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  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

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섭식장애 신념척도의 개발 및 타당화 - 여대생을 중심으로 -

Validation of the Korean Version of Testable Assumption Questionnaire-Eating Disorders (TAQ-ED) in Female University Students

한국심리학회지: 건강 / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2014, v.19 no.4, pp.957-971
https://doi.org/10.17315/kjhp.2014.19.4.005
박세정 (대구대학교)
박중규 (대구대학교)

초록

Hinrichsen과 Garry, Waller(2006)가 개발한 섭식장애 신념척도를 한국어로 번안하여 요인구조를 확인하고, 섭식장애 척도 및 초기 부적응 도식 질문지와의 상호상관과 중다회귀분석을 통해 번안된 척도의 타당도를 검증하였다. 여대생 589명(연령: 18-25세)을 대상으로 한 요인분석 결과 3개의 요인이 전체 분산의 46.3%를 설명하였다. 각 요인은 비만에 대한 타인관점 부정적 신념(23.0%), 체중증가에 대한 부정적 신념(12.2%), 감정조절에 대한 부정적 신념(11.1%)으로 각각 명명되었다. 섭식장애 신념척도의 3개 하위 요인은 섭식장애척도의 8개 하위 요인과는 상관계수가 .13∼.51 (p<.01)이었고, 초기 부적응 도식 질문지의 18개 하위요인과는 상관계수가 .09∼.35 (p<.01)였다. 섭식장애 신념에 유의한 영향을 미치는 초기 부적응 도식은 중다회귀분석 결과 부정성/비관주의, 승인/인정추구, 정서적 결핍, 자기희생, 복종, 결함/수치심 도식으로 나타났다. 본 도구는 섭식 문제행동을 보이는 내담자의 부정적 신념을 평가하는 도구로 활용될 수 있을 것으로 판단되었으며, 끝으로 연구의 한계와 추가적 고려사항을 논의하였다.

keywords
eating disorder, negative belief, early maladaptive schema, 섭식장애, 섭식장애 신념, 초기 부적응 도식

Abstract

We developed the Korean Version of Testable Assumption Questionnaire-Eating Disorders(TAQ-ED) originally by Hinrichsen, Garry and Waller(2006). We identified the reliability and validity of TAQ-ED which assess the negative beliefs related with eating disorders. TAQ-ED was administered with Eating Disorders Inventory(EDI) and shortened version of Young Schema Questionnaire(YSQ-S3A) for female undergraduate students(N=589) who lived in Daegu, Korea. Among them, 100 students were conducted TAQ-ED repeatedly after 4 weeks. As a result, Cronbach's α were .76∼.85 and test-retest reliability coefficients(r) were .75∼.84 for total and subscale scores. Factor analysis showed three-factors structure which accounted for 46.3% of the total variance. These results showed some difference with the original questionnaire but three subscale factors were classified into similar pattern. So, negative beliefs about other person's perspective on obesity(23.0%), negative beliefs about weight control(12.2%) and negative beliefs about emotion dysregulation(11.1%) were founded. The results of the correlation analysis between TAQ-ED and EDI were significant(r=.13∼.51, p<.01). The correlation analysis and multiple regression analysis were conducted with TAQ-ED and YSQ-S3A. The results of the correlation analysis were significant(r=.09∼.35, p<.01). The results of the multiple regression analysis showed that Eating disorder beliefs were predicted partially by the negativity/pessimism, approval-seeking/recognition-seeking, emotional deprivation, self-sacrifice, subjugation, defectiveness/shame schema. The TAQ-ED can be used as objective instrument for assessing negative beliefs of clients who have eating problems. Finally, several limitations, implications and the necessity of future study were discussed.

keywords
eating disorder, negative belief, early maladaptive schema, 섭식장애, 섭식장애 신념, 초기 부적응 도식

참고문헌

1.

권석만 (2008). 현대이상심리학. 서울: 학지사.

2.

김정욱 (2000). 섭식장애. 서울: 학지사.

3.

김희연 (2006). 심리도식 가족응집성-적응성 스트레스취약성과 자살생각의 관련성. 성신여자대학교 대학원 석사학위 논문.

4.

박윤선 (2008). 다이어트 경험, 심리도식 및 섭식귀인양식이 섭식문제에 미치는 영향. 계명대학교 대학원석사학위 논문.

5.

박찬섭 (2000). 청소년의 자아개념 및 완벽주의와 섭식장애와의 관계. 원광대학교 대학원 박사학위 논문.

6.

유희정, 한오수, 정운진, 김성윤, 김창윤, 이철, 박인호 (1996). 섭식장애자의 심리적 특성. 정신의학, 5(1), 138-144.

7.

이민규, 고영택, 이혜경, 황을지, 이영호 (2001). 한국판식사태도검사-26(Eating Attitude Test-26: KEAT-26)의 타당화. 정신신체의학, 9(2), 153-163.

8.

이민규, 이영호, 박세현, 손창호, 정영조, 홍성국, 이병관, 장필립, 윤애리(1998), 한국판 식사태도검사-26(The Korean Version of Eating Attitude Test-26:KEAT-26) 표준화 연구 I : 신뢰도 및 요인분석. 정신신체의학, 6(2), 155-175

9.

