남녀 대학생 집단에서 불안, 신체점검, 섭식문제 간의 관계: 신체점검 사고와 행동의 매개된 조절효과
Anxiety, Body Checking, and Eating Disorder Related Symptoms in Non-Clinical Group: The Mediated Moderating Effect of Body Checking Cognition and Behavior
황현국 (국립춘천병원)
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초록
신체점검은 완벽하지 못하거나 결점이 있는 신체에 대한 주의로서, 섭식장애 발병에 핵심적 역할을한다고 알려져 있다. 본 연구는 비임상집단을 대상으로 불안과 섭식문제 간의 관계에서 신체점검사고와 신체점검행동의 매개된 조절효과를 확인해보고자 하였다. 400명(남자 215명; 여자 183명; 무응답 2명)의 대학생에게 불안검사(STAI), 신체점검인지척도(BCCS), 신체점검행동척도(BCQ), 식사태도검사-26(EAT-26)을 실시하였다. 연구 결과, 첫째, 여자는 남자보다 섭식장애 위험군에 속하는사람의 수가 많았으며, 고위험군이 저위험군보다 더 불안이 높았고, 신체점검 사고와 행동도 더 많이 하는 것으로 나타났다. 둘째, 섭식문제에 대한 심리적 변인들의 설명력을 알아본 결과, 남자의경우 불안과 신체점검행동만 섭식문제를 유의하게 설명해준 반면, 여자의 경우 불안, 신체점검 사고 및 행동 모두 섭식문제에 대한 설명력이 높았다. 셋째, 여자에 대해서만 신체점검 사고와 행동의 매개된 조절효과를 알아본 결과, 신체점검행동에 대해 불안과 신체점검사고의 상호작용이 유의했고, 신체점검행동은 섭식문제에 유의한 정적 영향을 미치고 있었다. 또한 신체점검사고 값에 따른 신체점검행동의 조건부 간접효과를 알아본 결과도 신체점검사고가 낮을수록 이러한 매개효과는증가하는 반면, 신체점검사고가 높을 경우 매개효과가 없음을 확인하였다. 결론적으로 불안과 섭식문제의 관계에서 신체점검행동의 매개효과는 신체점검사고에 의해 조절된다는 것이 여자 대학생들에게서만 확인되었다. 본 결과와 연구의 제한점에 대해 논의하였다.
- keywords
- 불안, 신체점검사고, 신체점검행동, 섭식장애, 매개된 조절효과, anxiety, body checking cognition, body checking behavior, eating disorder, mediated moderating effect
Abstract
Body checking includes any cognition and behavior aimed at gaining information about one’s weight, shape, or size. Body checking can increase body dissatisfaction through selective attention to disliked body parts and is one of the strongest correlates of eating disturbance. This study was performed to identify the mediated-moderating effects of body checking cognition and behavior between anxiety and eating disorder related symptoms in a non-clinical group. 398 college students (215 males, 183 females) completed measures of the State-Trait Anxiety Inventory, the Body Checking Cognition Scale (BCCS, Mountford et al., 2006), the Body Checking Questionnaire (BCQ, Reas et al., 2002), and the EAT-26 (Garner et al., 1982). The results were as follows: first, the risk group for eating disorders had higher STAI, BCCS, and BCQ scores than the non-risk group. Second, a standard multiple regression analysis suggested that anxiety and body checking behavior predict eating disorder severity in males, but all three psychological variables predict eating disorder symptoms in females. Third, the results of standard multiple regression analysis indicated that anxiety was directly and indirectly (mediated by body checking behavior) related to eating disorder symptoms in females. Additionally, the interactions between anxiety and body checking cognition significantly increased the variations in eating disorder symptoms (moderating effect) in females. Lastly, the mediated-moderating effect of body checking cognition and behavior in eating disorder symptoms, which was analysed using SPSS Macro as suggested by Preacher et al. (2007), was confirmed in this study. This mediated-moderation indicates the effect of anxiety on eating disorder symptoms via a mediator (body checking behavior) and differs depending on the levels of the moderator (body checking cognition) in females. The limitations and implications of the study were discussed.
- keywords
- 불안, 신체점검사고, 신체점검행동, 섭식장애, 매개된 조절효과, anxiety, body checking cognition, body checking behavior, eating disorder, mediated moderating effect
참고문헌
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