우울과 이상섭식행동의 관계에서 자기침묵과 정서조절곤란의 직렬 매개효과
The Sequential Mediating Effect of Self-Silencing and Emotion Dysregulation Between Depression and Disordered Eating Behavior
현명호 (중앙대학교)
초록
본 연구는 우울과 이상섭식행동의 공병률이 높음을 고려하여 두 병리의 관계를 연결하는 기제를 파악하는 것이 목적이다. 우울과 이상섭식행동의 관계에서 자기침묵과 정서조절곤란이 순차적으로 매개하는지 검증하였다. 이를 위해 20-30대 여성 266명의 참여자가 우울 척도(CES-D), 한국판 식사태도 검사(KEAT-26), 자기침묵 척도(STSS), 한국판 정서조절곤란 척도(K-DERS)를 온라인으로 실시하였다. 수집된 자료는 SPSS 24.0과 Process Macro 2.16을 사용하여 분석하였다. 연구 결과, 우울과 이상섭식행동의 관계에서 자기침묵과 정서조절곤란의 각각의 매개효과가 유의하였으며, 그 경로에서 자기침묵과 정서조절곤란의 직렬 매개효과도 유의하였다. 이러한 결과는 자기침묵과 정서조절곤란이 우울과 이상섭식행동을 연결하는 기제이며, 우울의 수준이 높은 경우 관계 내에서 자신의 생각과 감정을 억제하는 자기침묵 행동을 하면 정서조절에 어려움을 경험하게 되고, 결국 이상섭식행동으로 이어질 수 있음을 시사한다. 이를 바탕으로 본 연구의 한계점과 향후 연구를 위한 제언을 논의하였다.
- keywords
- Disordered Eating Behavior, Depression, Self-Silencing, Emotion Dysregulation, 이상섭식행동, 우울, 자기침묵, 정서조절곤란
Abstract
The following study was conducted to identify the linkage of the two pathologies by observing the correlation of the high comorbid rate of depression and disordered eating behavior. The study examines whether self-silencing and emotion dysregulation mediated in a sequential manner in the relationship between depression and disordered eating behavior. For this, 266 participants, 20-30% of whom were female, completed Depression scale(CES-D), The Korean Version of Eating Attitude Test-26(KEAT-26), Silencing-The-Self-Scale(STSS), Difficulties in Emotion Regulation Scale(K-DERS). The data collected was then analyzed using SPSS 24.0 and Process Macro 2.16. The results indicate that self-silencing and emotion dysregulation both mediated the relationship between depression and disordered eating behavior. These findings proved self-silencing and emotion dysregulation as mechanisms linking depression and disordered eating behavior. More so, it was also observed that both self-silencing and emotion dysregulation mediated sequentially. The study suggested that in the case of high level of depression, self-silencing behaviors that suppressed both the thoughts and emotions of the participants, may pose difficulty in controlling emotions and in turn lead to disordered eating behavior. The limitations and implications for future work are also discussed.
- keywords
- Disordered Eating Behavior, Depression, Self-Silencing, Emotion Dysregulation, 이상섭식행동, 우울, 자기침묵, 정서조절곤란
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