이정윤 (2003). 여대생의 이상식사행동 수준에 따른 심리적, 정서적 특성. 한국심리학회지: 임상, 15(1), 111-124.

10.

Cooper, M. J. (1997). Cognitive therapy of anorexia nervosa and bulimia nervosa: A review. Behavioural and Cognitive Psychotherapy, 25, 113-145.

11.

Cooper, M. J. (1997). Cognitive therapy of anorexia nervosa and bulimia nervosa: Progress, development and future directions. Clinical Psychology Review, 25, 511-531.

12.

Cooper, M. J., Cohen-Tovee, E., Todd, G., Wells, A., & Tovee, M. (1997). The eating disorder belief questionnaire: Preliminary development. Behaviour Research and Therapy, 35, 381-388.

13.

Cooper, M. J., Rose, K. S., & Turner, H. (2006). The specific content of core beliefs and schema in aldolescent girls and low in eating disorder symptoms. Eating Behaviors. 7, 27-35.

14.

Cooper, M. J., Todd, G., & Wells, A. (1998). Content, origins, and consequences of dysfunctional beliefs in anorexia nervosa and bulimia nervosa. Journal of Cognitive Psychotherapy, 12, 213-230.

15.

Cooper, M. J., Wells, A., & Todd, G. (2004). Cognitive theory of bulimia nervosa. British Journal of Clinical Psychology, 43, 1-16.

16.

Cooper, M. J., Whitehead, L., & Boughton, N. (2004). Eating Disorders. In J. Bennett-Levy, G. Butler, M. Fennell, A. Hackmann, M. Mueller, & D. Westbrook (Eds.), ler, & guide to behavioural experiments in cognitive therapy (pp. 267-284). Oxford: Oxford Unversity Press.

17.

Cooper, P. J. (1995). Eating disorders and their relationship to mood and anxiety disorder. In C. G. Fairburn, & K. D. Brownell (Eds.), Eating disorders and obesity: a comprehensive handbook (pp. 159-164). New York: Guilford Press.

18.

Fairburn, C. G., & Beglin, S. J. (1994) Assessment of eating disorders: Interview or self-report uestionnaire? International Journal of Eating Disorders, 16, 363-370.

19.

Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders:A 'transdiagnostic' theory and treatment. Behaviour Research and Therapy, 41, 509-582.

20.

Ganer, D. M., & Bemis, K. M. (1982). A cognitive behavioral approach to anorexia nervosa. Cognitive Therapy and Research, 123-150.

21.

Ganer, D. M., Olmstead, M. A., & Polivy. J. (1983). Development and validation of a multidimension eating disorder inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders, 2(2), 15-34.

22.

Hinrichsen, H., Garry J., & Waller, G (2006). Development and preliminary validation of the testable assumptions questionniare-eating disorders. Eating Behaviors, 7, 275-281.

23.

Leung, N., & Price, E. (2007). Core beliefs in dieters and eating disordered women. Eating Behaviors, 8(1), 65-72.

24.

Schmidt, N. B., Joiner, T. E., Young, J. E., & Telch, M. J. (1995). The Schema Questionnaire:Investigation of psychometric properties and the hierarchial structure of a measure of maladaptive schemas. Cognitive Therapy and Research, 19, 295-321.

25.

Unoka, Z., Tolgyes, T., & Czobor, P. (2007). Early maladaptive schema and body mass index in subgroups of eaing disorders: A differential association. Comprehensive Psychiatry, 48, 199-204.

26.

Vitousek, K. M. (1996). The current status of cognitive-behavioral models of anorexia nervosa and bulimia nervosa. In P. M. Salkovskis (Ed.), Frontoers of cognitive therapy (pp. 383-418). New York: Guilford Press.

27.

Waller, G., Dickson, C., & Ohanian, V. (2001). Psychometric properties of the long and short versions of the young schema questionnaire: Core beliefs among bulimia and comparison women. Cognitive Therapy and Research, 25(2), 137-147.

28.

Waller, G., Ohanian, V., Meyer, C., & Osman, S. (2000). Cognitive content among bulimic women. The role of core beliefs. International Journal of Eating Disorders, 28, 235-241.

29.

Waller, G., Kennerley, H. & Ohanian, V. (2005). Schema-focussed cognitive behaviour therapy with the eating disorders. In L. P. Riso, T. du Toit, & J. E. Young (Eds.), Cognitive schema and core beliefs in psychiatric disrders: A scientist practitioner guide. New York: American Pschiatric Association.

30.

Young, J. E. (1990). Cognitive therapy of personality disorders: A schema focused approach. Sarasota, FL: Professional Resource Exchange, Inc.

31.

Young, J. E. (1991). Early maladaptive schemas. Unpublished manuscript.

32.

Young, J. E. (1994). Young Parenting Inventory. New York: Cognitive Therapy Center of New York.

33.

Young, J. E. (1998). Young Schema Questionnaire:Short form(1st ed,). New York: Schema Therapy Institute.

34.

Young, J. E. (1999). Cognitive Therapy for Personality disorders: A schema-focused approach(rev. ed). sarasota, FL: Professional Resources Press.

35.

Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema Therapy: A Practitioner Guide. New York: Guilford Press.

한국심리학회지: 건강