성인 초기 여성의 거식 및 폭식 행동에 대한 차별적 기제: 완벽주의와 정서조절곤란의 다차원적 개념을 중심으로
Discriminatory mechanism of anorexic and binge eating behaviors of young adult women: Focusing on the multidimensional concept of perfectionism and difficulties in emotion regulation
오미영 (한양대학교 병원 정신건강의학과)
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초록
본 연구의 목적은 성인 초기 여성들을 대상으로 거식 및 폭식 행동에 대한 차별적 기제를 완벽주의와 정서조절곤란의 다차원적 개념을 중심으로 살펴보는 것이다. 대학/대학원에 재학 중인 여성185명을 대상으로 한국판 식사태도검사-26, 다차원적 완벽주의 척도, 한국판 정서조절곤란 척도를실시하였다. 첫째, 상관 분석을 시행하였을 때 거식 행동은 완벽주의의 하위 요인 중 개인적 기준, 조직화와 높은 상관을 보였으며, 폭식 행동은 완벽주의의 하위 요인 중 실수에 대한 과도한 염려와 높은 상관이 있었다. 거식 및 폭식 행동은 모두 정서조절곤란의 하위 요인 중 정서반응에 대한 비수용성과 높은 상관이 나타났다. 둘째, 위계적 회귀분석을 시행하였을 때 완벽주의의 하위요인 중에서는 조직화 수준이 높을수록 거식 행동을 더 많이 보였으며, 정서조절곤란의 하위 요인 중에서는 정서반응에 대한 비수용성이 높을수록, 정서적 명료성이 부족할수록 거식 행동을 더많이 보였다. 완벽주의의 하위 요인 중에서는 실수에 대한 염려가 과도할수록 폭식 행동을 더 많이 보였으며, 정서조절곤란의 하위 요인 중에서는 정서반응에 대한 비수용성이 높을수록, 목표지향행동 수행의 어려움이 클수록 폭식 행동을 더 많이 보였다. 마지막으로 본 연구의 건강심리학적 함의와 제한점, 향후 연구의 방향이 논의되었다.
- keywords
- 거식 행동, 폭식 행동, 완벽주의, 정서조절곤란, Anorexic Eating Behaviors, Binge Eating Behaviors, Perfectionism, Difficulties in Emotion Regulation
Abstract
The purpose of this study was to examine the discriminatory mechanism of anorexic and binge eating behaviors of young adult women focusing on the multidimensional concept of perfectionism and difficulties in emotion regulation. Participants were 185 female university/graduate school students. The Korean Version of Eating Attitude Test-26 (KEAT-26), the Multidimensional Perfectionism Scale(MPS), and the Korean Version of Difficulties in Emotion Regulation Scale(K-DERS) were administered. First, according to the result of relative analysis, anorexic eating behaviors showed high correlation with personal standards/preference for order and organization of perfectionism and binge eating behaviors showed high correlation with excessive concern over falling short of perfectionism. Both anorexic and binge eating behaviors showed high correlation with nonacceptance of emotional responses of difficulties in emotion regulation. Second, the result of hierarchial regression analysis indicated that preference for order and organization of perfectionism and nonacceptance of emotional responses, and lack of emotional clarity on difficulties in emotion regulation influenced anorexic eating behaviors. Excessive concern over falling short of perfectionism and nonacceptance of emotional responses, and difficulties with engaging in goal-directed behavior of difficulties in emotion regulation influenced binge eating behaviors. Lastly, implications of health psychology and limitations of this study as well as the suggestion for future study were discussed.
- keywords
- 거식 행동, 폭식 행동, 완벽주의, 정서조절곤란, Anorexic Eating Behaviors, Binge Eating Behaviors, Perfectionism, Difficulties in Emotion Regulation
참고문헌
이민규, 고영택, 이혜경, 황을지, 이영호 (2001). 한국판 식사태도검사-26(Eating Attitude Test-26:KEAT-26)의 타당화. 정신신체의학, 9(2), 153-163.
조용래 (2007). 정서조절곤란의 평가: 한국판 척도의심리측정적 속성. 한국심리학회지: 임상, 26(4), 1015-1038.
