.

Tiggemann, M., & McGill, B. (2004). The role of social comparison in the effect of magazine advertisements on women's mood and body dissatisfaction. Journal of Social and Clinical Psychology, 23, 23-44.

83.

Tylka, T. L., & Subich, L. M. (2002). Examining a multidimensional model of eating disorder continuum placement Poster presented at the annual meeting of the American Psychological Association, Cicago, IL.

84.

Tylka, T. L., Subich, L. M. (2004). Examing a mutidimensional model of eating disorder symptomatology among college women. Journal of Counseling Psychology, 51, 314-328.

85.

Vivien K. Burt, Victoria C. Hedrick. (2005). Clinical Manual of women's mental health. American Psychiatric Publishing, Inc.

86.

Wardle, J., Haase, AM., & Steptoe, A. (2006). Body image and weight control in young adults: International comparisons in university students from 22 counries. International Journal of Obesity, 30, 644-651.

The Korean Journal of Health Psychology