현진원 (1992). 완벽주의 성향과 평가수준이 과제수행에 미치는 영향. 연세대학교 석사학위 논문.
Aldea, M. A., & Rice, K. G. (2006). The role of emotional dysregulation in perfectionism and psychological distress. Journal of Counseling Psychology, 53, 498-510.
American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders Fifth Edition(DSM-5). Washington DC: American Psychiatric Association.
Arnow, B., Kennedy, J., & Agras, W. S. (1992). Binge eating among the obese: A descriptive study. Journal of Behavioral Medicine, 15, 155-170.
Bardone-Cone, A. M., Abramson, L. Y., Vohs, K. D., Heatherton, T. F., & Joiner Jr., T. E. (2006). Predicting bulimic symptoms: An interactive model of self-efficacy, perfectionism, and perceived weight status. Behavior Research and Therapy, 44, 27-42.
Bardone-Cone, A., Wonderlich, S., Frost, R., Bulik, C., Mitchell, J., Uppala, S., & Simonich, H. (2007). Perfectionism and eating disorders:current status and future directions. Clinical Psychology Review, 27, 385-405.
Brewerton, T., Dansky, B., Kilpatrick, D., & O’Neal, P. (2000). Which comes first in the pathogenesis of bulimia nervosa: Dieting or binging? International Journal of Eating Disorders, 28, 259-264.
Cockell, S. J., Hewitt, P. L., Seal, B., Sherry, S., Goldner, E. M., Flett, G. L., & Remick, R. A. (2002). Trait and Self-Presentational Dimensions of Perfectionism Among Women with Anorexia Nervosa. Cognitive Therapy and Research, 26, 745-758.
Diaz-Marsa, M., Carrasco, J. L., & Saiz, J. (2000). A study of temperament and personality in anorexia and bulimia nervosa. Journal of Personality Disorder, 14(4), 352-359.
Frost, R. O., Marten, P. A., Lahart, C., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14, 449-468.
Garner, D. M., & Garfinkel, P. E. (1979). The Eating Attitude Test: An index of the symptoms of anorexia nervosa. Psychological Medicine, 9, 273-279.
Garner, D. M., Olmsted, M. P., Bohr, Y., & Garfinkel, P. E. (1982). The Eating Attitude Test: Psychometric features and clinical correlates. Psychological Medicine, 12, 871-878.
Geller, J., Cockell, S. J., Hewitt, P. L., Goldner, E. M., & Flett, G. L. (2000). Inhibited expression of negative emotions and interpersonal orientation in anorexia nervosa. International Journal of Eating Disorders, 28, 8-19.
Gilboa-Schechtman, E., Avnon, L., Zubery, E., & Jeczmien, P. (2006). Emotional processing in eating disorders: Specific impairment or general distress related deficiency? Depression and Anxiety, 23, 331-339.
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.
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure and initial validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 26, 41-54.
Gross, J. J., & Munoz, R. F. (1995). Emotion regulation and mental health. Clinical Psychology: Science and Practice, 2, 151-164.
Harrison, A., Sullivan, S., Tchanturia, K., & Treasure, J. (2009). Emotion Recognitoin and Regulation in Anorexia Nervosa. Clinical Psychology and Psychotherapy, 16, 348-356.
Hewitt, P. L., & Flett, G. L. (1991). Perfectionism in the self and social contexts:Conceptualization, assessment, and association with psychopathology. Journal of Personality and Social Psychology, 60, 456-470.
Kucharska-Pietura, K., Nikolaou, V., Masiak, M., & Treasure, J. (2004). The recognition of emotion in the faces and voice of anorexia nervosa. International Journal of Eating Disorders, 35, 42-47.
Kuehnel, R. H., & Wadden, T. A. (1994). Binge eating disorder, weight cycling, and psychopathology. International Journal of Eating Disorders, 15, 321-329.
Lilenfeld, L. R. R., Wonderlich, S., Riso, L. P., Crosby, R., & Mitchell, J. (2006). Eating disorders and personality: A methodological and empirical review. Clinical Psychology Review, 26, 299-320.
Mauler, B. I., Hamm, A. O., Weike, A. I., & Tuschen-Caffier, B. (2006). Affect Regulation and Food Intake in Bulimia Nervosa: Emotional Responding to Food Cues after Deprivation and Subsequent Eating. Journal of Abnormal Psychology, 115, 567-579.
Mussell, M. P., Mitchell, J. E., Crosby, R. D., Fulkerson, J. A., Hoberman, H. M., & Romano, J. L. (2000). Commitment to treatment goals in prediction of group cognitive-behavioral therapy treatment outcome for women with bulimia nervosa. Journal of Consulting and Clinical Psychology, 68, 432-437.
Nutbeam, D., Wise, M., Bauman, A., Harris, E., & Leeder, S. (1993). Goals and targets for Australia's health in the year 2000 and beyond. Canberra: Australian Government Publishing Service.
Pratt, E. M., Telch, C. F., Labouvie, E. W., Wilson, G. T., & Agras, W. S. (2001). Perfectionism in women with binge eating disorder. International Journal of Eating Disorders, 29, 177-186.
Quadflieg, N., & Fichter, M. M. (2003). The course and outcome of bulimia nervosa. European Child and Adolescent Psychiatry, 12, 99-109.
Rossier, V., Bolognini, M., Plancherel, B., & Halfon, O. (2000). Sensation seeking: A personality trait characteristic of adolescent girls and young women with eating disorders? European Eating Disorders Review, 8, 245-252.
Shafran, R., Cooper, Z., & Fairburn, C. G. (2002). Clinical perfectionism: A cognitive-behavioral analysis. Behavior Research and Therapy, 40, 773-791.
Schutz, H. K., Paxton, S. J., & Wertheim, E. H. (2002). Investigation of body comparison among adolescent girls. Journal of Applied Social Psychology, 32, 1906-1937.
Selby, E. A., Anesis, M. D., & Joiner, T. E. (2008). Understanding the relationship between emotional and behavioral dysregulation. Emotional cascades. Behaviour Research and Therapy, 46(5), 593-611.
Sim, L., & Zeman, J. (2004). Emotion awareness and identification skills in adolescent girls with Bulimia Nervosa. Journal of Clinical Child and Adolescent Psychology, 33, 760-771.
Soper, D. S. (2015). A-priori Sample Size Calculator for Hierarchical Multiple Regression [Software]. Available from http://www.danielsoper.com/statcalc.
Staiger, P., Dawe, S., & McCarthy, R. (2000). Responsivity to food cues in bulimic women and controls. Appetite, 35, 27-33.
Steiner, C. (2003). Emotional Literacy: Intelligence with a heart. Personhood Press.
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.
Stice, E., Telch, C. F., & Rizvi, S. L. (2000). Development and validation of the Eating Disorder Diagnostic Scale: A brief self-report measure of anorexia, bulimia, and bingeeating disorder. Psychological Assessment, 12(2), 123-131.
Strober, M., Freeman, R., Lampert, C., & Diamond, J. (2000). Controlled family study of anorexia nervosa and bulimia nervosa: Evidence of shared liability and transmission of partial syndromes. American Journal of Psychiatry, 157, 393-401.
Sutandar-Pinnock, K., Blake, W. D., Carter, J. C., Olmsted, M. P., & Kaplan, A. S. (2003). Perfectionism in anorexia nervosa: 6-24 month follow-up study. International Journal of Eating Disorder, 33, 225-229.
Tangney, J. P. (2002). Self-conscious emotions: The self as a moral guide. In A. Tesser & D. A. Stapel (Eds.). Self and motivation: Emerging psychological perspectives (pp. 97-117). Washington DC: American Psychiatric Association.
Thompson, R. A., & Calkins, S. D. (1996). The double-edged sword: Emotional regulation for children at risk. Developmental and Psychopathology, 8, 163-182.
Wallis, D. J., Thom, C., & Ridout, N. (2008). Emotion recognition in participants with nonclinical eating pathology. Feeding and Drink, Liverpool. UK.
Whiteside, U., Chen, E., Neighbors, C., Hunter, D., Lo, T., & Larimer, M. (2007). Difficulties regulating emotions: Do binge eaters have fewer strategies to modulate and tolerate negative affect? Eating Behaviors, 8, 162-169.
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